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2020 OSAP Annual Conference

Antibiotic/Antimicrobial Resistance
Antibiotic / Antimicrobial Resistance



Antibiotic/Antimicrobial resistance is the ability of microbes to resist the effects of drugs – that is, the germs are not killed, and their growth is not stopped. Although some people are at greater risk than others, no one can completely avoid the risk of antibiotic-resistant infections. Infections with resistant organisms are difficult to treat, requiring costly and sometimes toxic alternatives.
Bacteria will inevitably find ways of resisting the antibiotics developed by humans, which is why aggressive action is needed now to keep new resistance from developing and to prevent the resistance that already exists from spreading. Source: CDC 

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Regulations & Guidelines




(1) Antibiotic/Antimicrobial Resistance

(2) Making Health Care Safer

(3) U.S. Antibiotic Awareness Week

(4) Federal Engagement in Antimicrobial Resistance

(5) Antibiotic Resistance Threats in the United States, 2013

(6) Antibiotic Resistance Solutions Initiative

(7) CDC, OSAP Issue Best Practices for Dentists Prescribing Antibiotics

(8) Core Elements of Outpatient Antibiotic Stewardship


(1) General documents on antimicrobial resistance


APIC supports consensus statement on antibiotic resistance

Antimicrobial Stewardship


(1) ADA Council On Scientific Affairs - Combating antibiotic resistance

(2) Antibiotics for Dental Pain and Swelling


American Association of Endodontists
Use and Abuse of Antibiotics


American Academy Of Pediatric Dentistry
Guideline on Use of Antiobiotic Therapy for Pediatric Dental Patients

MedlinePlus Antibiotic Resistance 

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Best Practices






Key Learnings 

We're at a tipping point: an increasing number of germs no longer respond to the drugs designed to kill them. Inappropriate prescribing of antibiotics and lack of infection control actions can contribute to drug resistance and put patients at risk for deadly diarrhea (caused by C. difficile). Even if one facility is following recommended infection controls, germs can be spread inside of and between health care facilities when patients are transferred from one health care facility to another without appropriate actions to stop spread. Lack of coordination between facilities can put patients at increased risk. Now more than ever is the time for public health authorities and health care facilities to work together, sharing experiences and connecting patient safety efforts happening across the state. Source: CDC Vitalsigns

In an article published  in The Journal of the American Dental Association (JADA), experts from the Centers for Disease Control and Prevention (CDC) and the Organization for Safety, Asepsis and Prevention (OSAP) provide best practices for responsible antibiotic use in dentistry. Checklist 

Related Articles

(1) Addressing Antibiotic Resistance in Dentistry: “What can WE do?”

(2) CDC Vital Signs March 2013
Making Health Care Safer

(3) Antimicrobial Resistance on the Rise

(4) Articles from MedlinePlus

(5) Articles from CIDRAP



(1) 10 facts on antimicrobial resistance

(2) Antimicrobial resistance

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Instructional Resources

(1) CDC Commentary: Don't Give In and Give Those Antibiotics!

(2) CDC Commentary: Three Steps to Antibiotic Stewardship

(3) CDC - Director's Briefing: Serious Health Threat of Antibiotic- Resistance Germs

(4) CDC - The Threat of Antibiotic Resistance

(5) FDA - Animation of Antimicrobial Resistance


(1) U.S. Antibiotic Awareness Week

(2) Be Antibiotics Aware

(3) Antibiotic Prescribing and Use in Hospitals and Long-Term care

(4) Online Materials

Fact Sheets

CDC - Antibiotic Resistance Questions & Answers

New tool to improve antibiotic use in hospitals

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Patient Resources




(1Antibiotic Prescribing and Use in Doctor’s Offices

(2) Antibióticos

(3) What Everyone Should Know 

(6) Antibiotic Safety: Do’s and Don’ts at the Dentist

MedlinePlus Antibiotic Resistance 

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