Revizija smjernica za izvođenje oralnokirurških zahvata kod medicinski kompromitiranih pacijenata

master's thesis

• Title (english): Revision of guidelines for performing oral surgery in medically compromised patients
• Author: Filipa Špehar
• Mentor: Davor Brajdić (mentor)
• Committee member: Davor Brajdić (predsjednik povjerenstva)
• Committee member: Petar Đanić (član povjerenstva)
• Committee member: Ivan Salarić (član povjerenstva)
• Granter: University of Zagreb; School of Dental Medicine; Zagreb
• Defense date and country: 2023-07-13, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine

Abstract

Znanost je još 1920. dovela u pitanje povezanost invazivnih oralnokirurških zahvata s infektivnim endokarditisom pa su prve smjernice, kod kojih je izvođenje oralnokirurških zahvata bilo potrebno prilagoditi pacijentima s rizikom od infektivnog endokarditisa, objavljene davne 1955. godine. Unatrag više od pola stoljeća smjernice za antibiotsku profilaksu infektivnog endokarditisa prilagođavaju se novim saznanjima. Ugled i poticaj za sastavljanje smjernica za izvođenje oralnokirurških zahvata u ostalim skupinama medicinski kompromitiranih pacijenta svjetska su društva stručnjaka pronašla upravo u njima. S vremenom se nametnula potreba za sve većim brojem smjernica koje nisu bile dostupne za ostale skupine rizičnih pacijenata jer, kako se medicinska anamneza pacijenata u oralnokirurškim ambulantama produživala i prevalencija različitih medicinskih stanja mijenjala, tako su se i smjernice za pojedine medicinski kompromitirane skupine pacijenata objavljivale i pružale koristan dijagnostički alat oralnim kirurzima diljem svijeta. U suvremenoj kliničkoj praksi oralnim kirurzima stoje na raspolaganju mnoge smjernice koje su sastavili brojni stručnjaci i na različitim globalnim razinama. Štoviše, digitalno su dostupne svakom zainteresiranom pojedincu. Danas kliničari imaju priliku da se prilikom kliničkih nedoumica vode obiljem dostupnih smjernica prilagođenih i sastavljenih za istu skupinu medicinski kompromitiranih pacijenata. Poteškoće na koje suvremeni oralni kirurzi nailaze je težina filtriranja dobrog od boljeg stručnog savjeta. Stoga se preporučuje slijediti smjernice koje se vode praksom temeljenom na dokazima, a ne nečijem kliničkom iskustvu.

Abstract (english)

Back in the 1920s, science began to question the connection between invasive oral surgery and infective endocarditis, so the first guidelines in which the performance of oral surgery had to be adapted to patients at risk of infective endocarditis were published way back in 1955. More than half a century ago, the guidelines for antibiotic prophylaxis of infective endocarditis were adapted to new knowledge, and the international associations of experts have found precisely in these pioneering guidelines the reputation and incentive to compile guidelines for the performance of oral surgical procedures in other groups of medically compromised patients. Over time, there was a need for an increasing number of guidelines that were not available for other groups of at-risk patients, so, as the medical anamnesis of patients in oral surgery clinics lengthened and the prevalence of various medical conditions changed, guidelines for certain medically compromised groups of patients were published and provided a useful diagnostic tool for oral surgeons worldwide. In modern clinical practice, oral surgeons have at their disposal many guidelines drawn up by different bodies of experts and at different global levels. Moreover, they are digitally available to any interested individual. Today, clinicians have the opportunity to be guided in clinical dilemmas by the abundance of available guidelines adapted and compiled for the same group of medically compromised patients. The difficulty that modern oral surgeons encounter is the difficulty of filtering good from better professional advice. Therefore, it is recommended to follow guidelines that are guided by evidence-based medicine rather than one's clinical experience.

• Keywords: pacijenti; kirurzi; antibiotik; infektivni endokarditis; smjernice; orlanokirurški postupci
• Keywords (english): patients; surgeons; antibiotic; infective endocarditis; guidelines; oral surgical procedures
• Language: croatian
• URN:NBN: urn:nbn:hr:127:304169
• Study programme: Title: dental medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica dentalne medicine (doktor/doktorica dentalne medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2023-07-07 13:31:57