Preventing AMR and Infections

Antimicrobial resistance (AMR) is one of the greatest global health threats, driven by the overuse and misuse of antimicrobials. As dentists prescribe around 10% of antibiotics worldwide, the profession has a key role in tackling AMR through infection prevention and control, responsible prescribing and antimicrobial stewardship. FDI provides evidence-based guidance, practical resources and advocacy to support these efforts.

Facts about antibiotic resistance

Antimicrobial resistance is recognized as one of the biggest threats to global health by the World Health Organization and is expected to be responsible for ten million deaths each year by 2050. It happens when the drugs prescribed to treat infections from bacteria, viruses, fungi and parasites become ineffective, due to the overuse and misuse of antimicrobial medicines.

If coordinated measures at the global scale are not taken rapidly, the world will be soon plunged into a post-antibiotic era in which common infections will become life-threatening.  

Dentists are responsible for prescribing 10% of all antibiotics for humans.

Antibiotic resistance (ABR) is of particular concern to dental teams, as antibiotics are the class of drugs most prescribed by dentists. About 10% of antibiotic prescriptions are issued by dentists, depending on the country. Moreover, studies have shown that many of these prescriptions were unnecessary.

Clear and relevant guidance is needed to encourage dental teams to optimize the way that they prescribe antibiotics, doing so only when necessary. 

Project goals

  • Awareness raising: increase understanding of resistance through education and communication. 
     
  • Advocacy: promote infection prevention, responsible antibiotic use in dentistry, and the integration of oral health into National Action Plans on AMR.
     
  • Research and knowledge transfer: Promote research on infection prevention, antimicrobial resistance and stewardship in dentistry, and facilitate collaboration and exchange.
Project activities

Development of an Antibiotic Stewardship Core Outcome Set. This set will provide core metrics for informing and evaluating antibiotic stewardship (ABS) programmes. It will highlight the essential aspects that NDAs, dental teams and research teams should address when designing ABS programmes and evaluating their success and impact.

An NDA action statement and pledge for tackling ABR in dentistry. NDAs will be invited to sign this pledge to tackle ABR in each country, by committing to activities in line with the WHO Global Action Plan on AMR and White Paper recommendations. 

An Early Career Researcher (ECR) Network, to connect and support ECRs and promote dental ABR research. Network events, including journal club webinars and an online forum, will allow ECRs to present their work, exchange ideas and experiences and establish connections. The network will be launched during a satellite symposium at the IADR 2021 General Session. Register here to be part of this network and receive information on coming activities!

Antimicrobial resistance (AMR)

Pledge to tackle antibiotic resistance

Pledge to tackle antibiotic resistance through raising awareness, preventing dental infections and optimizing antibiotic prescribing (antibiotic stewardship).

Image
Dentist Working

Follow the MOOC for dental teams

Join this free course and discover the danger posed by antibiotic resistance, and how dental teams can meet the challenge to protect patients.

Image
GARD Network Discussion

Join the GARD network

The GARD Network provides opportunities for individuals with an interest in dental infection prevention and antimicrobial stewardship to come together to share their experiences, ideas and expertise.

Resources

  • FDI Statement
    WHA74 - FDI statement on Items 13.1, 13.5, and 13.8
    Statement

    On behalf of FDI World Dental Federation (FDI), the official representative body of over 1 million dentists, we applaud efforts by WHO and Member States to minimize AMR and increase patient safety and immunization. We are however...

  • FDI white paper_The essential role of the dental team in reducing antibiotic resistance
    FDI white paper: The essential role of the dental team in reducing antibiotic resistance
    White paper

    This white paper presents a framework for dental teams seeking to tackle the problem of antibiotic resistance. Antibiotics are lifesaving drugs—when you need them, you need them to work. Antibiotic resistance is a global problem and growing rapidly due to widespread misuse of antibiotics, putting patients at risk for ‘superbugs’ that are difficult (and sometimes impossible) to treat with antibiotics. 

  • Resource
    WHA72 - Follow-up to the high-level meeting on antimicrobial resistance
    Statement

    Dentists should not be overlooked in the fight against antimicrobial resistance (AMR). As dentists prescribe around 10% of all antibiotics commonly used, they are key stakeholders in combating AMR. We therefore urge countries to reach out to their National Dental Associations (NDAs) when developing and implementing national action plans (NAPs) to counter antibiotic resistance.

Image
Future learn website

MOOC : Tackling Antibiotic Resistance

What should dental teams do?

Join this free course and discover the danger posed by antibiotic resistance, and how dental teams can meet the challenge to protect patients

Image
A Library of Resources

Library of Resources

Antibiotic Stewardship for Dental Teams

Variety of national and international resources that can be adopted or adapted to support national Antibiotic Stewardship Programs. The library features a discussion forum where NDAs, dental teams and others can discuss their work. Create a free account and upload any relevant resources available in your country or draw inspiration from the resources available.

Image
IDJ - International Dental Journal by FDI

International Consensus on a Dental Antibiotic Stewardship Core Outcome Set

Antibiotic resistance is a global health crisis. To maximise the value from research to optimise antibiotic use in dentistry, this study developed international consensus on a core outcome set for dental antibiotic stewardship.

Related news

  • WHO
    06/24/2021
    FDI’s recap of the 74th World Health Assembly: Oral health, heath workforce and more
  • WHA OH Resolution
    05/28/2021
    WHO World Health Assembly approves 'historic' resolution on oral health
  • FDI_antibiotic resistance
    11/13/2020
    Study shows dramatic rise in antibiotics prescribed to dental patients in England during COVID-19 lockdown earlier this year