scholarly journals PENCEGAHAN DAN PENGENDALIAN INFEKSI SILANG PADA TINDAKAN EKSTRAKSI GIGI DI RUMAH SAKIT GIGI DAN MULUT PSPDG FK UNSRAT

e-GIGI ◽  
2015 ◽  
Vol 3 (2) ◽  
Author(s):  
Meilan M. Suleh ◽  
Vonny N. S. Wowor ◽  
Christy N. Mintjelungan

Abstract: Tooth extraction is one of the high risk actions that can cause cross-infection. Prevention and control of a cross-infection is needed in tooth extraction because the field of dentistry work contacts directly with blood and saliva. This was a descriptive observational study with a cross sectional design. There were 44 samples obtained by using purposive sampling method. This study aimed to determine the prevention and control of cross infection in dental extractions at the Dental Hospital PSPDG FK Unsrat. The results showed that the prevention and control of cross-infection pre-action tooth extraction was 37.4%. The prevention of cross infection control during dental extractions was 60.26%. The prevention of cross infection control after tooth extraction was 47.16%. In general, prevention and cross-infection control in dental extractions at the Dental Hospital PSDDG FK Unsrat was only done by 48.23%.Keywords: prevention and control of cross-infection, tooth extraction actionAbstrak: Ekstraksi gigi merupakan salah satu tindakan berisiko tinggi menyebabkan terjadinya infeksi silang. Pencegahan dan pengendalian infeksi silang sangat dibutuhkan pada tindakan ekstraksi gigi, karena bidang kerja kedokteran gigi berhubungan langsung dengan darah dan saliva. Jenis penelitian ini deskritif observasional dengan desain potong lintang. Pengambilan sampel menggunakan metode purposive sampling dengan jumlah 44 sampel. Penelitian ini bertujuan untuk mengetahui pencegahan dan pengendalian infeksi silang pada tindakan ekstraksi gigi di Rumah Sakit Gigi dan Mulut PSPDG FK Unsrat. Hasil penelitian menunjukkan bahwa pencegahan dan pengendalian infeksi silang pra tindakan ekstraksi gigi dilakukan sebesar 37,4%. Pencegahan dan pengendalian infeksi silang selama tindakan ekstraksi gigi dilakukan sebesar 60,26%. Pencegahan dan pengendalian infeksi silang paska tindakan ekstraksi gigi dilakukan sebesar 47,16%. Secara umum, pencegahan dan pengendalian infeksi silang pada tindakan ekstraksi gigi di RSGM PSDDG FK Unsrat hanya dilakukan sebesar 48,23%.Kata kunci: pencegahan dan pengendalian infeksi silang, tindakan 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 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 ◽  
pp. 175717742110127
Author(s):  
Salma Abbas ◽  
Faisal Sultan

Background: Patient and staff safety at healthcare facilities during outbreaks hinges on a prompt infection prevention and control response. Physicians leading these programmes have encountered numerous obstacles during the pandemic. Aim/objective: The aim of this study was to evaluate infection prevention and control practices and explore the challenges in Pakistan during the coronavirus disease 2019 pandemic. Methods: We conducted a cross-sectional study and administered a survey to physicians leading infection prevention and control programmes at 18 hospitals in Pakistan. Results: All participants implemented universal masking, limited the intake of patients and designated separate triage areas, wards and intensive care units for coronavirus disease 2019 patients at their hospitals. Eleven (61%) physicians reported personal protective equipment shortages. Staff at three (17%) hospitals worked without the appropriate personal protective equipment due to limited supplies. All participants felt overworked and 17 (94%) reported stress. Physicians identified the lack of negative pressure rooms, fear and anxiety among hospital staff, rapidly evolving guidelines, personal protective equipment shortages and opposition from hospital staff regarding the choice of recommended personal protective equipment as major challenges during the pandemic. Discussion: The results of this study highlight the challenges faced by physicians leading infection prevention and control programmes in Pakistan. It is essential to support infection prevention and control personnel and bridge the identified gaps to ensure patient and staff safety at healthcare facilities.


