Avaliação da prática de prescrição de profilaxia antibiótica pelos cirurgiões-dentistas do estado do Rio de Janeiro
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações da UNIGRANRIO |
Texto Completo: | http://localhost:8080/tede/handle/tede/365 |
Resumo: | The AHA recommends the protocol of antibiotic prophylaxis before invasive dental procedures as a function of the risk of bacterial endocarditis. Due to antibiotic resistance, risks and benefits of this protocol have been discussed, which are the risk procedures and which patients are at risk of contracting bacterial endocarditis. Objective: The objective of this study was to investigate the practice and knowledge regarding the prescription of antibiotic prophylaxis by dentists in the state of Rio de Janeiro. Material and method: This crosssectional study was developed from the application of electronic questionnaires elaborated in Google Forms containing 28 questions about the use of antibiotic chemoprophylaxis in dental procedures. The link to the questionnaire was sent to 13,960 electronic addresses of dental surgeons registered with the Regional Council of Dentistry of RJ. The participants were grouped according to the time of formation (up to 7 years and more than 7 years). Statistical analysis used ttests for independent samples and Chi-square, at a significance level of 5%. Outcome: Most participants, 90.3% of the group with up to 7 years of age and 94.4% of the group formed the longest, use antibiotic prophylaxis protocol. Significant differences were found for the positive responses between the groups if the patient had undergone radiotherapy (p = 0.011), 33.9% of whom had undergone up to 7 years of follow-up and 56.3% of them for more than 7 years; (p = 0.049) 91.9% for patients up to 7 years of age and 94.4% for those who had been trained for more than 7 years. 23 drug combinations have been described as prophylactic protocol. The most frequently cited was the use of 2 g of amoxicillin given 1 h prior to the procedure, without post-intervention medication, indicated by 30.6% of those aged up to 7 years and 45.1% of those formed the longest. Conclusion: The most commonly used protocol was the one recommended by the American Academy of Cardiology. However, more than half of the participants use another type of protocol among the 23 cited, demonstrating that there is no uniformity within the dental practice. |
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Boghossian, Carina Maciel da SilvaSantos, Marcos Fabio Henrique dos SantosGranato, RodrigoBrasil, Sabrina de CastroSales, Meleny Ariane da Silva2019-10-02T18:43:50Z2019-04-10Sales, Meleny Ariane da Silva. Avaliação da prática de prescrição de profilaxia antibiótica pelos cirurgiões-dentistas do estado do Rio de Janeiro. 2019. 55 f. Dissertação (Mestrado em Odontologia com ênfase em Implantodontia) - Universidade do Grande Rio, Duque de Caxias, 2019.http://localhost:8080/tede/handle/tede/365The AHA recommends the protocol of antibiotic prophylaxis before invasive dental procedures as a function of the risk of bacterial endocarditis. Due to antibiotic resistance, risks and benefits of this protocol have been discussed, which are the risk procedures and which patients are at risk of contracting bacterial endocarditis. Objective: The objective of this study was to investigate the practice and knowledge regarding the prescription of antibiotic prophylaxis by dentists in the state of Rio de Janeiro. Material and method: This crosssectional study was developed from the application of electronic questionnaires elaborated in Google Forms containing 28 questions about the use of antibiotic chemoprophylaxis in dental procedures. The link to the questionnaire was sent to 13,960 electronic addresses of dental surgeons registered with the Regional Council of Dentistry of RJ. The participants were grouped according to the time of formation (up to 7 years and more than 7 years). Statistical analysis used ttests for independent samples and Chi-square, at a significance level of 5%. Outcome: Most participants, 90.3% of the group with up to 7 years of age and 94.4% of the group formed the longest, use antibiotic prophylaxis protocol. Significant differences were found for the positive responses between the groups if the patient had undergone radiotherapy (p = 0.011), 33.9% of whom had undergone up to 7 years of follow-up and 56.3% of them for more than 7 years; (p = 0.049) 91.9% for patients up to 7 years of age and 94.4% for those who had been trained for more than 7 years. 