van Amerongen W E, de Graaff J
Department of Paediatric Dentistry, ACTA, Vrije Universiteit, Amsterdam, The Netherlands.
ASDC J Dent Child. 1988 Jan-Feb;55(1):47-55.
In order to ensure adequate reduction of risks of contamination in dental practice, potential pathogens should be known and insight should be gained into possibilities of contamination. The first part of this article presents brief descriptions of the most relevant pathogenic microorganisms such as the causative agents of tuberculosis, gonorrhoea, syphilis, herpes simplex, hepatitis, AIDS and legionnaires' disease. Possibilities of contamination in dental practice are considered next, with special reference to various ways in which microorganisms can be transmitted: Hand instruments. Rotating instruments, multiple-function syringe and ultrasonic scaler. Instruments used in endodontics. Hands and face. Clothing. Treatment unit. Measures that can be taken in order to minimize the risk of contamination will be discussed in Part II.
为确保在牙科诊疗中充分降低污染风险，应了解潜在病原体，并深入了解污染的可能性。本文第一部分简要介绍了最相关的致病微生物，如结核病、淋病、梅毒、单纯疱疹、肝炎、艾滋病和军团病的病原体。接下来将考虑牙科诊疗中的污染可能性，特别提及微生物传播的各种方式：手持器械、旋转器械、多功能注射器和超声波洁牙机、牙髓病治疗中使用的器械、手和面部、衣物、治疗单元。第二部分将讨论为尽量降低污染风险可采取的措施。