Author(s):  
Hala A Amer ◽  
Ibrahim A Alowidah ◽  
Chasteffi Bugtai ◽  
Barbara M. Soule ◽  
Ziad A Memish

Abstract Background: King Saud Medical City (KSMC) is a quaternary care center based in the center of the capital city, Riyadh, Kingdom of Saudi Arabia (KSA) and is one of the key Ministry of Health (MoH) facilities dedicated to the care of COVID-19 patients in the central region. Methods: A comprehensive surge plan was promptly launched in mid-March 2020 to address the pandemic and then expanded in a phase-wise approach. Supporting the capacity of the infection prevention and control department (IPCD) was one of the main pillars of KSMC surge plan. Task force Infection Control teams have been formulated to tackle the different aspects of pandemic containment processes. The challenges and measures undertaken by the IPC team have been described. Conclusion: Realizing the more prominent role of infection prevention and control staff as frontline responders to public health emergencies like COVID-19, a solid infection prevention and control system at the healthcare setting supported by qualified and sufficient manpower, a well-developed multidisciplinary team approach, electronic infrastructure and efficient supply utilization is required for effective crisis management.


2019 ◽  
Author(s):  
Stelios Iordanou ◽  
Nicos Middleton ◽  
Elizabeth Papathanassoglou ◽  
Lakis Palazis ◽  
VASILIOS RAFTOPOULOS

Abstract Background: Device-associated health care-associated infections (DA-HAIs) are a major threat to patient safety, particularly in the Intensive Care Unit (ICU). The aim of this study was to evaluate the effectiveness of a bundle of infection control measures to reduce DA-HAIs in the ICU of a General Hospital in the Republic of Cyprus, over a three-year period. Methods: We studied 599 ICU patients with length of stay (LOS) for at least 48 hours. Our prospective cohort study was divided into three surveillance phases. VAP, CLABSI, and CAUTI incidence rates, LOS and mortality were calculated before, during and after the infection prevention and control program. Results: There was a statistically significant reduction in the number of DA-HAI events during the surveillance periods, associated with DA-HAIs prevention efforts. In 2015 (prior to program implementation), the baseline DA-HAIs instances were 43: 16 VAP (10.1/1000 Device Days), 21 (15.9/1000DD) CLABSIs and 6 (2.66/1000DD) CAUTIs, (n=198). During the second phase (2016), CLABSIs prevention measures were implemented and the number of infections were 24: 14 VAP (12.21/1000DD), 4 (4.2/1000DD) CLABSIs & 6 (3.22/1000DD) CAUTIs, (n=184). During the third phase (2017), VAP and CAUTI prevention measure were again implemented and the rates were 6: (3 VAP: 12.21/1000DD), 2 (1.95/1000DD) CLABSIs & 1 (0.41/1000DD) CAUTIs, (n=217). There was an overall reduction of 87% in the total number of DA-HAIs instances for the period 01/01/15 to 31/12/17. Conclusions: The significant overall reduction in DA-HAI rates, indicates that a comprehensive infection control program can affect DA-HAI rates.


2017 ◽  
Vol 4 (suppl_1) ◽  
pp. S407-S407
Author(s):  
Kate Tyner ◽  
Regina Nailon ◽  
Sue Beach ◽  
Margaret Drake ◽  
Teresa Fitzgerald ◽  
...  

Abstract Background Little is known about hand hygiene (HH) policies and practices in long-term care facilities (LTCF). Hence, we decided to study the frequency of HH-related infection control (IC) gaps and the factors associated with it. Methods The Nebraska (NE) Infection Control Assessment and Promotion Program (ICAP) in collaboration with NE Department of Health and Human Services conducted in-person surveys and on-site observations to assess infection prevention and control programs (IPCP) in 30 LTCF from 11/2015 to 3/2017. The Centers for Disease Control and Prevention (CDC) Infection Prevention and Control Assessment tool for LTCF was used for on-site interviews and the Centers for Medicare and Medicaid (CMS) Hospital IC Worksheet was used for observations. Gap frequencies were calculated for questions (6 on CDC survey and 8 on CMS worksheet) representing best practice recommendations (BPR). The factors studied for the association with the gaps included LTCF bed size (BS), hospital affiliation (HA), having trained infection preventionists (IP), and weekly hours (WH)/ 100 bed spent by IP on IPCP. Fisher’s exact test and Mann Whitney test were used for statistical analyses. Results HH-related IC gap frequencies from on-site interviews are displayed in Figure 1. Only 6 (20%) LTCF reported having all 6 BPR in place and 10 (33%) having 5 BPR. LTCF with fewer gaps (5 to 6 BPR in place) appear more likely to have HA as compared with the LTCF with more gaps but the difference didn’t reach statistical significance (37.5% vs. 7.1%, P = 0.09). When analyzed separately for each gap, it was found that LTCF with HA are more likely to have a policy on preferential use of alcohol based hand rubs than the ones without HA. (85.7%, vs. 26.1% P = 0.008). Several IC gaps were also identified during observations (Figure 2) with one of them being overall HH compliance of <80%. LTCF that have over 90% HH compliance are more likely to have higher median IP WH/100 beds dedicated towards IPCP as compared with the LTCFs with less than 90% compliance (16.4 vs. 4.4, P < 0.05). Conclusion Many HH-related IC gaps still exist in LTCF and require mitigation. Mitigation strategies may include encouraging LTCF to collaborate with IP at local acute care hospitals for guidance on IC activities and to increase dedicated IP times towards IPCP in LTCF. Disclosures All authors: No reported disclosures.


