Antimicrobial therapy (AMT) is one of the principal problems in practice of the modern dentist. Mass visits to doctors for dental care, the prevalence of dental diseases among people from all walks of life, a unique quantitative and qualitative composition of the oral microflora, uncontrolled use of antimicrobials by patients results in increased resistance of microorganisms to antimicrobial medicines and increased number of cross-infection among dental office visitors. This article highlights the results of the study designed to assess knowledge of senior dental students of medical schools and dental residents on the main issues of antibiotic therapy and the empirical use of antimicrobials for treatment of respiratory disorders. Dental students of Belgorod have come into the study. According to the inquiry, 21.2% of dental students and 12.8% of dental residents were able to correctly choose the pharmacological group of antibiotics. 47.5% of students and 43.8% of residents decided to change the antibiotic due to the absence of clinical response within two to three days. 35% of dental students and 37.5% of the dental residents re-inquired believe that antibiotics should be replaced even in case of the positive result from their use. 16.7% of dental students managed to correctly choose all pharmacologically irrational combinations of antimicrobials, 17.2% of dental residents answered correctly after having been re-inquired. 25.6% of students and 31.2% of residents managed to completely make the empirical assignment of the AMT in case of respiratory infection. Only 50% of students and 62.5% of residents decided that their knowledge of the AMT is insufficient for the future work in the field of health care, and they need to make additional educational efforts related to the topic.
Introduction: Chronic obstructive pulmonary disease (COPD) is one of the most common pathologies of the respiratory system. This disease ranks third in the group of the main causes of death in the world. The effective treatment of COPD has been developed by today. However, a significant part of physicians has an insufficient amount of education in this matter. Materials and methods: The article represents the results of anonymous prospective survey within the ASCO project (full title – “Assessment of Senior Medical Students in the Field of COPD”), aimed at assessing the basic knowledge in the COPD treatment. The survey involved 321 physicians and 221 senior medical students from ten cities of Russia and Ukraine. Results and discussion: According to the survey, the following levels of correct answers were given by the doctors and students: possible fixed combinations of β2-agonist – 33.9% and 24.5%; the optimal delivery device for a patient – 50.8% and 41.8; the correct drugs for COPD initial therapy with a high risk of exacerbations – 31.7% and 15.3%, and with a low risk – 54.9% and 25.9%, respectively. The correct drugs for COPD aggravation were selected by 43.3% of doctors and 34.5% of students; the right empirical treatment of COPD infectious exacerbation – by 72.4% and 40%, and the correct reserve drugs – by 63.9% and 36.2%, respectively. Conclusion: The survey showed that the respondents had medium level of knowledge in COPD treatment. Hence, curricula need to be adjusted in medical universities, and additional educational activities are required for medical practitioners in order to improve the quality of their knowledge in this field.
Introduction: Bronchial asthma is a disease characterized by chronic inflammation of the airways. At present, about 235-300 million people suffer from asthma, and this number continues to grow. This pathology is also common in children. It causes significant social and economic damage worldwide. Severe forms of asthma are difficult to treat. Thus, a continuous improvement of doctors' knowledge in this field is of great importance. Methods:The analysis of an anonymous survey of physicians and senior medical students was used in the research. Results:The study revealed both an average level of basic knowledge in asthma etiology and pathogenesis among the physicians and senior medical students and the significant differences in their knowledge regarding clinical picture and treatment of asthma. Only 49.2% of students and 56.0% of doctors were able to choose the correct definition of asthma from the suggested answers; 65.7% of students and 69.9% of doctors correctly indicated the main clinical and laboratory markers of asthma; 60.2% of students and 91.0% of doctors determined the correct combination of drugs in one delivery device; and 75.9% of students and 91.2% of doctors selected the correct basic asthma therapy depending on the severity.
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