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The survey on the infection control of noncritical instruments used in dental treatment

치과 치료에 사용되는 비위험 기구의 감염 관리 실태 조사

  • Kim, Jae Hyun (Department of Prosthodontics, College of Dentistry, Wonkwang University) ;
  • Lee, Jin-Han (Department of Prosthodontics, College of Dentistry, Wonkwang University)
  • 김재현 (원광대학교 치과대학 치과보철학교실) ;
  • 이진한 (원광대학교 치과대학 치과보철학교실)
  • Received : 2019.01.14
  • Accepted : 2019.03.08
  • Published : 2019.03.30

Abstract

Purpose: The aims of this study were to evaluate the dentist's awareness and the actual status of infection control of noncritical dental instruments. Materials and Methods: 40 dental clinics in Daejeon, South Chungcheong, North Chungcheong and North Jeolla provinces were surveyed. The questionnaire was delivered to the dentists belonging to those clinics, and the awareness and the practice of infection control were examined. The microbial contamination on the surface of five noncritical instruments (impression gun, light curing unit, 3-way syringe, shade guide, and dental floss dispenser) used by them was measured with an ATP luminometer. Correlation analysis between the awareness and the actual state of infection control was conducted. Results: Awareness and frequency of infection control was highest in the 3-way syringe. Surface disinfection using disinfectant was most frequent in all instruments. 3-way syringes and shade guides were less contaminated than impression guns, light curing units, and dental floss dispensers. Conclusion: 3-way syringes had a significant correlation between user awareness of infection control and surface contamination, and the higher awareness, the lower the contamination measurement was shown.

목적: 치과 치료에 사용되는 일부 비위험 기구들에 대한 치과의사의 감염 관리 인지도와 감염 관리 실태를 조사하고자 하였다. 연구 재료 및 방법: 대전광역시, 충청남도, 충청북도 및 전라북도 지역의 40개 치과 병, 의원을 연구 대상으로 하였다. 감염 관리에 대한 치과의사의 인지도와 실천정도에 관해서 설문 조사를 시행하였고, 연구 대상인 치과의사가 치과 치료에 사용하는 인상용 건, 광중합기, 3-way syringe, 색조 견본, 치실통의 표면 오염도를 아데노신 3인산 측정기를 이용하여 측정하였고, 감염 관리에 대한 인식도와 실태 간의 상관관계를 분석하였다. 결과: 감염 관리에 관한 인지도와 시행 빈도는 3-way syringe에서 가장 높았다. 모든 기구에서 소독액을 사용한 표면 소독이 가장 많이 시행되었다. 표면 오염도는 3-way syringe, 색조 견본이 인상용 건, 광중합기, 치실통보다 낮게 나타났다. 결론: 치과 치료에 사용되는 비위험 기구들 중에서 3-way syringe는 사용자의 감염 관리 인지도와 표면 오염도 간에 유의한 상관관계가 있으며, 감염 관리의 인지도가 높을수록 표면 오염도가 낮은 것으로 나타났다.

