Antibiotikų skyrimo tendencijos endodontinio gydymo metu
| Autor: | Mende, Alexander Trutz |
|---|---|
| Přispěvatelé: | Venskutonis, Tadas |
| Jazyk: | litevština |
| Rok vydání: | 2019 |
| Předmět: | |
| Popis: | Background: Antibiotic resistance is an international concern with antibiotic overuse as its major cause. Inadequate prescribing practices of systemic antibiotics in endodontic therapy have been thoroughly described in present studies and the available literature. Prescription trends to certain antibiotic classes in Lithuania have been observed. Given the potential contribution to antimicrobial resistance and the evidence of inappropriate prescriptions highlights, that the periodical assessment of antibiotic consumption trends is required. Aim: The aim of this work was to provide a study on prescription behavior of Lithuanian general dental practitioners concerning systemic antibiotic therapy of endodontic infections. Tasks: To compare the results of this study with recommendations presented in the position statement of the European Society of Endodontics and to evaluate changes between obtained results and previous studies of similar type. Material and methods: 213 Lithuanian dentists have been asked to provide anonymous information of their clinical work by means of an online questionnaire. Results: Antibiotics were prescribed in approximately less than 20% of endodontic cases. Most common diagnosis for the prescription was symptomatic apical periodontitis with periostitis and apical abscesses with systemic involvement. Amoxicillin and co-amoxiclav were the preferred choices for the antimicrobial therapy. Clindamycin is prescribed in cases of allergy to beta-lactams. Conclusions: Within the limitations of this study it can be concluded, that in this sample discrepancies between the practice of Lithuanian general dental practitioners and the literature exist. The majority of practitioners were aware of the clinical recommendations. Especially young dentists performed better than in earlier studies of similar type. Clinicians of higher age were found to be more likely to prescribe antibiotic combinations with broad spectrum than their younger associates. |
| Databáze: | OpenAIRE |
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