Hernández Montero R, Pozos-Guillén A, Chavarría-Bolaños D

Language: Spanish
References: 43
Page: 93-104
PDF size: 293.50 Kb.

ABSTRACT

The knowledge of antibiotic protocols is essential to guarantee its correct use in our patients. A poor selection of antibiotic therapy may be associated with the development of adverse effects, therapeutic ineffectiveness or development of bacterial resistance among others. The aim of this study was to assess the level of knowledge of antibiotic therapy protocols in students of the last year of Dentistry during their clinical practice in different costa rican universities. The study was performed at three of the costa rican universities that offer the career of Dentistry. A descriptive transversal study was performed by applying a questionnaire in different dental schools, to the students undergoing clinical practice. The questionnaire consisted in thirty closed questions and was divided in five segments, assessing the knowledge of general aspects of antibiotics, indications and clinical conditions for antibiotic therapy, and the special protocols in this field. Demographic data and certain academic of the students interviewed were also recorded. From the students who participated in the study, 40% answer correctly the segment concerning general knowledge of antibiotics, 40% to the segment of clinical indications for antibiotic protocols and only the 32,8% of the answers of special antibiotic protocols was correct. The general knowledge of antibiotic protocols of the students surveyed was low. It is recommended to reinforce the study programs and the implementation of seminars to strengthen this area, as well to reinforce the discipline of constant revision of literature in order to update their acquired knowledge in Pharmacology.

REFERENCES

1. Wise R., Hart T., Cars O., Streulens M., Helmuth R., Huovinen P., et al. Antimicrobial resistance. BMJ. 1998; 317 (7159): 609-610.

2. Keenan J. V., Farman A. G., Fedorowicz Z., Newton J. T. A. Cochrane systematic review finds no evidence to support the use of antibiotics for pain relief in irreversible pulpitis. J Endod. 2006; 32 (2): 87-92.

3. Casellas J. M. Resistencia a los antibacterianos en América Latina: consecuencias para la infectología. Rev Panam Salud Publ. 2011; 30 (6): 519-528.

4. Levy S. B. Antibiotic resistance‑the problem intensifies. Adv Drug Deliv Rev. 2005; 57 (10): 1446-1450.

5. Caron W. P., Mousa S. A. Prevention strategies for antimicrobial resistance: A systematic review of the literature. Infect Drug Resist. 2010; 3: 25-33.

6. Costelloe C., Metcalfe C., Lovering A., Mant D., Hay A. D. Effect of antibiotic prescribing in primary care on antimicrobial resistance in individual patients: Systematic review and meta-analysis. BMJ 2010; 340: c2096.

7. Bell B. G., Schellevis F., Stobberingh E., Goossens H., Pringle M. A systematic review and meta-analysis of the effects of antibiotic consumption on antibiotic resistance. BMC Infect Dis. 2014; 14:13.

8. Palmer N. O., Martin M. V., Pealing R., Ireland R. S., Roy K., Smith A., Bagg J. Antibiotic prescribing knowledge of National Health Service general dental practitioners in England and Scotland. J Antimicrob Chemother. 2001; 47 (2) 233-237.

9. Salako N., Rotimi V. O., Adib S. M., Al-Mutawa S. Pattern of antibiotic prescription in the management of oral diseases among dentistas in Kuwait. J Dent. 2004; 32 (7): 503-509.

10. Al-Haroni M. & Skaug N. Knowledge of prescribing antimicrobials among Yemeni general dentists. Acta Odontol Scand. 2006; 64 (5): 274-280.

11. Minen M. T., Duquaine D., Marx M. A., Weiss D. A survey of knowledge, attitudes, and beliefs of medical students concerning antimicrobial use and resistance. Microb Drug Resist. 2010;16 (4): 285-289.

12. Huang Y., Gu J., Zhang M., Ren Z., Yang W., Chen Y., et al. Knowledge, attitude and practice of antibiotics: A questionnaire study among 2500 Chinese students. BMC Med Educ. 2013; 13: 163.

13. Scaioli G., Gualano M. R., Gili R., Masucci S., Bert F., Siliquini R. Antibiotic use: A crosssectional survey assessing the knowledge, attitudes and practices amongst students of a school of medicine in Italy. PLoS One 2015; 10 (4): e0122476.

14. Harakeh S., Almatrafi M., Ungapen H., Hammad R., Olayan F., Hakim R., et al. Perceptions of medical students towards antibiotic prescribing for upper respiratory tract infections in Saudi Arabia. BMJ Open Respir Res. 2015; 2 (1): e000078.

15. Wong Y. C. , Mohan M. , Pau A. Dental students' compliance with antibiotic prescribing guidelines for dental infections in children. J Indian Soc Pedod Prev Dent. 2016; 34 (4): 348-353.

16. Bascones Martínez A., Aguirre Urízar J. M., Bermejo Fenoll A., Blanco Carrión A., Gay Escoda C., et al. Documento de consenso sobre el tratamiento antimicrobiano de las infecciones bacterianas odontogénicas. Med Oral Patol Oral Cir Bucal. 2004; 9: 363-376.

