Diş Hekimlerinin Gömülü Yirmi Yaş Diş Çekiminde Antibiyotik Kullanımı Hakkında Bilgi, Düşünce ve Davranışlarının Değerlendirilmesi

Öz

Amaç: Bu çalışmanın amacı gömülü yirmi yaş diş çekiminde diş hekimlerinin antibiyotik kullanımı hakkında bilgi, düşünce, davranış ve antibiyotik kullanımı yaklaşımlarının değerlendirilmesidir. Gereç ve Yöntem: Çalışmaya katılan 468 diş hekimine 36 sorudan oluşan demografik bilgiler, gömülü yirmi yaş diş çekimi endikasyonları, oluşabilecek komplikasyonlar, reçete edilen ilaçlar ve kullanım süreleri, ilaç seçimindeki kriterleri, preoperatif ve postoperatif dönemdeki yaklaşımları, radyolojik değerlendirme kriterleri ile ilgili sorulardan oluşan anket formu uygulanmıştır. Kategorik veriler arasında ilişkinin tespiti için Ki-kare ve Fisher Ki-kare analizi kullanılmıştır. Yapılan tüm istatiksel analizlerde anlamlılık düzeyi 0.05 olarak kabul edilmiştir. Bulgular: Diş hekimlerinin klinik deneyimlerinin antibiyotik seçimlerini etkilediği görülmüştür. Penisilin alerjisi olan hastalar için, diş hekimleri genellikle klindamisin veya metronidazol gibi penisiline alternatif antibiyotik seçimleri yapmışlardır. Antibiyotik seçiminde tercih nedenleri de antibiyotik seçimlerini etkilemiştir. Diş hekimleri, mezuniyet öncesi eğitimlerinde öğrendikleri bilgilere dayanarak, konu ile ilgili yazılmış olan klinik rehberlerden yararlanarak veya risk almamak için mutlaka klavulonik asit veya sulbaktam ile kombine edilmiş antibiyotikleri kullanarak antibiyotik seçimleri yapmışlardır (p<0.05). Sonuç: Çalışma kapsamında elde edilen bulgular diş hekimlerinin gömülü yirmi yaş diş çekiminde antibiyotik kullanımı farkındalığının artırılmasının önemli olduğunu ortaya koymaktadır. Ayrıca çalışma sonucunda ülkemizde akılcı ilaç kullanımı ile ilgili eğitim stratejilerinin özellikle öğrencilik döneminden itibaren oluşturulması gerektiği önerilmektedir.

Anahtar Kelimeler

• antibiyoterapi
• gömülü
• operasyon
• profilaksi

Evaluation of Dentists’ Knowledge, Opinions and Behaviours About The Use of Antibiotics in Impacted Wisdom Tooth Extraction

Öz

Aim: The aim of this study was to evaluate the knowledge, thoughts, behaviours and approaches of dentists about antibiotic use in impacted wisdom teeth extraction. Materials and Method: A questionnaire form consisting of 36 questions about demographic information, indications for extraction of impacted wisdom teeth, complications that may occur, prescribed drugs and their duration of use, criteria for drug selection, preoperative and postoperative approaches, and radiological evaluation criteria was applied to 468 dentists participating in the study. Chi-square and Fisher Chi-square analyses were used to determine the relationship between categorical data. The significance level was accepted as 0.05 in all statistical analyses. Results: The clinical experience of dentists was found to influence their choice of antibiotics. For patients with penicillin allergy, dentists usually chose alternative antibiotics to penicillin such as clindamycin or metronidazole. Reasons for preference also influenced the choice of antibiotics. Dentists chose antibiotics based on the information they learnt in their pre-graduation education, by making use of clinical guidelines written on the subject or by using antibiotics combined with clavulonic acid or sulbactam in order not to take risks (p<0.05). Conclusion: The findings obtained within the scope of the study reveal that it is important to increase the awareness of dentists about antibiotic use in impacted wisdom tooth extraction. In addition, as a result of the study, it is recommended that educational strategies related to rational drug use in our country should be established especially from the student period.

Anahtar Kelimeler

• Antibiotherapy
• wisdom
• operation
• prophylaxis

Kaynakça

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