Author/Editor     Lešničar, Gorazd; Žerdoner, Daniel
Title     Aerogene in kapljične okužbe v zobozdravstvu
Translated title     Airborne and droplet infections in dentistry
Type     članek
Source     Zdrav Vestn
Vol. and No.     Letnik 72, št. 7-8
Publication year     2003
Volume     str. 447-51
Language     slo
Abstract     Background. In dental care institutions, patients as well as dentistry workers themselves are at risk of being exposed to various bacteria while on the other hand they both represent a source of such microorganisms. Apart from the infected patients and dental care personnel, modern apparatures used in dentistry along with inadequate and poorly maintained air conditioning appliances are the most significant agents of airborne and droplet infection spread. The paper preserats recommendations on permitted degrees of airborne pollution in dental and health care institutions and reasons for the occurrence of airborne infections. In ad diton, the authors list the most frequent microorganisms spread by airborne and droplet pathways, and suggest protective measures that can effectively prevent exposure to in fectious aerosols and droplets. Despite the plentiful evidence on the exposure of dental care workers and their patients to airborne infections, relatively scarce reports in the literature published so far have no allowed statistically significant conclusions on the morbidity due to airborne and droplet infections in dentistry. Conclusions. The paper calls attention to the importance o strict implementation of comprehensive hygienic measure that can prevent a great majority of airborne infections However, this can only be achieved through a high professic nal motivation, permanent education in the field of nosc comial infection prevention and employment of hygienists in dentistry.
Summary     Izhodišča. Bolniki v zobozdravniških ordinacijah in tudi zobozdravstveni delavci sami so lahko izpostavljeni številnim mikrobom, prav tako pa eni kot drugi predstavljajo izvor številnih mikroorganizmov. Sodobne aparature v zobozdravstvu in neustrezne ali slabo vzdrževane klimatske naprave so poleg okuženih bolnikov in zobozdravstvenega osebja najpomembnejši izvori za aerogeni in kapljični prenos okužb. V članku so navedena priporočila v zvezi z dovoljenimi stopnjami aerogenega onesnaževanja v (zobo)zdravstvenih ordinacijah in razlogi za prenos okužb po zraku. Našteti so tudi najpogostejši mikroorganizmi, ki se prenašajo aerogeno in kapljično, ter zaščitni ukrepi, s katerimi se obvarujemo pred kužnimi aerosoli in kapljicami. Kljub številnim podatkom o izpostavljenosti zobozdravstvenih delavcev in njihovih bolnikov okužbam, ki se prenašajo po zraku, skromni podatki v literaturi doslej niso prikazali statistično pomembnejšega števila zbolevanj zaradi mikroorganizmov, ki se v zobozdravstvu prenašajo aerogeno in kapljično. Zaključki. Članek želi opozoriti na dosledno upoštevanje vseh higienskih ukrepov, s katerimi lahko v veliki večini primerov preprečimo nastanek aerogenih okužb. To pa lahko dosežemo le z veliko stopnjo strokovne zavzetosti (motiviranosti), stalnim izobraževanjem na področju preprečevanja nozokomialnih okužb in zaposlovanjem higienikov vzobozdravstvu.
Descriptors     DENTAL HEALTH SERVICES
CROSS INFECTION
AEROSOLS
AIR MICROBIOLOGY