Infection control practices in public dental care services: findings from one South African Province

被引:25
作者
Mehtar, S.
Shisana, O.
Mosala, T.
Dunbar, R.
机构
[1] Univ Stellenbosch, Acad Unit Infect Prevent & Control, Tygerberg Hosp, Dept Community Hlth, ZA-7550 Cape Town, South Africa
[2] Human Sci Res Council, Cape Town, South Africa
[3] Natl Dept Hlth Epidemiol, Pretoria, South Africa
关键词
infection control; dental practice; occult blood; South Africa; blood-borne virus transmission;
D O I
10.1016/j.jhin.2007.02.008
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Infection control practices which increase the risk of bloodborne virus transmission with associated dental practice in one South African province were studied. At[ 24 state dental clinics were observed for adequate provision to carry out good infection prevention and control (IPC) practice, 75 staff including dentists, nurses and dental assistants were interviewed to assess IPC knowledge and 23 dental procedures were observed. Significant findings were the difference between knowledge and practice, despite adequate provisions for safe infection control practice. The lack of protective eye wear during a dental procedure, not washing hands between patients, not disassembling an item prior to disinfection or sterilization, and not using a sterile drill for each patient were identified. A rapid method for detection of occult blood was used as a marker for inadequate lPC practice. Contaminated dental items of equipment just prior to patient use in 25% of equipment tested and 37% of surfaces and surrounding areas in the dental clinics and units were recorded. This study concludes that, despite provision for safe dental practice available in state dental clincs, there was a tack of knowledge application in clinical practice. The risk of blood-borne virus transmission in a population with high human immunodeficiency virus (HIV) prevalence cannot be ignored. (C) 2007 The Hospital Infection Society. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:65 / 70
页数:6
相关论文
共 14 条
[1]  
[Anonymous], 2003, NAT HIV SYPH ANT SER
[2]  
ATHONE JL, 1983, J AM DENT ASSOC, V106, P219
[3]  
*CDC, 1990, MMWR-MORBID MORTAL W, V39, P489
[4]  
Chebbi F, 1997, AIDS, V11, P927
[5]  
Darling M, 1992, J Dent Assoc S Afr, V47, P399
[6]  
de Kock K, 2001, SADJ, V56, P584
[7]  
*DEP HLTH, 1998, DEM HTLH SURV
[8]   The effect of cleaning on blood contamination in the dental surgery following periodontal procedures [J].
Edmunds, LM ;
Rawlinson, A .
AUSTRALIAN DENTAL JOURNAL, 1998, 43 (05) :349-353
[9]  
MOCHMEISTER MN, 1999, J FORENSIC SCI, V44, P597
[10]  
Naidoo S, 2001, SADJ, V56, P505