Evaluation of the knowledge of dentists in a municipality of Minas Gerais for the care of patients with chronic kidney disease.
DOI:
https://doi.org/10.34019/1982-8047.2023.v49.39974Keywords:
Chronic Renal Disease, Dental Care, Antibiotic ProphylaxisAbstract
Introduction: patients with chronic kidney disease (CKD) are more susceptible to infections and bleeding and can manifest various oral alterations, making it essential that the dental surgeon has the necessary knowledge to adapt their conduct to the particularities presented by these patients and to communicate with the team of nephrology responsible for them. However, there are still insecurities and doubts on the part of professionals regarding the attitudes that should be taken when providing care to individuals with CKD, especially regarding whether or not to adopt the prophylaxis protocol for infective endocarditis. Objective: to evaluate, through the application of a questionnaire, the knowledge and behavior of dentists working in the city of Juiz de Fora when providing care to patients with CKD on hemodialysis. Material and Methods: study with a quantitative, observational, cross-sectional and analytical approach, carried out with 100 dentists working in the city of Juiz de Fora (MG) from April to September 2022. Results: 100 dentists composed the sample. Of these, 37% would not feel comfortable performing invasive dental procedures in chronic kidney patients (CKP) on hemodialysis and 87% would request some complementary laboratory test prior to performing these procedures; 83% consider it important to contact the patient's nephrologist to obtain detailed information about their systemic condition and apply this in their clinical routine; 56% correctly identified the oral alterations most commonly found in individuals with CKD undergoing hemodialysis; 77% would prescribe antibiotic prophylaxis for CKP in hemodialysis in the face of invasive procedures, while 22% would prescribe it for non-invasive procedures. Conclusion: most dentists incorrectly prescribes antibiotic prophylaxis for chronic kidney patients, which demonstrates unfamiliarity of the actual protocol for using this therapy. In addition, a number of dentists feel insecure when assisting them and are unaware of the oral alterations most commonly found in CKP.
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Copyright (c) 2023 Carolina Guedes de Souza, Fábio Augusto de Melo, Gabriele Pires Fonseca, Leda Marília Fonseca Lucinda
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