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치과 의료기관의 재사용 기구와 감염관리 실천도

Evaluating Infection Control Measures for Reusable Instruments in Dental Practice

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초록

Objective: The study aims to investigate the use of dental instruments without sterilization and to evaluate the status of infection control in domestic dental clinics. Methods: A total of 357 participants were enrolled, from April to May 2020, after surveying 20 dental institutions. We assessed all the instruments used during treatment, particularly those which were reused without sterilization. In cases where specific instruments were not listed, respondents marked ‘etc.’ and provided details. The frequency of infection control practices, including hand washing, wearing masks and gloves, surface disinfection, and instrument sterilization, was analyzed. Results: Reusable instruments without sterilization included the 3-way syringe, scaler, handpiece, inject syringe, bur, paper holder, and other endodontic tools. Notably, the 3-way syringe, injection syringe, handpiece, and paper holder were reused in over 50% of cases. Gloves and masks were worn 95–100% of the times during oral examinations, while handwashing rates were 25–30% pre-treatment and over 80% post-treatment. Handpieces were used in endodontic treatments and extractions, being sterilized 50–60% of the times. Conclusions: This study revealed insufficient infection control measures in dental institutions. Addressing this issue requires ongoing education, proper training of dental professionals, and essential financial support for effective measures.

Abstract

Objective: The study aims to investigate the use of dental instruments without sterilization and to evaluate the status of infection control in domestic dental clinics. Methods: A total of 357 participants were enrolled, from April to May 2020, after surveying 20 dental institutions. We assessed all the instruments used during treatment, particularly those which were reused without sterilization. In cases where specific instruments were not listed, respondents marked ‘etc.’ and provided details. The frequency of infection control practices, including hand washing, wearing masks and gloves, surface disinfection, and instrument sterilization, was analyzed. Results: Reusable instruments without sterilization included the 3-way syringe, scaler, handpiece, inject syringe, bur, paper holder, and other endodontic tools. Notably, the 3-way syringe, injection syringe, handpiece, and paper holder were reused in over 50% of cases. Gloves and masks were worn 95–100% of the times during oral examinations, while handwashing rates were 25–30% pre-treatment and over 80% post-treatment. Handpieces were used in endodontic treatments and extractions, being sterilized 50–60% of the times. Conclusions: This study revealed insufficient infection control measures in dental institutions. Addressing this issue requires ongoing education, proper training of dental professionals, and essential financial support for effective measures.

참고문헌 (37)

