Infection Control 2020 COVID-19
01. 02. ABOUT COVID-19 PREVENTION MEASURES What you need to know to prevent This is a new virus called severe yourself and others acute respiratory syndrome coronavirus 2 (SARS-CoV-2) 03. INFECTION CONTROL Is the discipline concerned with preventing nosocomial or healthcare- associated infection
Infection Control References AS/NZ NZS 4187:201 014 4 • Clean aning, ing, disi sinfecti ting g and sterilisi rilising g reusab able le medic ical al and surgic ical al instr trumen ents ts and equipmen ipment. t. Maintena tenance nce of associa ciate ted envir iron onmen ents ts in the health th care e facilit litie ies. s. NH NHMRC • Infecti ction Control ol Guidelines ines for the preventio vention n of transmis issi sion on of infec ecti tion n in the health thca care re setting tting 2010. 0. rd Edition Australi lian n Dental al Associatio iation n Guide delines ines for infe fect ctio ion n control l 3 rd tion 2015. • Dental al service vice restr tric icti tions s in COVID 19 Infection ction Contr trol l Policie cies and Proced cedures: res: via RHHM Intranet. et. • Infection ction Contr trol l Presenta sentati tion n for Dental al 2018, , Wendy Bacalja ja •
Behind this presentation will improve staff and patient care
COVID-19 COVID-19 is an infectious disease caused by the recently found virus known as SARS-CoV-2 (or coronavirus). Before the outbreak originated in Wuhan, China on December 2019.
What is Infection Control ? Policies and procedures that are put in place to prevent and minimize the risk of spreading infections
01. ABOUT CORONAVIRUS
SYMPTOMS OF COVID-19 HIGH FEVER TIREDNESS DRY COUGH The body temperature can The body feels completely Irritation and constant exceed 37.3 Celsius degrees tired and without energy to coughing without expelling or 99 Fahrenheit degrees perform normal tasks any mucus
SURFACES PEOPLE This disease can spread from person These small droplets land on to person through small droplets surfaces, which means any from the nose or the mouth when person that touches these the infected person coughs or surfaces and then their eyes, exhales. nose or mouth can become infected.
ASYMPTOMATIC PEOPLE Many people infected with COVID-19 show mild symptoms, especially during the first stages of the disease. Thus, you can still catch the disease from an infected person who only has a mere cough and does not feel ill.
INFOGRAPHICS TIREDNESS HIGH FEVER The body feels completely The body temperature can tired, without energy exceed 37.3 Celsius degrees DRY COUGH DIFFICULTY BREATHING Constant coughing without Breathing actually feels expelling any mucus more difficult
WHAT TO DO IF YOU HAVE SYMPTOMS STEP 01 STEP 03 You have symptoms or flu You will be given a like symptoms instructions on what to do STEP 02 Call the designated phone number for your region
WHAT TO DO IF YOU HAVE SYMPTOMS STEP 04 Patiently wait for the results of the test STEP 05 Follow the instructions provided by the doctor
ABOUT 80% OF PEOPLE RECOVER FROM THIS DISEASE WITHOUT NEEDING SPECIAL TREATMENT
CURRENT ANTIBIOTICS DO NOT WORK AGAINST CORONAVIRUS
02 PREVENTION MEASURES
PROTECTION MEASURES FOR PEOPLE THAT ARE IN OR VISITED INFECTED AREAS 01 02 Stay home if you do not feel well, even if If you need to go out make sure to follow you feel mild symptoms such as headaches, and maintain a safe distance slight fever and a runny nose 03 04 If you have difficulty breathing and/or a Call your provider and inform them of any high fever, seek medical advice as soon as recent travel, especially to countries with possible reported cases
PROTECTING YOURSELF AND PREVENTING THE SPREAD OF THE DISEASE Wash your hands with an Keep a distance of at least 1 Try your best not to touch your alcohol-based sanitizer or with meter between yourself and eyes, your nose and your soap and water anyone who coughs or sneezes mouth Cover your mouth and your Seek medical attention if you Follow the directions of your nose with your bent elbow or a have difficulty breathing and a national or local health tissue when coughing high fever authorities
HOW TO USE A MASK Before wearing a mask, wash your hands with an alcohol-based ● disinfectant or with soap and water. Cover your mouth and nose with the mask and make sure the mask is ● firmly pressed against your face. Do not touch the mask while you are wearing it; if you do, wash your ● hands with an alcohol-based disinfectant or with soap and water afterward. Replace the mask as soon as it gets wet and do not reuse disposable ● masks. Remove the mask from behind (do not touch its front side); throw it away ● in a closed container and then wash your hands with an alcohol-based disinfectant or with soap and water.
