Prescribing antimicrobials effectively in Dentistry; Resources to support the role of the dentist in antimicrobial stewardship

Callum Ryan, Roisin Foran
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Abstract

Background The discovery of antibiotics revolutionised modern medicine and extended the average human lifespan by 23 years.1 Antimicrobial resistance threatens to reverse the progress that has been made. In 2019, there were 4.95 million deaths globally associated with drug-resistant bacterial infections.2 That figure may rise to as many as 50 million by 2050, making this an unprecedented global public health problem.3 The threat of a post-antibiotic era has prompted the publication of Ireland’s One Health National Action Plan on Antimicrobial Resistance (2021-2025).4 This National Action Plan advocates for the judicious use of antimicrobials to limit any unintended consequences and antimicrobial resistance. This is commonly known as Antimicrobial Stewardship. Antibiotic resistance is largely driven by the overuse and misuse of antibiotics in people, animals and in the environment.4 Dentists are responsible for approximately 10% of antibiotic prescribing in humans globally.5 With several international studies of dental antibiotic prescribing demonstrating that overprescribing occurs frequently5, dentists have an opportunity to contribute significantly to slowing the development and spread of antibiotic resistance by optimising prescribing. This article aims to show how dentists can support good antimicrobial stewardship in their practice.
在牙科有效开具抗菌药物处方;支持牙科医生在抗菌药物管理中发挥作用的资源
背景 抗生素的发现彻底改变了现代医学,使人类的平均寿命延长了 23 年1 。3 后抗生素时代的威胁促使爱尔兰发布了《抗菌药耐药性国家行动计划(2021-2025 年)》(One Health National Action Plan on Antimicrobial Resistance)。4 该《国家行动计划》倡导合理使用抗菌药,以限制任何意外后果和抗菌药耐药性。这通常被称为抗菌药物管理。抗生素耐药性在很大程度上是由人类、动物和环境中过度使用和滥用抗生素造成的。4 在全球范围内,牙科医生开具的抗生素处方约占人类抗生素处方的 10%。5 多项关于牙科抗生素处方的国际研究表明,过度开具抗生素处方的情况经常发生5 ,牙科医生有机会通过优化处方,为减缓抗生素耐药性的发展和传播做出重大贡献。本文旨在介绍牙科医生如何在其临床实践中支持良好的抗菌药物管理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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