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Infection control in dentistry essay
Why infection control is important
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1. Introduction – the rationale for maintaining infection control and prevention protocols in the dental office and goals of infection control. Maintaining infection control and prevention protocols in the dental office are of the utmost importance for both dental clients and dental professionals alike. The goals of infection control and prevention protocols in the dental office ensures that dental professionals are taking and routinely practicing initiative to prevent the spread of infection and development of diseases to clients as well as dental professionals themselves.
2. Pathways of cross-contamination in the dental office – brief description. There are several possible pathways that cross-contamination can occur in the dental office.
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blood or saliva). Direct contact may serve as an entrance for microorganisms into skin that is not intact such as abrasions, cuts, dermatitis or skin breaks that are unseen to our eyes which are generally found around the fingernails. An example of direct contact would be touching.
Indirect contact is another form of cross-contamination that can take place from patients to dental teams. It occurs through microorganisms being transferred from the source to a surface or an item which then becomes contaminated and comes in succeeding contact with the dental team. An example of Indirect contact would be
Droplet infection occurs when aerosols exit from the patient’s mouth and enter the dental team through non intact skin such as mucosal surfaces or inhalation.
Dental team to patient:
Cross-contamination from a dental team to a patient (although it is a rare occurrence) can take place through:
Dental teams hands have lesions/non intact skin
If injured in patients mouth – bloodborne pathogen/microorganisms transferred via direct contact
If dental team bleeds on instruments/anything used in patient mouth
Droplet infection if mask isn’t used by dental team
Patient to patient:
Indirect – not clean instruments/handpieces/attachments/op surfaces/hands (patient to hygienist to
Acute paronychia is most commonly caused by a direct or indirect trauma of the cuticle. Such trauma may be minor and result from usual procedures, such as dishwashing, an injury from a splinter or thorn, onychophagia (nail biting), finger sucking, biting or picking at a hangnail, an ingrown nail, artificial nail application, manicure procedures, or other nail manipulation. This kind of trauma enables bacterial inoculation of the nail and consequential infection, with Staphylococcus aureus being the most common pathogen, although Streptococcus pyogenes, Pseudomonas or Proteus may also cause paronychia. Other anaerobic gram-negative bacteria may also be involved, in case the trauma is exposed to oral flora. Except from bacterial infection, acute paronychia may also occur as a manifestation of other disorders affecting the extremities, such as pemphigus vulgaris.
There are several benefits to double-gloving that have been supported by recent studies [1-4]. By double-gloving, it has been shown that the transfer of virus to healthcare workers’ hands is significantly decreased, as compared to single gloving [1]. Perhaps the incidence of nosocomial infections could be reduced if double-gloving were a requirement in healthcare settings. In the operating room (OR), double-gloving has been shown to provide superior protection against potential exposure to blood-borne pathogens [2]. Breaking the barrier between an OR nurses’ hands and the external environment was shown to occur in 8.9% of cases in one study in which single-gloving was practiced during surgical procedures [2]. Remarkably, in the same study, it was shown that when double-gloving was practiced, there was not a single case of both layers of gloves being perforated [2]. From the evidence provided in that study, one could assume that when double-gloving is practiced, it is virtually impossible for the hands of a healthcare worker to become exposed to the external environment during a sur...
The instruments can carry a potential risk of contracting herpes simplex virus. Herpes simplex virus is an infection in the mouth, lips, and gums that causes small painful blisters commonly called cold sores or fever blisters. Contaminated instruments can also transmit Hepatitis B, C, and D. These infections can cause viruses that directly attack the liver. HIV is a virus an individual can contract from contaminated instruments, it attacks the body’s immune system and destroys CD4 cells. CD4 cells helps the body fight disease. Tetanus which is an acute, often fatal disease caused by exotoxin produced by the bacterium clostridium tetani can be also caused by contaminated instruments. It is characterized by generalized rigidity of convulsive spasms of the skeletal muscles. These different types of viruses can be transmitted from a contaminated work environment or needles.
As we grow up, we are often asked what we want to be. Many people say careers such as a doctor or an actor. When I grow up, I want to be a dental hygienist. When I tell people this they often think i’m crazy for wanting to “work in someone’s mouth”. Dental hygiene is appealing to me. It is a big part of personal hygiene and keeping yourself healthy. One of the first things a person notices about you is your smile and I want to help people perfect theirs. I know that being a dental hygienist will not be the easiest thing in the world but there are some benefits. You don’t have to work full time if you don’t want to. Also as stated by Jenny Lewellen, “Overtime is not expected” (Lewellen). Hygienists also get a good salary. “The median annual wage for
been previously touched by an infected person, will transmit the disease to the healthy person who
Pathogens are a type of microorganism that spreads viral and bacterial diseases. These diseases when present in human blood and body fluids are known as blood borne pathogens, and can spread from one person to another. (Worcester polytechnic institute) The most serious types of blood borne diseases are the hepatitis B virus (HBV) and hepatitis C virus (HCV), which can cause liver damage; and HIV (human immunodeficiency virus), which is responsible for causing AIDS (acquired immune deficiency syndrome). The blood borne pathogens can be spread when the blood or body fluids (semen, vaginal fluid, breast milk, and amniotic fluid) of an infected individual comes into contact with mucous membranes or an open sore or cut on the skin of another person. Mucus membranes are located in the eyes, nose, mouth, and other areas as well. ("Bloodborne pathogens: MedlinePlus Medical Encyclopedia") Two of the most common ways that pathogens are transmitted is through the exchange of fluids during sexual intercourse or by sharing infected IV needles. (Worcester polytechnic institute)
At CADH, I was taught how to act upon the eight competencies in different aspects for the public. As a clinician I was taught how to apply the dental hygiene process of care; assessing signs and symptoms, as well as risks factors related to oral disease, and then make a diagnosis, plan, implement, and evaluate the treatment within the dental hygiene scope of practice. One of many important roles of being a dental hygienist is being part of a dental care team where I we work in collaboration with a dentist or a dental specialist. I have been able to extensively develop my management skills to understand the administrative setting of the school, as well as the authority responsibilities and roles of my faculty and other professionals involved. As an administrator, I am responsible to manage my clients’ periodontal status, by identifying presence of disease, setting care priorities, eliminating risk factors, and deciding whether the client is already in the maintenance state or needs further special treatment. As ...
