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adressé'à'1544'praticiens' sur'leurs'habitudes'de'prescriptions' d'antibiotiques ,
, Analyse'de'55'prescriptions'd'antibiotiques' réalisées'dans'deux'cliniques'du'nord@'Est' de'l'Angleterre'et'comparaison'aux'guides' cliniques'réalisés'par'la'FGDP
, Analyse'des'prescriptions'enregistrées' entre'2007'et, 2008.
, Étude'sur'les'prescriptions'réalisées'lors' des'deux'dernières'semaines'par'des' dentistes'Belges Résultats @Taux'de'réponse, p.60
, @69%'prescrivent'des'antibiotiques'avant' le'drainage'lors'du'traitement'd'abcès' apicaux'et'23%'après'le'drainage
, @72.5'%'prescrivent'des'antibiotiques's'ils' doivent'différer'le'soin'local'et'30%'par' manque'de'temps
, @1/3'prescrivent'des'antibiotiques'lors' d'abcès'avec'gonflement'localisé
Amoxicilline' @Seulement'30%'des'prescriptions'en' accord'avec'la'FGDP. @Seuls'ATB'prescrits': Amoxicilline'et'Métronidazole ,
, national'sont'prescrits'par'les'chirurgiens@ dentistes @Augmentation'de'1,3%'des'prescriptions' entre'2007'et'2008 @Pénicilline'(67%)'et'métronidazole' majoritairement'prescrits @Seulement'4,2%'des'patients'vus'les'deux' dernières'semaines'ont'reçu'ATB. @Indication'la'plus'fréquent'de'mise
, péri@ apical'ont'été'mis'sous'ATB'dont'92%'des' prescriptions'faites'en'absence'de'fièvre' et'signes'généraux @54,2%'des'prescriptions'faites'en'absence' de'soin'local @ATB'prescrits':'amoxicilline,'association' amoxicilline'et'acide'clavulanique'et' clindamycine Discussion @Surconsommation'd'antibiotiques
, ATB @Prescriptions'inappropriées':'mauvaise' indication,'posologie'ou'durée':'manque' de'connaissances'concernant'les'ATB @Besoin'de'guides'cliniques'et' d'encourager'les'dentistes'à'se'former'et' prescrire'selon'les'recommandations' établies @Plus'd'un'patient'sur'4'ressort'avec'une' prescription'
, Nombre'de'prescription'par'semaine' plutôt'faible,'semblable'aux'études'faites' en' Angleterre,'mais'mauvaises'indications'de' prescriptions'et'mauvaises'prises'en' charge'des'abcès'péri@apicaux
, Matériel*et*méthode Questionnaire*envoyé*aux*membres*de*la*
Society*AEDE*sur*les* habitudes*de*prescription*des*praticiens ,
, société*espagnole*de*chirurgie*orale* (SECIB)*:*portant*sur*leur*prescription*dans*
, AAE*:*American*Association*of*
, , 2000.
, *envoyé*à*450*dentistes*des*environs Résultats 6140*réponses*soit*un*taux*de*réponse*de* 31,1% 6Situations*pour*lesquelles*ATB*ont*été* prescrits*: 6Pulpite*irréversibles*>40% 6nécrose*pulpaire,*abcès*apical*sans* gonflement*>52%
, 6ATB*utilisés*:*Amoxicilline*>86%*des*cas
, *questionnaires,*127*réponses*(64%)
irréversibles 6>71%*dans*le*cas*de*pulpe*nécrosée*ou* abcès*apical*sans*gonflement 660%*en*cas*de*parodontite*apicale* chronique ,
, 6>53%*prescrivent*ATB*pour*traiter*des* nécroses*pulpaires*ou*abcès*apicaux*en* l'absence*de*gonflements
, *16%*prescrivent*ATB*pour*traiter*des* pulpites*irréversibles 6>60%*prescrivent*Pénicilline*V
, *là*où*le*soin*local*suffirait 6Un*tiers*des*praticiens*prescrivent*des* ATB*pour*des*infections*péri6apicales* chroniques. 6ATB*le*plus*prescrit*:*Amoxicilline 6Durée,*posologie,*fréquence*variable*:* entre*6*à*10*jours 10%*ont*choisi*une*durée*de*traitement*de* plus*de*4*semaines*d'amoxicilline antibiotiques*là*où*le*traitement*local, 680%*prescrivent*ATB*en*cas*de*signes* généraux 640%*prescrivent*des*antibiotiques*pour* traiter*un*abcès*apical*avec*gonflement* localisé
, Ils*participent*donc*à*la*création*de* résistances*bactériennes 6Manque*de*recommandations*précises* sur*posologie*fréquence*et*durée*de* traitement*lorsqu'il*est*indiqué
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