Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 7 de 7
Filtrar
1.
J Am Dent Assoc ; 126(6): 745-51, 1995 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-7797730

RESUMO

The authors conducted an observational study of the frequency and circumstances of percutaneous injuries among dental residents. Their findings suggest that most percutaneous injuries sustained by these dental residents occurred extraorally and were associated with denture impression procedures. Some injuries may be preventable with changes in techniques or instrument design.


Assuntos
Instrumentos Odontológicos/efeitos adversos , Odontologia , Traumatismos da Mão/etiologia , Doenças Profissionais/etiologia , Ferimentos Penetrantes/etiologia , Acidentes de Trabalho/estatística & dados numéricos , Distribuição de Qui-Quadrado , Coleta de Dados , Odontólogos , Humanos , Internato e Residência , Ferimentos Penetrantes Produzidos por Agulha/etiologia , Estudos Prospectivos
2.
Ann Intern Med ; 122(9): 653-7, 1995 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-7702226

RESUMO

OBJECTIVE: To assess the risk for transmission of the human immunodeficiency virus (HIV) from an infected health care worker to patients. DESIGN: Survey of investigators from health departments, hospitals, and other agencies who had elected to notify patients who had received care from health care workers infected with HIV. MEASUREMENTS: Information was collected about infected health care workers, their work practices, their patients' HIV test results, procedures that they did on those of their patients who were tested for HIV, and patient notification procedures. RESULTS: As of 1 January 1995, information about investigations of 64 health care workers infected with HIV was reported to the Centers for Disease Control and Prevention; HIV test results were available for approximately 22,171 patients of 51 of the 64 health care workers. For 37 of the 51 workers, no seropositive patients were reported among 13,063 patients tested for HIV. For the remaining 14 health care workers, 113 seropositive patients were reported among 9108 patients. Epidemiologic and laboratory follow-up did not show any health care worker to have been a source of HIV for any of the patients tested. CONCLUSION: Despite limitations, these data are consistent with previous assessments that state that the risk for transmission of HIV from a health care worker to a patient is very small. These data also support current recommendations that state that retrospective patient notification need not be done routinely.


Assuntos
Infecções por HIV/transmissão , Pessoal de Saúde , Transmissão de Doença Infecciosa do Profissional para o Paciente , Centers for Disease Control and Prevention, U.S. , Bases de Dados Factuais , Revelação , Seguimentos , Humanos , Estudos Retrospectivos , Fatores de Risco , Estados Unidos
3.
J Am Dent Assoc ; 126(5): 593-9, 1995 May.
Artigo em Inglês | MEDLINE | ID: mdl-7759684

RESUMO

Between 1989 and 1992, reports of outbreaks and transmissions of tuberculosis in institutional settings prompted the Centers for Disease Control and Prevention to review the guidelines for TB infection control it had published in 1990. The CDC published an updated version of the guidelines in October 1994. This article gives dentists an overview of the guidelines' recommendations that are applicable to most outpatient dental settings.


Assuntos
Assistência Odontológica para Doentes Crônicos/legislação & jurisprudência , Controle de Infecções/legislação & jurisprudência , Tuberculose/prevenção & controle , Instalações Odontológicas/legislação & jurisprudência , Humanos , Medição de Risco , Tuberculose/transmissão , Tuberculose Pulmonar/transmissão , Estados Unidos
4.
Infect Control Hosp Epidemiol ; 16(1): 7-11, 1995 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-7897177

RESUMO

OBJECTIVE: To investigate possible transmission of multidrug-resistant tuberculosis (MDR-TB) in a dental setting. DESIGN: A retrospective, descriptive study of dental workers (DWs), patients, and practice characteristics. PATIENTS: Two dental workers (DW1 and DW2) with acquired immunodeficiency syndrome and MDR-TB. SETTING: A hospital-based (Hospital X) human immunodeficiency virus (HIV) dental clinic in New York City. METHODS: To identify dental patients with tuberculosis (TB), patients treated in the dental clinic at Hospital X during 1990 were cross-matched with those listed in the New York City Department of Health Tuberculosis Registry. Mycobacterium tuberculosis isolates from both DWs and from dental patients with TB were tested for antimicrobial susceptibility and typed by restriction fragment length polymorphism (RFLP) analysis. Infection control practices were reviewed. RESULTS: M tuberculosis isolates infecting DW1 and DW2 were resistant to isoniazid and rifampin and had identical RFLP patterns. DW1 and DW2 worked in close proximity to each other in a small HIV dental clinic in Hospital X during 1990. Of 472 patients treated in the dental clinic in 1990, 41 (8.7%) had culture-proven M tuberculosis infection. Of these 41, 5 had isolates with resistance patterns similar to both DWs; however, for four available isolates, the RFLP patterns were different from the patterns of the DWs. Sixteen of the 41 patients received dental treatment while potentially infectious. Dental patients were not routinely questioned about TB by dental staff, nor were all dental staff screened routinely for TB. No supplemental environmental measures for TB were employed in the dental clinic in 1990. CONCLUSIONS: Our investigation suggests that MDR-TB transmission may have occurred between two DWs in an HIV dental clinic. Opportunities for transmission of TB among dental staff and patients were identified. TB surveillance programs for DWs and appropriate infection control strategies, including worker education, are needed to monitor and minimize exposure to TB in dental settings providing care to patients at risk for TB.


