Basic principles of clinical hygiene, concepts and measures. Hepatitis B transmitted to patients through dentists
After the incidence of this disease, this disease is considered as the occupational disease of dentists.
He has seen.
Since the outbreak of AIDS, medical organizations and patients, infections especially blood and saliva-borne factors, effective A high standard of hygiene is required to provide protection. Today we can understand that HIV is not easily transmitted However, it is also known to be moved during professional initiatives.
Healthy looking HBV and HCV carriers may not be aware. Therefore, the standard level of hygiene compared to HBV and HCV
It must be formatted. Thus, a general precautionary measure for blood-borne infections taken would be. However, this is not an absolute protection.
Objective of Clinical HygieneFrom patient to patient, clinical and laboratory staff intended to prevent cross-contamination.
Essentials of Clinical Hygiene
All patients should have the same hygiene standard, risky‐ no risk-free patient separation.
Measures for patients as well as clinical workers is required in.
Specifically for the prevention of contamination;
- The hands of the dentist, oral and dental health workers, ISPp
- Contaminated sharp;
- Aerosol and tooth – splashing particles,
are elements to consider.
Clinical hygiene of all clinical workers comprehensive and complete implementation to prevent contamination.
measure package. Clinical hygiene is the dentist’s obligation, not the subordinate service.
The Dentist’s Responsibilities
The dentist has full responsibility for clinical hygiene.
The dentist in charge of the clinic determines the principles of clinical hygiene, training all employees
and inspects the hygiene guidelines. Dentist, daily workflow
and also tries to set an example by taking the sacrifice of time. The right of patients to the best treatment
as well as the most attentive service in hygiene.
Applying Assessment Criteria
Evaluation criteria according to quality principles, It is possible to evaluate and improve the environment by clinical staff. Such an
in practice, comparison with the quality guidelines envisaged here This is required. The physician in charge of the clinic may have problems
and must first resolve the problems. Responsible physician for clinical hygiene interconnected measures, and the weakest link in the chain.
should understand that breakage can be effective on all measures.
- All aspects of the clinic, including all procedures thought and a hygiene plan that is periodically reviewed.
- Applied hygiene plan hanging in a visible place It must stop.
- Hygiene principles and plan should be known to all employees and It should be applied. Occasionally small in practice due to changes in the daily workflow
there may be deviations.
- When the clinical team joins, the new on hygiene responsibility provides the necessary information and regular internal controls Maintained.
- Inspection room, any equipment and subsequent processing won’t be needed Street In the
format, only the required and sufficientrin storage also includes. pp = p class = “MsoNormal” For sterilization procedures, Clinical Hygiene is internationally
accepted in commissions and various Euronorms is located in the PC.
Very little use of disposable materials in dental clinics many devices continuous use, sterilization process
Instrument Preparation is done in 3 stages:
- Disinfection of used instruments
- Cleaning, checking and controlling tools
- Sterilization and storage
These operations should be performed separately from the examination room.
If disinfection is carried out in the examination room, it must be separated in a manner.
Transport of contaminated instruments with thick gloves It should be done. Disinfection, thermally
(3‐10 minutes at 95 ° C) with cleaning and rinsing agents or dipping ‐ bath method. In the bathing process, the instruments are completely
embedded in the solution and kept in solution for the time recommended by the manufacturer.
Check instruments after disinfection and cleaning Transparent package is placed in a bathtub or container In these stages without gloves
it is possible to work. It is then autoclaved and sterilization is recorded.
Each sterilization in the autoclave is an appropriate indicator lane control It should be. The autoclave must be maintained at the intervals recommended by the manufacturer
Storage times of sterile material, type of packaging and depending on where they are stored. . Invasive all materials used in ventures in single packs, perforated containers or cuvettes Materials that will be used in non-invasive processes are airtight after sterilization. should be placed in the drawers. Drawers should not be opened during treatment; must be cleaned, disinfected, and sterilized.
Rotating heads are machine washed and disinfected should be sterilized for surgical interventions.
During treatment of patients saliva mixed with blood, aerosols and contact. contaminated been surfaces should be wiped with an appropriate disinfectant when changing patients. Only for this surface with a disposable cloth, wait for should be installed.
Disinfection of Sizes, Prosthetics, Models, and Exo.
Immersed for these ‐ in the bath or in a closed container spray ‐ spray disinfection method is sufficient. However, in these processes, the effect duration of the solution,
concentration and material compatibility should be considered. Marking and status of disinfected materials information about the dental technician.
Unit’s Water System
If the unit does not have a disinfector, the water system contaminated with oral microorganisms and bacteria in the water (Pseudomonas aeroginosa)
likely. In this case, after 3 minutes in the morning and long breaks of all taps sterile for mouthwashing in invasive procedures. mouthwashes should be used.
Disposal of wastes
Napkin, cover, without risk of infection and injury wastes such as packaging materials may be disposed of in household waste.
At risk of infection, into blood or saliva solid waste, such as contaminated buffers, must be disposed of in accordance with the medical waste regulation.
Blood and saliva should be fed directly into the sewer. Sharp and sharp waste such as cannula, curette, waterproof sturdy and marked container with