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Antibioterapia no tratamento da patologia endodôntica
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| PPG_30783 | 896.23 KB | Adobe PDF |
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Abstract(s)
Introdução: Existe atualmente uma crescente preocupação global com o uso excessivo de antibióticos e o consequente aparecimento de estirpes bacterianas resistentes a estes fármacos.
Objetivos: Esta investigação teve como principal propósito determinar os hábitos de prescrição de antibióticos no tratamento da patologia endodôntica inclusive apurar se os médicos dentistas selecionam apropriadamente o uso de antibióticos de acordo com o diagnóstico endodôntico por eles estabelecido.
Materiais e Métodos: Foi elaborado um questionário onde foram obtidas 219 respostas. A análise de dados foi realizada através de estatística descritiva e inferencial e do teste de Mann-Withney e o teste de Qui-Quadrado.
Resultados: 219 médicos dentistas a exercer a sua prática clínica nas diversas áreas da Medicina dentária e no território Português responderam ao questionário desta investigação. Dentre as várias questões que abordaram diferentes diagnósticos, constatámos que o diagnóstico em que reportaram o maior número de prescrição foi no caso de celulite facial ou abcesso não drenável (89%) n = 195, estando de acordo com as guidelines atuais. No entanto, verificámos também que existe uma alta ocorrência de prescrição noutros diagnósticos. Os antibióticos mais usados pelos clínicos são a amoxicilina mais ácido clavulânico e azitromicina para os pacientes alérgicos à penicilina.
Conclusão: Os antibióticos são prescritos para o tratamento de diagnósticos pulpo-perirradiculares onde não existe indicação clínica, pela evidência científica, para tal. Os resultados deste estudo sugerem que há lacunas no conhecimento sobre a correta indicação para a prescrição de antibióticos na prática endodôntica.
Introduction: There is currently a growing global concern about the overuse of antibiotics and the consequent emergence of bacterial strains resistant to these drugs. Objectives: The main purpose of this investigation was to determine antibiotic prescribing habits in the treatment of endodontic disease, including whether dentists appropriately select the use of antibiotics according to the endodontic diagnosis established by them. Materials and Methods: A questionnaire was prepared in which 219 responses were obtained. The data analysis was performed through descriptive and inferential statistics and the Mann-Whitney test and the Chi-Square test. Results: 219 dentists practicing their clinical practice in the various areas of dentistry and in Portuguese territory answered the questionnaire of this investigation. Among the several questions that addressed different diagnoses, we found that the diagnosis in which they reported the highest number of prescription was in the case of facial cellulitis or non-draining abscess (89%) n = 195, being in agreement with the current guidelines. However, we have also noticed that there is a high occurrence of prescription in other diagnoses. The antibiotics most commonly used by clinicians are amoxicillin plus clavulanic acid and azithromycin for patients allergic to penicillin. Conclusion: Antibiotics are prescribed for the treatment of pulp-periradicular diagnoses where there is no clinical indication, by scientific evidence, for this. The results of this study suggest that there are gaps in the knowledge about the correct indication for the prescription of antibiotics in endodontic practice.
Introduction: There is currently a growing global concern about the overuse of antibiotics and the consequent emergence of bacterial strains resistant to these drugs. Objectives: The main purpose of this investigation was to determine antibiotic prescribing habits in the treatment of endodontic disease, including whether dentists appropriately select the use of antibiotics according to the endodontic diagnosis established by them. Materials and Methods: A questionnaire was prepared in which 219 responses were obtained. The data analysis was performed through descriptive and inferential statistics and the Mann-Whitney test and the Chi-Square test. Results: 219 dentists practicing their clinical practice in the various areas of dentistry and in Portuguese territory answered the questionnaire of this investigation. Among the several questions that addressed different diagnoses, we found that the diagnosis in which they reported the highest number of prescription was in the case of facial cellulitis or non-draining abscess (89%) n = 195, being in agreement with the current guidelines. However, we have also noticed that there is a high occurrence of prescription in other diagnoses. The antibiotics most commonly used by clinicians are amoxicillin plus clavulanic acid and azithromycin for patients allergic to penicillin. Conclusion: Antibiotics are prescribed for the treatment of pulp-periradicular diagnoses where there is no clinical indication, by scientific evidence, for this. The results of this study suggest that there are gaps in the knowledge about the correct indication for the prescription of antibiotics in endodontic practice.
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Keywords
Endodontia Patologia endodôntica Diagnósticos pulpares e perirradiculares Infeção endodôntica Antibioterapia endodôntica Antibióticos Endodontics Endodontic pathology Endodontic diagnostic Endodontic infection Endodontic antibiotic treatment Entibiotics