DH100: Chapter 4: Infection Control: Transmissible Disease Flashcards
protect patients, dental personnel, and others who may become exposed to infectious agents in the environment of the office or the clinic.
objective of infection control in the dental office
- integrate and expand the elements of universal precautions.
- represent a standard of care that protects DHCP and their patients from pathogens that can be spread by blood or any other body fluid, excretion, or secretion: blood, all body fluids, secretions, and excretions (except sweat), regardless whether they contain blood, non-intact skin, mucous membrane.
standard precautions
spread of microorganisms from one source to another; person to person, or person to an inanimate object and to another person.
cross-contamination
6 essentials links required for spread of an infectious agent:
- infectious agent
- reservoir
- port of exit
- mode of transmission
- port of entry
- susceptible host
the invading organism (bacterium, virus, fungus, rickettsia, protozoa) has its own specific reaction in an infected host.
infectious agent
where the invading organisms live and multiply. The infectious agent has its own essential environment, which may be inanimate matter, an insect, or human cells or blood. Ex: soil is the reservoir for tetanus, and humans are reservoirs fro herpetic infections.
reservoir
or mode of escape. Organisms exit through various body systems, such as the respiratory tract, or through skin lesions. Escape from the blood stream may be through skin abrasions, hypodermic needles, or dental instruments.
port of exit
which may be direct, person to person, or indirect by way of an intermediate vehicle, such as contaminated hands or a hypodermic needle. Transmissions by a droplet maybe direct from the respiratory tract of one person to the oral cavity of the receiving host. Droplets may also be passed indirectly to hands or inanimate objects to be transferred indirectly to the susceptible hosts.
mode of transmission
or mode of entry of the infectious agent into the new host. Maybe similar to modes of escape, such as the respiratory tract, mucous membrane, or a break in the skin.
port of entry
does not have immunity to the invading infectious agent.
susceptible host
2 Airborne Infection
- dust-borne organism
2. aerosol production
clostridium tetani (tetanus Bacillus)- an enteric bacteria are among the organisms that may travel in the dust brought in from outside and that moves in and about dental treatment areas. -surface disinfection of all equipment contacted during an appointment contributes to control of dust-borne pathogens.
dust-borne organism
are biologic contaminants that occur in solid or liquid form, are invisible, and may remain suspended in air for long periods.
aerosols
sometimes called droplet nuclei that are 5 U or smaller may be breathed deep into the lungs.
aerosols particles
heavier, larger particles may remain airborne a relatively short time because of size and weight, then drop or spatter on objects, people, and the floor.
-may be visible, particularly after it has landed on sink, hair, clothing, or environmental surfaces where gross contamination can result.
spatter