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Erschienen in: International Archives of Occupational and Environmental Health 1/2010

01.01.2010 | Original Article

Occupational exposures to bloodborne viruses among German dental professionals and students in a clinical setting

verfasst von: Sabine Wicker, Holger F. Rabenau

Erschienen in: International Archives of Occupational and Environmental Health | Ausgabe 1/2010

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Abstract

Purpose

Exposures to bloodborne pathogens pose a serious risk to dental healthcare workers (DHCW). Despite improved methods of preventing exposures like needlestick injuries (NSI), occupational exposures still continue to occur. The purpose of this study was to evaluate the incidence of occupational exposures to patient body fluids among German DHCW, to assess the rate of reporting of such incidents, and to evaluate the association of various factors with these exposures.

Methods

Data was obtained through an anonymous questionnaire.

Results

Our study confirms that occupational skills are an important factor concerning NSI. It turned out that dental students (0.74 NSI p. a.) had nearly twice the number of NSI compared with dentists with more or less than 10 years working experience (0.42, 0.49 NSI p. a., respectively, P < 0.0001). Overall, 54.3% (n = 144/265) of respondents had sustained at least one NSI in their professional life. Only 28.5% of injured dental students and DHCW reported all of their NSI, the main reason (19.1%) for not reporting NSI was little or no perception of risk on behalf of the respondent. One-fourth of respondents were not wearing a mask and 55.6% were not wearing protective goggles during their last occupational exposures.