23 drug combinations have been described as prophylactic protocol. The most frequently cited was the use of 2 g of amoxicillin given 1 h prior to the procedure, without post-intervention medication, indicated by 30.6% of those aged up to 7 years and 45.1% of those formed the longest. Conclusion: The most commonly used protocol was the one recommended by the American Academy of Cardiology. However, more than half of the participants use another type of protocol among the 23 cited, demonstrating that there is no uniformity within the dental practice.A AHA recomenda o protocolo de profilaxia antibiótica antes de procedimentos odontológicos invasivos em função do risco de endocardite bacteriana. Em função da resistência antibiótica, riscos e benefícios deste protocolo têm sido discutidos, quais são os procedimentos de risco e quais pacientes apresentam risco de contrair endocardite bacteriana. Objetivo: O objetivo deste trabalho foi investigar a prática e o conhecimento a respeito da prescrição de profilaxia antibiótica pelos cirurgiões-dentistas do estado do Rio de Janeiro. Material e método: Este estudo transversal foi desenvolvido a partir da aplicação de questionários eletrônicos elaborados no Google Formulários, contendo 28 questões, sobre emprego de quimioprofilaxia antibiótica em procedimentos odontológicos. O link para o questionário foi enviado a 13.960 endereços eletrônicos dos cirurgiões-dentistas cadastrados junto ao Conselho Regional de Odontologia do RJ. Os participantes foram grupados de acordo com o tempo de formado (até 7 anos e mais de 7 anos). A análise estatística utilizou testes t para amostras independentes e Qui-quadrado, ao nível de significância de 5%. Resultado: A maioria dos participantes, 90,3% do grupo com até 7 anos de formado e 94,4% do grupo formado há mais tempo, utiliza protocolo profilaxia antibiótica. Foram encontradas diferenças significativas para as respostas positivas entre os grupos se o paciente havia sido submetido à radioterapia (p = 0,011), sendo 33,9% em formado até 7 anos e 56,3% há mais de 7 anos; se possuísse algum dispositivo cardíaco (p = 0,049) 91,9% para formado até 7 anos e 94,4% para formados há mais de 7 anos. Foram descritas 23 combinações medicamentosas como protocolo profilático. E o mais frequentemente citado foi o uso de 2 g amoxicilina administrado 1 h antes do procedimento, sem medicação pós-intervenção, apontada por 30,6% dos formados até 7 anos e 45,1% dos formados há mais tempo. Conclusão: O protocolo mais utilizado foi o preconizado pela Academia Americana de Cardiologia. No entanto, mais da metade dos participantes utiliza outro tipo de protocolo dentre os 23 citados, demonstrando que não existe uma uniformidade dentro da prática odontológica.Submitted by Jorge Ricardo (jorge.ricardo@unigranrio.com.br) on 2019-10-02T18:43:50Z No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Meleny Ariane da Silva Sales.pdf: 4203714 bytes, checksum: e75749fb321c6fc556febe4a9f693991 (MD5)Made available in DSpace on 2019-10-02T18:43:50Z (GMT). No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Meleny Ariane da Silva Sales.pdf: 4203714 bytes, checksum: e75749fb321c6fc556febe4a9f693991 (MD5) Previous issue date: 2019-04-10application/pdfporUniversidade do Grande RioPrograma de Pós-Graduação em OdontologiaUNIGRANRIOBrasilUnigranrio::Odontologiahttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessOdontologiaImplantodontiaProfilaxia antibióticaCirurgiões-dentistasODONTOLOGIAAvaliação da prática de prescrição de profilaxia antibiótica pelos cirurgiões-dentistas do estado do Rio de Janeiroinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisreponame:Biblioteca Digital de Teses e Dissertações da UNIGRANRIOinstname:Universidade do Grande Rio (UNIGRANRIO)instacron:UNIGRANRIOLICENSElicense.txtlicense.txttext/plain; charset=utf-81982http://localhost:8080/tede/bitstream/tede/365/1/license.txt4a50535e8405f611398e6e2d408dbd1bMD51CC-LICENSElicense_urllicense_urltext/plain; charset=utf-849http://localhost:8080/tede/bitstream/tede/365/2/license_url4afdbb8c545fd630ea7db775da747b2fMD52license_textlicense_texttext/html; charset=utf-80http://localhost:8080/tede/bitstream/tede/365/3/license_textd41d8cd98f00b204e9800998ecf8427eMD53license_rdflicense_rdfapplication/rdf+xml; charset=utf-80http://localhost:8080/tede/bitstream/tede/365/4/license_rdfd41d8cd98f00b204e9800998ecf8427eMD54ORIGINALMeleny Ariane da Silva Sales.pdfMeleny Ariane da Silva Sales.pdfapplication/pdf4203714http://localhost:8080/tede/bitstream/tede/365/5/Meleny+Ariane+da+Silva+Sales.pdfe75749fb321c6fc556febe4a9f693991MD55tede/3652019-10-02 15:43:50.599oai:localhost: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Biblioteca Digital de Teses e Dissertaçõeshttp://tede.unigranrio.edu.br/PUBhttp://tede.unigranrio.edu.br/oai/requestrepositorio@instituicao.br||repositorio@instituicao.bropendoar:2019-10-02T18:43:50Biblioteca Digital de Teses e Dissertações da UNIGRANRIO - Universidade do Grande Rio (UNIGRANRIO)false |
dc.title.por.fl_str_mv |
Avaliação da prática de prescrição de profilaxia antibiótica pelos cirurgiões-dentistas do estado do Rio de Janeiro |
title |
Avaliação da prática de prescrição de profilaxia antibiótica pelos cirurgiões-dentistas do estado do Rio de Janeiro |
spellingShingle |
