Online ISSN: 2515-8260

Keywords : Infection control

Study of risk factors, bacteriological profile and antibiogram of surgical site infections in a tertiary care teaching hospital

Dr.Sadaf Guldin, Dr.Ghulam Hassan Bhat, Dr.Sameena Jawaid, Dr. Anjali Agarwal

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 2837-2845

Introduction: Surgical site infections (SSI) constitute a major public health problem worldwide and are the second most frequently reported nosocomial infections. They are responsible for increasing the treatment cost, length of hospital stay and significant morbidity and mortality.Aim: To isolate, identify and study bacteriological profile of surgical site infections,with  antibiogram.Materials and Methods: Samples were collected using sterile cotton swabs from 190 patients clinically diagnosed of having SSIs and were processed as per standard microbiological techniques. Antimicrobial susceptibility testing was done using modified Kirby-Bauer disc diffusion method. This Prospective study was conducted for a period of one year (January 2016 to December 2016) in the Department of Microbiology at Yenepoya Medical college hospital, Mangalore, India.Results:. Out of total 190 samples, 170 (89.4%) yielded bacterial growth.Most common predisposing factors causing surgical site infections were patients having Diabetes mellitus(23.53%) followed by Smokers(14.12),Hypertension(11.76).Escherichia coli (24.12%) was the commonest organism followed by Staphylococcus aureus(18.82%), Pseudomonas aeruginosa (18.24%) and Coagulase negative Staphylococcus species (14.12%). Antimicrobial profile of gram positive isolates revealed maximum sensitivity to Vancomycin, Teicoplanin and Linezolid, whereas among gram negative isolates Imepenem, Piperacillin-tazobactam, and Amikacin were found to be most sensitive.Conclusion: The rate of SSI observed in this study was comparable to other similar studies, however we observed a higher degree of antimicrobial resistance. Adherence to strict infection control measures, maintenance of proper hand hygiene and optimal preoperative, intraoperative and postoperative patient care will surely reduce the incidence of SSIs.

Covid-19: A Pedodontist Perspective

Dr. Shimoli Shah; Dr. Deep Devendrabhai Patel; Dr. Susheel Kumar; Dr. Rucha Thakkar; Dr. Himani Janakbhai Patel; Dr. Musaib Syed

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 3, Pages 2873-2880

The COVID-19 outbreak has affected human existence in many ways, with
uncertainty faced globally. The dental practice and orthodontic care during the pandemic
and future practice will require precautionary and selective case evaluation based on the
practitioner’s judgment to reduce cross-contamination and prevent new outbreaks. This
article aims to provide a comprehensive guideline for managing the pediatric dental
patients at a clinical setup, using the currently available guidelines.

Assessment of knowledge and attitude among pediatric dentists regarding spread and control of infection before and after COVID-19 crisis.

Dr. Rajesh Ijalkar; Dr. Ritesh Kalaskar; Dr. Shruti Balasubramanian; Dr. Ashita Kalaskar; Dr. Priyanka Bhaje; Dr. Priyanka Sharma

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 11, Pages 8368-8378

Background: In this time of COVID-19 crisis, need of hour to appropriately perform dental
procedures to reduce the spread of this deadly disease, it is importance to assess the knowledge
and attitude of pediatric dentists regarding spread and control of infection before and after
COVID-19 crisis.
Methods and Materials: Questionnaire-based survey composed of 6 questions that assess the
knowledge of pediatric dentists regarding COVID-19 infection and 10 questions each designed
to gather information about their clinical practice before and after COVID-19 crisis which
shows attitude of pediatric dentists. Online survey link was circulated through social media
and an e-mail to pediatric dentists from different locations in India and the responses were
collected. 346 pediatric dentists willingly responded in the study.


Karthiga Devi. G; Deepika Rajendran; Pradeep D

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 1, Pages 224-237

Infection control practices are important in a clinical setup to avoid the risk of infection among the patients and practitioners. Proper infection control measures such as proper basic disposal and sterilization of instruments that are basic infection control measures should be directly followed in a clinical setup. This study aims to access the knowledge, attitude and practice regarding occupational hazards and infection control measures among dental students. The study was conducted among dental undergraduates and postgraduates.The study group consisted of 3rd year, 4th year and Interns and Postgraduate students. Total number of students included in the study was 121 participants. The data was collected and analysed through IBM SPSS statistical analysis. Descriptive statistics were done. About 90.9% of the dental students answered that the dental clinics are more prone for infectious disease. Among all the dental students, 76.9% of the students experienced the accidental injury in clinics. Among them 44.6% of the students reported that needle injury was the cause for the occupational injury followed by 21.5% of scalpel blade, 4.1% of burs. About 11.4% of dental students were not immunized against Hepatitis B virus (HBV). Among them who received vaccination, 43.8% of them had completed the three recommended doses of HBV vaccination. The students know the importance of infection control and the knowledge among all students about the protocols about infection control was high but practice was quite low. A better knowledge of infection control is essential for safe practice in dentistry. This will ensure the provision of better and safer dental health-care service for the population.


Sneha Sree. S; Abilasha Ramasubramanian; Jayanth Kumar

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 1, Pages 600-615

A virus is composed of nucleic acid either DNA or RNA, surrounded by a protein coat.It requires a living cell to multiply. A viral infection can lead to a spectrum of symptoms from asymptomatic to severe disease.Worldwide,5% of health-care-related infections are being transmitted. Dentists are considered being a high risk group for cross-infection.Therefore it is important that dental students have adequate knowledge and awareness of viral infections.The aim of the study is to evaluate the knowledge, awareness and attitude about oral manifestations of viral infections among dental students.A self explanatory questionnaire comprising 20 questions was presented to 205 students. The questionnaire enquired about oral manifestations of different viral infections and their precautionary infection control measures .Out of 205 students 86.34% were males and 13.66% were females,189 of them knew that the most common oral manifestation in HIV patients is candidiasis.92.6%agreed that a dentist could get Herpetic paronychia.When asked if treatment of patients with viral infections required special clinics 68.1% responded yes.Our study showed that the dental undergraduate students had adequate knowledge on oral manifestations of viral diseases but lacking knowledge about infection control protocol for the various diseases. Hence students should improve their attitude towards them in their dental practice.


Kaviya. L; Dr. Anjaneyulu K; Dr. Jayalakshmi Somasundaram

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 1, Pages 1043-1057

Rubber dam was introduced by Dr.Barnum in the 1860 s, the main advantage of using rubber dams in endodontics include patient protection from medicaments, aspiration of endodontic instruments, tooth debris, and irrigating solutions. The aim of the study to determine the prevalence and frequency of rubber dam usage during endodontic procedures among dentists in the state of TamilNadu, India.A survey was conducted among 101 dentists in the state of Tamil Nadu, India by preparing a set of questions, and the answers were collected through an online survey method.In this survey, 82.2% feel comfortable to use a rubber dam,36.6% never use a rubber dam to pediatric patients,89% always use a rubber dam to adult patients,61.4% not using rubber dam for all cases of RCT,73.8% need to gain knowledge about rubber dams through training programs,23.8 % told patients discomfort was a reason for not using a rubber dam, 80.2% not using rubber dam while taking X- rays,45.5% take more than 5 mins for applying a rubber dam to patients,63.4% told it is easily available for clinical usage.The present survey shows there is a low prevalence of its usage during endodontic treatment. Greater emphasis should be placed on the advantages of using rubber dams in clinical dentistry at dental school and through continuing dental education for practitioners to update their knowledge