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Multiplex Therapeutic Drug Monitoring by Isotope-dilution HPLC-MS/MS of Antibiotics in Critical Illnesses
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Antibiotic stewardship program in dentistry: Challenges and opportunities.

Saima Siddique1, Kumar Gaurav Chhabra1, Amit Reche1

  • 1Sharad Pawar Dental College and Hospital, DMIMS (Deemed to be University), Sawangi (Meghe), Wardha, Maharashtra, India.

Journal of Family Medicine and Primary Care
|February 9, 2022
PubMed
Summary

Antimicrobial resistance (AMR) is a global threat. Implementing antibiotic stewardship programs in dentistry is crucial for responsible antibiotic use and combating AMR.

Keywords:
Antibioticsantimicrobial stewardshipdental professiondentistsleadership

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Area of Science:

  • Dentistry
  • Public Health
  • Infectious Diseases

Background:

  • Antimicrobial resistance (AMR) poses a significant global health threat, leading to untreatable infections.
  • The world faces a potential post-antibiotic era due to a lack of new antibiotics.
  • Dentistry contributes substantially to antibiotic prescribing, accounting for approximately 10% of all common antibiotic prescriptions.

Purpose of the Study:

  • To highlight the role of antibiotic stewardship programs in addressing AMR within dentistry.
  • To define antimicrobial stewardship as a framework for sustainable antimicrobial use in dental practice.
  • To emphasize the need for context-specific and time-specific behavioral changes in antibiotic prescribing.

Main Methods:

  • Implementing multifaceted policies and guidelines for antimicrobial use.
  • Utilizing surveillance, prevalence reporting, and educational initiatives.
  • Conducting audits of dental prescribing practices to reduce unnecessary prescriptions.

Main Results:

  • Antibiotic stewardship aims to improve clinical outcomes while minimizing adverse effects like toxicity and resistance.
  • The adoption of stewardship programs is essential for responsible antimicrobial prescribing in dentistry.
  • Challenges exist for dental hospitals in implementing stewardship, but opportunities for improvement are present.

Conclusions:

  • Antibiotic stewardship programs are vital for combating AMR in dentistry.
  • A comprehensive, multifaceted approach is necessary for effective antimicrobial stewardship.
  • Integrating stewardship principles into dental practice is key to preserving antibiotic efficacy.