Cited by 51Antibiotic Use and ResistanceSurgical site infection preventionHealthcare cost, quality, practices

Antimicrobial stewardship in dental practice

Open access
Teoh, Leanne, Thompson, Wendy, Suda, Katie·2020·The Journal of the American Dental Association

Abstract

Background Antibiotic resistance is a global public health problem that is responsible for increased patient morbidity and mortality and financial burden. Dental antibiotic prescribing contributes to approximately 10% of all antibiotic prescriptions, and an estimated 80% of that prescribing is deemed inappropriate. Dental antimicrobial stewardship (AMS) has an important role to play in international efforts to tackle antibiotic resistance. The aim of the authors was to comment on the implementation of AMS strategies in outpatient dental practices.Methods The authors included previous studies regarding outpatient antibiotic stewardship, longitudinal studies quantifying dispensed dental antibiotic prescription use, and interventional studies aimed at implementing AMS interventions in dentistry.Results Researchers in several studies conducted trials regarding the use of various interventions, mostly comprising a combination of audit, feedback, dissemination of guidelines, and educational components to improve dental prescribing.Conclusions and practical implications In regard to the establishment of an AMS strategy, aspects to be considered should include raising awareness about the risks of unnecessary use of antibiotics. Engaging and educating the entire dental team and patients, as well as collaborating with other specialized professionals, are important elements. Context-specific interventions with a methodical and measured approach are ideal.

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Crossref · 10.1016/j.esmoop.2020.04.023

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Authors
Teoh, L., Thompson, W., & Suda, K.
Corresponding author
Teoh, Leanne
Venue
The Journal of the American Dental Association
Publisher
Elsevier BV
Published
2020-08
Volume
151
Issue
8
Pages
589-595
ISSN
0002-8177 (ISSN-L)
OpenAlex
W3019511584
Cited by
51
References
47
Citations by year
2026: 9 · 2025: 12 · 2024: 15 · 2023: 4 · 2022: 4 · 2021: 5 · 2020: 2
FWCI
2.24
Type
journal article
Language
en
Locations
  • The Journal of the American Dental Association (publishedVersion)
  • PubMed (publishedVersion)
  • Research Explorer (The University of Manchester) (publishedVersion, other-oa)
Funders
University of Melbourne
Topics
  • Life Sciences › Immunology and Microbiology › Applied Microbiology and Biotechnology › Antibiotic Use and Resistance
  • Health Sciences › Medicine › Surgery › Surgical site infection prevention
  • Health Sciences › Health Professions › General Health Professions › Healthcare cost, quality, practices
Keywords
antimicrobial stewardship, antibiotic resistance, inappropriate antibiotic use, audit and feedback, guideline dissemination, patient education, interdisciplinary collaboration
MeSH terms
Antimicrobial Stewardship, Anti-Bacterial Agents, Feedback, Humans, Outpatients

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