Article information
Summary
A review of the main infectious pathogens potentially transmissible to health care professionals during Dentistry and Odonto-Stomatological procedures is carried out, with particular attention focused on parenteral exposure in the dental, stomatological, and surgical environment. Epidemiological issues and specific risk factors are treated systematically based on available literature sources, together with all available, recommended chemo-prophylactic and immune-prophylactic strategies, as updated by the state of the art in this field.
Key words:
Dentistry
Infectious Diseases
Exposure
Professional Risk
Safeguard
Prophylactic Measures
Full text is only aviable in PDF
References
[1.]
F. Gijbels, R. Jacobs, K. Princen, O. Nackaerts, F. Debruyne.
Potential Occupational Health Problems for Dentists in Flanders Belgium.
Clin Oral Investig, 10 (2006), pp. 8-16
[2.]
Guidelines for Infection Control in Dental Health-Care Settings – 2003.
MMWR., 52 (2003), pp. RR1-RR17
[3.]
J.P. Suljak, J.L. Leake, D.A. Haas.
The Occupational Risk to Dental Anesthesiologists of Acquiring 3 Blood Borne Pathogens.
Anesth Prog, 46 (1999), pp. 63-70
[4.]
W.H. Smith, D. Davies, K.D. Mason, J.P. Onions.
Intraoral and Pulmonary Tuberculosis Following Dental Treatment.
Lancet, i (1982), pp. 842-844
[5.]
J.L. Cleveland, L. Barker, B.F. Gooch, E.M. Beltrami, D. Cardo, National Surveillance System for Health Care Workers Group of the Center for Disease Control and Prevention.
Use of HIV Postexposure Prophylaxis by Dental Health Care Personnel: an Overview and Updated Recommendations.
J Am Dent Assoc, 133 (2002), pp. 1619-1626
[6.]
F.S. Younai, D.C. Murphy, D. Kotelchuck.
Occupational Exposure to Blood in Dental Teaching Environment: Results of a Ten-Year Surveillance Study.
J Dent Educ, 65 (2001), pp. 436-448
[7.]
S.E. Mills.
Dental Water Quality – The Scientific Evidence for Current CDC Guidelines.
Tex Dent J, 122 (2005), pp. 1054-1063
[8.]
J.C. Leao, C.G. Teo, S.R. Porter.
HCV Infection: aspects of epidemiology and transmission relevant to oral health care workers.
Int J Oral Maxillofac Surg, 35 (2006), pp. 295-300
[9.]
M. Maticic, M. Poljak, B. Kramar, K. Seme, V. Brinovec, J. Meglic-Volkar, et al.
Detection of Hepatitis C Virus RNA from Gingival Crevicular Fluid and Its Relation to Virus Presence in Saliva.
J Periodontol, 72 (2001), pp. 11-16
[10.]
A.J. Takahama, F. Tatsch, G. Tannus, M.A. Lopes.
Hepatitis C: Incidence and Knowledge Among Brazilian Dentists.
Community Dent Health, 22 (2005), pp. 184-187
[11.]
G. Ippolito, V. Puro, N. Petrosillo, G. De Carli, G. Micheloni, E. Magliano.
Simultaneous Infection with HIV and Hepatitis C Virus Following Occupational Conjunctival Blood Exposure.
JAMA, 280 (1998), pp. 28
[12.]
T. Mitsui, K. Iwano, K. Masuko, C. Yamazaki, H. Okamoto, F. Tsuda, et al.
Hepatitis C Virus Infection in Medical Personnel After Needle-stick Accidents.
Hepatology, 16 (1992), pp. 1109-1114
[13.]
J. Szymanska.
Microbiological Risk Factors in Dentistry. Current Status of Knowledge.
Ann Agric Environ Med, 12 (2005), pp. 157-163
[14.]
E. Jaeckel, M. Cornberg, H. Wedemeyer, T. Santantonio, J. Mayer, M. Zankel, et al.
Treatment of Acute Hepatitis C with Interferon Alfa-2b.
N Engl J Med, 345 (2001), pp. 1452-1457
[15.]
S. Sabbatani, E. Baldi, R. Manfredi, F. Chiodo.
Admission of Foreign Citizens to the General Teaching Hospital of Bologna Northeastern Italy: an Epidemiological and Clinical Survey..
Braz J Infect Dis, 10 (2006), pp. 66-77
[16.]
A.J. Wood, N.A. Nadershahi, R.E. Fredekind, E.J. Cuny, D.W. Chambers.
Student Occupational Exposure Incidence: Perception Versus Reality.
J Dent Educ, 70 (2006), pp. 1081-1088
[17.]
