Variation in Current Guidelines for Fluoride Varnish Application for Young Children in Medical Settings in the United States.
Variation in Current Guidelines for Fluoride Varnish Application for Young Children in Medical Settings in the United States.
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DOI：
10.3389/fpubh.2022.785296
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发表时间：
2022
影响因子：
5.2
通讯作者：
Kranz AM
中科院分区：
文献类型：
--
作者：
Goff SL;Gahlon G;Geissler KH;Dick AW;Kranz AM
美国预防服务工作组建议医疗提供者为所有6岁以下儿童的牙齿涂抹氟化物保护漆（FV），但只有不到10%的合格儿童按照建议接受FV。先前的研究表明，临床指南的变化与其他循证健康相关干预措施的低吸收有关，但在医疗环境中提供FV的国家指南的一致性尚不清楚。在过去10年中，国家儿科或牙科专业组织或国家公共卫生实体发布了6岁以下儿童在医疗环境中应用FV的合格指南。使用检索词氟化物清漆+ [应用;指南或建议;儿童或儿科;美国儿科学会（AAP）;美国儿科牙科学会]和检索指南中心来识别指南。对准则的细节进行了提取和比较。10项指南符合纳入标准。指南在周期性建议以及FV是否适用于有牙科家庭或龋齿风险水平的儿童方面存在差异。儿科医疗提供者可以获得许多关于医疗环境中FV输送的建议。需要进一步研究以确定本研究中检测到的当前指南之间的差异是否可能导致医疗环境中FV应用率较低。
The United States Preventive Services Task Force recommends that medical providers apply fluoride varnish (FV) to the teeth of all children under 6 years of age, but fewer than 10% of eligible children receive FV as recommended. Prior studies suggest that variation in clinical guidelines is associated with low uptake of other evidence-based health-related interventions, but consistency of national guidelines for the delivery of FV in medical settings is unknown. Eligible guidelines for application of FV in medical settings for children under 6 years of age were published in the past 10 years by national pediatric or dental professional organizations or by national public health entities. Guidelines were identified using the search terms fluoride varnish + [application; guidelines, or recommendations; children or pediatric; American Academy of Pediatrics (AAP); American Academy of Pediatric Dentistry] and a search of Guideline Central. Details of the guidelines were extracted and compared. Ten guidelines met inclusion criteria. Guidelines differed in terms of periodicity recommendations and whether FV was indicated for children with a dental home or level of risk of dental caries. Numerous recommendations about FV delivery in medical settings are available to pediatric medical providers. Further study is warranted to determine whether the variation across current guidelines detected in this study may contribute to low FV application rates in medical settings.
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