scholarly journals Pencegahan dan Pengendalian Infeksi Silang pada Tindakan Ekstraksi Gigi di Poli Gigi Rumah Sakit Siloam Manado

e-CliniC ◽  
2019 ◽  
Vol 7 (2) ◽  
Author(s):  
Rachel Gabriele ◽  
Vonny N. S. Wowor ◽  
Aurelia Supit

Abstract: Prevention and control of cross infection is very important for dental health workers, especially in dental extraction because this action is directly related to blood and saliva. The risk of infection requires thorough attention of dental health workers. This study was aimed to determine the level of prevention and control of cross infection in dental extraction at Dental Clinic of Siloam Hospital Manado. This wass an observational descriptive study, with a total samples of 30 operators. The results showed that the prevention and control of cross infection before dental extraction performed was 61.71%; during dental extraction was 73.34%; and after dental extraction was 92.08%. Generally, the prevention and control of cross infection in dental extraction only achieved 75.71%. In conclusion, the prevention and control of cross infection in dental extraction at Siloam Hospital, Manado was still below maximum level.Keywords: prevention control of cross infection, dental extraction Abstrak: Pencegahan dan pengendalian infeksi silang merupakan hal yang sangat penting bagi tenaga kesehatan gigi, terlebih lagi pada ekstraksi gigi, karena tindakan ini berhubungan langsung dengan darah dan saliva. Risiko infeksi mengharuskan tenaga kesehatan gigi memerhatikan tindakan pencegahan dan pengendalian infeksi. Penelitian ini bertujuan untuk mengetahui tingkat pencegahan dan pengendalian infeksi silang pada tindakan ekstraksi gigi di poliklinik gigi Rumah Sakit Siloam Manado. Jenis penelitian ialah deskriptif observasional, dengan jumlah subyek sebanyak 30 operator. Hasil penelitian mendapatkan pencegahan dan pengendalian infeksi silang sebelum tindakan ekstraksi gigi dilakukan sebesar 61,71%; selama tindakan ekstraksi gigi sebesar 73,34%; dan setelah tindakan ekstraksi gigi sebesar 92,08%. Secara umum, pencegahan dan pengendalian infeksi silang pada tindakan ekstraksi gigi hanya dilakukan sebesar 75,71%. Simpulan penelitian ini ialah pencegahan dan pengendalian infeksi silang pada tindakan ekstraksi gigi di poliklinik gigi Rumah Sakit Siloam Manado belum maksimal.Kata kunci: pencegahan dan pengendalian infeksi silang, ekstraksi gigi

e-CliniC ◽  
2019 ◽  
Vol 7 (2) ◽  
Author(s):  
Rachel Gabriele ◽  
Vonny N. S. Wowor ◽  
Aurelia Supit

Abstract: Prevention and control of cross infection is very important for dental health workers, especially in dental extraction because this action is directly related to blood and saliva. The risk of infection requires thorough attention of dental health workers. This study was aimed to determine the level of prevention and control of cross infection in dental extraction at Dental Clinic of Siloam Hospital Manado. This wass an observational descriptive study, with a total samples of 30 operators. The results showed that the prevention and control of cross infection before dental extraction performed was 61.71%; during dental extraction was 73.34%; and after dental extraction was 92.08%. Generally, the prevention and control of cross infection in dental extraction only achieved 75.71%. In conclusion, the prevention and control of cross infection in dental extraction at Siloam Hospital, Manado was still below maximum level.Keywords: prevention control of cross infection, dental extraction Abstrak: Pencegahan dan pengendalian infeksi silang merupakan hal yang sangat penting bagi tenaga kesehatan gigi, terlebih lagi pada ekstraksi gigi, karena tindakan ini berhubungan langsung dengan darah dan saliva. Risiko infeksi mengharuskan tenaga kesehatan gigi memerhatikan tindakan pencegahan dan pengendalian infeksi. Penelitian ini bertujuan untuk mengetahui tingkat pencegahan dan pengendalian infeksi silang pada tindakan ekstraksi gigi di poliklinik gigi Rumah Sakit Siloam Manado. Jenis penelitian ialah deskriptif observasional, dengan jumlah subyek sebanyak 30 operator. Hasil penelitian mendapatkan pencegahan dan pengendalian infeksi silang sebelum tindakan ekstraksi gigi dilakukan sebesar 61,71%; selama tindakan ekstraksi gigi sebesar 73,34%; dan setelah tindakan ekstraksi gigi sebesar 92,08%. Secara umum, pencegahan dan pengendalian infeksi silang pada tindakan ekstraksi gigi hanya dilakukan sebesar 75,71%. Simpulan penelitian ini ialah pencegahan dan pengendalian infeksi silang pada tindakan ekstraksi gigi di poliklinik gigi Rumah Sakit Siloam Manado belum maksimal.Kata kunci: pencegahan dan pengendalian infeksi silang, ekstraksi gigi


e-GIGI ◽  
2019 ◽  
Vol 7 (1) ◽  
Author(s):  
Novita P. Lumunon ◽  
Vonny N. S. Wowor ◽  
Damajanty H. C. Pangemanan

