Research On Monitoring And Protection Of Pathogenic Pathogenic Microorganism In Denal Clinics In Guilin

The oral cavity medical service health has gradually become the important topic which the people pays attention, as the development of the oral cavity medical service which causes the oral hygiene knowledge to popularization and the consciousness of people protect themselves strengthens unceasingly. The notice of the work which to strengthen for disinfection of oral cavity diagnosing instruments has also come on by the medical department. The oral cavity disease rate is higher in our country. The control of infection to the oral cavity's consulting room becomes extremely important, because the hepatitis B and AIDS virus carrier and latent infection patient are increasing in the crowd. The instrument of oral cavity branch is a tool which the oral cavity clinic treatment's patient is absolutely necessarily. The instrument of oral cavity branch is considered an mass media which disease is spreaded such as blood dissemination disease ,the digestive tract dissemination disease HBV virus, hepatitis C virus, AIDS virus vector and so on[1].The quantity of high speed handset's bacterium reaches to 5×104 ~ 5×106 cfu/cm2 on the hospital in our country. The masculine rate of HBsAg undulates in 5% ~ 30%, The masculine rate of HBsAg is 37% at the individual dental clinic instrument on the cities; and it reaches as high as 62% in the countryside[2].The disinfection and the antiseptic quality is one of the important factors which causes infection on the hospital, while the disinfection is not only the key but also the difficulty [3, 4] . It is an important method that shuts dissemination approach off from the instrument of oral cavity, strengthens instrument of oral cavity disinfection work during diagnosing and treating in medical establishment, safeguards medical service quality and the medical security, strengthens and improves the oral cavity branch disinfection antiseptic work, and the method also can defend against disease from the blood dissemination. It is very important to prevent infection from the hospital.According to incomplete statistics, there are more than 2,000 all levels of oral cavities medical establishments in Guangxi, there are 20,000 ~30,000 people receive a medical examination in all levels of oral cavities medical establishments every day, in this more than 2,000 oral cavities medical establishments, there are above 2/3 oral cavity clinics which are belong to individual registration. According to the investigation, at present there are above 60% oral cavities medical establishments which lack of the vacuum oral cavity instrument sterilizing machine at the all levels of oral cavities medical establishment in Guangxi, and can not carry on the effective antiseptic disinfection to the oral cavity nose. To contact the patient wound, the blood, damage the mucous membrane or enter the human body aseptic organization some oral cavity medical instruments (for example the machine needle, expands needle, pulls out marrow needle, scalpel, cleans tooth machine, and so on) ,these instruments are mostly used the medicine fluid to soak, have not gotten the antiseptic requirements. It is a serious threat to the people that some oral cavity clinics did not disinfect to the instrument of oral cavity's diagnosis and treat or sampled it. It is estimated that the hepatitis B virus's patient which was infected by the way of oral cavity treatment will increase about 150,000 every year.The topic takes first investigation in Guangxi of Guilin, has carried on the investigation examination dentistry diagnoses and treats after the medical instrument (with drill, the tooth probe, to pull out the die tongs, stoma to scope, tweezers, spatula and so on, the key for uses after the handset which repairs, the tooth week treatment, the tooth body and the endodontical treatment on pollutes, for the disinfection and is antiseptic after the consulting room, Uses around the term of validity the handset)——before the treatment these articles all for pass through the clean or the disinfection, the venom in use disinfectant viral pollution with HBV, HCV, HIV syphilis situation and so on, as well as the air, the using disappears, the object surface (including treats chair, healer tables and so on), the medical personnel hands, the antiseptic surgery instrument, the disposable medical thing and so on carries on the spot check, In analysis oral cavity treatment overlapping infection vector, dissemination way, formulates this local prevention overlapping infection principle and the measure. The goal completes protecting medical careper sonnel's oneself, prevented in hospitol over lapping infection dissemination, guaranteed the medical safety and the public health security, establish Management with the new idea of the oral cavity outpatient service disinfection.Research content:1. Investigation use pollution situation of dentistry instrument around disinfection and antiseptic processing HBsAg, HIV; Makes hospital oral cavity and the individual dentistry total qualified rate whether does have the remarkable difference;2 .Examination air of the dentistry consulting room and monitoring of instrument clinical bacterium study; 3 .Investigations patient with chronic hepatitis B, hepatitis C after the dentistry treatment, the consulting room environment and the instrument the degree and the disinfection effect appraisal which pollutes;4. Makes the contrast between strict disinfection and the general ordinary disinfection, makes the analytics significance, and draws up the antiseptically present of Guilin dental clinic disinfection in the feasibilly planning.5. Through the examination oral cavity out patient service surgery of the ratio in which the instrument pollutes, discussion oral cavity doctor protection and prevents the over lapping infection the guard measure and the principle.From this project investigation monitor table and the medicine statistical analysis we may know:1. Around the faculty hospital and individual dentistry disinfection and antiseptic processing HBsAg pollution existence difference, but is not remarkable;2. There has significant difference between the two groups between the strict disinfection and the general ordinary disinfection;3. The air and the instrument of the dental clinic bacterium monitor indicated that, the pollution of bacillussubtilus, golden yellow staphylococcus, chain coccus, micro coccus, verdigris fungus and so on still exists.The Guilin dentistry outpatient service disinfection work is still stern, must long grasp unremittingly, strengthens the supervising and managing dynamics.