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一项关于牙科专业最后一年学生对抗生素使用的知识与态度的评估:问卷调查研究。

An Assessment of the Knowledge and Attitudes of Final-Year Dental Students on and Towards Antibiotic Use: A Questionnaire Study.

作者信息

Yildirim Ozgun, Yildiz Humeyra, Mollaoglu Nur

机构信息

Department of Oral and Maxillofacial Surgery, Gülhane School of Dentistry, Health Sciences University, 06010 Ankara, Turkey.

Department of Oral and Maxillofacial Surgery, School of Dentistry, Gazi University, 06490 Ankara, Turkey.

出版信息

Antibiotics (Basel). 2025 Jun 25;14(7):645. doi: 10.3390/antibiotics14070645.

Abstract

The misuse of antibiotics in dental practice significantly contributes to the escalation of antimicrobial resistance. This study aimed to assess the knowledge and attitudes of final-year dental students regarding perioperative antibiotic prophylaxis in oral surgery and to identify potential curricular improvements based on the findings. A questionnaire was administered to 117 final-year students at Gazi University Faculty of Dentistry in December 2024. The survey presented clinical scenarios related to common oral surgical procedures, evaluating participants' antibiotic prescribing behaviors. Statistical analyses were performed using descriptive statistics and a One-Sample Chi-Square Test. Students demonstrated a general tendency toward rational antibiotic use in routine clinical scenarios, with statistically significant response patterns favoring the avoidance of unnecessary prescriptions ( < 0.05). However, in complex or borderline cases such as impacted third molar extraction and dental implant placement, response variability was observed. Post hoc analyses revealed no statistically significant differences between closely distributed options, indicating inconsistencies in decision-making in more challenging scenarios. While final-year dental students exhibited a satisfactory level of knowledge regarding appropriate antibiotic use in standard surgical procedures, the variability observed in complex cases underscores the necessity for enhanced educational interventions. Incorporating updated, evidence-based antimicrobial stewardship principles and promoting clinical decision-making through case-based learning are essential to prepare future dental practitioners for responsible antibiotic prescribing, contributing to global efforts to mitigate antimicrobial resistance.

摘要

牙科实践中抗生素的滥用极大地助长了抗菌药物耐药性的升级。本研究旨在评估牙科专业最后一年学生对口腔外科围手术期抗生素预防的知识和态度,并根据研究结果确定课程中可能的改进之处。2024年12月,对加齐大学牙科学院的117名最后一年学生进行了问卷调查。该调查呈现了与常见口腔外科手术相关的临床场景,评估参与者的抗生素处方行为。使用描述性统计和单样本卡方检验进行统计分析。学生们在常规临床场景中表现出合理使用抗生素的总体趋势,具有统计学意义的反应模式倾向于避免不必要的处方(<0.05)。然而,在诸如阻生第三磨牙拔除和牙种植体植入等复杂或临界病例中,观察到反应的变异性。事后分析显示,分布相近的选项之间没有统计学上的显著差异,表明在更具挑战性的场景中决策存在不一致性。虽然牙科专业最后一年学生对标准外科手术中适当使用抗生素表现出了令人满意的知识水平,但复杂病例中观察到的变异性凸显了加强教育干预的必要性。纳入最新的、基于证据的抗菌药物管理原则,并通过基于案例的学习促进临床决策,对于让未来的牙科从业者负责任地开具抗生素处方至关重要,有助于全球应对抗菌药物耐药性的努力。

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