Are we clean enough?

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References

  1. 1

    Shah R, Collins J M, Hodge T M, Laing E R . A national study of cross infection control: ‘are we clean enough?’ Br Dent J 2009; 207: 267–274.

  2. 2

    General Dental Council. Standards for dental professionals. London: GDC, 2005.

  3. 3

    Haley R W, Culver D H, White J W et al. The efficacy of infection surveillance and control programs in preventing nosocomial infections in US hospitals. Am J Epidemiol 1985; 121: 182–205.

  4. 4

    National Insitute for Health and Clinical Excellence. Infection control – prevention of healthcare-associated infections in primary and community care. London: NICE, 2003.

  5. 5

    British Dental Association. Infection control in dentistry. Advice Sheet A12. London: BDA, 2003.

  6. 6

    British Orthodontic Society Development and Standards Committee. Advice sheet 21: medical history guidance. London: BOS, 2005.

  7. 7

    Centers for Disease Control and Prevention. Immunization of health-care workers: recommendations of the Advisory Committee on Immunization Practices (ACIP) and the Hospital Infection Control Practices Advisory Committee (HICPAC). MMWR Recomm Rep 1997; 46(RR-18): 1–42

  8. 8

    Department of Health. Health clearance for tuberculosis, hepatitis B, hepatitis C and HIV: new healthcare workers. London: Department of Health, 2007.

  9. 9

    Stone S P . Hand hygiene - the case for evidence-based education. J R Soc Med 2001; 94: 278–281.

  10. 10

    Ayliffe G A J, Lowbury E J L, Geddes A M, Williams J D . Control of hospital infection - a practical handbook, 3rd ed. London: Chapman and Hall Medical, 1992.

  11. 11

    National Patient Safety Agency NPSA/PASA. Hand hygiene project. In NPSA/PASA Reports & Documents. NPSA, 2004.

  12. 12

    The Council of the European Communities. Council Directive 93/42/EEC Medical Devices 1993.

  13. 13

    Kohn W G, Collins A S, Cleveland J L, Harte J A, Eklund K J, Malvitz D M ; Centers for Disease Control and Prevention. Guidelines for infection control in dental health-care settings – 2003. MMWR Recomm Rep 2003; 52(RR-17): 1–61.

  14. 14

    Miller C H, Palenik C J . Infection control and management of hazardous materials for the dental team. 3rd ed. Philadelphia: Elsevier/Mosby, 2005.

  15. 15

    Department of Health. Uniforms and workwear: an evidence base for developing local policy. London: Department of Health, 2007.

  16. 16

    Department of Health. HIV post-exposure prophylaxis. London: Department of Health, 2004.

  17. 17

    Centers for Disease Control and Prevention. Recommended infection control practices for dentistry, 1993. MMWR Recomm Rep 1993; 42(RR-8): 1–12.

  18. 18

    Williams J F, Johnston A M, Johnson B et al. Microbial contamination of dental unit water lines: prevalence, intensity and microbiological characteristics. J Am Dent Assoc 1993; 124: 59–65.

  19. 19

    Williams H N, Paszko-Kolva C, Shahamat M et al. Molecular techniques reveal high prevalence of Legionella in dental units. J Am Dent Assoc 1996; 127: 1188–1193.

  20. 20

    Health and Safety Commission. The control of Legionella bacteria in water systems. Approved code of practice and guidance. London: Health and Safety Commission, 2000.

  21. 21

    HMSO. Provision and Use of Work Equipment Regulations, 1998.

  22. 22

    NHS Estates. A protocol for the local decontamination of surgical instruments. London: Department of Health, 1999.

  23. 23

    Department of Health. National standards, local action: health and social care standards and planning framework 2005/6–2007/8. London: Department of Health, 2004.

  24. 24

    Lowe A H, Bagg J, Burke F J T et al. A study of blood contamination of Siqveland matrix bands. Br Dent J 2001; 192: 43–45.

  25. 25

    Crispin J . Cross infection – gambling against the odds. London: British Dental Health Foundation, 2004.

  26. 26

    Dowell T B . The problems of cross-infection in dentistry. Br Dent J 1986; 160: 131–134.

  27. 27

    Medical Devices Agency. Benchtop steam sterilizers-guidance on purchase, operation and maintenance. Publication no. MDA DB 2002(06). London: Medical Devices Agency, 2002.

