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巴西牙科诊所抗生素的过度处方:现行实践评估。

Overprescription of antibiotics in Brazilian dental clinics: an evaluation of current practices.

机构信息

Health Sciences Post-Graduate Program, Universidade São Francisco, 218, São Francisco Ave., Bragança Paulista, São Paulo, Brazil.

College of Dentistry, Universidade São Francisco, Bragança Paulista, Brazil.

出版信息

Sci Rep. 2024 Nov 30;14(1):29796. doi: 10.1038/s41598-024-80908-y.

Abstract

The use of antibiotics by dentist surgeons faces a lack of consensus among professionals and researchers, whether in relation to prophylaxis, or at least regarding the real need for their use. Recent studies increasingly question the use of prophylactic antibiotic therapy in healthy patients. This study aimed to evaluate the knowledge of dentist surgeons working in offices across Brazil regarding antibiotic use protocols and antibiotic resistance. A questionnaire was made via Google Forms and sent by email. The results showed that most dentists prescribe antibiotics for all surgical procedures performed in their office, regardless of the complexity and the patient. Furthermore, low scientific basis was observed among some of the professionals interviewed regarding the best therapeutic choice and the role of antibiotics in the surgical procedure. The present study highlights the urgent need to improve the knowledge of these professionals in Brazil, to reduce the impact on antibiotic resistance.

摘要

牙医外科医生使用抗生素的问题在专业人士和研究人员中缺乏共识,无论是在预防方面,还是至少在使用抗生素的真正必要性方面。最近的研究越来越质疑在健康患者中使用预防性抗生素治疗。本研究旨在评估在巴西各地办公室工作的牙医外科医生对使用抗生素的协议和抗生素耐药性的了解。通过 Google 表单制作了一份问卷,并通过电子邮件发送。结果表明,大多数牙医为他们办公室进行的所有手术程序开抗生素,无论手术的复杂程度和患者的情况如何。此外,在接受采访的一些专业人员中,对于最佳治疗选择和抗生素在手术过程中的作用,科学依据不足。本研究强调了迫切需要提高巴西这些专业人员的知识水平,以减少对抗生素耐药性的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3aa8/11608268/8add94fcfe30/41598_2024_80908_Fig1_HTML.jpg

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