Global Infection Control Best Practices
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1 Moving Forward for a Safest Tomorrow in Dentistry Global Infection Control Best Practices Liliana P. Donatelli Raghu Puttaiah Enrique Acosta Gio Andrew Smith Jeanne Oosthuysen Brazil India Mexico Scotland South Africa Liliana Junqueira de P.Donatelli lilianadonatelli@uol.com.br
2 DISCLOSURE STATEMENT Infection Control Consultant Coordinator for Educational Program for Infection Control in Dentistry For Cristofoli Biosafety Equipments Liliana Junqueira de P.Donatelli
3 DISCLOSURE STATEMENT Neither I nor members of my immediate family have any financial relationships with commercial entities that may be relevant to this presentation. Liliana Junqueira de P. Donatelli Liliana Junqueira de P.Donatelli lilianadonatelli@uol.com.br
4 Updated Brazilian Dentistry in Numbers Dentists - 263, ,421 Dental Hygienists 17,909 17,909 Dental Assistants 100, ,672 Dental Schools 212 Number of new dentists/year 15,500 Population of the country 202,558,630 Description of Dental Practices: Public / younger population - younger professionals more than 50% Private 30 to 40% Insurance ~ less than 10% Missions punctual* Amazon (*data) Liliana Junqueira de P.Donatelli lilianadonatelli@uol.com.br
5 GUIDELINES REGULATIONS ON INFECTION CONTROL IN DENTISTRY Law - Dentistry by state Dental Guidelines Federal ANVISA 2006 Comparable agencies to OSHA ~ Ministry of Labor and Employment NR32 CDC FDA Ministry of Health /ANVISA EPA National Regulations ( ISO/EN) ABNT Liliana Junqueira de P.Donatelli lilianadonatelli@uol.com.br
6 STERILIZATION PROTOCOLS Sterilization Chemical ( forbiden by law) -Chemical (just disinfection allowed) Steam (gravity) Dry heat Sterilization Monitoring Biological Monitoring - weekly (improving) Chemical class 1 Class 4, 5 and 6 not common Liliana Junqueira de P.Donatelli lilianadonatelli@uol.com.br
7 Good News Public Policies National program for post-exposure management -HIV and hepatitis B Vaccine for hepatitis B free for all health professionals (dentists/students+) (Dental assistants -) Private Initiatives Institutes - Universities, Associations Liliana Junqueira de P.Donatelli lilianadonatelli@uol.com.br
8 From 2013 to 2014 Clarify rules and law for infection control (Policy-Law and Practice) Improve qualification of sanitary inspectors. (Police) Developing leaders in infection control among successful dentists (Leadership) Increasing infection control in the curriculum in dental schools CROSP Committee (Curriculum) Responsibility (Each one of us) Liliana Junqueira de P.Donatelli
9 Missions Missions: A body of persons sent to provide dental care to individuals in non traditional settings. - Religious - Humanitarian - University - Governmental Liliana Junqueira de P.Donatelli lilianadonatelli@uol.com.br
10 Plan and Update Expedicionários da Saúde Brasil Solidário Saúde Alegria FOB USP Bauru Voluteers Students Liliana Junqueira de P.Donatelli
11 Source :
12 Protocols _ Instrument Processing Liliana Junqueira de P.Donatelli lilianadonatelli@uol.com.br
13 To do or not to do?
14 Images : Thanks to Dr. Roosevelt Bastos FOB USP Bauru
15
16 Our goal
17 Our goal Safe oral healthcare for people everywhere (OSAP s vision)
18 Thank you! OBRIGADA! Obrigada Liliana Junqueira de P. Donatelli (Office) Cell Phone)
19 Moving Forward for a Safest Tomorrow in Dentistry Global Infection Control Best Practices Liliana P. Donatelli Raghu Puttaiah Enrique Acosta Gio Andrew Smith Jeanne Oosthuysen Brazil India Mexico Scotland South Africa Liliana Junqueira de P.Donatelli lilianadonatelli@uol.com.br
20 Moving Forward for a Safest Tomorrow in Dentistry Global Infection Control Best Practices Liliana P. Donatelli Raghu Puttaiah Enrique Acosta Gio Andrew Smith Jeanne Oosthuysen Brazil India Mexico Scotland South Africa Liliana Junqueira de P.Donatelli lilianadonatelli@uol.com.br
21 DISCLOSURE Neither I nor members of my family, have any financial relationships with commercial entities that may be relevant to this presentation.
22 Dr. Enrique Acosta Gío
23 120 million inhabitants >100,000 Dentists Dental Hygienists - Dental Assistants - Private Practices Insurance Missions no official roster of licensed and active dentists Ministry of Education had registered 67,616 dentists National Employment Survey: 153,102 declared they had studied dentistry 27% not working 18% working in something else. n=60 to 70 Schools
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25 18,
26 165,000
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28 FEDERAL REGULATIONS Control-de-Infecciones-profesionales.pdf
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30 poor attitude toward HIV/AIDS deficient use of PPE high incidence of sharp injuries poor compliance with hepatitis B immun. poor practices in instrument sterilization instrument immersion in QUATS
31 No science-based regulation on liquid chemical sterilants/high level disinfectants Mycobacterium fortuitum Collaborations with: Colombia Costa Rica Panama Venezuela
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33
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35 CHALLENGES EDUCATION Few schools have educational programs on infection control Few faculty are adequately trained on infection control Most dentists do not belong to professional organizations
36 Dental Schools 15 «Allied» Schools
37
38 Dr. Enrique Acosta Gío
39 ERROR: undefined OFFENDING COMMAND: f ~ STACK:
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