17. Addy L. D., Martin M. V. Clindamycin and dentistry. Br Dent J. 2005; 199 (1): 23-26.

18. Brunton L., Lazo J., Parker K. Goodman & Gilman's The Pharmacological Basis of Therapeutics. Eleventh Edition: McGraw- Hill Education; 2005.

19. Katzung B. G. Basic & Clinical Pharmacology. Graw-Hill Companies; 2006.

20. Hersh E. V., Moore P. A. Adverse drug interactions in dentistry. Periodontol 2000. 2008; 46: 109-42.

21. Becker D. E. Drug allergies and implications for dental practice. Anesth Prog. 2013;60(4):188-197.

22. Becker D. E. Adverse drug reactions in dental practice. Anesth Prog. 2014; 61 (1): 26-33.

23. Roberts M. C. Antibiotic toxicity, interactions and resistance development. Periodontol 2000. 2002; 28: 280-297.

24. Trubiano J., Phillips E. Antimicrobial stewardship's new weapon? A review of antibiotic allergy and pathways to 'de-labeling'. Curr Opin Infect Dis. 2013; 26 (6): 526-537.

25. Fouad A. F. Are antibiotics effective for endodontic pain? Endod Topics. 2002; 3 (1): 52-66.

26. Calvo A. M., Brozoski D. T., Giglio F. P., Gonçalves P. Z., Sant'ana E., Dionísio T. J., Lauris J. R., Santos C. F. Are antibiotics necessary after lower third molar removal?. Oral Surg Oral Med Oral Pathol Oral Radiol. 2012;114(5 Suppl):199-208.

27. Longman L. P., Preston A. J., Martin M. V., Wilson N. H. Endodontics in the adult patient: the role of antibiotics. J Dent. 2000; 28 (8): 539-548.

28. Caffesse R. G. A Latin American perspective of periodontology. Periodontol 2000. 2015; 67 (1): 7-12.

29. Feres M., Figueiredo L. C., Soares G. M., Faveri M. Systemic antibiotics in the treatment of periodontitis. Periodontol 2000. 2015; 67 (1): 131-186.

30. Kohler M., Meyer J., Linder M., Lambrecht J. T., Filippi A., Kulik Kunz E. M. Prescription of antibiotics in the dental practice: a survey of dentists in Switzerland. Schweiz Monatsschr Zahnmed. 2013; 123 (9): 748-759.

31. Cengiz S. B. The pregnant patient: considerations for dental management and drug use. Quintessence Int. 2007; 38 (3): e133-142.

32. Donaldson M., Goodchild J. H. Pregnancy, breast-feeding and drugs used in dentistry. J Am Dent Assoc. 2012; 143 (8): 858-871.

33. Rieken S. E., Terezhalmy G. T. The pregnant and breast-feeding patient. Quintessence Int, 2006; 37 (6): 455-468.

34. Suresh L., Radfar L. Pregnancy and lactation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004; 97 (6): 672-682.

35. Fissell W. H. Antimicrobial dosing in acute renal replacement. Adv Chronic Kidney Dis. 2013; 20 (1): 85-93.

36. Cherry W. R., Lee J. Y., Shugars D. A., White R. P. Jr., Vann W. F. Jr. Antibiotic use for treating dental infections in children: a survey of dentists' prescribing practices. J Am Dent Assoc. 2012; 143 (1): 31-38.

37. American Academy of Pediatric Dentistry. Useful medications for oral conditions. Pediat Dent. 2014; 37 (6): 407-414.

38. McLean A. T., Wheeler E. K., Cameron S., Baker D. HIV and dentistry in Australia: clinical and legal issues impacting on dental care. Aust Dent J. 2012; 57 (3): 256-270.

39. Ryder M. I., Nittayananta W., Coogan M., Greenspan D., Greenspan J. S. Periodontal disease in HIV/AIDS. Periodontol 2000. 2012; 60 (1): 78-97.

40. Marx R. E., Sawatari Y., Fortin M., Broumand V. Bisphosphonate-induced exposed bone (osteonecrosis/osteopetrosis) of the jaws: risk factors, recognition, prevention, and treatment. J Oral Maxillofac Surg. 2005; 63 (11): 1567-1575.

41. Ashrafi S. S., Nakib N. Need for antibiotic premedication for patients having periodontal dental procedures. Dis Mon. 2011; 57 (4): 218-224.

42. Wilson W., Taubert K. A., Gewitz M., Lockhart P. B., Baddour L. M., Levison M., et.al. Prevention of infective endocarditis: guidelines from the American Heart Association: a guideline from the American Heart Association Rheumatic Fever, Endocarditis and Kawasaki Disease Committee, Council on Cardiovascular Disease in the Young, and the Council on Clinical Cardiology, Council on Cardiovascular Surgery and Anesthesia, and the Quality of Care and Outcomes Research Interdisciplinary Working Group. J Am Dent Assoc. 2008;139 Suppl: 3S-24S.

43. Shrout M. K., Scarbrough F., Powell B. J. Dental care and the prosthetic joint patient: a survey of orthopedic surgeons and general dentists. J Am Dent Assoc. 1994; 125 (4): 429-436.