Understanding Antimicrobial Resistance and stewardship program regarding dental practice

Abstract: Antimicrobials treatment a medical magical tool ‘which have a significant role on the prognosis of patients with severe infectious diseases over the past 60 years However, effectiveness of antimicrobials, it compromised by the growth and dissemination of resistant organisms. While the underlying reason behind this dynamic problem is the amount of antimicrobial use in general, massive consumption, abuse, and misuse of antimicrobials, which is influenced by several interrelated factors, that contributed to speed up the spread of resistant pathogens. Dental practitioner is one of the top specialty prescriber of antimicrobial treatment. Antimicrobial resistance is a major concern nowadays that rising the trend, impacting the whole world as leading to difficult-to-treat infections. WHO assume that there is a global role to combat the problem of antimicrobial resistance (AMR) by using antimicrobial stewardship programme.

Aim of this study:To thorough the light on the importance of antibiotic treatment and misuseof antibiotic which lead to antibiotic resistance and the newly antimicrobial stewardship programs (ASPs) that is show successful result as a preventive measures and a new guidelines in antimicrobial use to reduce antibiotic resistance.

Methodology: A systematic literature review depends on collecting data from an evidence-based studies. Searches were made of twenty electronic databases: the Cochrane Oral Health Group‘s Trials Register, The Cochrane Central Register of Controlled Trials (CENTRAL), EMBASE, PsycINFO, CINAHL, Scopus and Web of science, MEDLINE (PubMed).

Summary: Raise patient knowledge level and awareness regarding health care, healthy habits environmental impact on our health, infection control and prophylaxis concept rather than treatment, decrease antibiotic intake and so decrease incidence of antibiotic resistance. Future of medicine to direct the antibiotic producing industry to develop entirely new formulas for creating innovative antibiotics with unique action mechanisms to overcome AR.

Conclusion: Antibiotics widely prescribed prophylactically and therapeutically in dentistry. Antibiotic resistance considered a challenging global health problems, with a concerning lack of awareness from the health practitioners and the general public. there is a global attitude to the restrictive action should be taken to avoid overuse and inappropriate use of the antibiotics for treatment of patients. prescription of the antibiotics should be limited as much as possible and only used as a last resort to treat patients with microbial infection.

Keywords:Antibiotic; Antimicrobial; Antimicrobial resistance; Antimicrobial stewardship program; Patient education