The risk of blood exposure incidents in dental practices in the Netherlands

Wijk, P.T.L. van; Meiberg, Annemarie E; Bruers, J.J.M.; Groenewold, M.H.; Raalten, A.L. van; Dam, B.A.F.M. van; Schneeberger, P.M.

doi:10.1111/j.1600-0528.2012.00702.x

Cited by 9 publications

(8 citation statements)

References 15 publications

(25 reference statements)

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“…Data were gathered from a total of 359 undergraduates who had received the HBV vaccine as pre-adolescents, but had not undergone post-vaccination serologic testing. Such testing is recommended and proves cost-effective among healthcare personnel at a risk of infection by HBV, since they may often need prophylactic measures after accidental percutaneous and/or cutaneomucosa exposure ( 16 ).…”

Section: Discussionmentioning

confidence: 99%

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Serologic control against hepatitis B virus among dental students of the University of Granada, Spain

Arias-Moliz¹,

Rojas²,

Liébana‐Cabanillas³

et al. 2015

Med Oral

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BackgroundTo evaluate the immunological situation against hepatitis B virus (HBV) of a cohort of dentistry students, to analyze the behavior of the levels of hepatitis B surface antigen (anti-HBs) after the administration of one or three vaccine doses, and to determine the influence of age and sex on the immune response.Material and MethodsThis retrospective cohort study included students attending the School of Dentistry of the institution where the study was performed from 2005 to 2012 who had completed the public health vaccination calendar for HBV at the age of 12-13. Data on age, sex, basal anti-HBs levels, post-vaccination anti-HBs results and final anti-HBs levels were collected. Comparisons of the basal and final levels, as well as associations regarding age and sex, were performed by means of the Student t and Chi-square tests.ResultsOf the 359 students, 97 (27.02%) had basal antibody concentrations <10 mIU/ml, whereas in 262 the levels of anti-HBs were ≥10 mIU/ml (72.98%). Of the 288 participating students who completed the School´s protocol for immunization, 287 (99.65%) attained a level of protection ≥10 mIU/ml. Globally, there were statistically significant differences between the basal antibody levels and those achieved after administration of the vaccine and booster, but no association with age or sex was observed.ConclusionsAbout 70% of dental students vaccinated as preadolescents had serologic evidence of protection against HBV. Administering a booster is associated with the presence of an excellent immune memory. There is clearly a need to reinforce control of the antibody levels in groups at risk, such as Dentistry students. Key words:Dental students, hepatitis B virus, serologic control.

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Section: Discussionmentioning

confidence: 99%

“…The absence of HBsAg was confirmed. This poor immune response could have to do with immunosuppression or with genetic factors ( 16 , 18 , 19 ).…”

Section: Discussionmentioning

confidence: 99%

Serologic control against hepatitis B virus among dental students of the University of Granada, Spain

Arias-Moliz¹,

Rojas²,

Liébana‐Cabanillas³

et al. 2015

Med Oral

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“…By analyzing studies performed with dental professionals in other countries, we observed a different situation in comparison with the one identified in this study. In Iran, 11.5% 20 of professionals were not immunized against HBV; in Spain, the estimate was 27.02% 21 ; in Italy, 17% 22 ; in the Netherlands, 12% 23 ; and in the USA, only 7.1% 24 . What may justify this high prevalence of non-vaccination or non-protection among Brazilian dental surgeons is the possibility of a gradual decline of antibody levels, from 13 to 60%, one year after the end of the immunization schedule 21 .…”

Section: Discussionmentioning

confidence: 97%

A cross-sectional study on dental surgeons’ immune status against hepatitis B virus in the Public Health System

Garbín

Wakayama

Saliba

et al. 2020

Rev. Inst. Med. trop. S. Paulo

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“…A recent study from Pakistan suggested to develop educational programs and to install a health department managing BEAs to lower the threshold for DHCP of reporting accidents to fight present underreporting of BEAs [ 33 ]. In a study performed in The Netherlands, it was found that 16% of the BEAs reported to a professional counselling centre were considered high-risk incidents with a risk for the transmission of HBV as well as HCV and HIV, for what post-accident measures had to be taken [ 40 ]. In this study, it was reported that the vaccination rate for HBV of Dutch dentists was 98% and that 32% of the dentists who responded to the questionnaire reported to have at least 1 BEA in the previous year.…”

Section: Introductionmentioning

confidence: 99%

Cross-transmission in the Dental Office: Does This Make You Ill?

Volgenant

Soet

2018

Curr Oral Health Rep

106

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Purpose of ReviewRecently, numerous scientific publications were published which shed new light on the possible risks of infection for dental healthcare workers and their patients. This review aimed to provide the latest insights in the relative risks of transmission of (pathogenic) micro-organisms in the dental office.Recent FindingsOf all different routes of micro-organism transmission during or immediately after dental treatment (via direct contact/via blood-blood contact/via dental unit water and aerosols), evidence of transmission is available. However, the recent results put the risks in perspective; infections related to the dental office are most likely when infection control measures are not followed meticulously.SummaryThe risk for transmission of pathogens in a dental office resulting in an infectious disease is still unknown; it seems to be limited in developed countries but it cannot be considered negligible. Therefore, maintaining high standards of infection preventive measures is of high importance for dental healthcare workers to avoid infectious diseases due to cross-contamination.

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The risk of blood exposure incidents in dental practices in the Netherlands

Cited by 9 publications

References 15 publications

Serologic control against hepatitis B virus among dental students of the University of Granada, Spain

Serologic control against hepatitis B virus among dental students of the University of Granada, Spain

A cross-sectional study on dental surgeons’ immune status against hepatitis B virus in the Public Health System

Cross-transmission in the Dental Office: Does This Make You Ill?

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