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FAQ - Miscellaneous - 2016
FAQ - Miscellaneous - 2016

 

 

We have been talking to dentists and their staffs about the importance of prescribing and using antibiotics only to treat active infections rather than to prevent infections. We encourage hand washing with regular hand soap for home use and not using Neosporin or similar products unless they have an actual infection.

We also discuss the importance of following the AHA guidelines when prescribing antibiotics for prophylaxis in dental procedures. Our dentists have told us, however, that many physicians prescribe antibiotics for their patients that exceed these guidelines following joint replacement or following cardiac events ..."just to be on the safe side".  The dentists say they think they must follow the orders of the physician rather than the AHA guidelines.

Do you have any suggestions?

Ask OSAP is not in the position to provide medical advice. Have you considered consulting with your state dental and medical boards on this matter? Additionally, have you considered contacting the American Dental Association or American Medical Association on this matter?

Ask OSAP can provide you with some general information on the topic of Antibiotic Resistance.

The US Centers for Disease Control and Prevention (CDC) and OSAP have issued best practices for dentists prescribing antibiotics. Further information can be accessed at this link:
https://blogs.cdc.gov/safehealthcare/cdc-osap-issue-best-practices-for-dentists-prescribing-antibiotics/  1

The Journal of the American Dental Association article can be accessed at this link:
http://jada.ada.org/article/S0002-8177(16)30409-3/fulltext   2

There is also a checklist for antibiotic prescribing in dentistry which can be accessed at this link:
http://www.cdc.gov/getsmart/community/downloads/dental-fact-sheet-final.pdf  3

Additionally, OSAP has a collection of general resources pertaining to antibiotic resistance which can be accessed at this link:
http://www.osap.org/?page=AntiBioticResisToolk  4

Resources

1)     US Centers for Disease Control and Prevention. CDC, OSAP Issue Best Practices for Dentists Prescribing Antibiotics. https://blogs.cdc.gov/safehealthcare/cdc-osap-issue-best-practices-for-dentists-prescribing-antibiotics/   Accessed on October 13, 2016.

2)     Journal of the American Dental Association. Considerations for responsible antibiotic use in dentistry  http://jada.ada.org/article/S0002-8177(16)30409-3/fulltext    Accessed on October 13, 2016.

3)     US Centers for Disease Control and Prevention. Checklist for Antibiotic Prescribing in Dentistry. http://www.cdc.gov/getsmart/community/downloads/dental-fact-sheet-final.pdf    Accessed on October 13, 2106.

4)     Organization for Safety, Asepsis and Prevention. Antibiotic/Antimicrobial Resistance. http://www.osap.org/?page=AntiBioticResisToolk    Accessed on October 13, 2016.

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