Antibiotic prescribing profile in the management of oral diseases among dentists in Istanbul

Year 2011, Volume: 1 Issue: 1, 35 - 41, 31.01.2014

Sinan Şermet Müşerref Akgün Şükran Atamer-şimşek

Abstract

Objectives: To determine the rational drug use and the pattern of antibiotic prescription for dental management and the information given to their patients about the use of these drugs by dentists in Istanbul.
Methods: A questionnaire was distributed to 250 dentists working in Istanbul. The questionnaires consist of open-ended questions about therapeutic and prophylactic antibiotic use in dentistry and were given by hand to dentists. The questionnaires were analyzed and the responses to each question expressed as absolute frequencies. The cases and the antibiotics prescribed by dentists for each case were determined by the descriptive statistics method; “frequency”.
Results: Responses to questionnaire were received from 130 (52%) dentists. Primarily prescribed antibiotic for therapy was the combination of amoxicillin and clavulanic acid and for prophylaxis was amoxicillin. Although more than 80% of the dentists reported they gave information to their patients about the use of antibiotics, the content of the information was limited. Patients mainly informed to obey the dose and dose intervals of the prescribed drugs by dentists.
Conclusions: The results of the present study demonstrated that dentists most commonly prescribe the combination of amoxicillin and clavulanic acid for the therapy of periodontal, endodontic and surgical procedures. The results also showed that dentists informed their patients inadequately about antibiotic use. In the light of these data; inessential antibiotic use, insufficient informing of the patients about drug use and irrational use of drugs indicate that the renovation of graduate and postgraduate educations are required.

Key words: Dentistry, antibiotic use, questionnaire

Keywords

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Oral hastalıkların tedavisinde, İstanbul’daki diş hekimleri arasında antibiyotik reçetelendirme profili

Abstract

Amaç: İstanbul’daki diş hekimleri tarafından, akılcı ilaç kullanımını, dental tedavi amacıyla antibiyotiklerin verilme nedenlerini ve ilaç konusunda hastaya verilen bilgileri belirlemek.
Yöntem: İstanbul’da çalışan 250 diş hekimine anket dağıtıldı. Anketler, hekimlere elden verildi. Anketteki sorular; diş hekimliğinde, terapötik ve profilaktik antibiyotik kullanımı hakkında açık uçlu sorulardı. Anketler analiz edildi ve her bir soruya verilen yanıtlar, mutlak frekanslar olarak belirlendi. Vakalar ve diş hekimleri tarafından her bir vaka için reçete edilen antibiyotikler, tanımsal istatistik yöntemi olan sıklıkla analiz edildi.
Bulgular: Dağıtılan anketlerin 130 adedi yanıtlandı (%52). Başlıca yazılan antibiyotikler; tedavi amacıyla amoksisilin ve klavulanik asit kombinasyonu, profilaksi amacıyla amaoksisilin idi. Diş hekimlerinin %80’inden fazlası hastalarına antibiyotikle ilgili bilgi verdiğini belirtmesine karşın, verilen bilginin içeriği kısıtlıydı. Hastalar, yazılan ilaçların dozlarına ve doz aralıklarına uymaları konusunda bilgilendirilmişlerdi.
Sonuç: Mevcut çalışma, diş hekimlerinin; periodontal, endodontik ve cerrahi işlemlerin tedavisi için en fazla yazdıkları antibiyotiğin; amoksisilin klavulanik asit olduğunu göstermiştir. Sonuçlar ayrıca, diş hekimlerinin hastalarını antibiyotik kullanımı konusunda yetersiz şekilde bilgilendirdiğini göstermiştir. Bu verilerin ışığında, gereksiz antibiyotik kullanımı, ilaç kullanımı konusunda hastaların yetersiz bilgilendirilmesi ve akılcı olmayan ilaç kullanımı, lisans ve lisansüstü eğitimin yenilenmesi gerektiğini göstermektedir.

Anahtar Kelimeler: Diş hekimliği, antibiyotik kullanımı, anket

Keywords

Diş hekimliği, antibiyotik kullanımı, anket

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