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Appropriateness of Therapeutic Antibiotic Prescriptions by Lebanese Dentists in the Management of Acute Endodontic Abscesses

机译:黎巴嫩牙医治疗抗生素处方对急性胸腺脓肿管理的适当性

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The misuse of antibiotics in dentistry is a serious concern especially in regards to the emergence of antibiotic resistance. The objective of the study was to evaluate the appropriateness of antibiotics prescriptions by Lebanese dentists to patients with endodontic abscesses and their compliance with the guidelines of the American Association of Endodontists (AAE) and the European Society of Endodontology (ESE). The treating dentists recorded clinical information from 127 patients diagnosed with acute or chronic endodontic abscess. The information also included the type of antibiotic prescribed, dosage, and duration of the prescription. Prescriptions were not given to 14/20 patients with an acute endodontic abscess despite the presence of an indication to prescribe. All the prescriptions given to patients with an acute endodontic abscess were inappropriate according to the ESE and AAE guidelines. Antibiotics were also prescribed unnecessarily to 17/42 patients with a chronic endodontic abscess. This study concluded that antibiotics prescriptions by Lebanese dentists for the management of endodontic abscesses were inappropriate. Penicillin?V potassium (VK) was not available in Lebanon when the study was conducted. Only broad-spectrum antibiotics were prescribed. This finding raises concerns about the emergence of antibiotic resistance.
机译:在牙科抗生素中滥用抗生素是一个严重关注的抗生素抗性的出现。该研究的目的是评估黎巴嫩牙医患者患有牙髓症脓肿患者的抗生素处方的适当性及其遵守美国侧牙科医生(AAE)和欧洲肢体学会(ESE)的指导方针。治疗牙医从被诊断患有急性或慢性牙龈脓肿的127名患者记录临床信息。该信息还包括所列抗生素类型,剂量和处方持续时间。尽管存在指示规定规定,但不给予14/20患者患有14/20患者的急性胸腺脓肿患者。根据ESE和AAE指南,所有给予急性椎间露脓肿患者的处方都是不恰当的。抗生素也被不必要地规定至17/42患者慢性胸腺脓肿患者。这项研究得出结论,黎巴嫩牙医用于治疗牙髓性脓肿管理的抗生素处方是不合适的。在进行研究时,黎巴嫩不可用青霉素?V钾(VK)。仅规定了广谱抗生素。这一发现提出了对抗生素抗性的出现的担忧。

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