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Infection control practices in public dental care services: findings from one South African Province

dc.contributor.authorMehtar S.
dc.contributor.authorShisana O.
dc.contributor.authorMosala T.
dc.contributor.authorDunbar R.
dc.date.accessioned2011-05-15T16:16:59Z
dc.date.available2011-05-15T16:16:59Z
dc.date.issued2007
dc.identifier.citationJournal of Hospital Infection
dc.identifier.citation66
dc.identifier.citation1
dc.identifier.issn01956701
dc.identifier.other10.1016/j.jhin.2007.02.008
dc.identifier.urihttp://hdl.handle.net/10019.1/14020
dc.description.abstractInfection control practices which increase the risk of blood-borne virus transmission with associated dental practice in one South African province were studied. All 24 state dental clinics were observed for adequate provision to carry out good infection prevention and control (IPC) practice, 75 staff including dentists, nurses and dental assistants were interviewed to assess IPC knowledge and 23 dental procedures were observed. Significant findings were the difference between knowledge and practice, despite adequate provisions for safe infection control practice. The lack of protective eye wear during a dental procedure, not washing hands between patients, not disassembling an item prior to disinfection or sterilization, and not using a sterile drill for each patient were identified. A rapid method for detection of occult blood was used as a marker for inadequate IPC practice. Contaminated dental items of equipment just prior to patient use in 25% of equipment tested and 37% of surfaces and surrounding areas in the dental clinics and units were recorded. This study concludes that, despite provision for safe dental practice available in state dental clincs, there was a lack of knowledge application in clinical practice. The risk of blood-borne virus transmission in a population with high human immunodeficiency virus (HIV) prevalence cannot be ignored. © 2007 The Hospital Infection Society.
dc.subjectarticle
dc.subjectcontrolled study
dc.subjectdental assistant
dc.subjectdental care
dc.subjectdental practice
dc.subjectdentist
dc.subjectdisinfection
dc.subjecthand washing
dc.subjecthuman
dc.subjectHuman immunodeficiency virus infection
dc.subjectinfection control
dc.subjectinfection prevention
dc.subjectinstrument sterilization
dc.subjectinterview
dc.subjectknowledge
dc.subjectnurse
dc.subjectoccult blood
dc.subjectoccupational accident
dc.subjectoccupational exposure
dc.subjectprevalence
dc.subjectprotective clothing
dc.subjectpublic health
dc.subjectsafety
dc.subjectSouth Africa
dc.subjectviral contamination
dc.subjectvirus infection
dc.subjectvirus transmission
dc.subjectwaste management
dc.subjectBlood-Borne Pathogens
dc.subjectClinical Competence
dc.subjectCross Infection
dc.subjectDental Clinics
dc.subjectDental Staff
dc.subjectGuideline Adherence
dc.subjectHandwashing
dc.subjectHealth Care Surveys
dc.subjectHumans
dc.subjectInfection Control
dc.subjectProtective Clothing
dc.subjectRisk Assessment
dc.subjectSouth Africa
dc.subjectSterilization
dc.subjectUniversal Precautions
dc.titleInfection control practices in public dental care services: findings from one South African Province
dc.typeArticle
dc.description.versionArticle


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