Dental prescribing in Wales and associated public health issues
Dental prescribing in Wales and associated public health issues
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DOI：
10.1038/sj.bdj.2010.1179
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发表时间：
2011-01-01
影响因子：
2.6
通讯作者：
Thomas, D.
中科院分区：
文献类型：
--
作者：
Karki, A. J.;Holyfield, G.;Thomas, D.
此前尚未对威尔士的牙科处方数据进行详细研究。对威尔士健康解决方案提供的国家数据的分析表明，2008 年，威尔士的牙科处方占初级保健抗菌处方总数的 9%。青霉素和甲硝唑构成了牙医处方的抗生素的大部分。自国家健康与临床卓越研究所 (NICE) 关于预防感染性心内膜炎的指南（2008 年 3 月）发布以来，阿莫西林 3g 袋装和克林霉素胶囊的牙科处方有所减少。 2007 年至 2008 年，氟化物制剂的牙科处方数量有所增加。受管制药物的牙科处方并未引起关注。威尔士的抗生素处方数字与英格兰相似。尽管如此，这个数字似乎有点高，表明牙医中可能存在不当处方行为。抗生素耐药性是一个重大的公共卫生问题，每年有许多患者死于对一种或多种抗生素具有耐药性的细菌菌株感染。抗生素的不当使用是抗生素耐药性的主要原因，应尽一切努力减少牙科诊所中不适当的抗生素处方的数量。
Dental prescribing data in Wales have not been studied in detail previously. The analysis of national data available from Health Solutions Wales showed that dental prescribing in Wales accounted for 9% of total antibacterial prescribing in primary care in 2008. Penicillin and metronidazole constituted the bulk of antibiotics prescribed by dentists. Since the publication of National Institute for Health and Clinical Excellence (NICE) guidance (March 2008) on prophylaxis against infective endocarditis, dental prescriptions for amoxicillin 3g sachets and clindamycin capsules have decreased. Dental prescriptions for fluoride preparations increased in number from 2007 to 2008. Dental prescribing of controlled drugs raises no concern. The figure for antibiotic prescribing in Wales is similar to that of England. Nevertheless, the figure seems a little high, indicating potential inappropriate prescribing behaviour among dentists. Antibiotic resistance is a major public health issue and many patients each year die from infections from bacterial strains that are resistant to one or more antibiotics. Inappropriate use of antibiotics is a major cause of antibiotic resistance and every effort should be made to reduce the number of inappropriate antibiotic prescriptions in dental practice.