Abstract: Prevention and control of infection are needed in dentistry treatment. Tooth extraction is an invasive treatment, therefore, it plays an important role in the transmission of infection. This study was aimed to determine the prevention and control of cross infection in dental extractions at the Dental Clinic of Kakaskasen Tomohon Health Center. This was a descriptive observational study with a cross sectional design. There were 40 patients as subjects, obtained by using purposive sampling method. Data were obtained by using the checklist sheet. The results showed that the prevention of cross infection before tooth extraction achieved 56,87%; during tooth extractions 78%; and after tooth extraction 66,7%. In general, the prevention and control of cross-infection in dental extractions at the health center achieved 67.19%. Conclusion: The prevention and control of cross infection in dental extractions at the Dental Clinic of Kakaskasen Tomohon Health Center was still below maximum level.Keywords: prevention and control of cross-infection, tooth extraction action Abstrak: Pencegahan dan pengendalian infeksi dibutuhkan dalam setiap tindakan perawatan di bidang kedokteran gigi. Tindakan ekstraksi gigi merupakan salah satu jenis tindakan invasif sehingga berisiko tinggi dalam penularan infeksi. Penelitian ini bertujuan untuk mengetahui pencegahan dan pengendalian infeksi silang pada tindakan ekstraksi gigi di Poliklinik Gigi Puskesmas Kakaskasen Tomohon. Jenis penelitian ialah deskriptif observasional dengan menggunakan desain potong lintang. Pengambilan sampel menggunakan metode purposive sampling. Terdapat 40 pasien sebagai subyek penelitian. Data diperoleh dengan menggunakan lembar checklist. Hasil penelitian mendapatkan bahwa tindakan pencegahan dan pengendalian infeksi silang sebelum ekstraksi gigi dilakukan sebesar 56,87%; selama ekstraksi gigi sebesar 78%; dan setelah ekstraksi gigi sebesar 66,7%. Tindakan pencegahan dan pengendalian infeksi silang secara umum sebesar 67,19%. Simpulan: Pencegahan dan pengendalian infeksi silang pada tindakan ekstraksi gigi baik sebelum, selama, dan sesudah tindakan di Poliklinik Gigi Puskesmas Kakaskasen Tomohon belum maksimal.Kata kunci: Pencegahan dan pengendalian infeksi silang, tindakan ekstraksi gigi


2019 ◽  
Vol 6 ◽  
pp. 1
Author(s):  
Kusuma Arbianti ◽  
Meiliana Hanirizqy

Background: A cross infection is the displacement of the infection agents between patients and health ofcers. Knowledge and behaviors of using personal protective equipment (PPE) are needed to prevent and control the infections. The aim of this study is to fnd out the behaviors of the dentists in using PPE at RSIGM Sultan Agung Semarang.Method: This research is descriptive study using cross sectional approach. There were 19 dentists as the respondents. It was using sampling technique. The data collection was done by providing questionnaire concerning the knowledge and observing the behaviors in using PPE. Statistical analysis used Spearman rho.Result: The Spearman rho test obtained the sig value 0,043 (P<0,05) with a correlation coefcient of 0,469. It can be concluded there is signifcant relationship between the dentist knowledge on the use of PPE at RSIGM Sultan Agung Semarang, with the strength of moderate relationships. Observation results of dentist behavior showed: 42.2% had a moderate category.Conclusion: Thus, it can be concluded that the knowledge is related to dentist behaviors in using PPE is in moderate category. Moreover, the dentist behaviors in using PPE can be influenced by several factors such as the lack of isolation awareness, the surveillance of Prevention and Control of Infection (PPI), the PPI education and training.


