Utilisation des antibiotiques et tests diagnostiques en thérapie parodontale : une étude transversale sur les pratiques courantes des parodontistes au Canada

Authors: St-Onge, Julie
Advisor: Grenier, DanielGonçalves, Reginaldo Bruno
Abstract: Considering the emerging problem of bacterial resistance, this study was designed to evaluate the use of antibiotics and microbial diagnostic tests in periodontal therapy to determine whether the current clinical practices of Canadian periodontists are consistent with available literature. The data were collected through an electronic questionnaire sent by email and completed anonymously. There are 64 of the 322 periodontists contacted who participated in this study. A participation rate of 19.88 % was then obtained. The results show that 59.38 % of periodontists practicing in Canada use local antibiotics. However, participants mentioned using it rarely and mainly for the management of refractory periodontitis (39.47 %) and localized severe chronic periodontitis (21.05 %). Moreover, minocycline is the most frequently used local antibiotic. For systemic antibiotic therapy, the majority of Canadian periodontists demonstrated similar clinical practices. In fact, similarities were observed for frequency of use and antibiotic choice in various periodontal conditions evaluated. The combination of amoxicillin and metronidazole is the most frequently selected systemic antibiotic therapy for different periodontal conditions. Finally, 82.81 % of participants never use microbial diagnostic tests in their practice and this non-use was justified by the lack of benefits associated with these tests. In conclusion, a certain similarity between the practice habits was denoted for antibiotic therapy and diagnostic tests. Thus, the overall use of antibiotic therapy by Canadian periodontists respects current scientific evidence. The low use of diagnostic tests reported in this project reflects the lack of literature clearly supporting the clinical benefits of using these tests in periodontal therapy.
Document Type: Mémoire de maîtrise
Issue Date: 2019
Open Access Date: 15 March 2019
Permalink: http://hdl.handle.net/20.500.11794/34017
Grantor: Université Laval
Collection:Thèses et mémoires

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