Conclusions

Occupational exposure to blood or body fluids is a common problem among DHCW and dental students. Measures must be adopted by official institutions, public health service, occupational health association and universities in order to reverse this situation.
Literatur
Zurück zum Zitat Araujo MW, Andreana S (2002) Risk and prevention of transmission of infectious diseases in dentistry. Quintessence Int 33:376–382 Araujo MW, Andreana S (2002) Risk and prevention of transmission of infectious diseases in dentistry. Quintessence Int 33:376–382
Zurück zum Zitat Bellissimo-Rodrigues WT, Bellissimo-Rodrigues F, Machado AA (2006) Occupational exposures to biological fluids among a cohort of Brazilian dentists. Int Dent J 56:332–337 Bellissimo-Rodrigues WT, Bellissimo-Rodrigues F, Machado AA (2006) Occupational exposures to biological fluids among a cohort of Brazilian dentists. Int Dent J 56:332–337
Zurück zum Zitat Beltrami EM, Williams IT, Shapiro CN, Chamberland ME (2000) Risk and management of blood-borne infections in health care workers. Clin Microbiol Rev 13:385–407CrossRef Beltrami EM, Williams IT, Shapiro CN, Chamberland ME (2000) Risk and management of blood-borne infections in health care workers. Clin Microbiol Rev 13:385–407CrossRef
Zurück zum Zitat Callan RS, Caughman F, Budd ML (2006) Injury reports in a dental school: a two-year overview. J Dent Educ 70:1089–1097 Callan RS, Caughman F, Budd ML (2006) Injury reports in a dental school: a two-year overview. J Dent Educ 70:1089–1097
Zurück zum Zitat Chambers DW, Nadershahi NA, Chi H (2007) The origins of fear of occupational exposure in the clinical dental setting. J Dent Educ 71:242–248 Chambers DW, Nadershahi NA, Chi H (2007) The origins of fear of occupational exposure in the clinical dental setting. J Dent Educ 71:242–248
Zurück zum Zitat Cleveland JL, Cardo DM (2003) Occupational exposures to human immunodeficiency virus, hepatitis B virus, and hepatitis C virus: risk, prevention, and management. Dent Clin North Am 47:681–696CrossRef Cleveland JL, Cardo DM (2003) Occupational exposures to human immunodeficiency virus, hepatitis B virus, and hepatitis C virus: risk, prevention, and management. Dent Clin North Am 47:681–696CrossRef
Zurück zum Zitat Cleveland JL, Barker LK, Cuny EJ, Panlilio AL, National Surveillance System for Health Care Workers Group (2007) Preventing percutaneous injuries among dental health care personnel. J Am Dent Assoc 138:169–178 Cleveland JL, Barker LK, Cuny EJ, Panlilio AL, National Surveillance System for Health Care Workers Group (2007) Preventing percutaneous injuries among dental health care personnel. J Am Dent Assoc 138:169–178
Zurück zum Zitat Cuny E, Fredekind R (2002) OSHA bloodborne pathogens rule—revisions and clarifications. Compend Contin Educ Dent 23:191–194 Cuny E, Fredekind R (2002) OSHA bloodborne pathogens rule—revisions and clarifications. Compend Contin Educ Dent 23:191–194
Zurück zum Zitat David HT, Aminzadeh KK, Kae AH, Radomsky SC (2007) Instrument retraction to avoid needle-stick injuries during intraoral local anesthesia. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 103:e11–e13CrossRef David HT, Aminzadeh KK, Kae AH, Radomsky SC (2007) Instrument retraction to avoid needle-stick injuries during intraoral local anesthesia. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 103:e11–e13CrossRef
Zurück zum Zitat Gordon BL, Burke FJ, Bagg J, Marlborough HS, McHugh ES (2001) Systematic review of adherence to infection control guidelines in dentistry. J Dent 29:509–516CrossRef Gordon BL, Burke FJ, Bagg J, Marlborough HS, McHugh ES (2001) Systematic review of adherence to infection control guidelines in dentistry. J Dent 29:509–516CrossRef
Zurück zum Zitat Harte JA (2004) Looking inside the 2003 CDC dental infection control guidelines. J Calif Dent Assoc 32:919–930 Harte JA (2004) Looking inside the 2003 CDC dental infection control guidelines. J Calif Dent Assoc 32:919–930
Zurück zum Zitat Harte JA, Molinari JA (2007) Instrument cassettes for office safety and infection control. Compend Contin Educ Dent 28:596–600 Harte JA, Molinari JA (2007) Instrument cassettes for office safety and infection control. Compend Contin Educ Dent 28:596–600
Zurück zum Zitat Huber MA, Terezhalmy GT (2007) HIV: infection control issues for oral healthcare personnel. J Contemp Dent Pract 8:1–12 Huber MA, Terezhalmy GT (2007) HIV: infection control issues for oral healthcare personnel. J Contemp Dent Pract 8:1–12
Zurück zum Zitat Klein RS, Freemann K, Taylor PE, Stevens CE (1991) Occupational risk for hepatitis C virus infection among New York City dentists. Lancet 338:1539–1542CrossRef Klein RS, Freemann K, Taylor PE, Stevens CE (1991) Occupational risk for hepatitis C virus infection among New York City dentists. Lancet 338:1539–1542CrossRef
Zurück zum Zitat Kohn WG, Collins AS, Cleveland JL, Harte JA, Eklund KJ, Malvitz DM, Centers for Disease Control and Prevention (CDC) (2003) Guidelines for infection control in dental health-care settings—2003. MMWR 52(No. RR-17):1–61 Kohn WG, Collins AS, Cleveland JL, Harte JA, Eklund KJ, Malvitz DM, Centers for Disease Control and Prevention (CDC) (2003) Guidelines for infection control in dental health-care settings—2003. MMWR 52(No. RR-17):1–61
Zurück zum Zitat Leggat PA, Smith DR (2006) Prevalence of percutaneous exposure incidents amongst dentists in Queensland. Aust Dent J 51:158–161CrossRef Leggat PA, Smith DR (2006) Prevalence of percutaneous exposure incidents amongst dentists in Queensland. Aust Dent J 51:158–161CrossRef
