Infection Control
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November 03, 2023
DUWL Maintenance: Back to Chemistry and Biology Class!
No matter what geographical area a dental office is in, it MUST have a Dental Unit Water Line (DUWL)maintenance program. Who says? Is it the dental regulatory bodies? Is it the manufacturer of the dental chair or bracket table that hosts DUWL’s? It’s both! The dental regulatory bodies state to observe the manufacturer’s instructions for use (MIFU). Perfect, so then we head over to the MIFU and what does it state? Low and behold as clear as day we need a program that includes cleaning, disinfecting, and testing.
How do you clean the inside of one of the smallest tubes possible?
With enzymes t
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September 13, 2023
Sterilization in various fields, including healthcare and dentistry, plays a critical role in eradicating harmful microorganisms from equipment and instruments to ensure safety. To ascertain the effectiveness of sterilization processes, the implementation of chemical and biological indicators serves as an indispensable practice, providing valuable insights into the process and eventual success of the sterilization procedures.
What Are the Different Types?
Chemical Indicators
There are 6 different types of chemical indicators when it comes to steam sterilization. To ensure a dental office using the correct indicators refer to the governing bodies Infection Prevention and Control guidelines.
Type 1 – Process Indicator
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May 17, 2023
In the dental industry, ensuring the safety of dental professionals and patients is of paramount importance. Personal Protective Equipment (PPE) plays a vital role in safeguarding against potential hazards, including infectious diseases, chemical exposure, and physical injuries. Donning and doffing protocols are crucial procedures that dental professionals must adhere to in order to properly wear and remove PPE. This article will explore the various types of PPE used in the dental industry and the correct practices for donning and doffing.
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April 12, 2023
Does every office need a DUWL program?
This can be answered by the equipment the office has. There are two types of water delivery systems in a dental office: direct municipal and closed bottle systems.
The direct municipal has no bottle and is only required to purge the DUWL on opening, closing, and between clients.
However, a closed water system as per the MIFU of the manufacturer of the dental chair or bracket table with the attached bottle, states a program is required to include cleaning, disinfecting, and testing.
At this point, a retrofit from municipal to closed is not mandated. It is important to note that offices do not get confused with the word municipal … if the office uses tap water in their closed bottle system that is not considered m
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April 11, 2023
July 1976 at the American Legion Convention at the Bellevue Stratford Hotel in Philadelphia, Legionnaires was named and identified as the cause of an outbreak of severe pneumonia with 200 cases and 29 deaths (3) (5). The outbreak was linked to the inhalation of aerosolized contaminated water (3)(5). A milder infection caused by the same type of Legionella bacteria is called Pontiac fever. Rewinding in time, in 1968 in Pontiac Michigan, Pontiac Fever was named and identified as an outbreak of influenza-like illness, identified by people who worked at & visited the city’s health department and had inhaled aerosols from contaminated water (3). Legionnaires' disease is an acute bacterial disease, causing death in 5% to 30% of cases (4). The Government of Canada’s Legionella site, states the following:
“Cases of Legionnaire’s disease may be difficult to detect because very few of the people exposed to the bacteria get infecte
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March 28, 2023
In the fast-paced and demanding environment of dental clinics, efficient and reliable sterilization of instruments is paramount to ensure patient safety and infection control. One crucial item that has revolutionized dental instrument reprocessing is the self-sealing sterilization pouch.
Components and Features:
A self-sealing sterilization pouch is typically made of a medical-grade, durable, and puncture-resistant material, often a combination of transparent polypropylene and medical-grade paper. These pouches come in various sizes to accommodate different instruments, from small dental items such as burs, handpieces, explorers to larger things such as forceps, rubber dam frames, instrument cassettes and more.
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March 24, 2023
This explanatory article on barriers is part of a series of articles that were created to help new office managers and patients understand the uses and best practices of barrier products for infection control.
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March 15, 2023
Respiratory syncytial (sin-SISH-uhl) virus (RSV)*
RSV is a common respiratory virus that usually causes mild, cold-like symptoms. Most people recover in a week or two, but RSV can be serious, especially for infants and older adults. RSV is the most common cause of bronchiolitis (inflammation of the small airways in the lung) and pneumonia (infection of the lungs) in children younger than 1 year of age in Canada and the United States.
Symptoms and Care
Symptoms
People infected with RSV usually show symptoms within 4 to 6 days after getting infected. Symptoms of RSV infection usually include
- Runny nose
- Decrease in appetite
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March 15, 2023
Interim guidance on infection prevention and control for suspect, probable, or confirmed monkeypox within Healthcare settings*
Infection Prevention and ControlAirborne, droplet, and contact precautions should be used for all suspect, probable, and confirmed cases of monkeypox. Precautions should be used when a patient presents with fever and vesicular/pustular rash (suspected case). Any lesions or respiratory secretions should be considered infectious material.
Routine Practices
Continue to follow routine practices including:
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March 15, 2023
Hand-Foot-and-Mouth Disease*
Hand, Foot, and Mouth Disease (HFMD) predominantly affect infants and children under 5 years old. It's characterized by symptoms like fever, mouth sores, and a distinctive skin rash on the hands and feet, sometimes spreading to other body parts like the buttocks, legs, and arms. The disease typically lasts 7 to 10 days and is caused by viruses from the Enterovirus family, notably Coxsackievirus A16 and Coxsackievirus A6, which are common in North America, while Enterovirus 71 (EV-A71) has been associated with more severe cases, especially in East and Southeast Asia.
Symptoms of Hand-Foot-and-Mouth Disease
Symptoms generally manifest around 3 to 5 days after exposure, starting with fever and flu-like indications, followed by the appearance of painful mouth sores and a