Gloves Used In Dentistry For Infection Control

Abstract

Glove use in the health care setting has risen dramatically, when AIDS and potential contact exposure to hepatitis strains and other blood-borne pathogens became a concern. Nowdays, successful cross-infection control dictates that the dentist should be gloved whilst treating patients. To protect the operator from direct infection by microorganisms present in the patient’s mouth, and the patient from infection present in the operator, glove must form an impermeable barrier to potential pathogens. Latex, vinyl and nitrile gloves are available for this purpose and dentists should know their dermatological effects, quality and chemical compatibility. According to this study, nitrile and latex gloves provide better barrier protection than vinyl gloves. The barrier protection afforded by vinyl gloves is compromised so it is an appropriate barrier for low-risk procedures of short duration, nitrile or latex should be the glove of choice for high-risk situations, including exposure to blood-borne pathogens.

Keywords

• Dentist, gloves, infection

ENFEKSİYON KONTROLÜ İÇİN DİŞ HEKİMLİĞİNDE KULLANILAN ELDİVENLER

Abstract

Özellikle cerrahi girişimler sırasında AIDS, hepatit gibi ölümle sonuçlanabilen hastalıkların bulaşma riski sebebiyle bütün sağlık alanlarında eldiven kullanımı hızlı bir şekilde artmıştır. Diş hekimliğinde de iyi bir çapraz enfeksiyon kontrolü için diş hekiminin hasta muayene ederken eldiven giymesi gerekmektedir. Hasta ağzındaki mikroorganizmaların direkt enfeksiyonundan hekimi korumak ya da hekimde bulunan enfeksiyondan hastayı korumak için kullanılan eldivenler, iyi bariyer özelliğine sahip olmalıdır. Bu amaç için lateks, vinil ve nitril eldivenler kullanılır ve diş hekiminin hastaya uygulanacak işleme uygun eldiven seçebilmesi için bu materyallerin dermatolojik etkilerini, kalitesini ve kimyasal yapısını bilmesi gerekir. Yapılan çalışmalarda lateks ve nitril eldivenlerin vinil eldivenlere göre daha iyi koruma sağladığı bildirilmektedir. Dolayısıyla düşük riskli ve kısa süreli operasyonlarda bariyer özelliği tartışmalı vinil eldivenlerin; patojen bakteriler içeren kan kontaminasyonlu yüksek riskli operasyonlarda ise lateks ve nitril eldivenlerin kullanımı daha uygundur.

Keywords

• Diş hekimi, eldiven, enfeksiyon

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