  28. 28

    Andersen H K, Fiehn N E, Larsen T . Effect of steam sterilization inside the turbine chambers of dental turbines. Oral Surg Oral Med Oral Path Oral Radiol Endod 1999; 87: 184–188.

  29. 29

    Scully C, Smith A J, Bagg J . Prions and the human transmissible spongiform encephalopathies. Dent Clin North Am 2003; 47: 493–516.

  30. 30

    Whittaker A G, Graham E M, Baxter R L et al. Plasma cleaning of dental instruments. J Hosp Infect 2004; 56: 37–41.

  31. 31

    Department of Health. Advice for dentists on the re-use of endodontic instruments and variant Creuzfeldt-Jakob Disease (vCJD). London: Department of Health, 2007.

  32. 32

    Medical Devices Agency. Single-use medical devices: implications and consequences of re-use. Publication no. DB 2006(04). London: Medical Devices Agency, 2006.

  33. 33

    Leung R L, Schonfield S E . Gypsum casts as a potential source of microbial cross-contamination. J Prosthet Dent 1983; 49: 210–211.

  34. 34

    Al-Jabrah O, Al-Shumailan Y, Al-Rashdan M. Antimicrobial effect of 4 disinfectants on alginate, polyether, and polyvinyl siloxane impression materials. Int J Prosthodont 2007; 20: 299–307.

  35. 35

    Davenport J C. The denture surface. Br Dent J 1972; 133: 101–105.

  36. 36

    Cottone J A, Molinari J A . Selection for dental practice of chemical disinfectants and sterilants for hepatitis and AIDS. Aust Dent J 1987; 32: 368–374.

  37. 37

    McNeill M R, Coulter W A, Hussey D L . Disinfection of irreversible hydrocolloid impressions: a comparative study. Int J Prosthodont 1992; 5: 563–567.

  38. 38

    Beyerle M P, Hensley D M, Bradley D V Jr et al. Immersion disinfection of irreversible hydrocolloid impressions with sodium hypochlorite. Part I: microbiology. Int J Prosthodont 1994; 7: 234–238.

  39. 39

    Taylor R L, Wright P S, Maryan C . Disinfection procedures: their effect on the dimensional accuracy and surface quality of irreversible hydrocolloid impression materials and gypsum casts. Dent Mater 2002; 18: 103–110.

  40. 40

    Owen C P, Goolam R . Disinfection of impression materials to prevent viral cross contamination: a review and a protocol. Int J Prosthodont 1993; 6: 480–494.

  41. 41

    Department of Health. The controlled waste regulations. London: Department of Health, 1992.

  42. 42

    Department of Health. The hazardous waste (England and Wales) regulations. London: Department of Health, 2005.

  43. 43

    Scully C, Blake C, Griffiths M, Levers H . Protective wear and instrument sterilisation/disinfection in UK general dental practice. Health Trends 1994; 26: 21–22.

  44. 44

    Georgescu C E, Skaug N, Patrascu I . Cross-infection in dentistry. Biotechnol Lett 2002; 7: 861–868.

  45. 45

    Ayliffe G A J, Coates D, Hoffman P N . Chemical disinfection in hospitals. London: Public Health and Laboratory Services, 1984.

  46. 46

    Kugel G, Perry R D, Ferrari M, Lalicata P . Disinfection and communication practices: a study of U S dental laboratories. J Am Dent Assoc 2000; 131: 786–792.

  47. 47

    Gordon B L, Burke F J, Bagg J et al. Systematic review of adherence to infection control guidelines in dentistry. J Dent 2001; 29: 509–516.

  48. 48

    Davis D, BeGole E A . Compliance with infection-control procedures among Illinois orthodontists. Am J Orthod Dentofacial Orthop 1998; 113: 647–654.

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Acknowledgements

We would like to thank the British Orthodontic Society and Bonjela for sponsoring this national study, Mr Lee Standen for the data analysis, and Miss Karen Clarke, Miss Claire Hepworth and the orthodontic departments in the South-West Thames region for their assistance with the pilot study.

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Shah, R., Collins, J., Hodge, T. et al. Are we clean enough?. Vital 7, 40–46 (2010) doi:10.1038/vital1287

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