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Authors
Abstract(s)
Introdução: Os médicos dentistas são responsáveis pela prescrição de 10%
dos antibióticos de uso comum. A literatura revela que médicos dentistas e
alunos de Medicina Dentária possuem um padrão incorreto de prescrição,
promovendo a resistência bacteriana a antibióticos e aumento da morbilidade e
mortalidade.
Objetivos: Investigar se os alunos do 5º ano do Mestrado Integrado em
Medicina Dentária (MIMD) das Universidades Portuguesas estão corretamente
preparados para a prescrição de antibióticos perante um diagnóstico de infeção
endodôntica. Apresentar as atuais regras da Direção Geral de Saúde e da
European Society of Endodontology.
Metodologia: Aplicação de um questionário a alunos do 5º ano do MIMD das
instituições de ensino superior CESPU, FMDUL, FMDUP, FMUC e UCP. A
análise estatística foi realizada no programa IBM-SPSS versão 24.
Resultados: A taxa de resposta foi 55%. A maioria dos alunos prescrevem
antibiótico durante mais de 7 dias. A associação Amoxicilina/Ácido Clavulânico
875/125 mg foi a mais escolhida para um paciente sem alergias
medicamentosas (49,5%). Perante alergia a penicilina a Clindamicina 600 mg
foi a primeira escolha (53,5%). Em infeções endodônticas o padrão de
prescrição difere das guidelines principalmente em cenários de pulpite
irreversível e necrose pulpar sem edema, com ou sem fístula. A nível profilático
há incumprimentos das normas principalmente em cenários de diabetes não
controlada e prolapso da válvula mitral.
Conclusão: Os alunos prescrevem antibiótico em situações para as quais
estes não são indicados. Contudo, não prescrevem num cenário profilático de
diabetes não controlada, para o qual há indicação. O período de prescrição dos
estudantes foi maior do que o recomendado. É aconselhada a revisão das
normas publicadas sobre a prescrição antibiótica em infeções endodônticas.
Introduction: Dentists prescribe 10% of all common antibiotics. According to different studies, dentists and students have bad prescription habits which leads to the development of antimicrobial resistance, longer duration of the disease and higher morbility and mortality. Objectives: To determine whether final year students of Portuguese universities are able to correctly prescribe antibiotics in endodontic infections. To present and spread awareness about the current guidelines from Direção Geral de Saúde and European Society of Endodontology. Methodology: The final year students from CESPU, FMDUL, FMDUP, FMUC and UCP were requested to answer a questionnaire. Statistical analysis was conducted using the program IBM-SPSS version 24. Results: Response rate was 55%. The majority of students prescribe antibiotics for more than 7 days. Amoxicilin/Clavulanic Acid 875/125 mg was the most prescribed antibiotic for a patient with no medical allergies (49,5%). Clindamycin 600 mg was the first choice for a patient allergic to penicillin (53,5%). When presented with cases of endodontic infections, prescription habits where mostly different from guidelines in irreversible pulpitis and necrotic pulp without swelling, with or without a sinus tract. Considering prophylactic scenarios guidelines weren’t followed mainly in patients with uncontrolled diabetes and mitral valve prolapse. Conclusion: Students tend to prescribe antibiotics for a longer time than needed and in situations where they aren’t recommended. However, in a scenario of uncontrolled diabetes they choose not to prescribe antibiotics when there is an indication to do so. It is advised that students revise the guidelines published about antibiotic prescription in endodontic infections.
Introduction: Dentists prescribe 10% of all common antibiotics. According to different studies, dentists and students have bad prescription habits which leads to the development of antimicrobial resistance, longer duration of the disease and higher morbility and mortality. Objectives: To determine whether final year students of Portuguese universities are able to correctly prescribe antibiotics in endodontic infections. To present and spread awareness about the current guidelines from Direção Geral de Saúde and European Society of Endodontology. Methodology: The final year students from CESPU, FMDUL, FMDUP, FMUC and UCP were requested to answer a questionnaire. Statistical analysis was conducted using the program IBM-SPSS version 24. Results: Response rate was 55%. The majority of students prescribe antibiotics for more than 7 days. Amoxicilin/Clavulanic Acid 875/125 mg was the most prescribed antibiotic for a patient with no medical allergies (49,5%). Clindamycin 600 mg was the first choice for a patient allergic to penicillin (53,5%). When presented with cases of endodontic infections, prescription habits where mostly different from guidelines in irreversible pulpitis and necrotic pulp without swelling, with or without a sinus tract. Considering prophylactic scenarios guidelines weren’t followed mainly in patients with uncontrolled diabetes and mitral valve prolapse. Conclusion: Students tend to prescribe antibiotics for a longer time than needed and in situations where they aren’t recommended. However, in a scenario of uncontrolled diabetes they choose not to prescribe antibiotics when there is an indication to do so. It is advised that students revise the guidelines published about antibiotic prescription in endodontic infections.
Description
Keywords
Antibióticos sistémicos Infeções endodônticas Resistência antimicrobiana Hábitos de prescrição Alunos Systemic antibiotics Endodontic infections Antimicrobial resistance Prescription habits Students