Details:

Alternative Title:
J Am Dent Assoc
Personal Author:
Cleveland, Jennifer L. ; Gray, Shellie Kolavic ; Harte, Jennifer A. ; Robison, Valerie A. ; Moorman, Anne C. ; ... More +
Cleveland, Jennifer L. ; Gray, Shellie Kolavic ; Harte, Jennifer A. ; Robison, Valerie A. ; Moorman, Anne C. ; Gooch, Barbara F. Less -
Description:
Background

During the past decade, investigators have reported transmissions of blood-borne pathogens (BBPs) in dental settings. In this article, the authors describe these transmissions and examine the lapses in infection prevention on the basis of available information.

Methods

The authors reviewed the literature from 2003 through 2015 to identify reports of the transmission of BBPs in dental settings and related lapses in infection prevention efforts, as well as to identify reports of known or suspected health care–associated BBP infections submitted by state health departments to the Centers for Disease Control and Prevention.

Results

The authors identified 3 published reports whose investigators described the transmission of hepatitis B virus and hepatitis C virus. In 2 of these reports, the investigators described single-transmission events (from 1 patient to another) in outpatient oral surgery practices. The authors of the third report described the possible transmission of hepatitis B virus to 3 patients and 2 dental health care personnel in a large temporary dental clinic. The authors identified lapses in infection prevention practices that occurred during 2 of the investigations; however, the investigators were not always able to link a specific lapse to a transmission event. Examples of lapses included the failure to heat-sterilize handpieces between patients, a lack of training for volunteers on BBPs, and the use of a combination of unsafe injection practices.

Conclusions

The authors found that reports describing the transmission of BBPs in dental settings since 2003 were rare. Failure to adhere to Centers for Disease Control and Prevention recommendations for infection control in dental settings likely led to disease transmission in these cases.

Practical Implications

The existence of these reports emphasizes the need to improve dental health care personnel's understanding of the basic principles and implementation of standard precautions through the use of checklists, policies, and practices.


Subjects:
[+]
Blood-Borne Pathogens Cross Infection Dental Care Equipment Contamination Hepatitis B Hepatitis C Humans Oral Surgical Procedures Sterilization
Source:
J Am Dent Assoc. 147(9):729-738
Pubmed ID:
27233680
Pubmed Central ID:
PMC5084444
Document Type:
Journal Article
Funding:
CC999999/Intramural CDC HHS/United States
Place as Subject:
United States
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:4320cb2ffa46bad7a4b9cd815cb8c851e0bc6ee983fee1b35e26f26b480af648
Download URL:
https://stacks.cdc.gov/view/cdc/42695/cdc_42695_DS1.pdf
File Type:

Supporting Files

• nihms-812828.nxml

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