Infection Control & Sterilization Important Notes
For disinfecting large bodies of water, chlorine is applied as
- Chlorine gas
- Chloramine
- Perchloron
DPT vaccine
- By it, immunization against 3 diseases can be done
- They are: Diphtheria, Pertussis and Tetanus
- Types: plain and adsorbed
- Adsorption is usually carried out by the addition of aluminum phosphate or aluminum hydroxide
- The adsorption process increases the immunological effectiveness of the vaccine
- It should not be repeated if a severe reaction occurred after a previous dose
Meningococcal vaccine
- It is offered only to travelers at significant risk of infection
- The vaccines are purified, heat-stable, lyophilized capsular polysaccharides from meningococci
Types of polio vaccine
- Inactivated Salk polio vaccine
- Oral Sabin polio vaccine containing live attenuated virus
Herpetic whitlow
- It is a painful infection of herpes simplex and typically affects the fingers and thumb
- It can be caused by HSV-1 or HSV-2
- Herpetic whitlow lesions are commonly seen in dental workers and medical workers exposed to oral secretion
- Also observed in children with thumb-sucking habits and with primary HSV-1 oral infection.
Infection Control & Sterilization Short Essays
Question 1. Infection control in the dental office.
Answer:
Personal Barriers:
- Washing & care of the hands
- Dentist should wash their hands before & after treating each patient & after barehanded touching inanimate objects
- For surgical procedures, an antimicrobial surgical hand scrub should be used
- When gloves are torn, cut, or punctured they should be removed
- Gloves
- Nonsterile- used for examination & other non-surgical procedures
- Sterile- used for surgical procedures
- Gloves should not be washed before use & should not be reused
- Gowns
- Protective clothing such as reusable/disposable gowns, laboratory coats, or uniforms should be worn when clothing is likely to be soiled with blood or other body fluids
- Reusable protective clothing should be used
- Masks/ protective eyewear
- Chin-length plastic face shields or surgical masks & protect
tive eyewear should be worn when splashing or spattering of blood or other body fluids is likely to occur
- Chin-length plastic face shields or surgical masks & protect
- Rubber dam
- It minimizes the formation of droplets, spatter & aerosols during patient treatment
Use & Care Of Sharp Instruments:
- Used needles should never be recapped
- Sharp items should be placed in appropriate puncture-resistant containers
- Bending or breaking of needles is not recommended
Sterilization Or Disinfection Of Instruments
Methods:
- Physical
- Steam under pressure
- Diyheat
- Hydrogen peroxide
- Gas plasma
- Boiling water
- Ionizing radiation
- Chemical methods
- Acids
- Alkalis
- Aldehyde
- Chlorine
Cleaning:
- It is the removal of visible soil from objects
- Accomplished manually or mechanically using water with detergents or enzymatic products
Cleaning & Disinfection Of Dental Unit & Environmental Surfaces:
- Aluminum foil or plastic cover should be used to protect items & surfaces that may become contaminated
- After treatment of each patient & after completion of daily work countertops & dental unit surfaces should be cleaned with disposable toweling, using appropriate cleaning agent & water
Question 2. Hepatitis B.
Answer:
Hepatitis B
- Described in 1965
Signs & Symptoms:
- Mild flu with illness to fulminant
- Fatal liver failure
- Prodromal phase involve
- Anorexia
- Malaise
- Nausea
- Vomiting
- Fever
- Urticaria
- Arthralgia
- After 3-10 days
- Dark urine
- Jaundice
- After 1-2 weeks
- Jaundice fades & recovery begins in 2-4 weeks
- Incubation period- 45-160 days
- Sequel
- Cirrhosis
- Acute hepatitis
- Primary liver cancer
- Death
Mode Of Transmission:
- Major is a blood-borne infection
- Other involves saliva & crevicular fluid
Treatment:
- Effective treatment not available
- Subcutaneous administration of interferon alfa 2b was effective in inducing loss of replication of virus
Read And Learn More: Percentive Communitive Dentistry Question And Answers
Question 3. Transmissible infection in dentistry.
Answer:
Herpes Virus Infections:
Acute Viral Hepatitis:
Acquired Immunodeficiency Syndrome:
- Human immunodeficiency virus leads to it
- Route of transmission
- Blood & other body fluids
- Signs & symptoms
- Unexplained diarrhea
- Fatigue
- Malaise
- Loss of body weight
- Fever
- Night sweat
- Oral thrush
- Generalized lymphadenopathy
- Enlarged spleen
- Opportunistic infections
Tuberculosis:
- Mycobacterium tuberculosis organism causes it
- Symptoms
- Cough of more than 3 weeks
- Sputum possibly tinged with blood
- Unexplained weight loss
- Night sweats