Standard and transmission-based precautions: an update for dentistry.

Standard and transmission-based precautions: an update for dentistry.
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基于标准和传输的预防措施:牙科的更新。

DOI:
10.14219/jada.archive.2010.0232
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发表时间:
2010-05
期刊:
Journal of the American Dental Association (1939)
影响因子:
--
通讯作者:
Harte JA
Harte JA
中科院分区:
其他
文献类型:
--
作者:
Harte JA

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标准预防措施是所有感染控制计划的基础,包括适用于所有患者和情况的感染控制实践,无论感染状态是疑似感染、确诊感染还是未知感染。作者回顾了标准预防措施,包括美国疾病控制和预防中心在2007年引入的两项新内容:安全注射做法以及呼吸道卫生和咳嗽礼仪。标准预防措施有时被称为第一级预防措施,因为对于某些疾病和情况,仅使用标准预防措施无法完全中断传输,因此有必要使用基于传输的第二级预防措施。作者回顾了三类基于传播的预防措施--空气传播、飞沫传播和接触传播--重点介绍了它们在牙科保健门诊环境中的应用。牙科保健人员应更新其感染控制程序,以确保常规使用安全的注射方法以及呼吸道卫生和咳嗽礼仪措施。此外,随着新病原体的出现、变种生物的再次出现以及更多病人在日间护理设施寻求护理,卫生署需要意识到在其办公室治疗活跃感染某些微生物的病人时可以采取的额外措施,以充分保护其他病人、他们的工作人员和他们自己。
Standard Precautions are the foundation of all infection control programs and include infection control practices that apply to all patients and situations regardless of whether the infection status is suspected, confirmed or unknown. The author reviewed Standard Precautions, including two new elements introduced by the Centers for Disease Control and Prevention in 2007: safe injection practices and respiratory hygiene and cough etiquette. Standard Precautions sometimes are referred to as the first tier of precautions because for some diseases and circumstances, transmission cannot be interrupted completely with Standard Precautions alone and it is necessary to use second-tier Transmission-Based Precautions. The author reviewed the three categories of Transmission-Based Precautions—Airborne, Droplet and Contact—with an emphasis on their use in dental health care outpatient settings. Dental health care personnel (DHCP) should update their infection control programs to ensure that safe injection practices and respiratory hygiene and cough etiquette measures are used routinely. In addition, with the emergence of new pathogens, re-emergence of variant organisms and more patients seeking care in ambulatory care facilities, DHCP need to be aware of additional measures to take when treating patients in their offices who are actively infected with certain organisms to protect fully other patients, their staff members and themselves.
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