F. Vitale, M.A. Di Benedetto, A. Casuccio, A. Firenze, G. Calandra, F. Ballarò, et al.
The Influence of Professional degree on the knowledge of HIV HBV and HCV Infections in Dentistry Practice.
Ann Ig, 17 (2005), pp. 185-196
[18.]
DHHS Panel on Antiretroviral Guidelines for Adults and Adolescents – A Working Group of the Office of AIDS Research Advisory Council (OARAC). Guidelines for the Use of Antiretroviral Agents in HIV-1 Infected Adults and Adolescents 2007. Accessed: 2009. Available on the world wide web, at http://AIDSinfo.nih.gov.
[19.]
C.C. Transacos, M.A. Kainer, P.V. Desmond, H. Kelly.
Investigation of Potential Iatrogenic Transmission of Hepatitis C in Victoria Australia.
Aust N Z J Public Health, 25 (2001), pp. 241-244
[20.]
L. Veronesi, M. Bonanini, P. Dall’Aglio, S. Pizzi, M. Manfiedi, M.L. Tanzi.
Health Hazard Evaluation in Probate Dental Practices: a Survey in a Province on Northern Italy.
Acta Biomed Ateneo Parmense, 75 (2004), pp. 50-55
[22.]
A. Azarpazhooh, J.L. Leake.
Prions in Dentistry – What are they? Should we be concerned? and What can we do?.
J Can Dent Assoc, 72 (2006), pp. 53-60
[23.]
F. Blanquet-Grossard, V. Sazdovitch, A. Jean, J.P. Deslys, D. Dormont, J.J. Hauw, et al.
Prion Protein is not Detectable in Dental Pulp from Patients with Creutzfeld-Jacob Disease.
J Dent Res, 79 (2000), pp. 700
[24.]
A.N.B. Porteous, G.T. Terezhalmy.
Tuberculosis: Infection Control/Exposure Control Issues for Oral Healthcare Workers.
J Contemp Dent Pract, 9 (2008), pp. 1-13
[25.]
S. Sabbatani, R. Manfredi, G. Legnani, F. Chiodo.
Tuberculosis in a Metropolitan Area of Northern Italy: Epidemiological Trends and Public Health Concerns.
Eur J Epidemiol, 19 (2004), pp. 501-503
[26.]
K. Ishihama, S. Iida, H. Koizumi, T. Wada, T. Adachi, E. Isomura-Tanaka, et al.
High Incidence of Blood Exposure Due to Imperceptible Contaminated Splatters During Oral Surgery.
J Oral Maxillofac Surg, 66 (2008), pp. 704-710
[27.]
M.L. Cristina, A.M. Spagnolo, M. Sartini, M. Dallera, G. Ottria, R. Lombardi, et al.
Evaluation of the Risk of Infection Through Exposure to Aerosols and Splatters in Dentistry.
Am J Infect Control, 36 (2008), pp. 304-307
[28.]
R.M. Atlas, J.F. Williams, M.K. Huntington.
Legionella Contamination of Dental-Unit Waters.
Appl Environ Microbiol, 61 (1995), pp. 1208-1213
[29.]
E.T. Jensen, B. Giwercman, B. Ojeniyi, J.M. Bangsborg, A. Hansen, C. Koch, et al.
»Epidemiology of Pseudomonas Aeruginosa in Cystic Fibrosis and the Possible Role of Contamination by Dental Equipment.
J Hosp Infect, 36 (1997), pp. 117-122
[30.]
L. Calza, R. Manfredi, F. Chiodo.
Epidemics of Bovine Spongiform Encephalopathy and New Variant of Creutzfeld-Jacob Disease in Humans Most Recent Findings on Prion Disease.
Recenti Progr Med, 92 (2001), pp. 140-149
[31.]
S. Collins, M.G. Law, A. Fletcher, A. Boyd, J. Kaldor, C.L. Masters.
Surgical Treatment and Risk of Sporadic Creutzfeld-Jacob Disease: a Case-Control Study.
Lancet, 353 (1999), pp. 693-697
[32.]
R.S. Callan, F. Caughman, M.L. Budd.
Injury Reports in a Dental School: a Two-Year Overview.
J Dent Educ, 70 (2006), pp. 1089-1097
[33.]
S.A. Wang, A.L. Panlilio, P.A. Doi, A.D. White, M. Stek Jr., A. Saah.
Experience of Healthcare Workers Taking Postexposure Prophylaxis After Occupational HIV Exposures: Findings of the HIV Postexposure Prophylaxis Registry.
Infect Control Hosp Epidemiol, 21 (2000), pp. 780-785
Copyright © 2010. Asociación Colombiana de Infectología (ACIN)
