背景:抗生素耐药性是全球性的健康危机。确保负责任,适当的使用(管理)对于保持抗生素尽可能长时间的工作很重要。整个医疗保健中约有10%的抗生素是由口腔保健专业人员开的。不必要的使用率很高。为了最大限度地发挥研究的价值,优化牙科抗生素的使用,这项研究就牙科抗生素管理的核心结果集达成了国际共识.
方法:候选结果来自文献综述。国际参与者是通过专业机构招募的,患者组织,和社交媒体,至少有30名牙医,学者,和患者贡献者。>70%的参与者(牙医,学者,和患者)在最终共识会议后,将2轮Delphi纳入核心结果集。研究方案已在COMET计划中注册,并在BMC试验中发表。
结果:共有来自15个国家的33名参与者,包括8个低收入和中等收入国家,完成了两轮Delphi研究。抗生素使用结果(例如,处方的适当性),不良或不良结果(例如,疾病进展引起的并发症),患者报告的结果包括在最终结果中,商定的核心集。与质量有关的结果,时间,和费用不包括在内。
结论:牙科抗生素管理的这一核心结果集代表了未来牙科抗生素管理研究应报告的最低限度。通过支持研究人员以对多个利益相关者有意义的方式设计和报告他们的研究,并进行国际比较,口腔健康专业对全球应对抗生素耐药性的努力的贡献可以进一步改善。
BACKGROUND: Antibiotic resistance is a global health crisis. Ensuring responsible, appropriate use (stewardship) is an important for keeping antibiotics working as long as possible. Around 10% of antibiotics across health care are prescribed by oral health care professionals, with high rates of unnecessary use. To maximise the value from research to optimise antibiotic use in dentistry, this study developed international
consensus on a core outcome set for dental antibiotic stewardship.
METHODS: Candidate outcomes were sourced from a literature review. International participants were recruited via professional bodies, patient organisations, and social media, with at least 30 dentists, academics, and patient contributors in total. Outcomes scored \"critical for inclusion\" by >70% of the participants (dentists, academics, and patients) after 2 Delphi rounds were included in the core outcome set following a final
consensus meeting. The study protocol was registered with the COMET Initiative and published in BMC Trials.
RESULTS: A total of 33 participants from 15 countries, including 8 low- and middle-income countries, completed both rounds of the Delphi study. Antibiotic use outcomes (eg, appropriateness of prescribing), adverse or poor outcomes (eg, complications from disease progression), and a patient-reported outcome were included in the final, agreed core set. Outcomes relating to quality, time, and cost were not included.
CONCLUSIONS: This core outcome set for dental antibiotic stewardship represents the minimum which future studies of antibiotic stewardship in dentistry should report. By supporting researchers to design and report their studies in a way meaningful to multiple stakeholders and enabling international comparisons, the oral health profession\'s contribution to global efforts to tackle antibiotic resistance can be further improved.