ABSTRACT
Objetivo: Averiguar a compatibilidade da norma Resolução de Diretrizes do Colegiado (RDC)/ Agência Nacional de Vigilância Sanitária (ANVISA) nº 50/02 nas clínicas odontológicas da Universidade Federal da Paraíba, em João Pessoa, bem como, avaliar o grau de conhecimento dos funcionários da limpeza. Material e métodos: No período de outubro/2008 a fevereiro/2009 foram avaliadas seis clínicas odontológicas, através de um roteiro com variáveis referentes à ergonomia e biossegurança, concomitantemente a elaboração de plantas baixas das clínicas consideradas. Os funcionários da limpeza responderam um questionário relativo ao grau de conhecimento e condições de trabalho, sob o ponto de vista da biossegurança. Resultados: Há deficiências no esquema de distribuição das cadeiras odontológicas e lavatórios, inadequações no sistema de ventilação e que o número de equipamentos odontológicos é superior a dimensão das clínicas, Os profissionais prestadores de serviço da limpeza, não estão capacitados para exercerem suas atividades de forma correta. Conclusão: As clínicas odontológicas analisadas não obedecem às normas para a construção de uma clínica coletiva, sendo assim, espera-se, através deste trabalho, dispor de orientação aos cirurgiõesdentistas, gestores e arquitetos na organização correta da área operatória, como também, contribuir para a adoção de medidas de biossegurança pelos funcionários da limpeza.
Objective: To determine the compatibility of the standard resolution of Guidelines of the College (RDC) / National Health Surveillance Agency (ANVISA) No 50/02 in the dental clinics of the Federal University of Paraíba, João Pessoa, and to evaluate the degree of knowledge of the cleaning staff. Material and methods: From October/2008 to february /2009 six dental clinics were evaluated through a script that contained variables related to ergonomics and bio-safety, as the establishment of low plants of the clinics evaluated. Officials of cleaning answered a questionnaire on the level of knowledge and working conditions, related to the terms of bio-security. Results: There were deficiencies in the distribution of dental chairs and sinks, inadequacies in the ventilation system and the number of dental equipment is higher than the size of the clinics. Additionally, the professionals of cleaning service providers are not able to exercise their activities in a correct way. Conclusion: The dental clinics evaluated not meet standards for the construction of a collective clinic. Therefore, this research, can be utilized as a guidance to dental surgeons, managers and architects to correctly organize the operative area, as well as contribute to the adoption of well bio-security procedures by the cleaning staff.
Subject(s)
Humans , Dental Clinics , ErgonomicsABSTRACT
El control de infección es considerado uno de los principales intereses de la comunidad dental, ya que numerosos agentes infecciosos pueden transmitirse entre pacientes y el personal de la salud oral. Una de las potenciales vías de infección es el bioaerosol generado durante la práctica odontológica por los instrumentos de alta velocidad. Los aerosoles pueden ser inhalados, causando enfermedades infecciosas como gripe, tuberculosis y otras. El objetivo de este trabajo fue determinar la variación de la contaminación ambiental de las Salas Clínicas de la Facultad de Odontología de la UNT en distintas épocas del año. Para las siembras ambientales se utilizó el método de impactación por gravedad, exponiendo durante una hora cajas con agar sangre en diferentes zonas de las Salas Clínicas A, B y C. Fueron incubadas en aerobiosis a 37 C, durante 72 horas. Las exposiciones se realizaron en tres épocas del período lectivo: 1- El último día de práctica antes del receso invernal. 2- Durante el receso invernal. 3- El primer día de actividad luego del receso. Se usó el test de Anova de medidas repetidas para determinar: Un Efecto estadísticamente significativo entre los recuentos obtenidos de cada período con un P<0.0001.Un Efecto de interacción sala-período P=0.03. Un Efecto de sala P= 0.08 pero con una significancia del 10 por ciento. Estos resultados apoyan la necesidad de cumplir con las Normas de Bioseguridad, y establecer un Protocolo de limpieza y ventilación en la Salas de Clínicas de la Facultad
The infection control is considered one of the main interests of the dental community because there are lots of infectious agents that can be transmitted among patients and the personnel of oral health. One of the potential infection roads is the bioaerosol generated in the dentistry practice by the use of high-speed instruments. The infectious aerosols can be inhaled, causing infectious illnesses as flu, tuberculosis and others. The aim of this work was to determine how the contamination generated by aerosols in the clinical rooms of the FOUNT evolved in different times of the year. For this the impaction method by graveness was developed, using blood agar plates exposed during one hour in areas of the previously chosen rooms according to the biggest and smaller circulation of people and for the air produced by the movement of the doors. These plates were incubated at 37ø C in aerobiosis during 72 hours. The exhibitions were carried out in 3 times of the school period: 1 - before the winter recess with activity in the rooms. 2 - after the winter recess without activity in the rooms. 3 - after the winter recess with activity in the rooms. The results obtained from the average of CFU recount are: Room A, exposition 1: 327; exposition 2: 37; exposition 3: 180. Room B, exposition 1: 163; exposition 2: 6; exposition 3: 148. Room C, exposition 1: 286; exposition 2: 27; exposition 3: 136. There were carried out statistical studies that showed the significant difference between periods of recess and activity in clinical rooms. These results support the use of barriers of personal protection, the isolation with rubber dike during the dental treatment, and that a good ventilation is essential so that the causing microorganisms of illness of air transmission wont remain in the air of the clinic rooms, in addition to the necessity of disinfections as a routine of all the surfaces. Supported by the Research Council of the National University of Tucumán