Comment on “Best practices for disinfection in dental settings: insights from Italian and European regulations”
Keywords:
Disinfection, antiseptics, sterilisation, dental settings, dentistry, medical device, Italian laws, guidelinesReferences
1. Triggiano F, Veschetti E, Veneri F, Montagna MT, De Giglio O. Best practices for disinfection in dental settings: insights from Italian and European regulations. Ann Ig. 2025 Mar-Apr; 37(2):292-301. doi: 10.7416/ai.2024.2670. Epub 2024 Dec 19. PMID: 39698866.
2. Barenghi L, Spadari F. Sicurezza delle cure, linee guida e buone pratiche: incertezze operative nell’ambito-dell’attività del team odontoiatrico (Safety of care, guidelines and good practices: operational uncertainties within the dental team’s activity).Resp Med. 2024;1:83-104. https://www.rivistaresponsabilitamedica.it/sicurezza-delle-cure-linee-guida-e-buone-pratiche-incertezze-operative-nellambito-dellattivita-del-team-odontoiatrico/ [Last accessed: 2025 Jan 8].
3. Barenghi L, Barenghi A, Cadeo C, Di Blasio A. Innovation by Computer-Aided Design/Computer-Aided Manufacturing Technology: A Look at Infection Prevention in Dental Settings. BioMed Res Int 2019 Aug 6; Article ID 6092018, 15 pages. doi: 10.1155/2019/6092018. https://pubmed.ncbi.nlm.nih.gov/31467901/ [Last accessed: 2025 Jan 8].
4. Barenghi L, Barenghi A, Di Blasio A. Infection Control in Dentistry and Drug-Resistant Infectious Agents: A Burning Issue. Part 2. IntechOpen 2018. Chapter 4 from the volume “Surgical Infections - Some Facts”. Edited by Manal Mohammad Baddour. doi: 10.5772/intechopen.81494. https://www.intechopen.com/chapters/63969 [Last accessed: 2025 Jan 8].
5. Barenghi L, Barenghi A, Scribante A, Pellegrini M, Spadari F. Laser-assisted dentistry, safety, and cross-infection control: A narrative review. J Appl Pharmac Sci. 2024 Dec 12; xx:001-021. doi: 10.7324/JAPS.2025.210316. Available from: https://japsonline.com/abstract.php?article_id=4459&sts=2 [Last accessed: 2025 Jan 8].
6. Rep. Atti n. 104/CSR del 9.6.2016. Intesa, ai sensi dell’articolo 8, comma 6° della l. 5.6.2003, n. 131, tra il Governo, le Regioni e le Province autonome di Trento e di Bolzano sul documento in materia di requisiti strutturali, tecnologici ed organizzativi minimi richiesti per l’autorizzazione all’apertura ed all’esercizio delle strutture sanitarie deputate all’erogazione di prestazioni odontostomatologiche. Intesa ai sensi dell’art. 8, comma 6° della legge n. 131/2003. Available from: www.archivio.statoregioni.it [Last accessed: 2025 Jan 8].
7. Rutala WA, Weber DJ, and the Healthcare Infection Control Practices Advisory Committee (HICPAC). Guideline for Disinfection and Sterilization in Healthcare Facilities, 2008. Update: June 2024. See page 21. Available from: https://www.cdc.gov/infection-control/hcp/disinfection-and-sterilization/index.html [Last accessed: 2025 Jan 8].
8. Centers for Disease Control and Prevention. Summary of Infection Prevention Practices in Dental Settings: Basic Expectations for Safe Care. Centers for Disease Control and Prevention, U.S. Dept of Health and Human Services; October 2016. Available from: https://www.cdc.gov/dental-infection-control/hcp/summary/index.html [Last accessed: 2025 Jan 8].
