Prise en charge des parodontites apicales aiguës en urgence : description des pratiques professionnelles au sein des chirurgiens-dentistes de Nouvelle-Aquitaine

Abstract : Antibiotics use by dentists represents 10% of antibiotics prescriptions worldwide. Therefore, the role of dentists may be major in bacterial resistance development as described by the World Health Organization (WHO) in 2018. Solutions have been set up to reduce this issue The French National Agency for Drugs and Health Products Security (ANSM) provided recommendations for antibiotics prescription on its website since 2011 to encourage and help practitioners to pick the best indication, molecule and posology for each case. Aim of the study: To monitor the following of national recommendations uponantibiotics prescription in the treatment of Acute Apical Periodontitis (AAP) within dentists of Nouvelle-Aquitaine. Materials and methods: A questionnaire was distributed to practitioners of Nouvelle-Aquitaine through the Internet or via local Dentist Associations to test their handling toward different AAP cases in emergency situation. Results: Only 8% of respondents followed the recommendations in every case. An abusive use of antibiotics was observed: 73% of practitioners prescribed antibiotics in each case, which is unjustified. Conclusion: A lack of respect for recommendations was observed which would justify further training on the prescription of antibiotics and highlights the necessity to reduce their use so as the threat bacterial resistance threat for the global health.
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https://dumas.ccsd.cnrs.fr/dumas-02060390
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Submitted on : Thursday, March 7, 2019 - 1:31:58 PM
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Pénélope Vienne. Prise en charge des parodontites apicales aiguës en urgence : description des pratiques professionnelles au sein des chirurgiens-dentistes de Nouvelle-Aquitaine. Sciences du Vivant [q-bio]. 2019. ⟨dumas-02060390⟩

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