GUAYAQUIL INGLES TECNICO BIOSECURITY IN DENTISTRY

OBJECTIVES

Sensitize all professional about the risks of not using the correct protective barriers.Describe the various methods of sterilization of instruments. Continuing Education auxiliary staff on appropriate management of biosecurity.

SPECIFIC OBJECTIVES

Apply necessary protective barriers when performing any procedure in the dental office. To present the various infections that can be in the workplace.

Verify proper desinfection and sterilization of instruments used.

Monitoring the implementation of immunization by the professional staff. Properly handle biological-infectious waste.

JUSTIFICATION

Provide dental professional the tools necessary to avoid contamination with infectious diseases in the office.

The dental office is one of the environments in which the patient and practitioner are most likely to contract infectious diseases such as AIDS, hepatitis B, tuberculosis, and herpes hominis virus infections if not taken into consideration Biosecurity basics

We as students of the Faculty of Dentistry, to protect teachers, students and auxiliary forming the team, from possible contamination with certain agents, we are in the need for a biosafety standards manual due to the increasing incidence of infectious and contagious diseases that directly or indirectly affect staff working in the Dental Clinic of the Catholic University of Guayaquil.

INTRODUCTION
High-risk profession Contact Accidental with agents that are potentially harmful.

Multiple caresensitive activity

Same methods of sterilization and asepsis.

The health team exposed to microorganism s

CONTENT

OVERVIEW BIOSECURITY BIO-SAFETY STANDARDS IN THE DENTAL OFFICE

DISEASES IN DENTAL PRACTICE

a. CONTROL OF HIV SAFEGUARDS IN CONNECTION WITH PATIENTS a. LABOR PROTECTION RULES INFECTION CONTROL SYSTEM a. IMMUNIZATION OF STAFF.

BARRIERS

APPARATUS AND MATERIALS MANAGEMENT IN CLINICAL PRACTICE.

a. CARE CLINIC b. WORK ENVIRONMENT PROTECTION c. ACCIDENTS IN PATIENT CARE AND WASTE MANAGEMENT d. CONDUCT A FOLLOW FROM EXPOSURE TO CRASH BLOOD (AES) e. IMMEDIATE HANDLING TO THE OCCURRENCE OF A WORK ACCIDENT LIQUID HANDLING RADIOGRAPHIC PLATE DEVELOPMENT

Sterilization

METHODS OF STERILIZATION a. METHODS FOR DRY HEAT b. METHODS MOIST HEAT

BIOSECURITY
The word is derived from two Biosafety components "bio" of bios (Greek) which means life, and safety concerns quality of life, free from harm, risk or danger. Dentistry Biosafety Standards Standards are set of rules for preserving health and safety of staff and community patient against the risks of infection.

It is important to remember that blood and saliva of all patients should be considered potentially contaminated and high risk to which it is essential to wear a hat, masks.

Decontaminate work surfaces, according to the basic procedures for cleaning and disinfection.

Proper management of biosafety standards prevents accidents or unfortunate situations that can create legal problems. His failure easily leads to serious individual and collective problems. The material and work equipment must be disinfected, desgerminarse and sterilized after each procedure according to the basic procedures for cleaning and disinfection.

Principles of Biosafety

Universality: The measures should involve all the people who constitute the health team.

Using barriers: Avoid direct exposure to blood and other potentially contaminated body fluids, using suitable materials that stand to touch them.

The use of barriers (gloves, masks, goggles) does not prevent accidents, exposure to these fluids, but decrease the consequences of such accidente.

Waste Management: This includes all devices and procedures through which the materials used in patient care, are deposited and removed without risk.

CLASSIFICATION OF DENTAL INSTRUMENT

 Critical Instruments
Includes any instrument that penetrates soft tissue, bone contact, or contact with the bloodstream or other normally sterile body tissue

Semi critical Instruments

Those that do not penetrate the tissues of the patient and does not come into contact with the blood, but if they touch the mucous or saliva of the patient.

DISEASES IN DENTAL PRACTICE

Herpes Simplex

Oral Hepatitis

DISEASES IN DENTAL PRACTICE

Hepatitis A, Hepatitis B, Hepatitis C, Hepatitis Delta

Pneumonia, staph infections, strep, pseudomonas, klebsiella and sexually transmitted diseases.

MODES OF TRANSMISSION

MODES OF TRANSMISSION
Direct transmission
Direct physical contact with blood, oral fluids, or other materials.

Indirect transmission
Contact with a contaminated intermediate object

Aerosolization

Contact of conjunctival, nasal, or oral blood with droplets

Influential factors
* The presence of a pathogen of sufficient virulence * The presence of a reservoir * The presence of a vector of transmission from the source to the receiver The presence of a susceptible host.

BARRIER USE

Barrier Use
Masks

Glasses

The use of latex gloves

Disinfectants
The most widely used Are capable disinfectant, It is used for of hypochlorite blood stains destroying and to , is useful chemicals in for cleaning eliminate 10 to 15 hard HIV and minutes surfaces Hepatitis B. and organic material

The most widely used antiseptic and disinfectant is iodinepovidone soluction, it acts quickly as a bactericide, fungicide, tuberculocidal, and virucidal.

Antiseptic chlorhexidine is used not only in oral products.

Formaldehyde It acts as a sterilant and disinfectant, but has less activity than glutaraldehyde.

Procedures for preparing dental instruments

Prewash
Sterilization Disinfection

Drying

Cleaning

Rinse


Prewash

Prewash: instrumental immersion

Disinfection

Disinfection: Destroys pathogenic and nonpathogenic microorganisms capable of producing infectious diseases

Cleaning

Cleaning: Wash with mild detergent, brush,

Rinse: Under running water.

Drying is carried out to remove water droplets

Sterilization: removing any possibility of microbial life

The pathogenic wastes gauze, disposable needles, carpules, gloves, masks sanitary field, apron, etc.. Should be deposited by the operator in disposable containers,

Operational Safety Instructions

INSTRUCTED

The staff responsible must be instructed about the risks and how to perform the same.

TRANSPORT

The packaged medical waste must be collected daily by a specialized service which will transport for treatment.

PRO AND CONS

While it is true that to make changes and improvements required cost, however you must be certain that the personnel in charge of the career of dentistry respective authorities insist on the readjustment and implementation of the clinic, as well as the organization of the various committees to benefit both the professional, clerical and patient during the stay in the dental clinic.

BENEFITS TO YOU, TO THE COMPANY OR DENTIST

The user who comes to the dentist will instruct you about dental hygiene techniques through videos and educational prep talks

And the serious problems that can arise by not receiving timely care.

HOW TO IMPROVE

Create a Biosafety committee that allows the development and implementation of Biosafety manuals in dentistry.

Treatment protocols for each procedure performed. Compliance to Teachers, students and users.

HOW TO IMPROVE

Conducting continuing education programs and induction of new staff.

create committees of hospital waste for proper classification, handling, and disposal of the same.

CONCLUSIONS

Currently the dental clinic of the Catholic University does not have enough equipment, manual treatment protocol for each procedure, biosafety standards manual, or manual classification of hospital waste, which is very essential for the proper functioning of the area. On the other hand students pursuing different cycles present a serious problem due to ignorance or misuse of biosecurity measures as well as misclassification of pathological waste.

RECOMMENDATIONS
Creating committees, so that they in turn develop a protocol manual for each procedure, as well as the need to implement a care manual labor accidents, an accident must be reported immediately to the staff in charge of the clinic Chair to determine risks, and this in turn to the Academic Secretary.