Zurück zum Zitat Ramos-Gomez F, Elison J, Greenspan D, Bird W, Gerberding JL (1997) Accidental exposures to blood and body fluids among health care workers in dental teaching clinics: a prospective study. J Am Dent Assoc 128:1253–1261 Ramos-Gomez F, Elison J, Greenspan D, Bird W, Gerberding JL (1997) Accidental exposures to blood and body fluids among health care workers in dental teaching clinics: a prospective study. J Am Dent Assoc 128:1253–1261
Zurück zum Zitat Robert LM, Me Chamberland, Cleveland JL et al (1995) Investigations of patients of health care workers infected with HIV: the Centers for Disease Control and Prevention database. Ann Intern Med 122:653–657 Robert LM, Me Chamberland, Cleveland JL et al (1995) Investigations of patients of health care workers infected with HIV: the Centers for Disease Control and Prevention database. Ann Intern Med 122:653–657
Zurück zum Zitat Scully C, Moles DR, Fiske J (2007) Infection control: a survey of UK special care dentists and dental care professionals. Prim Dent Care 14:40–46CrossRef Scully C, Moles DR, Fiske J (2007) Infection control: a survey of UK special care dentists and dental care professionals. Prim Dent Care 14:40–46CrossRef
Zurück zum Zitat Shah SM, Merchant AT, Dosman JA (2006) Percutaneous injuries among dental professionals in Washington State. BMC Public Health 6:269CrossRef Shah SM, Merchant AT, Dosman JA (2006) Percutaneous injuries among dental professionals in Washington State. BMC Public Health 6:269CrossRef
Zurück zum Zitat Smith JL, Maynard JE, Berquist KR, Doto IL, Webster HM, Sheller MJ (1976) Comparative risk of hepatitis B among physicians and dentists. J Infect Dis 133:705–706 Smith JL, Maynard JE, Berquist KR, Doto IL, Webster HM, Sheller MJ (1976) Comparative risk of hepatitis B among physicians and dentists. J Infect Dis 133:705–706
Zurück zum Zitat Smith AJ, Cameron SO, Bagg J, Kennedy D (2001) Management of needlestick injuries in general dental practice. Br Dent J 190:645–650CrossRef Smith AJ, Cameron SO, Bagg J, Kennedy D (2001) Management of needlestick injuries in general dental practice. Br Dent J 190:645–650CrossRef
Zurück zum Zitat Stewardson DA, Palenik CJ, McHugh S, Burke FJ (2002) Occupational exposures occurring in students in a UK dental school. Eur J Dent Educ 6:104–113CrossRef Stewardson DA, Palenik CJ, McHugh S, Burke FJ (2002) Occupational exposures occurring in students in a UK dental school. Eur J Dent Educ 6:104–113CrossRef
Zurück zum Zitat Stewardson DA, McHugh S, Palenik CJ, Burke FJ (2003) Occupational exposures occurring among dental assistants in a UK dental school. Prim Dent Care 10:23–26CrossRef Stewardson DA, McHugh S, Palenik CJ, Burke FJ (2003) Occupational exposures occurring among dental assistants in a UK dental school. Prim Dent Care 10:23–26CrossRef
Zurück zum Zitat Technical Rule 250 (2003) Biological agents in health care and welfare facilities. BArbBL 11:53–73 [article in German] Technical Rule 250 (2003) Biological agents in health care and welfare facilities. BArbBL 11:53–73 [article in German]
Zurück zum Zitat Trapé-Cardoso M, Schenck P (2004) Reducing percutaneous injuries at an academic health center: a 5-year review. Am J Infect Control 32:301–305CrossRef Trapé-Cardoso M, Schenck P (2004) Reducing percutaneous injuries at an academic health center: a 5-year review. Am J Infect Control 32:301–305CrossRef
Zurück zum Zitat Wicker S, Cinatl J, Berger A, Doerr HW, Gottschalk R, Rabenau HF (2008a) Determination of risk of infection with bloodborne pathogens following a needlestick injury in hospital workers. Ann Occup Hyg 52:615–622CrossRef Wicker S, Cinatl J, Berger A, Doerr HW, Gottschalk R, Rabenau HF (2008a) Determination of risk of infection with bloodborne pathogens following a needlestick injury in hospital workers. Ann Occup Hyg 52:615–622CrossRef
Zurück zum Zitat Wicker S, Ludwig AM, Gottschalk R, Rabenau HF (2008b) Needlestick injuries among health care workers: Occupational hazard or avoidable hazard? Wien Klin Wochenschr 120:486–492CrossRef Wicker S, Ludwig AM, Gottschalk R, Rabenau HF (2008b) Needlestick injuries among health care workers: Occupational hazard or avoidable hazard? Wien Klin Wochenschr 120:486–492CrossRef
Zurück zum Zitat Wood AJ, Nadershahi NA, Fredekind RE, Cuny EJ, Chambers DW (2006) Student occupational exposure incidence: perception versus reality. J Dent Educ 70:1081–1088 Wood AJ, Nadershahi NA, Fredekind RE, Cuny EJ, Chambers DW (2006) Student occupational exposure incidence: perception versus reality. J Dent Educ 70:1081–1088
Zurück zum Zitat Younai FS, Murphy DC, Kotelchuck D (2001) Occupational exposures to blood in a dental teaching environment: results of a ten-year surveillance study. J Dent Educ 65:436–448 Younai FS, Murphy DC, Kotelchuck D (2001) Occupational exposures to blood in a dental teaching environment: results of a ten-year surveillance study. J Dent Educ 65:436–448
Metadaten
Titel
Occupational exposures to bloodborne viruses among German dental professionals and students in a clinical setting
verfasst von
Sabine Wicker
Holger F. Rabenau
Publikationsdatum
01.01.2010
Verlag
Springer-Verlag
Erschienen in
International Archives of Occupational and Environmental Health / Ausgabe 1/2010
Print ISSN: 0340-0131
Elektronische ISSN: 1432-1246
DOI
https://doi.org/10.1007/s00420-009-0452-3

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