Dental Restrictions During COVID 19 Level 1-Restrictions All dental treatment using standard precautions for people who do not meet epidemiological or clinical risk factors for COVID-19 infection transmission. Restricted Services Level 1- Defer long services for people who do not meet epidemiological or clinical symptom criteria for COVID-19 Urgent dental treatment for people who do meet the symptom criteria for COVID-19 risk or confirmed as COVID-19 case, provided as per ADA Managing COVID-19 Guidelines.
LEVEL 2 RESTRICTIONS Provision of dental treatments that are unlikely to generate aerosols or where aerosols generated have the presence of minimal saliva/blood due to the use of rubber dam. This includes:- Examinations • • Simple non-invasive fillings without use of high-speed handpieces • Restorative procedures using high speed handpieces only provided with the use of rubber dam Non-surgical extractions • Hand scaling (no use of ultrasonic scalers) • Medical management of soft tissue presentations (such as ulcers) • • Temporomandibular dysfunction management Denture procedures • Preventative procedures such as the application of topical remineralising • agents : e.g. Fluoride Orthodontic treatment •
LEVEL 2 RESTRICTIONS Restricted Services, Defer Treatment • High-speed handpieces without the use of rubber dam Ultrasonic scalers • Surgical handpieces • All surgical extractions should be referred to specialist oral surgeons/ • oral and maxillofacial surgeons who will undertake these procedures using transmission based precautions. • Elective implant dental treatment should be delayed. Urgent dental treatment for people who DO meet epidemiological or clinical symptom criteria for COVID-19 risk or confirmed as a COVID-19 case, provided as per Australian Dental Association. Managing COVID-19 Guidelines.
LEVEL 3 RESTRICTIONS Only dental treatments that do not generate aerosols, or where treatments generating aerosols is limited to:- Management of patients with acute dental pain e.g. endo treatment • under rubber dam or extraction • Management of significantly damaged upper front teeth (e.g. due to trauma, with restorative treatment provided under rubber dam Soft tissue pathology e.g. ulcers • Management of complex medically compromised patients with dental • concerns which may compromise their systemic disease. • Management of those at a higher risk of rapid progression of dental disease due to socioeconomic or cultural factors Management of patients referred by medical practitioner for medically • necessary dental care.
LEVEL 3 RESTRICTIONS Restricted Services, Defer Treatment • Extractions of asymptomatic teeth without swelling Broken or chipped tooth/teeth • Bleeding or sore gums • Loose teeth without aspiration risk • Denture concerns • • Crown and bridge • Scale and clean Clicking/grating in the jaw joint • Urgent dental treatment for people who DO meet epidemiological or clinical symptom criteria for COVID-19 risk or confirmed as a COVID-19 case, provided as per Australian Dental Association. Managing COVID-19 Guidelines.
LEVEL 4 RESTRICTIONS Only the following dental treatments can be managed:- Swelling of the face, neck or mouth • Dental trauma causing change in the position of teeth, soft tissue • damage and/or significant pain • Significant bleeding • Difficulty opening the jaw and/ or swelling Referral from a specialist medical practitioner for assessment or • management of a patient receiving urgent medical care for medically necessary dental care Dental pain causing loss of sleep • • Ulcers persisting for 3+ weeks No routine dental treatment provided. All patients with acute dental pain or concerns to be directed to emergency care centres. (Hospitals)
LEVEL 4 RESTRICTIONS Defer all dental treatments for patients not fitting the risk categories identified above. Urgent dental treatment for people who DO meet epidemiological or clinical symptom criteria for COVID-19 risk or confirmed as a COVID-19 case, provided as per ADA Managing COVID-19 Guidelines.
03 INFECTION CONTROL
What is infection Control? Policies and procedures that are put into place to help minimise the risk of spreading infections from: • Patient to patient • Patient to staff member • Staff member to family-community
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