Patients Dr Khairi Izhar OO Dentistry before and now Dentistry before and now Dentistry before and now Why precaution is necessary Infectious Disease to be aware HIV AIDS Hepatitis ID: 1040747
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1. Management for Infectious Disease PatientsDr Khairi Izhar-O-O-
2. Dentistry before and now
3. Dentistry before and now
4. Dentistry before and now
5. Why precaution is necessary?
6. Infectious Disease to be awareHIV, AIDSHepatitisTuberculosisSTI (sexual transmitted infection) or STD (sexual transmitted disease)
7. HIV and AIDSHuman Immunodeficiency Virus and Acquired Immunodeficiency SyndromeLentivirus (subgroup Retrovirus) attack CD4 T cells (Helper T cells)Transmitted by:BloodVaginal secretionSemenBreastfeedPregnancy
8. HepatitisCause by Primary : viral infectionSecondary : drug, medication, toxin, alcohol, autoimmune5 type:Hepatitis AHepatitis BHepatitis CHepatitis DHepatitis ETransmitted by:IngestionBloodVaginal secretion SemenDevelop on active or carrier patient
9. TuberculosisCaused by Mycobacterium Tuberculosis2 typesLatent TBActive TBTransmitted byAirborne (coughs, sneezes, spits, laughs, or talks)
10. STI or STDSexual transmitted Infections or Sexual transmitted diseaseType of virus:Hepatitis BHepatitis CHIVHPVHerpes Simplex Virus (HSV)Type of bacteria:Chancroid (Haemophilus ducreyi)Chlamydia (Chlamydia trachomatis)Gonorrhea (Neisseria gonorrhoeae)Granuloma inguinale or (Klebsiella granulomatis)Mycoplasma genitaliumMycoplasma hominisSyphilis (Treponema pallidum)ParasiteFungal
11. Precaution as Health workerImmunization All dental health worker MUST to be immunized against HBV by vaccination
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15. Management of Infectious Disease Patient Schedule the patient at the end of the list.Number of staff to perform the procedure have to be limitedAll operator handling surfaces should place barrier plastic including head restOperator and assistant use standard precautionAt least 2 pair of glovesAt least 2 pair of face maskDisposable gown or apronFace shield During procedure Minimize formation of droplet and aerosolUsing high volume suction together with normal suctionIf possible, use rubber dam
16. Management of Infectious Disease PatientAfter procedureGown, glove, face mask, saliva ejector and barrier plastics should be thrown away into different clinical waste plastic, seal and label itAll exposed surface must be disinfect and leave it at least 10-15 minutesIf there is visible blood or pus, clean and disinfect with 0.5% sodium hypochlorite or 2% glutaraldehyde, rinseAll instrument including must be clean, immerse in disinfectant, seal it and autoclavedImmerse in disinfectant according to manufacturerImmerse overnight still debatable
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18. Management of Infectious Disease PatientHandpiece must be disinfect and leave it at least 3 minute before oiling and autoclaved Needle and scalpel blade dispose into sharp bin Denture:Immerse in 0.1% sodium hypochlorite for 10 minutes and rinseImpression: Rinse, get rid of excess water, spray with 0.1% sodium hypochlorite, put in closed container for 10 minutes.X-ray film:Dispose the cover, drop the film without touching itChange gloves after processing
19. Management of Infectious Disease PatientFor patient Tuberculosis Same procedure as explained beforeAddition by opening the nearby window to increase air circulation in the surgery room during procedureAfter procedure, leave it open at least 20-30 minutes
20. Needle Prick InjuryIf any of the staffs have needle prick injury incident, report to any OSH (occupational safety and health) team medical member.
21. Thank You