scholarly journals Efficacy of rubber dam isolation as an infection control procedure in paediatric dentistry

1997 ◽  
Vol 3 (3) ◽  
pp. 530-539
Author(s):  
Azza Mahmoud Tag El Din ◽  
Nagwa Abdel Hady Ghoname

The efficacy of rubber dam, antiseptic mouth rinse and both procedures together in controlling atmospheric bacterial contamination during conservative procedures in the paedodontic clinic at Tanta University was assessed. Distribution of bacterial contamination varied depending on the position of the tooth in the mouth. The highest airborne bacterial contamination was found on the plates positioned on the patient’s chest. There was 98.8% bacterial reduction at 1 metre when rubber dam was used. This reduction increased when antiseptic mouth rinse was used before rubber dam application. Bacterial contamination fell sharply with increased distance from the head-rest

2020 ◽  
Vol 8 (6) ◽  
pp. 35
Author(s):  
Toshiaki Ichinose ◽  
Danhe Tian ◽  
Yifeng Li

To stop pandemic of the 2019 novel coronavirus (COVID-19), "an 80 percent reduction of person to person contact opportunities" was proposed by the Japanese government. This guideline was based on the result of macroscopic differential equation model akin to the SIR (Susceptible-Infected-Recovered) model. For the purpose of indicating person to person’s infection mechanism intuitively, we built a new model to calculate infections between two persons who are in contact each other. This model adopted a spatial random walk model to express random movement of people in a specific 2-D geographical space. This model was applied to verify the effect of the proposed infection control procedure, "80 percent reduction". The result of the numerical simulation supported a proposed infection control procedure of "an 80 percent reduction" derived by the SIR model.


Author(s):  
Julia Winter ◽  
Roland Frankenberger ◽  
Frank Günther ◽  
Matthias Johannes Roggendorf

Due to the SARS-CoV-2 pandemic, dental treatment performed by undergraduate students at the University of Marburg/Germany was immediately stopped in spring 2020 and stepwise reinstalled under a new hygiene concept until full recovery in winter 2020/21. Patient treatment in the student courses was evaluated based on three aspects: (1) Testing of patients with a SARS-CoV-2 Rapid Antigen (SCRA) Test applied by student assistants (SA); (2) Improved hygiene regimen, with separated treatment units, cross-ventilation, pre-operative mouth rinse and rubber dam application wherever possible; (3) Recruitment of patients: 735 patients were pre-registered for the two courses; 384 patients were treated and a total of 699 tests with the SCRA test were performed by SAs. While half of the patients treated in the course were healthy, over 40% of the patients that were pre-registered but not treated in the course revealed a disease being relevant to COVID (p < 0.001). 46 patients had concerns to visit the dental hospital due to the increase of COVID incidence levels, 14 persons refused to be tested. The presented concept was suitable to enable patient treatment in the student course during the SARS-CoV-2 pandemic.


2017 ◽  
Vol 4 (suppl_1) ◽  
pp. S11-S11
Author(s):  
Matthew Stuckey ◽  
Shannon Novosad ◽  
Nancy Wilde ◽  
Pallavi Annambhotla ◽  
Sridhar Basavaraju ◽  
...  

Abstract Background In December 2016, bacterial contamination of an organ preservation solution (OPS) was reported by Transplant Center A in Iowa. Annually, &gt;20,000 abdominal organs are transplanted in the United States; OPS is used for organ storage. We investigated the scope of OPS contamination and its association with adverse events in patients. Methods We assessed infection control practices related to OPS at Transplant Centers A and B in Iowa and the local organ procurement organization (OPO). We issued national notifications about OPS contamination and requested transplant centers to report product-related concerns or potential patient harm. Among transplant recipients at Center A, we compared adverse events (fever, bacteremia, surgical site infection, peritonitis, or pyelonephritis within 14 days of transplantation) during October–December 2015 with October–December 2016, the presumed window of exposure to contaminated OPS. Isolates from OPS were characterized. Results No infection control deficiencies were identified at Transplant Centers A, B, or the OPO. In January 2017, contaminated OPS from the same manufacturer was reported by Transplant Center C in Texas. Nationally, there were no reports of patient harm definitively linked to OPS. Post-transplant adverse events at Center A did not increase between fourth quarter 2015 (5/12 [42%]) and 2016 (2/15 [13%]). Organisms recovered from OPS included Pantoea agglomerans and Enterococcus gallinarum (Center A) and Pseudomonas koreensis (Center C). Five Pantoea isolates from ≥3 opened OPS bags were indistinguishable by pulsed-field gel electrophoresis. The OPS distributor issued recalls and suspended production. The US Food and Drug Administration identified deficiencies in current good manufacturing practices at manufacturing and distribution facilities, including inadequate validation of OPS sterility. Conclusion Bacterial contamination of a nationally distributed product was identified by astute clinicians. The investigation found no illnesses were directly linked to the product. Prompt reporting of concerns about potentially contaminated healthcare products, which might put patients at risk, is critical for swift public health action. Disclosures All authors: No reported disclosures.


2020 ◽  
Author(s):  
Marie Charlotte Trojani ◽  
brigitte Lamy ◽  
Raymond Ruimy ◽  
nicolas Amoretti ◽  
Karine Risso ◽  
...  

Abstract Background: Staphylococcus saccharolyticus is a rarely encountered coagulase-negative slowly grower and strictly anaerobic staphylococcus from the skin. It is usually considered as a contaminant, but some rare reports describe deep-seated infections. Virulence factors remain poorly known although genomic analysis highlight pathogenic potential.Case presentation: we report a case of Staphylococcus saccharolyticus spondylodiscitis that followed kyphoplasty, a procedure associated with a low rate of sometimes severe infectious complication (0.46%) and we reviewed the literature. This case specifically stresses the risk of S. saccharolyticus health-care associated infection in patients of poor condition.Conclusion: infection to S. saccharolyticus is difficult to diagnose due to microbiological characteristics of this bacterium, requires timely treatment and improved infection control procedure should be encouraged for patients with poor condition.


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