2019 ◽  
Vol 7 (2) ◽  
Author(s):  
Moh. Fahmi M. Mokodompit ◽  
Vonny N. S. Wowor ◽  
Christy N. Mintjelungan

Abstract: One of the high-risk actions in dentistry that can cause cross-infection is tooth extraction because its direct contact with blood, saliva, and critical instrument. This study was aimed to determine the prevention and control of cross infection in dental extractions at the Dentistry Clilnic of Rumah Sakit Pancaran Kasih Manado. This was a descriptive observational study with a cross sectional design. There were 35 subjects in this study obtained by using purposive sampling method. Data were obtained by using a checklist. The results showed that the prevention and control of cross- infection before dental extraction achieved 46,07%; during dental extraction 59.92%; and after dental extraction 23,81%. The mean achievement for dental extraction was 60.59%. It is concluded that the prevention and control of cross-infection in dental extraction at the Dentistry Clinic of Rumah Sakit Pancaran Kasih Manado was below maximum level.Keywords: prevention and control of cross-infection, tooth extractionAbstrak: Salah satu tindakan medis di bidang kedokteran gigi yang mempunyai risiko tinggi terjadinya infeksi silang ialah tindakan ekstraksi gigi karena pada saat pelaksanaannya banyak berkontak dengan darah, saliva, dan instrumen berkategori kritis. Penelitian ini bertujuan untuk mengetahui gambaran tindakan pencegahan dan pengendalian infeksi pada tindakan ekstraksi gigi di Poliklinik Gigi Rumah Sakit Pancaran Kasih Manado. Jenis penelitian ialah deskriptif observasional dengan desain potong lintang. Jumlah subyek sebanyak 35 pasien, diperoleh menggunakan metode purposive sampling. Data penelitian diperoleh dengan menggunakan lembar checklist. Hasil penelitian menunjukkan bahwa pencegahan dan pengen-dalian infeksi silang sebelum tindakan ekstraksi gigi sebesar 46,07%; selama tindakan sebesar 59,92%; dan setelah tindakan sebesar 23,81%. Hasil rerata keseluruhan tindakan ekstraksi gigi dilakukan sebesar 60,59%. Simpulan penelitian ini ialah tindakan ekstraksi gigi di Poli Gigi Rumah Sakit Pancaran Kasih Manado belum maksimal.Kata kunci: pencegahan dan pengendalian infeksi, tindakan ekstraksi gigi


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Saiendhra Vasudevan Moodley ◽  
Muzimkhulu Zungu ◽  
Molebogeng Malotle ◽  
Kuku Voyi ◽  
Nico Claassen ◽  
...  

Abstract Background Health workers are crucial to the successful implementation of infection prevention and control strategies to limit the transmission of SARS-CoV-2 at healthcare facilities. The aim of our study was to determine SARS-CoV-2 infection prevention and control knowledge and attitudes of frontline health workers in four provinces of South Africa as well as explore some elements of health worker and health facility infection prevention and control practices. Methods A cross-sectional study design was utilised. The study population comprised both clinical and non-clinical staff working in casualty departments, outpatient departments, and entrance points of health facilities. A structured self-administered questionnaire was developed using the World Health Organization guidance as the basis for the knowledge questions. COVID-19 protocols were observed during data collection. Results A total of 286 health workers from 47 health facilities at different levels of care participated in the survey. The mean score on the 10 knowledge items was 6.3 (SD = 1.6). Approximately two-thirds of participants (67.4%) answered six or more questions correctly while less than a quarter of all participants (24.1%) managed to score eight or more. A knowledge score of 8 or more was significantly associated with occupational category (being either a medical doctor or nurse), age (< 40 years) and level of hospital (tertiary level). Only half of participants (50.7%) felt adequately prepared to deal with patients with COVD-19 at the time of the survey. The health workers displaying attitudes that would put themselves or others at risk were in the minority. Only 55.6% of participants had received infection prevention and control training. Some participants indicated they did not have access to medical masks (11.8%) and gloves (9.9%) in their departments. Conclusions The attitudes of participants reflected a willingness to engage in appropriate SARS-CoV-2 infection prevention and control practices as well as a commitment to be involved in COVID-19 patient care. Ensuring adequate infection prevention and control training for all staff and universal access to appropriate PPE were identified as key areas that needed to be addressed. Interim and final reports which identified key shortcomings that needed to be addressed were provided to the relevant provincial departments of health.


2019 ◽  
Author(s):  
Govha Emmanuel ◽  
Zizhou Simukai Tirivanhu ◽  
Shambira Gerald ◽  
Gombe Tafara Notion ◽  
Tsitsi Juru ◽  
...  

