Infection Hazards in Dentistry Flashcards

1
Q

what is SIPCEP

A

the scottish infection prevention and control education pathway

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2
Q

how many microorganisms per millilitre of saliva are there

A

100 million

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3
Q

how many cultivable bacterial species can be found within the oral cavity

A

350

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4
Q

what disease do prions cause

A

variant creutzfeldt Jakob

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5
Q

what is the clinical relevance of prions

A

highlights the importance of clean and sterile instruments

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6
Q

what disease do viruses cause

A

respiratory infections and blood borne infections

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7
Q

what is the clinical relevance of viruses

A

occupational health and infection prevention

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8
Q

what disease do bacteria cause

A

dental infections

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9
Q

what is antimicrobial stewardship

A

being judiscious about prescribing anti biotics to lengthen the amount of time antibiotics will be effective for

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10
Q

what disease does fungi cause

A

oral candidosis

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11
Q

what is oral candidosis

A

oral thrush

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12
Q

what is the chain of infection model

A
  • infectious agent
  • reservoir
  • portal of exit
  • mode of transmission
  • portal of entry
  • susceptible host
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13
Q

do prions have DNA or RNA

A

no

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14
Q

are prions eliminated by steam sterilisation alone

A

no

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15
Q

how much ventilation should there be within dental practices

A

enough to have 10 complete air changes per hour

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16
Q

why is it important to ventilate a dental practice

A

bacterial endotoxins are found in the dental unit waterline aerosols which end up in the air, so if there is not ventilation all the time then people will be much more likely to become infected with these bacteria

17
Q

what do studies suggest is associated with temporal onset of asthma

A

occupational exposure to contaminated DUWL

18
Q

what is DUWL

A

dental unit water lines

19
Q

what are the 3 Cs that increase the chances of transmission of respiratory viruses

A
  • closed settings with poor ventilation
  • close contact
  • crowding
20
Q

what have studies shown good ventilation is associated with

A

improved health
better concentration
environmental satisfaction
less work absence
sleep quality
reduced air pollutants

21
Q

what does regulation 6 of the workplace health, safety and welfare regulations state that employers must do

A

ensure that every enclosed workspace is ventilated by a sufficient quantity of fresh or purified air

22
Q

what should carbon dioxide concentrations be kept below in spaces with enhanced aerosol generation rates

23
Q

what sort of activities can lead to enhanced aerosol generation

A

singing, loud speech and aerobic activities

24
Q

what is the most common yeast causing infection in the oral cavity

A

candida albicans

25
what causes false membrane candidosis
pseudomembranous
26
what causes red candidosis
erythematous
27
is candida auris difficult to identify
yes
28
is candida auris resistant to many drugs
yes
29
what is the hierarchy of controls for controlling a hazardous environment
elimination substitution engineering controls administrative controls PPE
30
which elements of the hierarchy of controls should be used first due to their effectiveness
elemination, substitution and engineering controls
31
what is the goal of the hierarchy of hazard control
reduce the risk that human error can cause an incident
32
what does elimination do
physically remove the hazard
33
what does substitution do
replace the hazard
34
what do engineering controls do
isolate people from the hazard
35
what are examples of engineering controls
rubber dams, high volume aspiration, effective surgery ventilation
36
what are administrative controls
changing the way people work
37
what is ppe
personal protective equipment
38
what is the last line of defence on the hierarchy of controls
vaccinations