牙科治疗中全身性疾病的抗生素预防,推荐或不推荐:一项牙科学生的调查

Prabhu Subramani, Sswedheni Ujjayanthi
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引用次数: 0

摘要

背景:为了防止有特殊医疗条件的患者短暂菌血症引起的感染并发症,考虑使用抗生素预防。虽然已经发表了许多抗生素预防指南;建议往往不明确。本研究旨在评估牙科学生对全身性疾病患者使用抗生素的信心。材料与方法:采用整群随机抽样的横断面描述性问卷调查方法,对金奈市牙科院校进行调查。问卷由8个不同医疗条件的患者模拟病例组成,以下牙科手术如刮除、简单拔牙和根管治疗,并使用视觉模拟量表(VAS)来评估实习生对使用抗生素的决定的信心程度。性别决策差异采用卡方检验,抗生素给药决策总体置信度采用独立样本t检验。P < 0.05认为有统计学意义。结果:本研究应答率为76.6%,n = 353名研究对象参与本研究。研究参与者在VAS上的置信度评估的总体平均值为75.6 mm,范围为64-86 mm。研究参与者对全身性疾病患者牙科治疗中抗生素预防使用的看法存在差异(P< 0.05)。结论:虽然研究对象普遍了解抗生素预防,但对抗生素给药的决定并不明确,信心水平也较低。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Antibiotic prophylaxis for systemic diseases in dental treatment, recommended or not recommended: A survey among dental students
Background: To prevent infectious complications from transient bacteremia in patients with specific medical conditions, antibiotic prophylaxis is considered. Although many guidelines for antibiotic prophylaxis have been published; recommendations are often unclear. This study was conducted to assess the confidence of the dental students in administering antibiotics for the patients with systemic diseases. Materials and Methods: A cross-sectional, descriptive questionnaire survey employing cluster random sampling was conducted among dental colleges in Chennai. The questionnaire comprised eight simulated cases of patients with different medical conditions, the following dental procedures such as scaling, simple extraction, and root canal treatment, and visual analog scale (VAS) were used to assess how confident are the interns in their decision to administer antibiotics. Chi-square test was used difference in decision across gender, and independent samples t-test was used to test the overall confidence in decision in the administration of antibiotics. P < 0.05 is considered statistically significant. Results: Response rate in the present study was 76.6%, n = 353 study participants participated in the present study. The overall mean in confidence assessments for the study participants was 75.6 mm on the VAS and the range was 64–86 mm. Study participants differ in their opinion in the administration of antibiotic prophylaxis for dental treatment in the management of patients with systemic diseases (P< 0.05). Conclusion: Although the study participants are generally aware of antibiotic prophylaxis, they were not clear in their decision in administration of antibiotics and their level of confidence is also low.
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