Surface Disinfection & Equipment Asepsis FCDH Unit Setup & Cleanup Chemical Surface Disinfectants Waterlines
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1 Surface Disinfection & Equipment Asepsis FCDH Unit Setup & Cleanup Chemical Surface Disinfectants Waterlines Erin Cho, Jennifer Kelson, Tien Nguyen, Sarah Taylor
2 Surface Disinfection and Equipment Asepsis What is disinfection? [1] What is asepsis? [1] CDC infection control guidelines [1] Source:
3 Contamination of the Dental Environment Study by Decreane et al [2] Assess the type, number and antibiotic resistance of airborne microbes Agar settle plates placed in dental surgery on 10 different days Results: 193 colonies, containing 73 species 48% resistant to at least one antibiotic Source:
4 Legal and Ethical Issues Ethical: [3] Beneficence Nonmaleficence Legal: [3] OSHA - PPE and training EPA and FDA - Disinfectant Source: Source: Source:
5 Dental Unit Setup & Cleanup Don t Forget the Keyboard! Keyboards in healthcare settings tend to harbor pathogenic microorganisms A study done by Rutala et al.: [4] Friction & moisture alone removes > 95% of bacteria 5 second disinfectant application daily and when soiled keeps pathogens in check Disinfect even after using barriers Do not touch keyboard with contaminated hands Walmart
6 Chemical Surface Disinfectants Chemical agent that destroys disease-causing microorganisms, including most pathogens [5] Common active ingredients: alcohols, biguanides, chlorine dioxide, phenolics, quaternary ammonium compounds [5] Must be EPA approved
7 Factors Influencing the Effectiveness of Surface Disinfection Amount of bioburden How much bacteria is on that surface? Wipe discard wipe method Concentration of and exposure time to the disinfectant Mode of action
8 Effect of Disinfection on Dental Environment Surfaces Study by Charles John Palenik, MS, PhD,MBA [6] : Effects of disinfectants on dental environment surfaces 6 disinfectants were used to clean different surfaces covered with sheep s blood Metrex.com Biotrol.com Amazon.com Results: Birex SE Concentrate (dual phenolic) had highest blood removal score
9 Dental Unit Waterlines Shown to harbor microbial biofilm If unmaintained, can lead to patient & clinician infections Study by Pawar et al.: [7] Animart SimpsonSpring TheFungalGirls
10 Results All waterlines tested started out heavily contaminated before disinfected (measured by cfu/ml). All solutions tested - effective in reducing microbial counts to ADA & CDA standards when used regularly. TreeDental
11 Unit Setup/Cleanup Video
12 Pop Quiz Give two examples of common active ingredients in chemical surface disinfectants.
13 Pop Quiz Why is it important to regularly clean dental unit waterlines?
14 Pop Quiz Name and describe two ethical principles important in dental hygiene practice.
15 References 1. National Center for Disease Control and Prevention. Infection Prevention & Control in Dental Settings [Internet]. Atlanta, GA. National Center for Disease Control and Prevention; 2016 June 1 [updated 2016 Nov 16; cited 2016 Oct 9]. Available from 2. Decraene V, Ready D, Pratten J, Wilson M. Airborne microbial contamination of surfaces in a UK dental clinic. J. Gen. Appl. Microbiol [Internet] May [cited 2016 Oct 9].54: Available from 3. Darby M, Walsh M. Dental Hygiene: Theory and Practice 4 th Edition. Bowen DM, editor. St Louis, MO: Elsevier, p Rutala WA, White MS, Gergen MF, Weber DJ. Bacterial contamination of keyboards: efficacy and functional impact of disinfectants. The Society for Healthcare Epidemiology of America [Internet]. 2006Mar29 [cited 2016Oct9];27: Available from: 5. Bacon P. Disinfectants: types and selection. Dent Nurs. Aug 2008 [cited Nov ]: 4(8): In: Dentistry & Oral Science Sources [Internet]. Ipswich (MA): EBSCO. Available from dgu9zwhvc3qtbgl2zq%3d%3d#db=ddh&an=
16 References cont. 6. Palenik CJ. The effect of long-term disinfection on clinical contact surfaces. J Am Dent Assoc. May 2012 [cited Nov ]: 143(5): In: Dentistry & Oral Science Sources [Internet]. Ipswich (MA): EBSCO. Available from dgu9zwhvc3qtbgl2zq%3d%3d#db=ddh&an= Pawar A, Garg S, Mehta S, Dang R. Breaking the chain of infection: dental unit water quality control. Journal of Clinical and Diagnostic Research [Internet]. 2016Jul1 [cited 2016Oct9];10(7). Available from: 8. Spragge P, Chan P, Yamamoto J. Foothill College Dental Hygiene Clinic Manual P
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