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Antibiotic overusage and resistance: A cross-sectional survey among pediatric dentists

机译:抗生素过度使用和耐药性:儿科牙医的横断面调查

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Introduction: Most human orofacial infections originate from odontogenic infections and prescribing antibiotics has become a ubiquitous phenomenon. The World Health Organization (WHO) has recognized the inappropriate, indiscriminate, and irrational use of antibiotics leading to antibiotic resistance as a global problem. Objective: The objective of this survey is to compare the antibiotic prescription pattern and the awareness of antibiotic resistance among Bachelor of Dental Surgery (BDS) practitioners and pediatric dentists. Materials and methods: A hundred BDS practitioners and 100 pediatric dentists included in the study were given a questionnaire containing both open-ended and closed-ended questions. The questionnaire comprised information pertaining to antibiotic prescription for most common oral conditions, commonly prescribed antibiotics, their dosage, etc. Results: The majority of the practitioners prescribed antibiotics for managing oral diseases. On comparing the prescription patterns between the BDS practitioners and pediatric dentists, there was an overprescription in the BDS group for many conditions, which was statistically significant. Amoxicillin was the most commonly prescribed drug in both the groups. In the presence of an anaerobic infection, the most preferred drug was a combination of amoxicillin and clavulanic acid with metronidazole. With regard to the duration of antibiotic prescription, 74% BDS practitioners prescribed antibiotics as a 3-day course and 60% pediatric dentists resorted to a 5-day course, which was statistically significant. The awareness regarding antibiotic prophylaxis and antibiotic resistance was found to be adequate in both the groups. However, there was a general lack of awareness with regard to the guidelines for antibiotic prescribing in both the groups. Conclusion: Practitioners should prescribe antibiotics in accordance with the guidelines to curb antibiotic resistance, an emerging public health problem.
机译:简介:大多数人的口腔感染均来自牙源性感染,开具抗生素处方已成为普遍现象。世界卫生组织(WHO)已经认识到抗生素的不适当,不加选择和不合理的使用导致了抗生素耐药性成为全球性问题。目的:本次调查的目的是比较牙科医生(BDS)和儿科医师的抗生素处方模式和对抗生素耐药性的认识。材料和方法:纳入研究的100名BDS从业者和100名儿科牙医获得了包含开放式和封闭式问题的问卷。该问卷包括有关最常见口腔疾病的抗生素处方,常用处方抗生素,其剂量等信息。结果:大多数从业者处方抗生素来治疗口腔疾病。在比较BDS从业者和儿科牙医的处方方式时,BDS组在许多情况下存在处方过量的情况,这在统计学上是显着的。阿莫西林是两组中最常用的处方药。在厌氧感染的情况下,最优选的药物是阿莫西林和克拉维酸与甲硝唑的组合。关于抗生素处方的持续时间,有74%的BDS从业者将抗生素列为3天的疗程,而60%的儿科牙医则采用5天的疗程,这在统计学上具有统计学意义。两组中对抗生素预防和抗生素耐药性的认识都足够。但是,在这两个组中,人们普遍对抗生素处方指南缺乏认识。结论:从业者应按照指南规定的抗生素处方来抑制抗生素耐药性,这是一个正在出现的公共卫生问题。

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