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患者、学生和牙科教授对手术、牙周病学和牙髓病学中抗生素管理的认知:西班牙巴塞罗那大学的一项横断面研究

Knowledge of Antibiotic Management in Surgery, Periodontics and Endodontics Among Patients, Students and Dentistry Professors: A Cross-Sectional Study at the University of Barcelona (Spain).

作者信息

Toribio-Méndez Adrián, Montero-Miralles Paloma, Egido-Moreno Sonia, Schiavo Di Flaviano Verónica, González-Navarro Beatriz, López-López José

机构信息

Department of Odontostomatology, Faculty of Medicine and Health Sciences (Dentistry), University of Barcelona, L'Hospitalet de Llobregat, 08970 Barcelona, Spain.

Department of Stomatology (Endodontic Section), School of Dentistry, University of Sevilla, C/Avicena s/n, 41009 Sevilla, Spain.

出版信息

J Clin Med. 2025 Mar 22;14(7):2179. doi: 10.3390/jcm14072179.

Abstract

: The main objective of this study was to analyze the knowledge on the use and management of antibiotics in dentistry within three different groups of interest: patients, fifth-year dental students at the University of Barcelona and professors of the faculty of dentistry of the University of Barcelona. : A cross-sectional pilot study was carried out using questionnaires addressed to the three groups of interest: patients ( = 250), students ( = 79) and professors ( = 50). Sociodemographic questions were asked of all the groups. The professor and student questions were related to antibiotic therapy in relation to dental procedures. The patients were asked questions related to antibiotic management. : Regarding the patient group, there were statistically significant differences between the participants of the group; people without higher education were more likely to self-medicate ( = 0.043) or to be unaware of the adverse effects ( = 0.045). Regarding the student and professor groups, there were no significant differences in the prescription of antibiotics. Amoxicillin 750 mg was the most commonly used in patients without an allergy to Penicillin, but there were significant differences in the antibiotic of choice for those patients allergic to Penicillin, the most commonly prescribed being either Clindamycin or Azithromycin ( = 0.002). : The study revealed a lack of uniformity in the knowledge and management of antibiotics among both students and professors, which highlights the need to improve university training in pharmacology and for professors to continue education throughout their working lives. It also indicates the need for patient health education regarding antibiotics.

摘要

本研究的主要目的是分析三组不同人群(患者、巴塞罗那大学牙科专业五年级学生以及巴塞罗那大学牙科学院教授)在牙科领域抗生素使用与管理方面的知识。开展了一项横断面试点研究,向三组人群(患者250名、学生79名、教授50名)发放问卷。所有组都被问及社会人口统计学问题。教授和学生的问题与牙科手术中的抗生素治疗有关。患者则被问及与抗生素管理相关的问题。关于患者组,该组参与者之间存在统计学显著差异;未受过高等教育的人更有可能自行用药(P = 0.043)或未意识到不良反应(P = 0.045)。关于学生组和教授组,抗生素处方方面没有显著差异。对于对青霉素不过敏的患者,750毫克阿莫西林是最常用的,但对于对青霉素过敏的患者,所选抗生素存在显著差异,最常开具的是克林霉素或阿奇霉素(P = 0.002)。该研究揭示了学生和教授在抗生素知识与管理方面缺乏一致性,这凸显了改进大学药理学培训以及教授终身持续教育的必要性。这也表明需要对患者进行抗生素健康教育。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b0c7/11989375/c8bcb19851b3/jcm-14-02179-g001.jpg

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