Assuntos
Síndrome da Imunodeficiência Adquirida/complicações , Equipe Hospitalar de Odontologia , Tuberculose Resistente a Múltiplos Medicamentos/transmissão , Antituberculosos/uso terapêutico , Clínicas Odontológicas , Humanos , Controle de Infecções , Mycobacterium tuberculosis/classificação , Mycobacterium tuberculosis/efeitos dos fármacos , Mycobacterium tuberculosis/isolamento & purificação , Cidade de Nova Iorque/epidemiologia , Estudos Retrospectivos , Tuberculose Resistente a Múltiplos Medicamentos/tratamento farmacológico , Tuberculose Resistente a Múltiplos Medicamentos/microbiologia
5.
Ann Intern Med ; 121(11): 886-8, 1994 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-7978703

RESUMO

Since human immunodeficiency virus (HIV) transmission from a dentist to six of his patients was first reported in 1990 by the Florida Department of Health and Rehabilitative Services and the Centers for Disease Control and Prevention, controversy and speculation have surrounded the investigation of that case. This controversy has been fueled by the inability to determine exactly how the transmissions occurred. Many theories have appeared in the media and have led to confusion and uncertainty about the facts of this investigation. Recently, a magazine article and a newspaper article, as well as a segment on the television newsmagazine "60 Minutes," presented information that was largely based on findings by investigators hired as part of private litigation and that cast doubt on the conclusion that the patients had been infected by the dentist. However, these reports omitted pertinent epidemiologic and laboratory evidence that shows that no other sources of HIV infection could be documented for the six dental patients. The scientific evidence indicates that the Florida dentist transmitted HIV to six of his patients.


Assuntos
Síndrome da Imunodeficiência Adquirida/transmissão , Odontólogos , Transmissão de Doença Infecciosa do Profissional para o Paciente , Televisão , Sequência de Bases , Centers for Disease Control and Prevention, U.S. , Florida , HIV-1/genética , Humanos , Estados Unidos
6.
J Am Dent Assoc ; 125(9): 1213-7, 1994 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-7930183

RESUMO

Examinations for oral health surveys and screenings are performed by dentists or dental hygienists in a variety of settings. To date, CDC has made no recommendations for infection control specifically for these brief examinations. General principles for infection control can be applied during oral health surveys and screenings.


Assuntos
Inquéritos de Saúde Bucal , Controle de Infecções/métodos , Transmissão de Doença Infecciosa do Paciente para o Profissional/prevenção & controle , Odontologia em Saúde Pública/métodos , Patógenos Transmitidos pelo Sangue , Instrumentos Odontológicos , Contaminação de Equipamentos/prevenção & controle , Humanos , Programas de Rastreamento , Mucosa Bucal/microbiologia , Saliva/microbiologia
7.
AIDS ; 5 Suppl 2: S93-7, 1991.
Artigo em Inglês | MEDLINE | ID: mdl-1845065

RESUMO

The five patients of the Florida dentist remain the only cases in which HIV transmission from an infected health-care worker to patients during invasive procedures had been reported by 1991. In this instance, neither the precise mode of HIV transmission to these patients nor the reasons for transmission to multiple patients are known. However, even in the HBV outbreaks that have been investigated, the causes of increased transmissibility by the health-care worker are not always clear, and may include variations in the procedures performed, surgical or dental techniques used, infection control precautions taken, titer of the infecting agent, and the susceptibility of the patients to infection. The investigation of the Florida dentist's practice is ongoing. Additional studies of the patients of other infected health-care workers are being conducted in an attempt to answer some of the remaining questions about the risk and circumstances which allow the transmission of HIV from infected health-care workers to patients.


Assuntos
Infecções por HIV/transmissão , Ocupações em Saúde , Odontólogos , Hepatite B/transmissão , Humanos , Pacientes , Risco , Procedimentos Cirúrgicos Operatórios , Estados Unidos
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...