Decontamination in primary care: dental and hospital perspectives

Smith, Andrew

doi:10.1533/9780857096692.2.115

Cited by 2 publications

(3 citation statements)

References 47 publications

(15 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…3,4 Dental care has been delivered for many years in the United Kingdom on the basis of universal (standard) infection control precautions based on the premise that any patient can carry pathogens and potentially transmit infection. 5 The World Health Organisation has recommended droplet and contact precautions when caring for patients with COVID-19 and airborne precautions during the delivery of aerosol generating procedures (AGPs). 3 Dental professionals have therefore needed to wear additional respiratory protection, gowns, eye protection, [6][7][8][9] and comply with a range of additional recommended procedures for infection control during the pandemic.…”

Section: Introductionmentioning

confidence: 99%

Dental periodontal procedures: a systematic review of contamination (splatter, droplets and aerosol) in relation to COVID-19

et al. 2021

View full text Add to dashboard Cite

Introduction The emergence of the SARS-CoV-2 virus and subsequent COVID-19 pandemic has had a significant effect on the delivery of routine dentistry; and in particular, periodontal care across the world. This systematic review examines the literature relating to splatter, droplet settle and aerosol for periodontal procedures and forms part of a wider body of research to understand the risk of contamination in relation to periodontal care procedures relevant to COVID-19. Methods A search of the literature was carried out using key terms and MeSH words relating to the review questions. Sources included Medline (OVID), Embase (OVID), Cochrane Central Register of Controlled Trials, Scopus, Web of Science and LILACS, ClinicalTrials.Gov. Studies meeting inclusion criteria were screened in duplicate and data extraction was carried out using a template. All studies were assessed for methodological quality and sensitivity. Narrative synthesis was undertaken. Results Fifty studies were included in the review with procedures including ultrasonic scaling (n = 44), air polishing (n = 4), prophylaxis (n = 2) and hand scaling (n = 3). Outcomes included bacterial (colony-forming units e.g. on settle plates) or blood contamination (e.g. visible splatter) and non bacterial, non blood (e.g. chemiluminescence or coloured dyes) contamination. All studies found contamination at all sites although the contamination associated with hand scaling was very low. Contamination was identified in all of the studies even where suction was used at baseline. Higher power settings created greater contamination. Distribution of contamination varied in relation to operator position and was found on the operator, patient and assistant with higher levels around the head of the operator and the mouth and chest of the patient. Settle was identified 30 min after treatments had finished but returned to background levels when measured at or after an hour. The evidence was generally low to medium quality and likely to underestimate contamination. Conclusion Ultrasonic scaling, air polishing and prophylaxis procedures produce contamination (splatter, droplets and aerosol) in the presence of suction, with a small amount of evidence showing droplets taking between 30 min and 1 h to settle. Consideration should be given to infection control, areas of cleaning particularly around the patient and appropriate personal protective equipment, with particular attention to respiratory, facial and body protection for these procedures. In addition, the use of lower power settings should be considered to reduce the amount and spread of contamination.

show abstract

Section: Introductionmentioning

confidence: 99%

Dental periodontal procedures: a systematic review of contamination (splatter, droplets and aerosol) in relation to COVID-19

et al. 2021

View full text Add to dashboard Cite

show abstract

“…Med basale smittevernrutiner menes alle de tiltak som gjennomføres for å hindre smittespredning mellom pasienter og mellom helsepersonell og pasienter. Det er heldigvis få registrerte tilfeller der pasienter er blitt smittet på grunn av dårlige smittevernrutiner på tannklinikker, men det kan ikke utelukkes at det har forekommet (3). Det er derimot rikelig med dokumentasjon på at krysskontaminering forekommer på sykehus dersom overflatedesinfeksjon er utført utilfredsstillende (4,5).…”

unclassified

“…Tannklinikker er regnet som et risikoområde for smittespredning på grunn av høy pasientgjennomstrømning, aerosoler som sprer smittestoff over store deler av behandlingsrommet, kontaminering på grunn av kontakt med blod og saliva, og mange og til dels kompliserte instrumenter og utstyr (10). Rengjøring av unit og behandlingsrom etter pasientbehandling er en viktig del av basale smittevernrutiner og skal fjerne smittestoff ved hjelp av desinfeksjon og sterilisering (3). Overdreven bruk av kjemikalier kan imidlertid også innebaere en risiko, som for eksempel allergi, luftveisirritasjoner, brannfare og miljøforurensning (11 -13).…”

unclassified

Rent nok?

Vevelstad¹,

Husøy²,

Jensen³

et al. 2016

Tidende

View full text Add to dashboard Cite

Decontamination in primary care: dental and hospital perspectives

Cited by 2 publications

References 47 publications

Dental periodontal procedures: a systematic review of contamination (splatter, droplets and aerosol) in relation to COVID-19

Dental periodontal procedures: a systematic review of contamination (splatter, droplets and aerosol) in relation to COVID-19

Rent nok?

Contact Info

Product

Resources

About