HIV: infection control issues for oral healthcare personnel.
OBJECTIVE
To present the essential elements of an infection control/exposure control plan in the oral healthcare setting with emphasis on HIV infection.


METHODS
A comprehensive review of the literature was conducted with special emphasis on HIV-related infection control issues in the oral healthcare setting.


RESULTS
Currently available knowledge related to HIV-related infection control issues is supported by data derived from well-conducted trials or extensive, controlled observations, or, in the absence of such data, by best-informed, most authoritative opinion available.


CONCLUSIONS
Essential elements of an effective HIV-related infection control plan include: (1) education and training related to the etiology and epidemiology of HIV infection and exposure prevention; (2) plans for the management of oral healthcare personnel potentially exposed to HIV and for the follow-up of oral healthcare personnel exposed to HIV; and (3) a policy for work restriction of HIV-positive oral healthcare personnel.


CONCLUSIONS
While exposure prevention remains the primary strategy for reducing occupational exposure to HIV, knowledge about potential risks and concise written procedures that promote a seamless response following occupational exposure can greatly reduce the emotional impact of an accidental needlestick injury.
Huber
Michaell A
MA
Division of Oral Medicine, The University of Texas Health Science Center at San Antonio, Dental School, San Antonio, Texas, USA. huberm@uthscsa.edu
Terezhalmy
Geza T
GT
D019380:Anti-HIV Agents / Q000494:pharmacology / Q000627:therapeutic use; D017742:Dental Care for Chronically Ill; D015658:HIV Infections / Q000150:complications / Q000188:drug therapy / Q000517:prevention & control*; D006801:Humans; D019552:Infection Control, Dental; D017758:Infectious Disease Transmission, Patient-to-Professional / Q000517:prevention & control; D017757:Infectious Disease Transmission, Professional-to-Patient / Q000517:prevention & control; D009059:Mouth Diseases / Q000209:etiology; D016602:Needlestick Injuries / Q000517:prevention & control; D015995:Prevalence; D012308:Risk Management
D019380:Anti-HIV Agents