NDLI: High incidence of blood exposure due to imperceptible contaminated splatters during oral surgery.

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High incidence of blood exposure due to imperceptible contaminated splatters during oral surgery.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Ishihama, Kohji Iida, Seiji Koizumi, Hidehiko Wada, Takenobu Adachi, Tadafumi Isomura-Tanaka, Emiko Yamanishi, Tadashi Enomoto, Akifumi Kogo, Mikihiko
Description	Country affiliation: Japan Author Affiliation: Ishihama K ( First Department of Oral and Maxillofacial Surgery, Osaka University Graduate School of Dentistry, Suita City, Osaka, Japan. ishihama@dent.osaka-u.ac.jp)
Abstract	PURPOSE: To evaluate the incidence of blood exposure during outpatient oral surgery from splattering caused by use of high-speed rotary instruments at the Referral and Teaching Center, University Dental Hospital. MATERIALS AND METHODS: Twenty-five consecutive patients who had impacted mandibular third molars were selected. The attending surgeon wore an operation gown and visor mask, and carried out the tooth extraction with the regular procedure. We counted the number of bloodstains found on the operation gown and visor mask, and confirmed the presence of diluted and invisible bloodstains using a leucomalachite green presumptive test, which was able to detect dilutions up to 1:4,000. RESULTS: There were 469 separate bloodstains on the gown and visor mask of oral surgeons, which came from 19 (76%) of 25 patients during impacted mandibular third molar surgery. Presumptive tests for invisible bloodstains resulted in 1,206 positive reactions, 2.57-fold greater than the visible stains, from 88% of the cases. All of the surgeons were right-handed and the common areas of staining were the right forearm, face, and thorax regions. CONCLUSIONS: Dental procedures with high-speed instruments exposed surgeons to possible blood-borne infections by splashing in nearly 90% of the cases. Greater than 50% of the stains were invisible to the naked eye. Based on our results, strict compliance with barrier precautions, including routine use of an operation gown and visor mask, is recommended whenever oral surgery is carried out with high-speed rotary instruments.
File Format	HTM / HTML
ISSN	02782391
Issue Number	4
Volume Number	66
e-ISSN	15315053
Journal	Journal of Oral and Maxillofacial Surgery
Language	English
Publisher	Elsevier
Publisher Date	2008-04-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Medicine__semicolon__otorhinolaryngology__semicolon__surgery Blood-borne Pathogens Dental High-speed Equipment Adverse Effects Dentists Infectious Disease Transmission, Patient-to-professional Methods Occupational Exposure Adolescent Adult Blood Stains Female Humans Male Molar, Third Surgery Prospective Studies Tooth Extraction Tooth, Impacted Universal Precautions Journal Article
Content Type	Text
Resource Type	Article
Subject	Oral Surgery Otorhinolaryngology Surgery

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