9. NHS England. Health Technical Memorandum 01-05: Decontamination in primary care dental practices 2013 edition. Available from: https://www.england.nhs.uk/wp-content/uploads/2021/05/HTM_01-05_2013.pdf [Last accessed: 2025 Jan 8].
10. Ente Nazionale Italiano di Unificazione. Norma UNI/TR11408. Guida alla progettazione, allo sviluppo e al controllo del processo di ricondizionamento dei dispositivi medici riutilizzabili (DM) sterilizzabili mediante vapore. Marzo 2011. Available from: https://store.uni.com/uni-tr-11408-2011 [Last accessed: 2025 Jan 8].
11. INAIL, Linee guida sull’attività di sterilizzazione quale protezione collettiva da agenti biologici per l’operatore nelle strutture sanitarie (D. lgs. 81/2008 e s.m.i), 2010. Available from: https://www.info.asl2abruzzo.it/files/rev_1f_l.g._ispesl_sterilizzazione_versione_20_maggio_2010.pdf [Last accessed: 2025 Jan 8].
12. Schnieder L, Seekamp-Schnieder K. Cleaning of dental handpieces. Manufacturer and User Facility Device Experience database analysis and evaluation of in-use testing of manual and automated cleaning processes. J Am Dent Ass Foundational Science. 2024;3:100030. Available from: https://doi.org/10.1016/j.jfscie.2023.100030 [Last accessed: 2025 Jan 8].
13. Baudet A, Baurès E, Blanchard O, Le Cann P, Gangneux J-P, Florentin A. Indoor Carbon Dioxide, Fine Particulate Matter and Total Volatile Organic Compounds in Private Healthcare and Elderly Care Facilities. Toxics 2022 Mar 12;10(3):136. doi: 10.3390/toxics10030136. Available from: https://pubmed.ncbi.nlm.nih.gov/35324761/ [Last accessed: 2025 Jan 8].
14. Association for Dental Safety (formerly known as OSAP). Infection control in practice Team Huddle. Aerosol Management: Part 1 Engineering Control Options To Reduce Risk Of Airborne Diseases. 2023 Feb:22(1):1-19. Available from: https://www.myads.org/assets/docs/education-training/icip/icip-2023-1-february.pdf [Last accessed: 2025 Jan 8].
15. Ishihama K, Koizumi H, Wada T, Iida S, Tanaka S, Yamanishi T, et al. Evidence of aerosolised floating blood mist during oral surgery. J Hosp Infect. 2009 Apr;71(4):359e364. doi: 10.1016/j.jhin.2008.12.005. Available from: https://pubmed.ncbi.nlm.nih.gov/19201057/ [Last accessed: 2025 Jan 8].
16. Bortoluzzi MC, Cadore P, Gallon A, Watanabe Imanishi SA. Forensic Luminol Blood Test for Preventing Cross contamination in Dentistry: An Evaluation of a Dental School Clinic. Int J Prev Med. 2014 Oct;5(10):1343-1346. PMCID: PMC4223956 PMID: 25400895. Available from: https://pubmed.ncbi.nlm.nih.gov/25400895/ [Last accessed: 2025 Jan 8].
17. Haddrell A, Oswin H, Otero-Fernandez M, Robinson JS, Cogan T, Alexander R, et al. Ambient carbon dioxide concentration correlates with SARS-CoV-2 aerostability and infection risk. Nat Commun. 2024;15:3487. Available from: https://doi.org/10.1038/s41467-024-47777-5 [Last accessed: 2025 Jan 8].
18. Gao Q and Sui W. The function of nursing management for stomatology clinic infection. J Nurs Health Stud. 2017;2:1. doi: 10.21767/2574-2825.100008. Available from: https://www.imedpub.com/articles/the-function-of-nursing-management-for-stomatology-clinic-infection.php?aid=18558 [Last accessed: 2025 Jan 8].
