치과분야 항생제 처방에 대한 국내외 문헌 분석
LITERATURE REVIEW OF ANTIBIOTICS PRESCRIPTION IN GENERAL DENTAL AND ORAL-MAXILLOFACIAL SURGICAL PRACTICE
조세형, 모하메드 아라쉬단, 정한울, 방강미, 박종철, 김성민, 김명진, 이종호,
소속 상세정보
조세형 ( Jo Sae-Hyung ) - 서울대학교 치의학대학원 구강악안면외과학교실
모하메드 아라쉬단 ( Mohammad Alrashdan ) - 서울대학교 치의학대학원 구강악안면외과학교실
정한울 ( Choung Han-Ul ) - 서울대학교 치의학대학원 구강악안면외과학교실
방강미 ( Bang Kang-Mi ) - 서울대학교 치과대학 구강악안면외과학교실
박종철 ( Park Jong-Chul ) - 서울대학교 치과대학 구강악안면외과학교실
김성민 ( Kim Soung-Min ) - 서울대학교 치과대학 구강악안면외과학교실
김명진 ( Kim Myung-Jin ) - 서울대학교 치과대학 구강악안면외과학교실
이종호 ( Lee Jong-Ho ) - 서울대학교 치의학대학원 구강악안면외과학교실
KMID : 0355620090350030164
Abstract
Objectives: Administration methods of antibiotics implements a variety for indications and diseases. Therefore, it is impossible to produce a single guideline. Many antibiotics have been prescribed without specific index, by practicians for a long period of time. In general dental practice and oral and maxillofacial surgical practice, there is not a guidelines for antibiotics. Therefore, there is a dependency on pre-existent methods rather than following an exact guideline. Consequently, a controversy was issued that prescription of antibiotics tend to be misused or abused. And it is also direct relation to the tolerance of antibiotics as well. Moving forward, in this review we will be analyzing the exact usage and indication of antibiotics in dental treatment.
Materials and Methods : 29 published articles of both domestic and international were researched through Pubmed and Kormed, and the review from these articles were performed accordingly. We examined the administration of antibiotics through the objective usage, that classified prophylactic and therapeutic.
Results: For therapeutic usage, empirical prescription is mandatory for the first step. Next is to moderate the empirical prescription depending upon the result of its culture. Administration of antibiotics must be kept for 2days after the symptoms disappear. For a prophylactic use, we can generally pr escribe antibiotics to prevent local infection or systemic infection. Although the method of prescription and neccessity of antibiotics to prevent local in fection are controversial, exact guidelines of antibiotics to prevent systemic infection are established by AHA.
Conclusion: Most crucial concept for prescript antibiotics is to determine if it is adequately suitable for all circumstances. In this decision making, a guideline for prescription of antibiotics in various dental surgical practice is necessary. This guideline can reduce the misusage and disusage of a ntibiotics in general dental practices and oral and maxillofacial surgical practices.
키워드
antibiotics;resistance;sensitivity;prescription of antibiotics
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