High Incidence of Blood Exposure Due to Imperceptible Contaminated Splatters During Oral Surgery

Ishihama, Kohji; Iida, Seiji; Koizumi, Hidehiko; Wada, Takayuki; Adachi, Tadafumi; Isomura-Tanaka, Emiko; Yamanishi, Tadashi; Enomoto, Akifumi; Kogo, Mikihiko

doi:10.1016/j.joms.2007.06.663

Cited by 34 publications

(63 citation statements)

References 8 publications

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“…Laser and electrosurgery create surgical smoke or plume, which has potential health hazards [4]. Polymerase chain reaction analysis has detected human immunodeficiency virus DNA in laser plume [5].…”

Section: Introductionmentioning

confidence: 99%

Floating aerial blood mists in the operating room

Ishihama

Sumioka

Sakurada

et al. 2010

Journal of Hazardous Materials

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Section: Introductionmentioning

confidence: 99%

Floating aerial blood mists in the operating room

Ishihama

Sumioka

Sakurada

et al. 2010

Journal of Hazardous Materials

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“…Based on daily clinical experience, approximately 90% of oral surgeons have been exposed to blood-contaminated splatters during third molar surgery,6 and even scaling with an ultrasonic hand scalar produced blood-contaminated aerosols,8,9 but the occurrence of splash exposures, which accounted for 18.8% (6/32) of all reported harmful events among health-care workers, seemed low. In addition, six splash exposure incidents reported by dentists and hygienists were mainly caused by liquid chemical materials for dental treatment, and only two cases had the potential for OPIM contamination.…”

Section: Discussionmentioning

confidence: 99%

“…In addition to percutaneous injuries, splash exposure to blood and serum also has a risk of transmitting blood-borne infection, ranging from 2% to 15.3%2–4 of total accidental blood exposure incidents. Surgeons and surgical assistants are frequently exposed to microbial pathogens via sharps injuries5 and splashes 6…”

Section: Introductionmentioning

confidence: 99%

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Occupational safety among dental health-care workers

Shimoji

Ishihama²,

Yamada³

et al. 2010

AMEP

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Compared to other health-care workers, dental health-care workers come in close contact with patients and use a variety of sharp and high-speed rotating instruments. It is important to understand the characteristics of the occupational accidents that occur. We reviewed incident reports from April 1, 2005, to March 31, 2010, at Matsumoto Dental University Hospital. In addition, questionnaires dealing with identification of occupational safety issues, especially splash exposures, were conducted for dentists, dental hygienists, and nurses. Thirty-two occupational injuries were reported during the study period, including 23 sharp instrument injuries (71.9%), 6 splash exposures (18.8%), and 3 others. Of the six splash exposures, only two cases involved potential contamination with blood or other potentially infectious patient material. Of the 66 workers who experienced sharps injuries, 20 workers (30.3%, 20/66) reported them to the hospital work safety team. The questionnaire revealed high incident of splash exposures and conjunctiva exposures: 87.9% (51/58) and 60.3% (35/58) in dentists and 88.6% (39/44) and 61.4% (27/44) in dental hygienists. The compliance rate for routine use of protective eyewear was 60.3% (35/58) for dentists and 34.1% (15/44) for hygienists. Of the presented informational items included in the questionnaire, those that strongly persuaded respondents to use protective eyewear were ‘splatters from the patient’s mouth contain blood’ (90%, 99/110) and ‘dental operations at our clinic are performed based only on a questionnaire without serious examinations for HBV, HCV, and HIV’ (71.8%, 79/110). The reason of low compliance of protective eyewear among dentists might relate to fine dental procedures. Appropriate information is important for the motive of wearing personal protective equipment, and an early educational program may have a potential to increase compliance with the use of that equipment.

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“…(4,7) It is necessary to evaluate both the process and the factors that may influence the adherence of dentists to safe working practices because even with the guidelines related to protection of workers, studies show that adherence to SP is not satisfactory. (7) Checking up a significant number of accidents with biological material among dentists and that organizational factors may be contributing to this situation (4,5,7,8) , this study aimed to verify the perception of dentists about the safety climate at work in relation to adherence to standard precautions.…”

Section: Introductionmentioning

confidence: 99%

Clima de segurança organizacional e a adesão às precauções padrão entre dentistas

et al. 2013

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Objective: Check the perception of dentists about safety climate at work in relation to adherence to standard precautions. Methods: It is a quantitative, cross-sectional study conducted through the application of the Safety Climate Scale to a population of 224 dentists who worked in units of primary health care in six municipalities of Paraná. Results: The total score of 3.43 (SD = 0.88) reveals that dentists have a poor perception of the incentives and organizational support for adopting standard precautions. Conclusion: Unsatisfactory safety climate, where the perception of dentists about safety in their work environment is deficient, demonstrating fragile management actions of support to safety, lack of a training program in occupational health and deficient feedback to favor the adoption of safe practices. ResumoObjetivo: Verificar a percepção do dentista a respeito do clima de segurança no trabalho em relação à adesão às precauções padrão. Métodos: Trata-se de um estudo quantitativo, transversal realizado através da aplicação da escala de Clima de Segurança a uma população de 224 dentistas que atuavam em unidades de Atenção Básica de Saúde de seis municípios do Paraná. Resultados: O escore total de 3,43 (DP=0,88) revela a baixa percepção dos dentistas a respeito do incentivo e apoio organizacional para adoção das PP. Conclusão: Clima de segurança insatisfatório, onde a percepção do dentista sobre a segurança de seu ambiente de trabalho é deficiente, evidenciando ações gerenciais de apoio à segurança fragilizadas, falta de um programa de treinamento em saúde ocupacional e deficiência do feedback para favorecer a adoção de práticas seguras.

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High Incidence of Blood Exposure Due to Imperceptible Contaminated Splatters During Oral Surgery

Cited by 34 publications

References 8 publications

Floating aerial blood mists in the operating room

Floating aerial blood mists in the operating room

Occupational safety among dental health-care workers

Clima de segurança organizacional e a adesão às precauções padrão entre dentistas

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