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VOLUME 10 , ISSUE 1 ( January-April, 2022 ) > List of Articles

REVIEW ARTICLE

Integrated Infection Control in the Maxillofacial Operation Theatre Considering COVID-19 Pandemic

Dinesh Kumar, Shruti Chauhan, Smriti, Mamit Kumar, Karandeep Singh Arora

Keywords : COVID-19, maxillofacial operation theater, infection control

Citation Information : Kumar D, Chauhan S, Smriti, Kumar M, Arora KS. Integrated Infection Control in the Maxillofacial Operation Theatre Considering COVID-19 Pandemic. 2022; 10 (1):3-8.

DOI: 10.1055/s-0042-1742462

License: CC BY-NC-ND 4.0

Published Online: 15-02-2022

Copyright Statement:  © 2022. Bhojia Dental College and Hospital affiliated to Himachal


Abstract

The pandemic of coronavirus disease 2019 (COVID-19) has influenced all services of life, including dentistry and oral and maxillofacial surgery. COVID-19 is primarily spread through contact with infected person, mucosal/respiratory droplets, fomites/contaminated surfaces/objects, and aerosol. Oral and maxillofacial surgeons are particularly at a high risk of transmission of COVID-19 due to proximity with patient during treatment. All cases should be assumed COVID-19 positive till proven otherwise because now asymptomatic patients also report to be COVID-19 positive. Such patients act as a carrier, shedding virus to expose the oral and maxillofacial surgeons. All elective procedures can be postponed. Only emergency cases that require immediate treatment should be done with proper standard precautions and sound infection control practice. During surgery, we require a maxillofacial operation theater (OT), which is divergent from other OTs due to the use of high-powered aerosol-generating instruments during surgery that increase the chances of spreading infection in the OTs. The aim of this paper is to integrate infection control in the OT for the management of confirmed or suspected COVID-19 patients throughout emergency treatment in oral and maxillofacial surgery.


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  1. A familial cluster of pneumonia associated with the 2019 novel coronavirus indicating person-toperson transmission: a study of a family cluster. Lancet 2020a;395 (10223):514–523
  2. Illinois COVID-19 Investigation Team. First known person-to-person transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in the USA. Lancet 2020;395(10230):1137–1144
  3. In vitro bactericidal and virucidal efficacy of povidone-iodine gargle/mouthwash against respiratory and oral tract pathogens. Infect Dis Ther 2018;7(02):249–259
  4. COVID operation theatre-advisory and position statement of Indian Society of Anaesthesiologists (ISA National). Indian J Anaesth 2020;64(05):355–362
  5. The role of particle size in aerosolised pathogen transmission: A review. J Infect 2011; 62(01):1–13
  6. Povidone iodine. Br Dent J 2020;228(09):656–657
  7. Incidence and patterns of needlestick injuries during intermaxillary fixation. Br J Oral Maxillofac Surg 2011;49(03):221–224
  8. A randomized controlled trial on cross-infection control in maxillofacial trauma surgery: a comparison of intermaxillary fixation techniques. Int J Oral Maxillofac Surg 2008;37(08): 716–722
  9. Persistence of coronaviruses on inanimate surfaces and their inactivation with biocidal agents. J Hosp Infect 2020;104(03):246–251
  10. Bacterial aerosols in dental practice - a potential hospital infection problem? J Hosp Infect 2006;64(01):76–81
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