Crawford J J
Dent Clin North Am. 1979 Oct;23(4):717-35.
Available evidence that there has been an epidemic of hepatitis B in the population since the 1960s and of the vulnerability of clinical dental and endodontic personnel has indicated a need to improve general asepsis procedures to guard against the spread of infection, and to improve screening for possible carriers. Specific improvements in personal protection, surface disinfectants and procedures, and control of bacterial populations in dental water units as well as broader use of instrument sterilization can provide safer conditions of treatment for patients and personnel alike. Monitoring of asepsis can increase awareness and guide improvements of skills in aseptic treatment, and improved methods of transporting samples can improve recovery of anaerobic pathogens for determinations of antibiotic susceptibility.
现有证据表明,自20世纪60年代以来,乙肝在人群中呈流行态势,且临床牙科和牙髓病科工作人员易受感染,这表明有必要改进一般无菌操作程序以防止感染传播,并加强对潜在携带者的筛查。在个人防护、表面消毒剂和操作程序、牙科水单元细菌数量控制以及更广泛地使用器械灭菌方面的具体改进,可以为患者和工作人员提供更安全的治疗条件。无菌监测可以提高意识并指导无菌治疗技能的改进,而改进的样本运输方法可以提高厌氧病原体的回收率,以进行抗生素敏感性测定。