Infection control is a central concept to every practice of health care providers. Its main objective is to prevent the transmission of infectious diseases from both patients and health personnel (Martin et al., 2010). In dental clinic, infection control is a continuous concern for its professionals. They have to contact patients routinely and be exposed to their blood, saliva, dental plaque and pus that may contain infectious pathogens. It is important for the dental professionals to treat these fluids as if they are infectious and special precautions must be taken to handle them. In this essay, I will highlight the scope of infection control practices in dental clinics and the ways through which infectious microorganisms are transmitted in the dental clinic. Also, I will talk about some infection control guidelines implemented in dental clinics and how they meet the needs of the patients. Finally, from a personal perspective, I will mention some factors that affect the implantation of infection control guidelines and procedures.
Introduction: In Canada, general dental health is not part Canada’s national system of health insurance (Medicare) (1) except for some dental surgical procedures that are performed at hospitals. Since Oral health does not come under the Health Act about ninety-five percent of the oral health care services are offered on a fee-for-service basis. Oral health care is under provincial or territorial jurisdiction like other health care services and publically financed dental care programs provide the remaining five percent of oral health care services (2). Thus, majority of Canadians receive oral health via privately owned dental clinics. Privately owned dental care gives these services providers control over dental service charges, types of available treatment for the patients and number of follow-up appointment for treatments or routine care. Service users pay for the dental expenses from their own pockets or utilize insurance coverage (1).
(2014) shed light on two key components for infection control, which includes protecting patients from acquiring infections and protecting health care workers from becoming infected (Curchoe et al., 2014). The techniques that are used to protect patients also provide protection for nurses and other health care workers alike. In order to prevent the spread of infections, it is important for health care workers to be meticulous and attentive when providing care to already vulnerable patients (Curchoe et al., 2014). If a health care worker is aware they may contaminate the surroundings of a patient, they must properly clean, disinfect, and sterilize any contaminated objects in order to reduce or eliminate microorganisms (Curchoe et al., 2014). It is also ideal to change gloves after contact with contaminated secretions and before leaving a patient’s room (Curchoe, 2014). Research suggests that due to standard precaution, gloves must be worn as a single-use item for each invasive procedure, contact with sterile sites, and non-intact skin or mucous membranes (Curchoe et al., 2014). Hence, it is critical that health care workers change gloves during any activity that has been assessed as carrying a risk of exposure to body substances, secretions, excretions, and blood (Curchoe et al.,
Apart from medical equipment, contaminated as a result of handling by medical staff, and blood products the primary reservoirs for transmission of Klebsiella in hospital setting are the gastrointestinal tract of patients and the hands of hospital personnel.[11] The ability of this organism to spread quickly often leads to hospital acquired infection outbreaks.[11] In healthcare settings, Klebsiella bacteria spread as a result of person-to-person contact (for example, from patient to patient via the contaminated hands of healthcare personnel, or from other patients) or, less commonly, environmental contamination.[11][12] It is also important to note that cannot be transmitted through the air. Long term patients and emergent patients in healthcare settings may also be exposed to Klebsiella when they are on ventilators (breathing machines), or have intravenous (vein) catheters or wounds (caused by injury or surgery).
Infections come in all types from airborne to physical contact, they are easily attainable if the right measures are not taken to prevent them. Methicillin-resistant Staphylococcus aureus, or MRSA, is one of the most common infections healthcare workers see. It is easily spread by contact or through droplet particles depending on the type. It is "caused by a strain of staph bacteria that's become resistant to the antibiotics commonly used to treat ordinary staph infections". (2) MRSA can be on the skin of a patient creating a leaky wound, in the urine, or lying in the mucus of the lungs and being spread when the patient coughs.
Recent research shows that, there are three major means by which infections can be transmitted and they include direct transmission, indirect transmission and airborne transmission (Hinman,Wasserheit and Kamb,1995). Direct transmission occurs when the physical contact between an infected person and s susceptible person takes place (division of public health, 2011). An example is a health care worker who attends to an Ebola patient, without gloves, gown and mask plus forget to wash his or her hand with soap and hot water and or a person having flu without the use of mask or washes his hand after sneezing easily passes the infection to the other through hand shake or surface touch, living the bacteria there for another vulnerable person to also touch if the surface is not disinfected with bleach. Studies makes it clear that, the spreads takes effect when disease-causing microorganisms pass from the infected person to the healthy person through direct physical contact such as touching of blood, body fluids, contact with oral secretion, bites kissing, contact with body lesions and even sexual contact. However, measles and chicken pox are said to be conditions spread by direct
The antecedents include nurses being aware, knowledgeable, and accurate when it comes to oral health, and having a positive attitude towards oral care. Along with these things, nurses have to be able to work with others, know how to perform oral hygiene tasks, know the protocols, and have the equipment. Some consequences of oral hygiene include things like prevention of infections, diseases, oral discomfort, and oral candidiasis. Also, it enhances psychosocial and functional well-being. If nurses have the correct knowledge of oral care, then their patients might be able to avoid some of the consequences of poor oral