Document Detail


Infection control practices in public dental care services: findings from one South African Province.
MedLine Citation:
PMID:  17433494     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Infection control practices which increase the risk of blood-borne virus transmission with associated dental practice in one South African province were studied. All 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 IPC 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 clinics, there was a lack 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.
Authors:
S Mehtar; O Shisana; T Mosala; R Dunbar
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2007-04-11
Journal Detail:
Title:  The Journal of hospital infection     Volume:  66     ISSN:  0195-6701     ISO Abbreviation:  J. Hosp. Infect.     Publication Date:  2007 May 
Date Detail:
Created Date:  2007-05-07     Completed Date:  2007-09-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8007166     Medline TA:  J Hosp Infect     Country:  England    
Other Details:
Languages:  eng     Pagination:  65-70     Citation Subset:  IM    
Affiliation:
Academic Unit for Infection Control, Tygerberg Hospital, Faculty of Health Sciences, Stellenbosch University, Cape Town, South Africa. smehtar@sun.ac.za
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MeSH Terms
Descriptor/Qualifier:
Blood-Borne Pathogens*
Clinical Competence
Cross Infection / prevention & control*
Dental Clinics / standards*
Dental Staff
Guideline Adherence*
Handwashing / standards
Health Care Surveys
Humans
Infection Control / methods*,  standards*
Protective Clothing / utilization
Risk Assessment / methods
South Africa
Sterilization / utilization
Universal Precautions

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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