Abstract
Background
The American Dental Association (ADA) favors no antibiotic prophylaxis for joint implant patients (JIP), while the American Association of Orthopedic Surgeons’ (AAOS) guidance favors up to lifetime prophylaxis for JIP. Private practice dentists (PPD) represent 80% of all US dentists and to date, no one has attempted dental stewardship with PPD&OS to address this issue. Our purpose is to engage PPD&OS in the same room to address dental stewardship.
Methods
A town hall community evening forum led by an infectious diseases pharmacist and physician, including an oral surgeon, OS, hospital lawyers, and physicians from the CDC. One hour of didactics was presented to 28 PPD&OS followed by a breakout session with interdisciplinary groups to address 2 cases and 10 thought provoking questions to get at rationale for answers. Team leaders presented answers for discussion and “next-steps” to engage more PPD&OS. A pre- and post-survey was administered.
Results
PPD&OS’ “next-steps” were: online continuing education webinar, develop a process to inform PPD&OS if patients develop CDI or a “superbug,” more presentations by ASP experts at local/national meetings, and use local media to engage consumers. The opportunity to meet and work through cases together was highly valued.
Conclusion
An interdisciplinary community forum effectively allowed for consensus among PPD&OS to use fewer antibiotics for JIP receiving dental treatment. Fear of lawsuits impacts antibiotic use; as guidelines are updated and dental stewardship with PPD expands definitive recommendations and improved communications are key.
Disclosures
All authors: No reported disclosures.
Session: 238. Antibiotic stewardship: Non-Inpatient Settings
Saturday, October 5, 2019: 12:15 PM