The future of antibiotics

17 November 2014
Volume 30 · Issue 3

Dentists are being asked to make a pledge to become Scotland’s “superheroes” in the fight against antibiotic resistance.

The pledge, which is part of this year’s European Antibiotic Awareness Day (EAAD), asks dentists to become “Antibiotic Guardians” by agreeing to do one thing which will help make better use of these vital medicines and safeguard them for future generations. The Antibiotic Guardian campaign was developed by Public Health England (PHE), who are hosting EAAD in the UK.

The campaign, which is being led in Scotland by the Scottish Antimicrobial Prescribing Group (SAPG), based within the Scottish Medicines Consortium (SMC), calls on dentists to act to reduce unnecessary prescribing and also raise awareness among patients that antibiotics are not always the best treatment for dental infections.

While a recent SAPG report shows Scotland is ahead of the game when it comes to reducing prescriptions for antibiotics, with a decrease of 6.5 per cent in 2013 – 14, there is still work to be done. In terms of dental prescribing there had been a steady increase in the number of antibiotics being prescribed by dentists in Scotland up to 2012-13, but in 2013-14 there was a decrease of 5.5 per cent and dental prescriptions accounted for 8.9 per cent of all antibiotics dispensed in Scotland.

Jacqueline Sneddon, project lead for SAPG, said “Antibiotic resistance is a major public health issue and a threat to the future of healthcare. The World Health Organisation has warned of a post-antibiotic era in which common infections and minor injuries can kill. Far from being an apocalyptic fantasy, this is a very real possibility for the 21st century.

“Without effective antibiotics safe and effective healthcare will become increasingly difficult. As well as their use for treating infections antibiotics are an essential part of care for patients undergoing operations and receiving cancer chemotherapy.

“While Scotland has made substantial progress in improving the quality of antibiotic prescribing both in hospitals and in the community, we still have more to do to ensure we are better placed to tackle the growing threat of antibiotic resistance. That’s why we’re calling on the public and professionals alike to make this pledge.”

Dentists can choose from a range of pledges at www.antibioticguardian.com:

While many patients may feel they need antibiotics for toothache, dental pain is an inflammatory condition which can in many cases be managed by the appropriate use of analgesics and local treatment at the site of pain. The long standing relationship between most dentists and their patients means they can play a key role in providing a better understanding of how to manage dental pain and in doing so spread the word about antibiotic resistance.

To help support the campaign a specific poster has been developed for use in dental surgeries and patient information leaflets on prudent antibiotic use are also being supplied.

The campaign will also target hospitals, GP surgeries, community pharmacies and care homes.

Jacqueline said “Everyone has a part to play in helping reduce the risk of antibiotic resistance. If we act now, we can protect both ourselves and future generations from the problems that a world without effective antibiotics could bring.”

You can find out more about antibiotics and EAAD at http://www.scottishmedicines.org.uk/SAPG/European_Antibiotic_Awareness_Day/European_Antibiotic_Awareness_Day