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Policy Statements | Toolkits | State Highlights | Additional Resources

Policymakers in oral health have moved the practice of antibiotic stewardship forward by drafting policy statements, enacting policy, and providing resources for leaders in oral health to promote the safe and judicious use of antibiotics. Interdisciplinary stakeholders have contributed to the policy statements, toolkits, clinical practice guidelines, and the resources listed below. Success has been found in developing tools through interdisciplinary teams that focus on shared decision making with the patient. 

Policy Statements

• American Academy of Pediatric Dentistry: Use of Antibiotic Therapy for Pediatric Dental Patients
• American Association of Endodontists: AAE Guidance on the Use of Systemic Antibiotics in Endodontics
• American Dental Association (ADA): Antibiotic Stewardship
• American Dental Education Association (ADEA): Antibiotic Overprescription: Policy Considerations For Academic Dentistry
• Association for Professionals in Infection Control and Epidemiology (APIC): Antimicrobial Stewardship
• Association of State and Territorial Dental Directors (ASTDD):  Promoting Antibiotic Stewardship in Dentistry
• FDI World Dental Federation: Antibiotic Stewardship in Dentistry
• Society for Healthcare Epidemiology in America (SHEA): Antimicrobial Stewardship

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Toolkits

• CDC Elements of Outpatient Antibiotic Stewardship
• Antibiotic Stewardship Toolkit for Dental Providers (Illinois)
• Antimicrobial Stewardship Programs a Toolkit for Dental Clinics in Kansas
• Resources to Support Antibiotic Stewardship in Dental Office (Michigan)
• Minnesota Antimicrobial Stewardship Program Toolkit for Outpatient Clinics (Minnesota)
• Oral Health Antibiotic Toolkit (Wisconsin)
• ADS, formerly known as OSAP, Antibiotic/Antimicrobial Stewardship
• Penicillin Allergy Resources (Washington)
• Overview Article
• Introduction to Penicillin Allergy Delabeling (webinar and slides)
• Penicillin Allergy Labels – Pathways Forward in Patient Care (webinar and slides)
• Canada: Taking a Bite Out of Antibiotic Prescribing: A workshop report on developing a sustainable antimicrobial stewardship strategy for Canadian dentistry. January 2024.
• England:  A shared decision-making tool, includes worksheet with multiple behaviour change techniques built into the text, image content, and mode of delivery, to reduce antibiotic prescribing for adult patients with toothache or infection during urgent dental appointments.
• California (LA County): Antimicrobial Stewardship (LA County, CA): Scroll to Dental Practice Guidance

State Highlights

• Trends in Dental Antibiotic Prescribing in Wisconsin 2018–2021

Additional Resources

• CDC Antibiotic Stewardship Office Hours - June 22, 2023

Click on the boxes below to view resources for prescribers, the dental team, and patients receiving dental care.

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