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Dental Tribune United Kingdom Edition

Nov 26 - Dec 3, 201218 Infection Control United Kingdom Edition Henry Schein Minerva: England: 08700 10 20 43 Wales: 029 2044 2888 N.Ireland: 028 9037 3702 Scotland: 0141 952 9911 B.A. International: 01604 777700 Kent Express: 01634 878787 For our latest offers or to place your order contact B.A. International or our exclusive dealers: DAC Universal For B.A. International From Only £4590 (FREE Ultimate Power + Turbine Supplied With This Price Package) NEW B.A. 121T Thermodisinfectable Latch Type Handpiece From Only £61.83 Get this FREE with every Ultimate Power+ purchased Description Price x 1 Price x 5 (Each) Price x 10 (Each) 1. BA101 Latch Type Contra-Angle £74 £59.20 £52.36 2. BA102 Screw-In-Type Prophy Contra-Angle £74 £59.20 £55.09 3. BA103 Snap-On-Type Prophy Contra-Angle £74 £59.20 £57.08 4. BA105 Push-Button Contra-Angle £138 £110.40 £94.51 5. BA170 Straight Handpiece £138 £110.40 £101.87 6. BA121T Thermodisinfectable Latch-Type Contra-Angle £86 £68.80 £61.83 7. 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T he antimicrobial stew- ardship is a corner stone in any infection prevention and control pro- gramme. Its self funded nature is attributable to its great ben- efit to the patient and the com- munity. It is well appreciated that the judicious use of anti- microbial therapy decreases the side effect of the medica- tion, including the potentially lethal anaphylactic reaction, and prevents the development of highly resistant strains and their dissemination in health care and community set- tings. In the period between 2008 and 2010, the antibiotic stewardship programme initi- ated by the Scottish Antimicro- bial Prescribing Group (SAPG) was successful in signifi- cantly reducing the incidence of Clostridium difficile infection in Scotland through optimising antimicrobial pre- scription along with imple- menting good infection pre- vention measures in hospitals and primary care (Nathwani et al., 2011). The importance of the programme became funda- mental in an era of wide- ly spread highly resistant nosocomial and community acquired infections such as methicillin resistant Staphy- lococcus aureus (MRSA), vancomycin resistant Staphy- lococcus aureus (VRSA), van- comycin resistant Entero- coccus (VRE), Pseudomonas aeruginosa, Acinetobacter spp., extended spectrum beta lactamase producing Enterobacteriaceae and Sten- otrophomonas maltophilia. With the increasing risk of encountering these multi- ple resistant microorganisms in the dental practice, we believe that the dental team members have a duty of care toward their patients and the community to avoid estab- lishment and dissemination of such infections (O’Leary et al., 2011). Therefore, they should be trained on the ap- propriate use of antimicrobial agent for the prophylactic and therapeutic purposes. There is a consensus be- tween the guidelines of the American Heart Association (AHA, 2007) and the Nation- al Institute for Clinical Ex- cellence (NICE, 2008) that the benefit of endocarditis prophylaxis for dental treat- ments is unproven. Therefore, NICE recommended no an- tibiotic cover for any pa- tients receiving dental treat- ment. However, the AHA recommended antimicrobial cover only to those patients who are classified as “at risk” of infective endocarditis. In- terestingly, Thornhill and col- leagues (2011) excluded any significant increase in the incidence of infective endo- carditis and its complications following the implementa- tion of NICE guidelines in the hospital of England despite The antimicrobial stewardship programme Why is it important in dentistry? asks Andrew Smith and Noha Seoudi ‘It is well appreci- ated that the judi- cious use of antimicrobial therapy decreases the side effect of the medication’