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Bacterial conjunctivitis length of treatment accutane,natural remedies for old scars on legs overnight,disease caused by a pathogenic bacteria - Review

This issue has been thoughtfully crafted and comprises valuable subject matter that is perfect for reading during April’s rain showers. Dimensions of Dental Hygiene is committed to the highest standards of professionalism, accuracy and integrity in our mission of education supporting oral health care professionals and those allied with the dental industry. With the risks so great for both practitioner and patient, it’s curious why noncompliance is an issue. Handwashing is a critical component in the prevention of disease transmission, yet little time and effort are spent performing a thorough handwashing procedure.3 For nonsurgical procedures, such as those performed by a dental hygienist, a routine handwash is acceptable. The use of antimicrobial soap versus plain soap as the most effective agent for hand hygiene is a much debated topic. The 2003 CDC Guidelines recommend an antibacterial hand gel for hand hygiene, which is one of the most significant changes involving hand hygiene in years. The ideal scenario for nonsurgical procedures is to start and end each day with a handwash using plain or antimicrobial soap and water.
While most of the research regarding the risk of artificial nails has been conducted with small numbers of employees in hospital intensive care units and operating rooms, much can be gleaned from these studies.
Other studies have confirmed that artificial nails contribute to the proliferation of gram-negative bacilli and yeast.
Cracked or chipped fingernail polish contributes to the collection of high concentrations of bacteria. With the myriad of products available for hand hygiene and care, HCWs must ensure that products are compatible with each other and the gloves that are worn, as well as knowing how to correctly store and dispense the product. Mary Kaye Scaramucci, RDH, MS, is an associate professor in the Department of Dental Hygiene at the University of Cincinnati, Cincinnati.
Answer the questions correctly and you will be placed in a drawing to WIN the ultimate Dimensions of Dental Hygiene gift basket. You’ll enjoy reading about the chairside management of dentinal hypersensitivity, how handpieces affect ergonomics, and improving patient comfort during ultrasonic instrumentation.
Through our print and digital media platforms, continuing education activities, and events, we strive to deliver relevant, cutting-edge information designed to support the highest level of oral health care. Washing hands with soap and water should begin with an appropriate amount of soap dispensed into the palm of one hand. Some studies suggest that antimicrobial soap is overkill as it may create a larger population of resistant microorganisms. Using hand gel in between patients is all that is necessary unless hands are visibly soiled.7 Often when using the gel, the hands become covered with a film or feel gritty from powdered gloves. A prime example is the documented outbreak of Pseudomonas aeruginosa in a neonatal intensive care unit.


Studies have demonstrated that skin under rings has a higher concentration of bacteria when compared to skin without rings.13 One study of intensive care nurses reported rings were the only risk factor for carriage of gram-negative bacterial colonies. Because hands are washed frequently, the skin becomes damaged resulting in more frequent colonization of bacteria. Dental personnel need to be certain they are washing hands thoroughly and following the CDC recommendations for fingernails and jewelry. Pacak, RDH, MSEd, is an associate professor in the Department of Dental Hygiene at the University of Cincinnati, Cincinnati. For this reason, consumer publications have gone so far as to recommend not using antimicrobial soap in the home. The dime size amount of gel or one pump of the gel should be dispensed and rubbed using a handwashing technique for at least 15 seconds until the gel has evaporated and hands are dry. This study revealed that the risk of bacterial transmission was great from those HCWs who wore artificial fingernails. Skin and mucous membrane samples from the surgical personnel were obtained and one operating room technician was clearly implicated as the source of infection. Yet other studies have not shown a significant difference in bacterial colony counts of skin with or without rings.14,15 However, the primary issue with jewelry is related to glove integrity. Products can become contaminated if not stored or dispensed appropriately.18 Soap dispensers should not be topped off as this practice may lead to bacterial contamination.
Evidence-based research and epidemiologic studies drive the guidelines that are designed to protect all health care workers and patients. A prolonged outbreak of pseudomonas aeruginosa in a neonatal intensive care unit: did staff fingernails play a role in disease transmission? Candida osteomyelitis and diskitis after spinal surgery: an outbreak that implicates artificial nail use. Impact of ring wearing on hand contamination and comparison of hand hygiene agents in a hospital. Failure of hand disinfection with frequent handwashing: a need for prolonged field studies. Serratia liquefaciens blood-stream infections from contamination of epoetin alfa at a hemodialysis center. Maecenas ac tempor odio.Click here to view all articles in other categories not listed above.
The CDC recommends either plain soap or antimicrobial soap as an effective agent for routine handwashing. Diseases that occurred in affected infants in the neonatal study included conjunctivitis, skin infections, bloodstream infections, meningitis, pneumonia, diarrhea, and necrotizing enterocolitis.


As a result, the hospital developed policies preventing operating room personnel from wearing artificial nails.9 This study demonstrated that artificial nails are a contributing factor in disease transmission.
Each finger and thumb should be individually rubbed with one hand and repeated on the fingers and thumb of the other hand. However, if the HCW is performing a hand antisepsis prior to surgery, then the CDC recommends an antimicrobial soap containing chlorhexidine, iodine, iodophors, chloroxylenol, or triclosan.
If it takes longer than approximately 15 seconds for hands to dry, then too much gel is being dispensed. Hand cultures from the HCWs that came in contact with the infants confirmed the transmission. In addition to the flora accumulation, artificial nails make donning gloves difficult and can result in glove tears thereby compromising the integrity of the gloves. The back of the hands and the palms should be rubbed over one another in a circular motion. If water and plain soap are used, then the hand antisepsis needs to be followed by an alcohol-based surgical hand scrub product. If the gel dries sooner than 15 seconds, then the clinician is not using an appropriate amount of gel.
While the researchers suggest that more studies are needed on the hand carriage of microorganisms when wearing artificial nails, the CDC and the Association of Operating Room Nurses (AORN) have policies stating artificial nails should not be worn in the operating room.
Singing the “happy birthday song” while rubbing provides an adequate timeframe for washing. Areas most commonly missed include the thumb, fingertips, and the “Y” area between the thumb and index finger.4 Hands should then be rinsed with cool or tepid water and thoroughly dried with a paper towel prior to donning gloves. Regardless of the type of soap, the product should be in a liquid form with hands-free dispensing controls. The use of cool or tepid water helps prevent chapping, which can lead to breaks in the skin, resulting in a portal of entry for infectious disease. If using hand faucets, turning the faucets off with a paper towel to prevent contaminating clean hands is also recommended.



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29.01.2016, author: admin


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