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波斯尼亚和黑塞哥维那联邦牙医牙髓病学抗生素处方习惯——一项基于问卷调查的研究

Antibiotic Prescribing Habits in Endodontics among Dentists in the Federation of Bosnia and Herzegovina-A Questionnaire-Based Study.

作者信息

Galić Matea, Miletić Ivana, Poklepović Peričić Tina, Rajić Valentina, Većek Jurčević Nikolina Nika, Pribisalić Ajka, Medvedec Mikić Ivana

机构信息

Private dental practice Grizelj, 88340 Grude, Bosnia and Herzegovina.

Department of Endodontics and Restorative Dentistry, School of Dental Medicine, University of Zagreb, 10000 Zagreb, Croatia.

出版信息

Antibiotics (Basel). 2024 Sep 12;13(9):876. doi: 10.3390/antibiotics13090876.

Abstract

BACKGROUNDS

Antibiotics are used in endodontic treatment to control acute odontogenic infection and for prophylactic purposes. This study aimed to investigate the knowledge of dentists from the Federation of Bosnia and Herzegovina about the choice and the routes of antibiotic administration in endodontics.

METHODS

This cross-sectional study involved dentists in Federation of Bosnia and Herzegovina health institutions. The Dental Chamber sent a twelve-question survey to members' email addresses. They were asked about the type, dosage, indications, and side effects of antibiotics used in endodontics. The obtained data were screened and analyzed.

RESULTS

A total of 180 questionnaires were filled out. The most commonly prescribed antibiotic was amoxicillin with clavulanic acid. Pulp necrosis with symptomatic apical periodontitis, swelling, and moderately severe symptoms were the main indications for the therapeutic use of antibiotics. Amoxicillin, administered orally at 2 g 1 h before endodontic surgery for patients with bacterial endocarditis, was mostly indicated for the prophylactic use of antibiotics.

CONCLUSIONS

Based on the results of this study, we can conclude that dentists from the Federation of Bosnia and Herzegovina have limited knowledge regarding antibiotic use in endodontics. Educational activities and campaigns are necessary to raise awareness about antibiotics in dental medicine in the Federation of Bosnia and Herzegovina.

摘要

背景

抗生素用于牙髓病治疗以控制急性牙源性感染及预防目的。本研究旨在调查波斯尼亚和黑塞哥维那联邦的牙医关于牙髓病治疗中抗生素选择及给药途径的知识。

方法

这项横断面研究涉及波斯尼亚和黑塞哥维那联邦医疗机构的牙医。牙科协会向会员的电子邮箱发送了一份包含12个问题的调查问卷。询问他们关于牙髓病治疗中使用的抗生素的类型、剂量、适应证及副作用。对获得的数据进行筛选和分析。

结果

共填写了180份问卷。最常开具的抗生素是阿莫西林克拉维酸。牙髓坏死伴症状性根尖周炎、肿胀及中度严重症状是抗生素治疗使用的主要适应证。对于患有细菌性心内膜炎的患者,在牙髓手术前1小时口服2克阿莫西林,主要用于抗生素的预防性使用。

结论

基于本研究结果,我们可以得出结论,波斯尼亚和黑塞哥维那联邦的牙医在牙髓病治疗中使用抗生素方面的知识有限。开展教育活动和宣传运动对于提高波斯尼亚和黑塞哥维那联邦牙科医学中对抗生素的认识是必要的。

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