Gloves Used In Dentistry For Infection Control

Yıl 2009, Cilt: 18 Sayı: 1, 38 - 42, 01.03.2009

Mustafa Zortuk

Öz

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.

Anahtar Kelimeler

Dentist, gloves, infection

ENFEKSİYON KONTROLÜ İÇİN DİŞ HEKİMLİĞİNDE KULLANILAN ELDİVENLER

Öz

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.

Anahtar Kelimeler

Diş hekimi, eldiven, enfeksiyon

Kaynakça

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