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Surface and Environment Disinfectants

Dental - Surface and Environment Disinfectants

Environmental surfaces in Dental professionals are divided into clinical contact surfaces and housekeeping surfaces. Housekeeping surfaces such as floors, walls, and sinks have limited risk of disease transmission. Action plan for cleaning and disinfecting surfaces in patient-care areas should consider written standard operating procedures that consider the following:

The potential for direct patient contact
The degree and frequency of hand contact
Potential contamination of the surface with body substances or environmental sources of microorganisms

Cleaning is the necessary first step of any disinfection protocol. Cleaning is a form of decontamination that renders the environmental surface safe by removing organic material and visible soils, all of which interfere with microbial inactivation. If a surface has not been cleaned first, the success of the disinfection process can be compromised. If a surface cannot be cleaned adequately, it should be protected with barriers. Barrier protection of surfaces and equipment and small buttons or switches can prevent contamination of clinical surfaces including those hard to clean. When barriers are not being used, surfaces should be cleaned first, then disinfected between patients using an EPA-registered hospital disinfectant with an HIV, HBV claim (low-level disinfectant) or a tuberculocidal claim (intermediate-level disinfectant). An intermediate-level disinfectant should always be used when a surface is visibly contaminated with blood or other potentially infectious material (OPIM). Environmental surfaces can become contaminated via sneezing and coughing, which can contaminate work surfaces. This, in turn, can cause the transmission of disease. Potentially infected bacteria or blood and saliva cannot always be seen. Treatment areas should be kept free from clutter (e.g., papers, supplies, and equipment) to expedite cleaning and disinfecting treatment areas between patients.

Microgen products are recommended for use by healthcare professionals, concerned of hygiene and controlling the hazards of cross contamination.


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