Avaliação da prática de prescrição de profilaxia antibiótica pelos cirurgiões-dentistas do estado do Rio de Janeiro Sales, Meleny Ariane da Silva Odontologia Implantodontia Profilaxia antibiótica Cirurgiões-dentistas ODONTOLOGIA |
title_short |
Avaliação da prática de prescrição de profilaxia antibiótica pelos cirurgiões-dentistas do estado do Rio de Janeiro |
title_full |
Avaliação da prática de prescrição de profilaxia antibiótica pelos cirurgiões-dentistas do estado do Rio de Janeiro |
title_fullStr |
Avaliação da prática de prescrição de profilaxia antibiótica pelos cirurgiões-dentistas do estado do Rio de Janeiro |
title_full_unstemmed |
Avaliação da prática de prescrição de profilaxia antibiótica pelos cirurgiões-dentistas do estado do Rio de Janeiro |
title_sort |
Avaliação da prática de prescrição de profilaxia antibiótica pelos cirurgiões-dentistas do estado do Rio de Janeiro |
author |
Sales, Meleny Ariane da Silva |
author_facet |
Sales, Meleny Ariane da Silva |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Boghossian, Carina Maciel da Silva |
dc.contributor.referee1.fl_str_mv |
Santos, Marcos Fabio Henrique dos Santos |
dc.contributor.referee2.fl_str_mv |
Granato, Rodrigo |
dc.contributor.referee3.fl_str_mv |
Brasil, Sabrina de Castro |
dc.contributor.author.fl_str_mv |
Sales, Meleny Ariane da Silva |
contributor_str_mv |
Boghossian, Carina Maciel da Silva Santos, Marcos Fabio Henrique dos Santos Granato, Rodrigo Brasil, Sabrina de Castro |
dc.subject.por.fl_str_mv |
Odontologia Implantodontia Profilaxia antibiótica Cirurgiões-dentistas |
topic |
Odontologia Implantodontia Profilaxia antibiótica Cirurgiões-dentistas ODONTOLOGIA |
dc.subject.cnpq.fl_str_mv |
ODONTOLOGIA |
description |
The AHA recommends the protocol of antibiotic prophylaxis before invasive dental procedures as a function of the risk of bacterial endocarditis. Due to antibiotic resistance, risks and benefits of this protocol have been discussed, which are the risk procedures and which patients are at risk of contracting bacterial endocarditis. Objective: The objective of this study was to investigate the practice and knowledge regarding the prescription of antibiotic prophylaxis by dentists in the state of Rio de Janeiro. Material and method: This crosssectional study was developed from the application of electronic questionnaires elaborated in Google Forms containing 28 questions about the use of antibiotic chemoprophylaxis in dental procedures. The link to the questionnaire was sent to 13,960 electronic addresses of dental surgeons registered with the Regional Council of Dentistry of RJ. The participants were grouped according to the time of formation (up to 7 years and more than 7 years). Statistical analysis used ttests for independent samples and Chi-square, at a significance level of 5%. Outcome: Most participants, 90.3% of the group with up to 7 years of age and 94.4% of the group formed the longest, use antibiotic prophylaxis protocol. Significant differences were found for the positive responses between the groups if the patient had undergone radiotherapy (p = 0.011), 33.9% of whom had undergone up to 7 years of follow-up and 56.3% of them for more than 7 years; (p = 0.049) 91.9% for patients up to 7 years of age and 94.4% for those who had been trained for more than 7 years. 23 drug combinations have been described as prophylactic protocol. The most frequently cited was the use of 2 g of amoxicillin given 1 h prior to the procedure, without post-intervention medication, indicated by 30.6% of those aged up to 7 years and 45.1% of those formed the longest. Conclusion: The most commonly used protocol was the one recommended by the American Academy of Cardiology. However, more than half of the participants use another type of protocol among the 23 cited, demonstrating that there is no uniformity within the dental practice. |
publishDate |
2019 |
dc.date.accessioned.fl_str_mv |
2019-10-02T18:43:50Z |
dc.date.issued.fl_str_mv |
2019-04-10 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/masterThesis |
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dc.identifier.citation.fl_str_mv |
Sales, Meleny Ariane da Silva. Avaliação da prática de prescrição de profilaxia antibiótica pelos cirurgiões-dentistas do estado do Rio de Janeiro. 2019. 55 f. Dissertação (Mestrado em Odontologia com ênfase em Implantodontia) - Universidade do Grande Rio, Duque de Caxias, 2019. |
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http://localhost:8080/tede/handle/tede/365 |
identifier_str_mv |
Sales, Meleny Ariane da Silva. Avaliação da prática de prescrição de profilaxia antibiótica pelos cirurgiões-dentistas do estado do Rio de Janeiro. 2019. 55 f. Dissertação (Mestrado em Odontologia com ênfase em Implantodontia) - Universidade do Grande Rio, Duque de Caxias, 2019. |
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Universidade do Grande Rio |
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UNIGRANRIO |
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