title: Is your office prepared for an accidental needlestick or other unexpected exposure incident?
abstract: Recommendations and mandatory guidelines for preventing and managing needlestick incidents and other accidental exposures to bloodborne pathogens in healthcare facilities have been published by the Occupational Safety and Health Administration (OSHA) and the Centers for Disease Control and Prevention (CDC) for more than 2 decades. Over the years, the incidence of official enforcement actions has declined and a complacency about the standards may have evolved in some dental offices. Some practitioners may not have written an occupational exposure incident protocol or made appropriate arrangements for medical laboratory testing and postexposure medical evaluation following an unexpected needlestick or other exposure incident in the office. When an unexpected event occurs, practitioners may become confused regarding the steps to be taken, and may turn to their local dental society or fellow practitioners for guidance. The provided information may or may not be complete, accurate and/or current. Implementation of periodic personnel training to prevent exposure incidents is extremely important and could ultimately save a dental practice thousands of dollars in expenses related to the occurrence of even one exposure incident, as well as save the life and/or career of a dental healthcare provider. This article does not comprehensively detail all infection control and bloodborne pathogen transmission prevention requirements for dental offices. Rather, the article provides suggestions for dental practitioners regarding the step by step management of exposure incidents, and provides resource information for additional steps that can be taken towards prevention, improved office compliance, and improved litigation protection.
authors.affiliation: Department of Oral & Maxillofacial Surgery, Texas A&M University Health Science Center, Baylor College of Dentistry, Dallas, TX, USA. ralexander@bcd.tamhsc.edu
authors.forename: Roger E
authors.initials: RE
authors.lastname: Alexander
authors.forename: Sharon
authors.initials: S
authors.lastname: Limes
mesh_terms: D017848:Blood-Borne Pathogens; D002487:Centers for Disease Control and Prevention, U.S.; D003770:Dental Offices; D005568:Forms and Records Control; D017408:Guidelines as Topic; D006801:Humans; D019552:Infection Control, Dental / Q000331:legislation & jurisprudence* / Q000379:methods; D019221:Mandatory Reporting; D016602:Needlestick Injuries / Q000628:therapy*; D016273:Occupational Exposure / Q000331:legislation & jurisprudence* / Q000517:prevention & control; D056990:Post-Exposure Prophylaxis / Q000331:legislation & jurisprudence; D014481:United States; D014489:United States Occupational Safety and Health Administration; D014492:United States Public Health Service; D016635:Universal Precautions