Although there are many signs that the swine flu pandemic is well controlled, now there is more information about how to prevent transmission of H1N1 virus and what the first measures to be taken on suspicion and confirmation.
in addition to publicize and reinforce this information, the ABO guides on specific care to prevention within the dental practice, based on the views and opinions of specialists in biosecurity and health bodies and entities and
health.
surgeon-dentist and other professionals who work with him maintain a close contact of patients during the service, which creates opportunities for the flu virus to be transmitted, as well as the seasonal flu, since they are diseases transmitted by aerosols. Faced with this risk, the recommendation to postpone the CD is that patient’s query is confirmed case of influenza, or have symptoms, and forward it to the doctor
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This is also the direction of Enrique Acosta, dental surgeon and Director of the Organization for Safety and Asepsis Procedures (Replicationsap), international entity dedicated to Biosecurity in dentistry and partner of ABO. “Elective care of this patient can wait until he recovers and is no longer infectious,” says Acosta. He also points out that, similarly, professionals with the symptoms should refrain attendances.
This is also the position of the Center for Disease Control and Prevention (CDC), an organization dedicated to promoting health and quality of life through the prevention and control of diseases, which also guides about how to conduct the patients who come to the clinic with flu symptoms, before your call is canceled, with the goal of also protect other gifts. According to the CDC, this patient should be identified on receipt, to be prompted to use a surgical mask and also offered him scarves, if you need. On their website, the entity provides full material about H1N1 infection control (www.cdc.gov/swineflu/guidelines_infection_control.htm).
urgent Calls
But what to do if a patient with symptoms or confirmed case of influenza A request dental care to be in pain? According to Acosta, the ideal would be to perform the query on a prepared environment to isolate infection by air, which can be found in hospitals. “However, I know that it will be difficult to achieve those conditions, in addition to the dental surgeon need special training to use these devices.”
but still the Director of Replicationsap reinforces that attendance should be postponed, primarily of persons already confirmed with the flu. “If it occurs, you can control the patient’s dental pain with analgásicos, anti-inflammatory and antibiotics, until he recovers from illness.”
in addition to these guidelines, in the Portal of ABO (www.abo.org.br), Technical Report is available for download on the swine flu, prepared by the Brazilian society of infectious diseases (SBI) and by the Brazilian Medical Association (AMB), with several guidelines for the health care professional. On the site of the Ministry of health (www.saude.gov.br) are also available the documents “Protocol of procedures for handling of cases and contacts of influenza A (H1N1)” and “Protocol for notification and investigation of cases”, among other
information and recommendations.
Office attention
in addition to these outstanding care to influenza, the surgeon-dentist and his team must also follow the biosecurity protocols already known in the area. “The correct use of personal protective equipment (PPE) to the frequent washing of hands are the most highlighted,” says the surgeon-dentist Renata Pittella, consultant on Biosafety of ABO. And she complete: “If the aseptic chain breaks, there is risk of cross contamination in dental practice, and not just by the H1N1 virus.”
the national health surveillance agency (Anvisa) provides online primer Respirators against biological agents for health workers, which guides the professional to take care of your health during service, preventing various infections, including by influenza a. the full content of the primer can be read emhttp://www.anvisa.gov.br/divulga/public/cartilha_mascara.pdf
.
the Organization for Safety and Asepsis Procedures (Replicationsap) also maintains published on their website (www.osap.org), on item Infection Control Issues, documents with detailed information on the care recommended in biosafety with respect to respiratory diseases. One is the “Protocol for Managing Dental Patients with Confirmed or Suspected Respiratory Infection and for Dental Patients with Confirmed or Suspected Tuberculosis.”
… suspected
If you meet any patient suspected of having contracted the H1N1 virus, the CD should guide you to seek medical attention, preferably in some reference Hospital
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The suspected cases should also be notified immediately to the Municipal Health Secretariat and/or State. The notification may be made by Dial Notifies (0800 61 1997), by e-mail notifica@saude.gov.br, or on the site of the Ministry of health, by clicking on the banner Influenza A (H1N1) and then Notify here. It is prudent to also record the patient information such as name, address, phone number, email address, to find it easily, if he was not present to hospital indicated
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on the site of the Ministry is available the list of referral hospitals for Influenza pandemic. Any other information can be achieved through the Central Dial epidemiological surveillance Center Medical: 0800 55 66 54, or in the Centre of strategic information and answers on health surveillance: 0800 644 66 45.
and forward it to the correct location for diagnosis and ready treatment, dental surgeon, while health care professional, must clarify their patients for symptoms of the disease and what measures should be taken
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