  1. "Infection Prevention & Control in Dental Settings 2016" (2023)[URL]
  2. "美 Receiving dental treatment and contracting 'HIV infection'... Panic among 7,000" (2023)[URL]
  3. "3rd dental hospital accreditation standards" (2023)[URL]
  4. Rani L, "Sterilization protocols in dentistry-A review", J Pharm Sci Res, 8(6), pp.558~564 (2016)
  5. Sebastiani FR, "Infection control in the dental office", Dent Clin North Am, 61(2), pp.435~457 (2017)[DOI]
  6. Kohn WG, "Guidelines for infection control in dental health-care settings—2003", MMWR Recomm Rep, 52, pp.1~61 (2003)
  7. "Dental infection control standard manual" (2023)[URL]
  8. "Analysis of the operational status of dental clinics: Using 2020Economic Census Data" (2023)[URL]
  9. Yang JJ, "Awareness and practice of infection control in dental hygienists : A comparison between accredited and non-accredited dental hospitals", J Korean Soc Dent Hyg, 19(5), pp.677~688 (2019)[DOI]
  10. Jeon JS, "Status of infection control behaviors of dental hygienists", mater, pp.2012
  11. Cho YJ, "A study on infection control practices among dental hygienists", Quality Improvement in Health Care, 10(2), pp.190~203 (2003)
  12. "Comprehensive measures for the prevention and management of healthcare-associated infections('18~'22)" (2023)[URL]
  13. Park BY, "Differences in dental hygienists’ infection control awareness and reuser rate of disposable dental care supplies", J Korean Soc Dent Hyg, 20(5), pp.645~653 (2020)[DOI]
  14. Bagg J, "Pre-sterilization cleaning of re-usable instruments in general dental practice", Br Dent J, 202(9), pp.E22~ (2007)[DOI]
  15. Carina B, "Comparative study on the efficiency of different cleaning methods of dental instruments", Romanian Journal of Oral Rehabilitation, 15(2), pp.416~423 (2023)
  16. Coulter W, "Cleaning re-usable instruments in general practice", Br Dent J, 202(9), pp.550~551 (2007)[DOI]
  17. Smith AJ, "A method for surveying instrument decontamination procedures in general dental practice", Br Dent J, 202(8), pp.E20~E20 (2007)[DOI]
  18. Faul F, "Statistical power analyses using G*Power 3.1:Tests for correlation and regression analyses", Behav Res Methods, 41, pp.1149~1160 (2009)[DOI]
  19. Survey study on the cost of dental infection control, "Chung WG", Korean Dental Association (KDA), 49~72 (2009)
  20. "Resource. Tackling drug-resistant infections globally: final report and recommendations" (2023)[URL]
  21. Harrel SK, "Aerosol and splatter contamination from the operative site during ultrasonic scaling", J Am Dent Assoc, 129(9), pp.1241~1249 (1998)[DOI]
  22. Harrel SK, "Aerosols and splatter in dentistry : a brief review of the literature and infection control implications", J Am Dent Assoc, 135(4), pp.429~437 (2004)[DOI]
  23. Nam SH, "Morphological aspect of the attached bacteria by the sterilization method of the ultrasonic scaling tip", J Korean Soc Dent Hyg, 15(4), pp.713~718 (2015)[DOI]
  24. Kim KM, "A study on the state of infection control in dental clinic", J Korean Soc Dent Hyg, 7(3), pp.213~230 (2007)[DOI]
  25. Lee SO, "Korean nosocomial infections surveillance system, intensive care unit module report : data summary from July 2007 through June 2008", Korean J Nosocomial Infect Control, 13, pp.69~82 (2008)
  26. Moon SJ, "Research on cognition of infection control by dental hygienics students in some areas", Jour. of KoCon.a, 12(12), pp.313~320 (2012)[DOI]
  27. Park JH, "A study of current infection control by dental hygienists and related factors", J Korean Soc Dent Hyg, 11(6), pp.993~1003 (2011)
  28. Kim KR, "A study on hand washing activity among dental personnels at dental hospitals in Korea", Korean J Clin Dent Hyg, 2(1), pp.33~43 (2014)
  29. Harnoß JC, "Concentration of bacteria passing through puncture holes in surgical gloves", Am J Infect Control, 38(2), pp.154~158 (2010)[DOI]
  30. Nasution TA, "Effectiveness hand washing and hand rub method in reducing total bacteria colony from nurses in Medan", Open Access Maced J Med Sci, 7(20), pp.3380~3383 (2019)[DOI]
  31. Geyer S, "A guiding hand. CDC releases hygiene recommendations", Mater Manag Health Care, 11, pp.12~24 (2002)
  32. Szymanska J, "Microbial contamination of dental unit waterlines", Ann Agric Environ Med, 15(2), pp.173~179 (2008)
  33. Coleman DC, "Biofilm problems in dental unit water systems and its practical control", J Appl Microbiol, 106(5), pp.1424~1437 (2009)[DOI]
  34. Pawar A, "Breaking the chain of infection : dental unit water quality control", J Clin Diagn Res, 10(7), pp.80~84 (2016)[DOI]
  35. Alkhulaifi MM, "Assessment of nosocomial bacterial contamination in dental unit waterlines : Impact of flushing", Saudi Dent J, 32(2), pp.68~73 (2020)[DOI]
  36. Lee SS, "Awareness and practice of dental unit waterline management in dental hygienist", J Korean Soc Dent Hyg, 16(4), pp.507~516 (2016)[DOI]
  37. Choi EM, "Influence of working environment on infection control activities in dental hygienists", J Korean Soc Dent Hyg, 16(2), pp.313~319 (2016)[DOI]

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