1- Infection Prevention Flashcards
List 4 ways Oral infections are spread?
- Physical contact
- Sharing food
- Pets transmitting bacteria
- Dentures
What is the likely distance of fallout from aerosol spray?
2m
What bacterium is predominantly found in the fallout?
Gram-positive bacteria
Draw the chain of infection
infectious agent -> Reservoirs -> Portal of exit -> Means of transmission -> Portal of entry -> susceptible host
4 routes of transmission in dentistry?
- Direct contact with body fluids/blood
- Indirect contact
- Contact of mucosa of eyes/nose/mouth with splatter
- Inhalation of airborne microorganisms
What document describes the decontamination process?
Health Technical Memorandum 01-05
How can we reduce the risk of transmission form aerosols?
- using a face mask
- high volume suction
- rubber dam
- pre-procedural mouthwash (chlorhexidine)
- cover surfaces
- zoning (clean zone, dirty zone)
How frequently do bacteria double in water lines?
every 20 minutes
4 steps of decontaminating instruments
- CLEAN (remove blood/saliva/debris)
- DISINFECT
- INSPECT
- STEAM STERILISE (134 degrees for 3 mins)
At what temperature do you steam sterilise?
134 degrees for 3 minutes
Why is there an increased emphasis on infection control?
- a greater understanding of risks
- you can’t identify carriers, therefore, universal precautions
- more patients with compromised immunity
- more resistant strains
- more complex surgeries (e.g. implants)
How can you avoid needlestick injuries?
- Don’t resheath needles
- Care with matrix bands
- Remove handpiece or bur after use
- Close bur stand lid
List 5 special features of a dental practice
- operating room
- aerosol
- Keyboard in aerosol area
- Waterline/suction system
- compressor
- dental unit filters
- Air conditioners, ventilation
List 7 things to include in an infection prevention plan
- Instrument hygiene
- Personal hygiene
- Working hygiene
- Surgery hygiene between pts
- Clothes, laundry
- Cleaning
- Equipment maintenance
- Waterlines
- Building maintenance
- Interior design
- Contractors
- Staff training/vaccinations
List 7 problem microbes
- HIV
- Hep C
- MRSA
- vCJD
- EBSL
- TB
- C diff
- CPE
- VRE