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处理拔牙后患者:如何避免血源性疾病的交叉感染。

Handling post-dental extraction patients: how to avoid trans-infection of blood-borne diseases.

作者信息

Chatzoudi María

机构信息

Private Practice, Jesmond, Newcastle Upon Tyne, England.

出版信息

J Oral Maxillofac Surg. 2009 Dec;67(12):2583-6. doi: 10.1016/j.joms.2009.04.076.

DOI:10.1016/j.joms.2009.04.076
PMID:19925975
Abstract

PURPOSE

The aim of this study is to assess the risks of cross infection after dental extraction. A systematic approach is proposed to prevent the risks of cross contamination and infection.

MATERIALS AND METHODS

A survey was conducted in which patients were asked when and where they disposed of the gauze pad applied to the socket in their mouth postoperatively and whether they had touched it at all before throwing it away.

RESULTS

Of the patients, 40% threw the gauze pad in the roads' litter bins and 9.33% threw it away in the practice's bathroom; half of the patients declared that they had touched the gauze pad with their bare hands before its final removal.

CONCLUSIONS

The danger of trans-infection of blood-borne diseases is evident, and a series of measures is proposed to control it. Proper patient education, use of alternative methods of stopping postoperative bleeding other than a gauze pad, appropriate scheduling of appointments of already infected patients, and widespread vaccinations are some such measures. Attention and critical evaluation of the case are necessary because the already existing policies and guidelines are always open to improvements.

摘要

目的

本研究旨在评估拔牙后交叉感染的风险。提出一种系统方法以预防交叉污染和感染风险。

材料与方法

进行了一项调查,询问患者术后何时以及在何处丢弃口腔创口上使用的纱布垫,以及在丢弃之前是否触碰过它。

结果

在患者中,40%将纱布垫扔在路边垃圾桶,9.33%扔在诊所卫生间;一半患者宣称在最终取下纱布垫之前曾徒手触碰过它。

结论

血源性疾病交叉感染的危险显而易见,为此提出一系列控制措施。对患者进行适当教育、使用除纱布垫之外的其他术后止血替代方法、合理安排已感染患者的就诊时间以及广泛接种疫苗等就是这样一些措施。鉴于现有政策和指南总是有待完善,因此对该病例予以关注和批判性评估很有必要。

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