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VOLUME 2 , ISSUE 2 ( April-June, 2011 ) > List of Articles

RESEARCH ARTICLE

Post-Exposure Prophylaxis: What Every Dental Personnel Should Know

Alexander, Simy Mathew

Citation Information : A, Mathew S. Post-Exposure Prophylaxis: What Every Dental Personnel Should Know. World J Dent 2011; 2 (2):169-174.

DOI: 10.5005/wjoud-2-2-169

License: CC BY-SA 4.0

Published Online: 01-06-2011

Copyright Statement:  Copyright © 2011; The Author(s).


Abstract

Percutaneous injuries in the dental office are one of the main risk factors for the transmission of diseases like hepatitis B (HBV), hepatitis C (HCV) and human immunodeficiency virus (HIV). HBV is an important infectious disease that is to be focused on in a dental setting. According to Centers for Disease Control and Prevention (CDC), dental work ranks first in the frequency of potential sources for acquiring viral hepatitis, while dental employment ranks eleventh. It is necessary that all dental practitioners are aware of the post-exposure prophylaxis (PEP) to be followed in case of exposure to HBV, HCV or HIV and the protocol followed in situations of exposure and that adequate reporting of the situation is performed. The protocol discussed is to be displayed in all dental settings so that every dental personnel will be aware of the necessary prophylaxis to be followed in any case of accidental exposure to infected source.


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  1. Needle stick transmission of hepatitis C. JAMA 2002;287:2406-13.
  2. Occupationally acquired infections in health care workers (Part 2). Ann Intern Med 1996;125:917-28.
  3. Prevalence of the patients with history of Hepatitis in a dental facility. Med Oral Patol Oral Cir Bucal Jan 2006;11:E29-32.
  4. Hepatitis B and HIV infections in dental professionals: Effectiveness of infection control procedures. J Can Dent Assoc Jan 1991;57(1):55-58.
  5. Hepatitis B and C viruses among Egyptian dentists. Egypt Dent J Jul 1995;41(3): 1217-26.
  6. Occupational risk of hepatitis C infections among general dentists and oral surgeons in North America. Am J Med Jan 1996;100(1):41-45.
  7. Hepatitis B and C among Berlin dental personnel: Incidence, risk factors, and effectiveness of barrier prevention measures. Epidemiology and Infection 2000;125:407-13.
  8. Hepatitis B and C in doctors and dentists in Nigeria. QJM: 90(6):417-22.
  9. Seropositivity for hepatitis B virus, vaccination coverage, and vaccine response in dentists from Campo Grande, Mato Grosso do Sul, Brazil. Mem Inst Oswaldo Cruz 2006;101(3):263-67.
  10. Basic infection control procedures in dental practice in Khartoum, Sudan. Int Dent J Dec 2004;54(6):413-17.
  11. Infection control procedures employed during dental practice in Haryana (India). The Internet Journal of Epidemiology 2006;3(2).
  12. Paired, quantitative measurements of hepatitis B virus DNA in saliva, urine and serum of chronic hepatitis B patients. Eur J Gastroenterol Hepatol 2005;17(11):1173-79.
  13. Paired measurements of quantitative hepatitis B virus DNA in saliva and serum of chronic hepatitis B patients: Implications for saliva as infectious agent. J Clin Virol 2004;29(2):92-94.
  14. Detection of HbsAg and HBV DNA in serum and saliva of HBV carriers. Southeast Asian J Trop Med Public Health 2000;31(2):419-21.
  15. Updated US Public Health Service guidelines for the management of occupational exposures to HBV, HCV and HIV and recommendations for post-exposure prophylaxis. MMWR 29 2001;50(No. RR-11):1-42.
  16. Low occupational risk of human immunodeficiency virus infection among dental professionals. NEJM. Volume 318:86-90 January 14, 1988;2.
  17. Absence of HIV transmission from an infected dentist to his patients: An epidemiologic and DNA sequence analysis. JAMA 1993;269:1802-06.
  18. Transmission of human immunodeficiency virus in a dental practice. Ann Intern Med 15 May 1992;116:798-805.
  19. Managing occupational risks in the dental office: HIV and the dental professional. J Am Dent Assoc 1994;125(7):847-52.
  20. Occupational risk of human immunodeficiency virus infection in healthcare workers: An overview. Am J Med 1997;102:9-15.
  21. The risk of occupational human immunodeficiency virus in health care workers: Italian Multicenter Study, The Italian Study Group on Occupational Risk of HIV Infection. Arch Intern Med 1993;153:1451-58.
  22. Human immunodeficiency virus (HIV) transmission in dentistry. J Dent Res 2006;85(9):794-800.
  23. LB Self-disclosure of HIV infection to dentists and physicians. J Am Dent Assoc 124(9):51-54.
  24. Post-exposure Prophylaxis: What every health care worker should know. MJAFI 2008;64:250-53.
  25. Updated US Public Health Service guidelines for the management of occupational exposures to HIV and recommendations for post-exposure prophylaxis. MMWR Sep 2005;54(No. RR-09):1-24.
  26. Available at http://http:/www.nacoonline.org/About_NACO/Policy__Guidelines. Accessed on 10.04.2009
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