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Publication
Prescrição antibiótica na consulta de odontopediatria da clínica universitária Egas Moniz
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Advisor(s)
Abstract(s)
Objetivo: O presente estudo teve como objetivo a recolha de dados de todos os antibióticos prescritos na consulta de odontopediatria da Clínica Universitária Egas Moniz (CUEM), a fim de compreender a adequação dos padrões de prescrição e a sua pertinência clínica.
Materiais e Métodos: O presente estudo observacional foi realizado através dos processos clínicos de pacientes pediátricos que frequentaram a consulta de odontopediatria da CUEM, durante o período de 12 meses, entre 1 de janeiro de 2024 e 31 de dezembro de 2024. Foram analisadas variáveis sociodemográficas e clínicas,
nomeadamente idade, género, prescrição de antibióticos (tipo, duração, forma farmacêutica, motivo de prescrição e momento de prescrição), alergias, relação com a dentição e existência de consulta de seguimento.
Resultados e Discussão: A amostra foi composta por 98 pacientes, sendo a amoxicilina o antibiótico mais frequentemente prescrito, seguida da associação amoxicilina e ácido clavulânico, não tendo sido registadas alergias a antibióticos. Os motivos de prescrição incluíram exodontias de dentes inclusos, abcesso, dor, edema, infeção e profilaxia antibiótica, sendo a duração mais comum da prescrição de oito dias. As formas farmacêuticas predominantes foram o pó para suspensão oral e os comprimidos. A análise evidenciou limitações decorrentes da ausência de registos completos nos diários clínicos, o que restringiu a avaliação mais aprofundada de alguns parâmetros.
Conclusão: O estudo evidenciou que a prescrição antibiótica foi, na sua maioria, criteriosa e alinhada com as recomendações atuais reforçando a necessidade de uma prescrição responsável. Os antibióticos devem ser utilizados apenas como coadjuvantes do tratamento local e não como substitutos, contribuindo assim para minimizar a resistência antimicrobiana, um dos principais desafios da saúde pública atual.
Objective: This study aims to collect data from clinical processes of all antibiotics prescribed in the Pediatric Dentistry consultation at Clínica Universitária Egas Moniz (CUEM), in order to assess the appropriateness of prescribing patterns and their clinical adequacy. Material and Methods: This observational study was conducted using clinical records of pediatric patients who attended the Pediatric Department at CUEM over a 12-month period, from January to December 2024. Sociodemographic and clinical variables were analyzed, namely age, gender, antibiotic prescription (type, duration, pharmaceutical form, reason and timing of prescription), allergies, relation to dentition and the occurrence of follow-up appointments. Results: The sample consisted of 98 patients, with amoxicillin being the most frequently prescribed antibiotic, followed by the combination of amoxicillin and clavulanic acid, and no antibiotic allergies were recorded. The reasons of prescription included extraction of impacted teeth, abscess, pain, swelling, infection and antibiotic prophylaxis, with the most common duration of prescribing being eight days. The predominant pharmaceutical forms were oral suspension powder and tablets. The analysis highlighted limitations arising from the lack of complete records in the clinical charts, which restricted a more detailed assessment of certain parameters. Conclusions: The study showed that antibiotic prescription was, for the most part, judicious and aligned with current recommendations, reinforcing the need for responsible prescribing. Antibiotics should be used only as adjuvants to local treatment and not as substitutes, thereby helping to minimize antimicrobial resistance, one of the major challenges in current public health.
Objective: This study aims to collect data from clinical processes of all antibiotics prescribed in the Pediatric Dentistry consultation at Clínica Universitária Egas Moniz (CUEM), in order to assess the appropriateness of prescribing patterns and their clinical adequacy. Material and Methods: This observational study was conducted using clinical records of pediatric patients who attended the Pediatric Department at CUEM over a 12-month period, from January to December 2024. Sociodemographic and clinical variables were analyzed, namely age, gender, antibiotic prescription (type, duration, pharmaceutical form, reason and timing of prescription), allergies, relation to dentition and the occurrence of follow-up appointments. Results: The sample consisted of 98 patients, with amoxicillin being the most frequently prescribed antibiotic, followed by the combination of amoxicillin and clavulanic acid, and no antibiotic allergies were recorded. The reasons of prescription included extraction of impacted teeth, abscess, pain, swelling, infection and antibiotic prophylaxis, with the most common duration of prescribing being eight days. The predominant pharmaceutical forms were oral suspension powder and tablets. The analysis highlighted limitations arising from the lack of complete records in the clinical charts, which restricted a more detailed assessment of certain parameters. Conclusions: The study showed that antibiotic prescription was, for the most part, judicious and aligned with current recommendations, reinforcing the need for responsible prescribing. Antibiotics should be used only as adjuvants to local treatment and not as substitutes, thereby helping to minimize antimicrobial resistance, one of the major challenges in current public health.
Description
Dissertação para obtenção do grau de Mestre no Instituto Universitário Egas Moniz
Keywords
Odontopediatria Antibiótico Profilaxia antibiótica Crianças