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.


2021 ◽  
Vol 15 (1) ◽  
pp. 64-70
Author(s):  
Ali AlAhdal ◽  
Haila Al-Huraishi ◽  
Ahmad Almalag ◽  
Adel Alrusayes ◽  
Saud M Orfali

Objective: Novel newly discovered coronavirus, also known as severe acute respiratory syndrome coronavirus-2, is a recently emerging virus that has been rapidly spreading globally since December 2019. Due to the vicinity inoro-dental treatment and aerosol production, people inside the dental office are at high risk of being infected with severe acute respiratory syndrome coronavirus-2. This guideline aims to protect the dental health-care workers during their plans to re-open and increasingly continue their routine services until further notice from their governing body. Methods: A panel of experts in dentistry and infection prevention and control reviewed the local and global research and guidelines related to infection prevention and control during coronavirus disease-2019, along with the re-opening guidance provided by different entities. Results: Such a document might either be adopted or adapted to any regional and international organization that wishes to use a revised professional guideline in infection prevention and control dental services. Conclusion: A careful re-opening plan should be developed and implemented, including strict infection control measures before resuming the dental practice.


PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0254432
Author(s):  
Bui Thi Thu Ha ◽  
La Ngoc Quang ◽  
Pham Quoc Thanh ◽  
Duong Minh Duc ◽  
Tolib Mirzoev ◽  
...  

Introduction Community engagement (CE) is an effective public health strategy for improving health outcomes. There is limited published knowledge about effective approaches to CE in ensuring effective responses to COVID-19 throughout lockdowns, travel restrictions and social distancing. In this paper, we contribute to bridging this gap by highlighting experience of CE in Vietnam, specifically focusing on migrant workers in Vietnam. Methods A cross-sectional qualitative study design was used with qualitative data collection was carried out during August-October 2020. Two districts were purposefully selected from two large industrial zones. Data was collected using in-depth interviews (n = 36) with individuals and households, migrants and owners of dormitories, industrial zone factory representatives, community representatives and health authorities. Data was analyzed using thematic analysis approach. The study received ethics approval from the Hanoi University Institutional Review Board. Results The government’s response to COVID-19 was spearheaded by the multi-sectoral National Steering Committee for the Prevention and Control of COVID-19, chaired by the Vice Prime Minister and comprised different members from 23 ministries. This structure was replicated throughout the province and local levels and all public and private organizations. Different activities were carried out by local communities, following four key principles of infection control: early detection, isolation, quarantine and hospitalization. We found three key determinants of engagement of migrant workers with COVID-19 prevention and control: availability of resources, appropriate capacity strengthening, transparent and continuous communication and a sense of trust in government legitimacy. Discussion and conclusion Our results support the current literature on CE in infection control which highlights the importance of context and suggests that future CE should consider five key components: multi-sectoral collaboration with a whole-of-community approach to strengthen governance structures with context-specific partnerships; mobilization of resources and decentralization of decision making to encourage self-reliance and building of local capacity; capacity building through training and supervision to local institutions; transparent and clear communication of health risks and sensitization of local communities to improve compliance and foster trust in the government measures; and understanding the urgent needs ensuring of social security and engaging all parts of the community, specifically the vulnerable groups.


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