Keywords

References

  1. Korea Centers for Disease Control & Prevention (KCDC). Guidelines for prevention and control of healthcare associated infections, 2017. Available from: http://www.cdc.go.kr/CDC/together/CdcKrTogether0302.jsp?menuIds=HOME006-NU2804-NU3027-MNU2979&fid=10713&q_type=&q_value=&cid=138061&pageNum=1 (updated 2019 Mar 4).
  2. Bolyard EA, Tablan OC, Williams WW, Pearson ML, Shapiro CN, Deitchmann SD. Guideline for infection control in healthcare personnel, 1998. Hospital Infection Control Practices Advisory Committee. Infect Control Hosp Epidemiol 1998;19:407-63. https://doi.org/10.2307/30142429
  3. Lee JH. The infection control of dental impressions. J Dent Rehabil Appl Sci 2013;29:183-93. https://doi.org/10.14368/jdras.2013.29.2.183
  4. KOSIS (Korean Statistical Information Service). 2018 Statistics on the aged. Available from: http://kosis.kr/publication/publicationWord.do (updated 2019 Mar 4).
  5. Meskin L, Berg R. Impact of older adults on private dental practices, 1988-1998. J Am Dent Assoc 2000;131:1188-95. https://doi.org/10.14219/jada.archive.2000.0356
  6. Younai FS. Health care-associated transmission of hepatitis B & C viruses in dental care (dentistry). Clin Liver Dis 2010;14:93-104. https://doi.org/10.1016/j.cld.2009.11.010
  7. Spaulding EH. Chemical disinfection of medical and surgical materials. In: Lawrence C, Block SS, editors. Disinfection, sterilization and preservation. Philadelphia; Lea & Febiger; 1968. p. 517-31.
  8. American Dental Association Council (ADA). Infection control recommendations for the dental office and the dental laboratory. J Am Dent Assoc 1996;127:672-80. https://doi.org/10.14219/jada.archive.1996.0280
  9. Centers for Disease Control (CDC). Guidelines for infection control in dental health-care settings. MMWR (Morb Mortal Wkly Rep) 2003;52:1-61.
  10. Kim HK, Lee SJ. The control of transmissible disease in dental practice in Seoul, Korea. J Korean Dent Assoc 1995;33:291-6.
  11. Lee YA, Jo MJ, Bae JY, Park HS. A study on practice of infection control among dental staffs in dental office. J Dent Hyg Sci 2007;7:263-9.
  12. Kim KM, Jung JY, Hwang YS. A study on the state of infection control in dental clinic. J Korean Acad Dental Hygiene Education 2007;7:213-30.
  13. Jeon HS, Lee JH. The study of awareness and practice of infection control on dental practitioners during the prosthodontic treatment. J Korean Acad Prosthodont 2015;53:189-97. https://doi.org/10.4047/jkap.2015.53.3.189
  14. Kim K. Likert scale. Korean J Fam Med 2011;32:1-2. https://doi.org/10.4082/kjfm.2011.32.1.1
  15. Goebel WM. Reliability of the medical history in identifying patients likely to place dentists at an increased hepatitis risk. J Am Dent Assoc 1979;98:907-13. https://doi.org/10.14219/jada.archive.1979.0192
  16. Centers for Disease Control (CDC). Recommendations for prevention of HIV transmission in healthcare settings. MMWR (Morb Mortal Wkly Rep) 1987;36:1-18.
  17. Garner JS, Favero MS. CDC guideline for handwashing and hospital environmental control, 1985. Infect Control 1986;7:231-43. https://doi.org/10.1017/S0195941700084022
  18. Korean Dental Association (KDA). Infection control procedure in dental office. Available from: https://www.kda.or.kr/downLoad.kda?attach_key=5156&save_attach_name=201605251464143729427021.pdf (updated 2019 Mar 4).
  19. Cha SR, Kim KJ. Protocol for disinfection and sterilization in dental clinic. J Korean Dent Assoc 2013;51:130-7.
  20. Runnells RR. An overview of infection control in dental practice. J Prosthet Dent 1988;59:625-9. https://doi.org/10.1016/0022-3913(88)90083-2
  21. Boyce JM, Havill NL, Dumigan DG, Golebiewski M, Balogun O, Rizvani R. Monitoring the effectiveness of hospital cleaning practices by use of an adenosine triphosphate bioluminescence assay. Infect Control Hosp Epidemiol 2009;30:678-84. https://doi.org/10.1086/598243
  22. Hygiena LLC. SystemSURE Operators Manual V3.0. 2013. Available from: https://www.hygiena.com/food-and-beverage-products/systemsure.html#resources (updated 2019 Mar 4).
  23. Davidson CA, Griffith CJ, Peters AC, Fielding LM. Evaluation of two methods for monitoring surface cleanliness-ATP bioluminescence and traditional hygiene swabbing. Luminescence 1999;14:33-8. https://doi.org/10.1002/(SICI)1522-7243(199901/02)14:1<33::AID-BIO514>3.0.CO;2-I
  24. Smith PW, Gibbs S, Sayles H, Hewlett A, Rupp ME, Iwen PC. Observations on hospital room contamination testing. Healthc Infect 2013;18:10-3. https://doi.org/10.1071/HI12049
  25. Huang YS, Chen YC, Chen ML, Cheng A, Hung IC, Wang JT, Sheng WH, Chang SC. Comparing visual inspection, aerobic colony counts, and adenosine triphosphate bioluminescence assay for evaluating surface cleanliness at a medical center. Am J Infect Control 2015;43:882-6. https://doi.org/10.1016/j.ajic.2015.03.027
  26. Westergard EJ, Romito LM, Kowolik MJ, Palenik CJ. Controlling bacterial contamination of dental impression guns. J Am Dent Assoc 2011;142:1269-74. https://doi.org/10.14219/jada.archive.2011.0112

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