Test 4: Infection Control Flashcards

1
Q

What is the purpose of infection control?

A
  • make it difficult for agent to get to host
  • interrupt mode of transmission
  • alter susceptibility of host
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2
Q

When are universal precautions used?

A

ON EVERYONE: treat them all as if they have a disease

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3
Q

What does standard precautions combine? (also for everyone)

A

universal precautions and body substance isolation (rubber dams)

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4
Q

What requires use of barriers during contact?

A
  • blood
  • saliva/fluid (not sweat)
  • non-intact skin/mucosa
  • intact mucous membranes
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5
Q

According to the EPA what should be the concentration of microbes in cooling water?

A

500 CFU/mL

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6
Q

What is the concentration according to the ADA?

A

200 CFU/mL

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7
Q

What are some common dental unit pathogens?

A

Staph aureus
leigonella pneumophila
pseudomonas aeruginosa
etc.

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8
Q

When do you flush waterlines and for how long?

A

Every morning for 3 min

between patients for 30 seconds

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9
Q

How are aerosols controlled?

A
Proper patient positioning
Use of high speed hand piece
Use of rubber dam
Remove extraneous items from operatory
Protective barriers
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10
Q

When should you wash your hands?

A

two times in the morning and after breaks

-for 15 seconds before regloving

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11
Q

when should gloves be changed?

A

between each patient, if damaged, or every 45 min during long procedure

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12
Q

What is the difference between sterilization, disinfection, and antisepsis?

A

sterilization: kills all forms of life
disinfection: kills pathogens
antisepsis: kills pathogens on living tissue

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13
Q

What items should be disinfected?

A
  • heat sensitive items that come into contact with blood or mucosa
  • non-critical items that are exposed to spray/splatter
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14
Q

What are autoclave settings?

A
  • 121 Celsius, 15-30 min, 15 psi

- 132 Celsius, 10 min, 18 psi

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15
Q

What are the disadvantages for autoclaves?

A

Dulls instruments and may rust them

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16
Q

What procedures do not dull instruments?

A

dry heat and chemical vapor

17
Q

What are the advantages and disadvantages of Ethylene oxide?

A
  • can be used on almost anything

- expensive, time consuming, toxic

18
Q

What are two ways to monitor sterilization?

A
  • Process indicators: only changes color for proper temp
  • Dose indicators: change colors for proper temp and time
  • Biological monitoring: uses endospores to prove that instruments are actually sterile (should be weekly)
19
Q

What is the best chemical disinfectant?

A

Glutaraldehyde: inactivates cross-link proteins but can harm tissue

20
Q

How do phenols work as disinfectants?

A

disrupt cell walls and denature intracellular proteins

21
Q

When are halogens used?

A

Intermediate-level disinfection: denatures proteins

22
Q

Method for peroxides?

A

oxidizes cell components and disrupts metabolism

23
Q

Method of action for alcohols?

A

denatures and precipitates proteins, extracts some lipids