关键词: analgesics antibiotics diclofenac empirical therapy ibuprofen mefenamic acid non-steroidal anti-inflammatory drugs paracetamol

Mesh : Humans Anti-Bacterial Agents / therapeutic use Cross-Sectional Studies Iraq Quality of Life Practice Patterns, Dentists' Analgesics / therapeutic use Prescriptions Dentists

来  源:   DOI:10.25122/jml-2023-0405   PDF(Pubmed)

Abstract:
The inappropriate use of analgesics and antibiotics is a widespread issue among dentists globally, leading to the risk of over-prescription that could negatively affect patient health and quality of life. This study aimed to assess the prescribing patterns of analgesics and antibiotics by dentists in Kirkuk City, Iraq, focusing on their attitudes, knowledge levels, and practices regarding these medications. A cross-sectional survey was conducted among 280 dentists in Kirkuk City. The dentists were contacted via their work email addresses, and they responded to a survey. Descriptive statistics, including frequency analysis, were employed to evaluate the appropriateness of analgesic and antibiotic prescriptions for different dental conditions. The first-choice analgesic for 44.6% of dentists was mefenamic acid, followed by paracetamol (31.1%). Regarding antibiotic use, 56.8% of dentists in Kirkuk City reported using antibiotics for empirical and direct therapy. Other dentists (43.2%) revealed that they did not have enough information regarding antibiotic group preference in empirical therapy. 106 of the participants (37.85%) recommended the use of broad-spectrum antibiotics in the treatment of bacterial infections. However, most (45%) were unfamiliar with the group preferences in empirical therapy. Dentists in Kirkuk City showed variations in knowledge and awareness regarding using analgesics and antibiotics. This requires further education and training on proper analgesics and antibiotic stewardship guidelines.
摘要:
镇痛药和抗生素的不当使用是全球牙医中普遍存在的问题,导致过度处方的风险,可能对患者健康和生活质量产生负面影响。这项研究旨在评估基尔库克市牙医的镇痛药和抗生素的处方模式,伊拉克,专注于他们的态度,知识水平,以及关于这些药物的实践。对基尔库克市的280名牙医进行了横断面调查。通过他们的工作电子邮件地址联系了牙医,他们回答了一项调查。描述性统计,包括频率分析,用于评估不同牙齿状况的镇痛和抗生素处方的适当性。44.6%牙医的首选镇痛药是甲芬那酸,其次是对乙酰氨基酚(31.1%)。关于抗生素的使用,基尔库克市56.8%的牙医报告使用抗生素进行经验性和直接治疗。其他牙医(43.2%)透露,他们没有足够的关于经验治疗中抗生素组偏好的信息。106名参与者(37.85%)建议使用广谱抗生素治疗细菌感染。然而,大多数(45%)不熟悉经验治疗中的群体偏好.基尔库克市的牙医在使用镇痛药和抗生素方面表现出不同的知识和意识。这需要对适当的镇痛药和抗生素管理指南进行进一步的教育和培训。
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