Abstract Background A healthcare-associated infection (HAI) is defined as an infection originating in the environment of a health facility that was not present or incubating at the time of patient admission. HAIs can be prevented through infection, prevention and control (IPC) measures. No hazard identification and risk assessment IPC rounds and monthly meetings were conducted in Goromonzi district since 1st of January to 30th of June 2018. No trainings nor orientation for the new employees was conducted. We therefore evaluated Goromonzi District IPC program. Methods A process-outcome evaluation using the logic model was conducted in Goromonzi district’s 15 health facilities. Checklists, interviewer administered questionnaires and key informant guides were used to collect data on availability of inputs, knowledge of health workers, processes performed, outputs and outcomes achieved. Data were entered into Epi Info 7TM, which was used to generate frequencies and proportions. Qualitative data from checklists and key informants interviews was sorted manually into themes and analysed. Results All 15 health facilities had adequate stocks of HIV test kits and PEP kits. Adequate bins and detergents were found in only 3/15 (20%) of health facilities. All facilities failed to hold a single IPC meeting and none had specific budget for IPC in 2018. No IPC mentorship activities were carried out in the district. Only 7/13 (54%) health workers who had needle pricks received PEP with 2/7 (29%) of them finishing the course. No health facility had a functional HAI surveillance system. The overall knowledge rating was fair. Conclusion The IPC program inputs in Goromonzi district were inadequate hence its failure to achieve the intended outputs and outcomes. Inadequate knowledge, unavailability of health worker training plans, specific budgets and absence of IPC committees reflected non prioritisation of the program.


Author(s):  
Hui Ding ◽  
Zhaoling Shi ◽  
Zhen Ruan ◽  
Xiaoning Cheng ◽  
Ruying Li ◽  
...  

ABSTRACT Since the outbreak of 2019 novel coronavirus (2019-nCoV) infection in Wuhan City, China, pediatric cases have gradually increased. It is very important to prevent cross-infection in pediatric fever clinics, to identify children with fever in pediatric fever clinics, and to strengthen the management of pediatric fever clinics. According to prevention and control programs, we propose the guidance on the management of pediatric fever clinics during the nCoV pneumonia epidemic period, which outlines in detail how to optimize processes, prevent cross-infection, provide health protection, and prevent disinfection of medical staff. The present consideration statement summarizes current strategies on the pre-diagnosis, triage, diagnosis, treatment, and prevention of 2019-nCoV infection, which provides practical suggestions on strengthening the management of pediatric fever clinics during the nCoV pneumonia epidemic period.


2008 ◽  
Vol 16 (6) ◽  
pp. 993-997 ◽  
Author(s):  
Francisco Carlos Félix Lana ◽  
Evaldo Pinheiro Amaral ◽  
Fernanda Moura Lanza ◽  
Andrigo Neves e Silva Lopes de Saldanha

Leprosy is potentially debilitating. The present study aims at describing and assessing the occurrence of physical disabilities in cases of leprosy in the population of the Vale do Jequitinhonha/MG, in the period 1998-2006. It is an epidemiological descriptive study and the data were collected from the Leprosy Notification Forms. This information was processed using EPI-INFO and analyzed, based on the indicators recommended by the Ministry of Health and the force of association between variables. Of the 1461 cases notified, 46.2% were diagnosed with some kind of physical disability (12.1% degree II). Of these, 59.1% were male; 96.9% of the people were over 15 years old, and 93.2% were multibacillary (p < 0.001). A hidden prevalence of 433 cases was estimated in the period 2002-2006. The results show that the diagnosis of Hansen's disease in the region is late, revealing the need to intensify prevention and control.


Author(s):  
Nizam Damani

The Manual of Infection Prevention and Control provides practical guidance on all aspects of healthcare-associated infections (HAIs). It outlines the basic concepts of infection prevention and control (IPC), modes of transmission, surveillance, control of outbreaks, epidemiology, and biostatistics. The book provides up-to-date advice on the triage and isolation of patients and on new and emerging infectious diseases, and with the use of illustrations, it provides a step-by-step approach on how to perform hand hygiene and how to don and take off personal protective equipment correctly. In addition, this section also outlines how to minimize cross-infection by healthcare building design and prevent the transmission of various infectious diseases from infected patients after death. The disinfection and sterilization section reviews how to risk assess, disinfect and/or sterilize medical items and equipment, antimicrobial activities, and the use of various chemical disinfectants and antiseptics, and how to decontaminate endoscopes. The section on the prevention of HAIs reviews and updates IPC guidance on the prevention of the most common HAIs, i.e. surgical site infections, infections associated with intravascular and urinary catheters, and hospital- and ventilator-acquired pneumonias. In view of the global emergence of antimicrobial resistance to the various pathogens, the book examines and provides practical advice on how to implement an antibiotic stewardship programme and prevent cross-infection against various multi-drug resistant pathogens. Amongst other pathogens, the book also reviews IPC precautions against various haemorrhagic and bloodborne viral infections. The section on support services discusses the protection of healthcare workers, kitchen, environmental cleaning, catering, laundry services, and clinical waste disposal services.


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