Introduction: A number of patients are routinely prescribed antiresorptive drugs that can be associated with developing medicationrelated osteonecrosis of the jaw (MRONJ). When presenting to a dental setting, the majority are unaware of the small but relative risk of developing MRONJ. Prevention is currently the only evidence-based method of reducing the incidence of MRONJ. Raising awareness of MRONJ could encourage GMPs to liaise with dental clinicians for premedication screening, preventative advice and specialist referrals. Methods: An electronic survey consisting of 16 multiple-choice questions, targeting GMPs and GMP trainees in Birmingham was conducted to evaluate their knowledge and awareness of MRONJ. A section for open comments was available. This was conducted between March and May 2016. Results: 71% of the 49 participants surveyed, were aware of bisphosphonate-related osteonecrosis of the jaw (BRONJ) and 6% were aware of the change in terminology to MRONJ. 56% of participants were aware of associated medications and 11% always mentioned the risk when prescribing relevant medications. 67% would not consider seeking a dental opinion prior to commencing these medications. 75% were unaware of the clinical presentation of MRONJ and 92% were unaware of associated guidelines. Encouragingly, 78% of the participants were interested in receiving further information and training. Conclusions: This survey highlights the limited knowledge and training that GMPs and trainees in the West Midlands have regarding MRONJ. By raising awareness of this condition through leaflets and teaching, we can educate our colleagues and also encourage a more holistic management approach to this patient cohort. Clinical RelevanceScientific rationale for study A number of patients are routinely prescribed antiresorptive medications that can be associated with developing medication related osteonecrosis of the jaw (MRONJ). These patients may be unaware of the small risk of developing MRONJ. Prevention is currently the only evidence-based method of reducing the incidence of MRONJ. This article evaluates the awareness of MRONJ amongst the Birmingham general medical practitioner community. Principal findings77% of participants were aware of bisphosphonaterelated osteonecrosis of the jaw (BRONJ) and 6% were aware of the change in terminology to MRONJ. 56% were aware of associated medications and 11%Oral Surgery 12 (2019) 22--29.
Mobile phones of health professionals can harbour various potential pathogens and can become source of infection for the patients, self and for family members. The purpose of the study is to isolate and determine the resistance pattern of bacteria from mobile phones of health care workers working in ICUs. A sterile cotton swab moistened with sterile normal saline was rolled over exposed surfaces of mobile phones and used for inoculating on Blood agar and Mac Conkey's agar and inoculated plates were incubated aerobically for 18-24 hours at 37 0 C . Identification of isolates was done by Gram's staining and standard biochemical reactions . Antibiotic sensitivity was put up on Mullen Hinton agar by Kirby Bauer disk diffusion method. Oxacillin disk was used for Methicillin Resistant Staphylococcus aureus detection. Mobile phones of 20 doctors, 25 nurses, 5 ward boys and 5 safai karmacharies were included in the study and 20 mobile phones of non health care workers were taken as controls. Bacteriological analysis revealed that, 40 mobile phones of health care workers and 12 mobile phones of non health care workers were contaminated with bacteria .Organisms isolated were CONS, MRSA, MSSA, Micrococcus and ASBs. Development of effective preventive strategies such as hand hygiene, regular decontamination of mobile phones can prevent spread of infections.
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