Impact of antibiotic stewardship on infection rates in oral surgery procedures: a descriptive study

IF 2 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Oral Surgery Oral Medicine Oral Pathology Oral Radiology Pub Date : 2025-04-07 DOI:10.1016/j.oooo.2025.02.020

Gaurav Patri MDS , Chintan Manjibhai Savani MDS , Lisamarie S.L. Colaco MDS , Supriya Sourabh MDS , Lakshmi Priya MDS , Paluck Meston

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引用次数: 0

Abstract

Background

Antibiotic use in oral surgery procedures is common; and inappropriate prescribing may contribute to antibiotic resistance. However, the impact of antibiotic stewardship programs (ASPs) on infection rates in oral surgery settings is not well established. This study explores the effect of implementing an ASP in an oral surgery clinic to reduce infection rates.

Methods

A team comprising oral surgeons, pharmacists, and infection control specialists developed and implemented a targeted ASP focusing on patient education, prescribed guidelines, and infection prevention strategies. A retrospective review of patient records was conducted to evaluate infection rates in oral surgery procedures before and after the program’s implementation.

Results

Preintervention infection rates for oral surgery procedures were 8.3% (45/540). After the implementation of the ASP, infection rates decreased to 3.7% (15/400), representing a significant reduction (P < .001). Compliance with the revised prescribing guidelines increased, and feedback from oral surgeons and patients was positive.

Conclusions

The implementation of an ASP in an oral surgery setting significantly reduced infection rates. This model, based on evidence-based practices and tailored interventions, can be adapted to other oral surgery practices to enhance patient outcomes and reduce antibiotic overuse.

查看原文本刊更多论文

口腔手术过程中抗生素管理对感染率的影响：一项描述性研究。

背景：口腔外科手术中抗生素的使用是常见的；不恰当的处方可能会导致抗生素耐药性。然而，抗生素管理计划（asp）对口腔外科感染率的影响尚未得到很好的确定。本研究探讨在口腔外科诊所实施ASP以降低感染率的效果。方法：一个由口腔外科医生、药剂师和感染控制专家组成的团队制定并实施了一项有针对性的ASP，重点是患者教育、规定的指南和感染预防策略。对患者记录进行回顾性审查，以评估该计划实施前后口腔手术过程中的感染率。结果：口腔手术干预前感染率为8.3%（45/540）。实施ASP后，感染率降至3.7%(15/400)，显著降低（P < 0.001）。修订后的处方指南的依从性增加了，口腔外科医生和患者的反馈是积极的。结论：在口腔外科环境中实施ASP可显著降低感染率。该模型基于循证实践和量身定制的干预措施，可适用于其他口腔外科实践，以提高患者的治疗效果并减少抗生素的过度使用。

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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来源期刊

Oral Surgery Oral Medicine Oral Pathology Oral Radiology DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

3.80

自引率

6.90%

发文量

1217

审稿时长

2-4 weeks

期刊介绍： Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology is required reading for anyone in the fields of oral surgery, oral medicine, oral pathology, oral radiology or advanced general practice dentistry. It is the only major dental journal that provides a practical and complete overview of the medical and surgical techniques of dental practice in four areas. Topics covered include such current issues as dental implants, treatment of HIV-infected patients, and evaluation and treatment of TMJ disorders. The official publication for nine societies, the Journal is recommended for initial purchase in the Brandon Hill study, Selected List of Books and Journals for the Small Medical Library.