背景:牙医,通过不适当的抗生素处方,可能导致抗生素耐药性(AR)的全球性问题。
目的:了解牙医抗生素处方模式,知识来源,和他们的处方实践背后的驱动力可能是至关重要的有效实施合理使用抗生素(RUA)在牙科。
方法:土耳其牙科协会的活跃成员应邀参加了一项电子调查,其中包括有关其角色的问题。关于RUA的知识和看法,在日常牙科工作中适应RUA的感知障碍,和实际的抗生素处方实践。年龄的潜在影响,性别,专业经验,并对牙科实践模式进行了评价。还评估了牙医对牙周病/状况的处方实践。
结果:基于1,005个有效响应,对RUA的必要性达成了共识(99.1%);然而,它的执行率很低。主要障碍是牙医自身的安全问题(74.4%),强烈的患者需求(42.2%)和处方抗生素成为一种职业习惯(35.8%)。不同的教育背景导致日常处方实践的明显差异。
结论:RUA的实施并不充分,感知的障碍对日常处方习惯有影响。通过有效传播循证临床指南和决策辅助工具来支持牙科专业人员可能需要专业组织的额外帮助,以积极对抗AR。
BACKGROUND: Dentists, through inappropriate antibiotic prescription, may contribute to the global problem of antibiotic resistance (AR).
OBJECTIVE: Understanding dentists\' antibiotic prescription patterns, source of knowledge, and the driving forces behind their prescription practices may be crucial for the effective implementation of the rational use of antibiotics (RUA) in dentistry.
METHODS: Active members of the Turkish Dental Association were invited to participate in an electronic survey comprising questions focusing on their role, knowledge and perceptions regarding RUA, the perceived barriers to adapting RUA in daily dental work, and the actual antibiotic prescription practices. The potential impact of age, gender, professional experience, and the mode of dental practice was also evaluated. Dentists\' prescription practices for periodontal disease/conditions were evaluated as well.
RESULTS: Based on 1,005 valid responses, there was consensus on the necessity of RUA (99.1%); however, its implementation was low. The main barriers were dentists\' own safety concerns (74.4%), strong patients\' demands (42.2%) and the fact that prescribing antibiotics became a professional habit (35.8%). Different educational background resulted in clear variances in everyday prescription practices.
CONCLUSIONS: The implementation of RUA was not sufficient and the perceived barriers had an impact on daily prescribing habits. Support for dental professionals through the efficient dissemination of evidencebased clinical guidelines and decision-making aids is likely to require additional help from professional organizations in order to actively combat AR.