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Occupational safety among dental health-care workers.

Shimoji S, Ishihama K, Yamada H, Okayama M, Yasuda K, Shibutani T, Ogasawara T, Miyazawa H, Furusawa K - Adv Med Educ Pract (2010)

Bottom Line: Of the 66 workers who experienced sharps injuries, 20 workers (30.3%, 20/66) reported them to the hospital work safety team.The reason of low compliance of protective eyewear among dentists might relate to fine dental procedures.Appropriate information is important for the motive of wearing personal protective equipment, and an early educational program may have a potential to increase compliance with the use of that equipment.

View Article: PubMed Central - PubMed

Affiliation: Department of Oral and Maxillofacial Surgery, Matsumoto Dental University, Shiojiri, Japan.

ABSTRACT
Compared to other health-care workers, dental health-care workers come in close contact with patients and use a variety of sharp and high-speed rotating instruments. It is important to understand the characteristics of the occupational accidents that occur. We reviewed incident reports from April 1, 2005, to March 31, 2010, at Matsumoto Dental University Hospital. In addition, questionnaires dealing with identification of occupational safety issues, especially splash exposures, were conducted for dentists, dental hygienists, and nurses. Thirty-two occupational injuries were reported during the study period, including 23 sharp instrument injuries (71.9%), 6 splash exposures (18.8%), and 3 others. Of the six splash exposures, only two cases involved potential contamination with blood or other potentially infectious patient material. Of the 66 workers who experienced sharps injuries, 20 workers (30.3%, 20/66) reported them to the hospital work safety team. The questionnaire revealed high incident of splash exposures and conjunctiva exposures: 87.9% (51/58) and 60.3% (35/58) in dentists and 88.6% (39/44) and 61.4% (27/44) in dental hygienists. The compliance rate for routine use of protective eyewear was 60.3% (35/58) for dentists and 34.1% (15/44) for hygienists. Of the presented informational items included in the questionnaire, those that strongly persuaded respondents to use protective eyewear were 'splatters from the patient's mouth contain blood' (90%, 99/110) and 'dental operations at our clinic are performed based only on a questionnaire without serious examinations for HBV, HCV, and HIV' (71.8%, 79/110). The reason of low compliance of protective eyewear among dentists might relate to fine dental procedures. Appropriate information is important for the motive of wearing personal protective equipment, and an early educational program may have a potential to increase compliance with the use of that equipment.

No MeSH data available.


Related in: MedlinePlus

Typical sharp instruments. A) Stainless steel wires (0.4 mm in diameter). B) Dental turbine hand piece with diamond bur. C) File. D) Ultrasonic hand scalar with scalar tip. E) Explorer. F) Dental forceps.
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f1-amep-1-041: Typical sharp instruments. A) Stainless steel wires (0.4 mm in diameter). B) Dental turbine hand piece with diamond bur. C) File. D) Ultrasonic hand scalar with scalar tip. E) Explorer. F) Dental forceps.

Mentions: The number of sharps injuries among dentists accounted for 96 cases, and the kinds of instrument that caused injury included 26 cases of a syringe needle, 12 of a suture needle, 18 of a stainless wire (Figure 1A), 22 of a bur (Figure 1B), 11 of a file (Figure 1C), and 7 of a scalar tip (Figure 1D). Sharps injuries among dental hygienists accounted for 81 cases, including 23 cases of a file, 18 cases of a bur, 16 cases of a scalar tip, 10 cases of an explorer (Figure 1E), 6 cases of a syringe needle, 4 cases of a suture needle, 2 cases of a scalpel, and 2 cases of other sharps (a spatula and a stainless mole). Sharps injuries among nurses accounted for 17 cases or more, including 9 cases of a syringe needle, 4 cases of a suture needle, 2 cases of a stainless wire, and 2 cases of dental forceps (Figure 1F).


Occupational safety among dental health-care workers.

Shimoji S, Ishihama K, Yamada H, Okayama M, Yasuda K, Shibutani T, Ogasawara T, Miyazawa H, Furusawa K - Adv Med Educ Pract (2010)

Typical sharp instruments. A) Stainless steel wires (0.4 mm in diameter). B) Dental turbine hand piece with diamond bur. C) File. D) Ultrasonic hand scalar with scalar tip. E) Explorer. F) Dental forceps.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3643130&req=5

f1-amep-1-041: Typical sharp instruments. A) Stainless steel wires (0.4 mm in diameter). B) Dental turbine hand piece with diamond bur. C) File. D) Ultrasonic hand scalar with scalar tip. E) Explorer. F) Dental forceps.
Mentions: The number of sharps injuries among dentists accounted for 96 cases, and the kinds of instrument that caused injury included 26 cases of a syringe needle, 12 of a suture needle, 18 of a stainless wire (Figure 1A), 22 of a bur (Figure 1B), 11 of a file (Figure 1C), and 7 of a scalar tip (Figure 1D). Sharps injuries among dental hygienists accounted for 81 cases, including 23 cases of a file, 18 cases of a bur, 16 cases of a scalar tip, 10 cases of an explorer (Figure 1E), 6 cases of a syringe needle, 4 cases of a suture needle, 2 cases of a scalpel, and 2 cases of other sharps (a spatula and a stainless mole). Sharps injuries among nurses accounted for 17 cases or more, including 9 cases of a syringe needle, 4 cases of a suture needle, 2 cases of a stainless wire, and 2 cases of dental forceps (Figure 1F).

Bottom Line: Of the 66 workers who experienced sharps injuries, 20 workers (30.3%, 20/66) reported them to the hospital work safety team.The reason of low compliance of protective eyewear among dentists might relate to fine dental procedures.Appropriate information is important for the motive of wearing personal protective equipment, and an early educational program may have a potential to increase compliance with the use of that equipment.

View Article: PubMed Central - PubMed

Affiliation: Department of Oral and Maxillofacial Surgery, Matsumoto Dental University, Shiojiri, Japan.

ABSTRACT
Compared to other health-care workers, dental health-care workers come in close contact with patients and use a variety of sharp and high-speed rotating instruments. It is important to understand the characteristics of the occupational accidents that occur. We reviewed incident reports from April 1, 2005, to March 31, 2010, at Matsumoto Dental University Hospital. In addition, questionnaires dealing with identification of occupational safety issues, especially splash exposures, were conducted for dentists, dental hygienists, and nurses. Thirty-two occupational injuries were reported during the study period, including 23 sharp instrument injuries (71.9%), 6 splash exposures (18.8%), and 3 others. Of the six splash exposures, only two cases involved potential contamination with blood or other potentially infectious patient material. Of the 66 workers who experienced sharps injuries, 20 workers (30.3%, 20/66) reported them to the hospital work safety team. The questionnaire revealed high incident of splash exposures and conjunctiva exposures: 87.9% (51/58) and 60.3% (35/58) in dentists and 88.6% (39/44) and 61.4% (27/44) in dental hygienists. The compliance rate for routine use of protective eyewear was 60.3% (35/58) for dentists and 34.1% (15/44) for hygienists. Of the presented informational items included in the questionnaire, those that strongly persuaded respondents to use protective eyewear were 'splatters from the patient's mouth contain blood' (90%, 99/110) and 'dental operations at our clinic are performed based only on a questionnaire without serious examinations for HBV, HCV, and HIV' (71.8%, 79/110). The reason of low compliance of protective eyewear among dentists might relate to fine dental procedures. Appropriate information is important for the motive of wearing personal protective equipment, and an early educational program may have a potential to increase compliance with the use of that equipment.

No MeSH data available.


Related in: MedlinePlus