Turkiye Klinikleri Journal of Dental Sciences

.: ORIGINAL RESEARCH
Serbest Diş Hekimlerinin Çocuk Hastada Antibiyotik Reçete Etme Konusunda Bilinç Düzeyinin Değerlendirmesi: İleriye Yönelik Tanımlayıcı Araştırma
Evaluation of the Awareness Level of Civil Dentists Regarding Prescribing Antibiotics in a Child Patient: Prospective Descriptive Research
Mustafa OKTAYa , Beyza Şevval GENÇb , Mine KORUYUCUa
aİstanbul Üniversitesi Diş Hekimliği Fakültesi, Çocuk Diş Hekimliği ABD, İstanbul, Türkiye
bİstanbul Üniversitesi Diş Hekimliği Fakültesi, İstanbul, Türkiye
Turkiye Klinikleri J Dental Sci. 2024;30(1):49-57
doi: 10.5336/dentalsci.2023-98201
Article Language: TR
Full Text
ÖZET
 Amaç: Çocuk hastalarda antibiyotiklerin doğru kullanımı ile ilgili Amerikan Pediatrik Diş Hekimliği Derneği kılavuzları mevcuttur. Genellikle diş hekimlerinin bu kılavuzlara uymadığı görülmektedir. Bu çalışmada, diş hekimlerinin çocuk hastada antibiyotiklerin uygun dozda kullanımı, uygulama şekli, doğru endikasyonun belirlenmesi, uygunsuz antibiyotik kullanımının sonuçları ile ilgili bilgi düzeylerinin ölçülmesi amaçlanmıştır. Gereç ve Yöntemler: Bu araştırmada kullanılan anket formu özgün şekilde hazırlanmış olup İstanbul ilinde çalışan 400 serbest diş hekimine uygulanmıştır. Veriler IBM SPSS V23 ile analiz edilmiştir. Kategorik veriler arasındaki ilişkinin incelenmesi Pearson ki-kare testi ve çoklu karşılaştırmalar Bonferroni düzeltmeli Z testi ile yapılmıştır. Analiz sonuçları frekans (yüzde) şeklinde sunulup, önem düzeyi p<0,050 olarak alınmıştır. Bulgular: Cinsiyetlere göre antibiyotik reçete sayılarının dağılımı istatistiksel olarak anlamlı bir farklılık göstermiştir (p=0,008). Antibiyotik reçete etmeyen erkek diş hekimlerinin oranı %37,8 iken kadın diş hekimlerinde bu oran %23,2 olarak elde edilmiştir. Erkek diş hekimlerinde antibiyotik reçete edenlerin sayısı 1-3 adet olanların oranı %60,5 iken kadın diş hekimlerinde bu oran %72,4 olarak elde edilmiştir. Yaş aralığına göre antibiyotik reçete etme sayılarının dağılımı istatistiksel olarak anlamlı bir farklılık göstermiştir (p<0,001). Diş hekimlerin mesleki tecrübe yılına göre antibiyotik reçete etme sayılarının dağılımı istatistiksel olarak anlamlı bir farklılık göstermiştir (p=0,035). Bir günde bakılan çocuk hasta sayısına göre antibiyotik reçete etme sayılarının dağılımı istatistiksel olarak anlamlı bir farklılık göstermiştir (p<0,001). Sonuç: Elde edilen verilerin değerlendirilmesi sonucu serbest diş hekimlerinin çocuk hastalarda antibiyotik kullanımı ile ilgili bilgi düzeylerinin güncel kılavuzlar ile uyumlu olduğu ve uygunsuz antibiyotik kullanımı durumlarında oluşabilecek risklerin bilincinde oldukları görülmüştür.

Anahtar Kelimeler: Çocuk diş hekimliği; antibakteriyel ajanlar; çocuklarda diş bakımı
ABSTRACT
 Objective: There are American Association of Pediatric Dentistry guidelines on the correct use of antibiotics in pediatric patients. It often appears that dentists do not follow these guidelines. In this study, it was aimed to measure the knowledge level of dentists about the use of antibiotics in appropriate doses in pediatric patients, the method of application, the determination of the correct indication, and the consequences of inappropriate antibiotic use. Material and Methods: The questionnaire formula used in our study was prepared in an original way and applied to 400 freelance dentists working in İstanbul. The survey data used were analyzed with IBM SPSS V23. Pearson chi-square test real and multiple comparisons were made with Bonferroni corrected Z test to examine the relationship between categorical comparisons. Analysis results were presented as frequency (percentage) and the significance level was taken as p<0.050. Results: A variable was used to examine the distribution of antibiotic prescriptions by gender (p=0.008). While the rate of male dentists who did not prescribe antibiotics was 37.8%, this rate was 23.2% for female dentists. While the rate of male dentists prescribing 1-3 antibiotics daily was 60.5%, this rate was 72.4% for female dentists. The distribution of antibiotic prescriptions according to age range was used as a criterion (p<0.001). It had a significant difference at the course of the number distribution of antibiotic prescriptions according to workyear experience of dentists (p=0.035). It was used as a criterion caused by the distribution of antibiotic prescriptions according to daily child patients seen (p<0.001). Conclusion: As a result of the evaluation of the data obtained, it was found that private dentists' knowledge levels are in line with the current guidelines and they're aware of the risks that may occur in cases of inappropriate antibiotic usage.

Keywords: Pediatric dentistry; anti-bacterial agents; dental care for children
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