NR AAWL
AU Bagg,J.; Sweeney,C.P.; Roy,K.M.; Sharp,T.; Smith,A.J.
TI Cross infection control measures and the treatment of patients at risk of Creutzfeldt Jakob disease in UK general dental practice
QU British Dental Journal 2001 Jul 28; 191(2): 87-90
KI Br Dent J. 2001 Oct 27;191(8):418-9. PMID: 11720014 Br Dent J. 2001 Oct 27;191(8):419. PMID: 11720015
PT journal article
AB AIMS: To determine the suitability of key infection control measures currently employed in UK dental practice for delivery of dental care to patients at risk of prion diseases. MATERIALS AND METHODS: Subjects: Five hundred dental surgeons currently registered with the General Dental Council of the UK. Data collection: Structured postal questionnaire. Analysis: Frequencies, cross-tabulations and chi-squared analysis. RESULTS: The valid response rate to the questionnaire was 69%. 33% of practices had no policy on general disinfection and sterilisation procedures. Only 10 of the 327 responding practices (3%) possessed a vacuum autoclave. 49% of dentists reported using the BDA medical history form but less than 25% asked the specific questions recommended by the BDA to identify patients at risk of iatrogenic or familial CJD. However, 63% of practitioners would refer such patients, if identified, to a secondary care facility. Of the 107 practitioners who were prepared to provide dental treatment, 75 (70%) would do so using routine infection control procedures. CONCLUSIONS: Most of the dental practices surveyed were not actively seeking to identify patients at risk of prion diseases. In many cases, recommended procedures for providing safe dental care for such patients were not in place.
MH Adult; Creutzfeldt-Jakob Syndrome/prevention & control/*transmission; *Dental Care for Chronically Ill; Dentist's Practice Patterns; Disinfection/methods; Female; General Practice, Dental; Great Britain; Human; Infection Control, Dental/instrumentation/*methods; Male; Medical History Taking; Middle Age; Questionnaires; Referral and Consultation; Sterilization/instrumentation/methods
AD Trust Audit Office, Glasgow Dental Hospital School. j.bagg@dental.gla.ac.uk
SP englisch
PO England