Journal of Oral and Maxillofacial Surgery
Volume 66, Issue 4 , Pages 704-710 , April 2008

High Incidence of Blood Exposure Due to Imperceptible Contaminated Splatters During Oral Surgery

  • Kohji Ishihama, DDS, PhD

      Affiliations

    • Clinical Fellow, First Department of Oral and Maxillofacial Surgery, Osaka University Graduate School of Dentistry, Suita City, Osaka, Japan.
    • Corresponding Author InformationAddress correspondence and reprint requests to Dr Ishihama: First Department of OMFS, Osaka University Graduate School of Dentistry, 1-8, Yamadaoka, Suita 565-0871, Japan
    • ,
  • Seiji Iida, DDS, PhD

      Affiliations

    • Associate Professor, First Department of Oral and Maxillofacial Surgery, Osaka University Graduate School of Dentistry, Suita City, Osaka, Japan.
    • ,
  • Hidehiko Koizumi, DDS, PhD

      Affiliations

    • Associate Professor, First Department of Oral and Maxillofacial Surgery, Osaka University Graduate School of Dentistry, Suita City, Osaka, Japan.
    • ,
  • Takenobu Wada, DDS

      Affiliations

    • Resident, First Department of Oral and Maxillofacial Surgery, Osaka University Graduate School of Dentistry, Suita City, Osaka, Japan.
    • ,
  • Tadafumi Adachi, DDS, PhD

      Affiliations

    • Clinical Fellow, First Department of Oral and Maxillofacial Surgery, Osaka University Graduate School of Dentistry, Suita City, Osaka, Japan.
    • ,
  • Emiko Isomura-Tanaka, DDS, PhD

      Affiliations

    • Clinical Fellow, First Department of Oral and Maxillofacial Surgery, Osaka University Graduate School of Dentistry, Suita City, Osaka, Japan.
    • ,
  • Tadashi Yamanishi, DDS, PhD

      Affiliations

    • Clinical Fellow, First Department of Oral and Maxillofacial Surgery, Osaka University Graduate School of Dentistry, Suita City, Osaka, Japan.
    • ,
  • Akifumi Enomoto, DDS, PhD

      Affiliations

    • Clinical Fellow, First Department of Oral and Maxillofacial Surgery, Osaka University Graduate School of Dentistry, Suita City, Osaka, Japan.
    • ,
  • Mikihiko Kogo, DDS, PhD

      Affiliations

    • Professor and Chair, First Department of Oral and Maxillofacial Surgery, Osaka University Graduate School of Dentistry, Suita City, Osaka, Japan.

References 

  1. Pietrabissa A, Merigliano S, Montorsi M, et al. Reducing the occupational risk of infections for the surgeon: Multicentric national survey on more than 15,000 surgical procedures. World J Surg. 1997;21:573
  2. Akduman D, Kim LE, Parks RL, et al. Use of personal protective equipment and operating room behaviors in four surgical subspecialties: Personal protective equipment and behaviors in surgery. Infect Control Hosp Epidemiol. 1999;20:110
  3. Aisien AO, Ujah IA. Risk of blood splashes to masks and goggles during cesarean section. Med Sci Monit. 2006;12:94
  4. Collins D, Rice J, Nicholson P, et al. Quantification of facial contamination with blood during orthopaedic procedures. J Hosp Infect. 2000;45:73
  5. Centers for Disease Control. Update: Universal precautions for prevention of transmission of human immunodeficiency virus, hepatitis B virus, and other bloodborne pathogens in health-care settings. MMWR Morb Mortal Wkly Rep. 1988;37:377
  6. United States Department of LaborOccupational Safety and Health Administration. Occupational exposure to bloodborne pathogens; final rule (29 CFR Part 1910.1030). Federal Register. 1991;56:64004
  7. Garner JS. Guideline for isolation precautions in hospitals (The Hospital Infection Control Practices Advisory Committee). Infect Control Hosp Epidemiol. 1996;17:53
  8. Grodsky M, Wright K, Kirk PL. Simplified preliminary blood testing—an improved technique and a comparative study of methods. J Crim Law Criminol Police Sci. 1951;42:95
  9. Cox M. A study of the sensitivity and specificity of four presumptive tests for blood. J Forensic Sci. 1991;36:1503
  10. Harrel SK, Molinari J. Aerosols and splatter in dentistry: A brief review of the literature and infection control implications. J Am Dent Assoc. 2004;135:429
  11. Barnes JB, Harrel SK, Rivera-Hidalgo F. Blood contamination of the aerosols produced by in vivo use of ultrasonic scalers. J Periodontol. 1998;69:434

PII: S0278-2391(07)01510-8

doi: 10.1016/j.joms.2007.06.663

Journal of Oral and Maxillofacial Surgery
Volume 66, Issue 4 , Pages 704-710 , April 2008

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