19. Browne K, White NM, Russo PL, Cheng AC, Stewardson AJ, Matterson G, et al. Investigating the effect of enhanced cleaning and disinfection of shared medical equipment on health-care-associated infections in Australia (CLEEN): a stepped-wedge, cluster randomised, controlled trial. The Lancet Inf Dis. 2024 Dec;24(12):1347-1356. doi: 10.1016/S1473-3099(24)00399-2. Available from: https://pubmed.ncbi.nlm.nih.gov/39151440/ [Last accessed: 2025 Jan 8].
20. Oremade O, Odac B, GeorgeJ, Browne F. The impact of a novel color additive for disinfectant wipes on room cleanliness and turnover time. Am J Inf Contr. 2024;52(12):1366-1370. doi: 10.1016/j.ajic.2024.07.009. Available from: https://www.ajicjournal.org/article/S0196-6553(24)00609-6/fulltext [Last accessed: 2025 Jan 8].
21. Collins FM. The significance of the US Food and drug administration for dental professionals and safe patient care. J Am Dent Ass. 2017;148(11):858-861. doi: 10.1016/j.adaj.2017.08.026. Available from: https://jada.ada.org/article/S0002-8177(17)30753-5/abstract [Last accessed: 2025 Jan 8].
22. European Chemical Agency (ECHA). EU Member States report illegal and ineffective disinfectants. ECHA/NR/20/17. Available from: https://echa.europa.eu/-/eu-member-states-report-illegal-and-ineffective-disinfectants [Last accessed: 2025 Jan 8].
23. Ministry of Health. Safety notices on medical devices. https://www.salute.gov.it/portale/dispositiviMedici/archivioAvvisiDispositiviMedici.jsp [Last accessed: 2025 Jan 8].
24. Association for professionals in infection control and epidemiology (APIC). Modernizing medical device instructions for use (IFUs). Available from: https://apic.org/modernizing-medical-device-instructions-for-use-ifus/ [Last accessed: 2025 Jan 8].
25. Mitchell BG, Fasugba O, Russo PL. Where is the strength of evidence? A review of infection prevention and control guidelines. Journal of Hospital Infection. J Hosp Infect. 2020 Jun;105(2):242-251. Epub 2020 Jan 21. doi: 10.1016/j.jhin.2020.01.008. Available from: https://pubmed.ncbi.nlm.nih.gov/31978417/ [Last accessed: 2025 Jan 8].
26. Alkurdi K, Mansouri R, Ismail A, Seoudi N. Critical Evaluation of Global Infection Prevention and Control Guidelines for Dentistry Published during the First 2 Years of the COVID-19 Pandemic. Int J Dent 2024 Jun; Article ID 6611105. doi: 10.1155/2024/6611105. Available from: https://pubmed.ncbi.nlm.nih.gov/38962726/ [Last accessed: 2025 Jan 8].
27. Guideline National System (Sistema Nazionale line guida (SNLG)). Available from: https://www.iss.it/linee-guida1 [Last accessed: 2025 Jan 8].
28. European Centre for Disease Prevention and Control (ECDC). Infection prevention and control in dentistry. Available from: https://www.ecdc.europa.eu/en/publications-data/directory-guidance-prevention-and-control/core-requirements-healthcare-settings-1 [Last accessed: 2025 Jan 8].
41. Guideline National System. Best practices. Available from: https://www.iss.it/snlg-buone-pratiche and https://www.iss.it/web/guest/ricerca?categoryId=5309559 [Last accessed: 2025 Jan 8].
42. Guideline National System. International guidelines. Available from: https://www.iss.it/-/snlg-lg-internazionali [Last accessed: 2025 Jan 8].
43. Ricci ML, Rota MC, Scaturro M, Michele N, Veschetti E, Lucentini L, et al. Indicazioni per la prevenzione del rischio Legionella nei riuniti odontoiatrici durante la pandemia da COVID-19. Versione del 17 maggio 2020. Roma: Istituto Superiore di Sanità; 2020 (Rapporto ISS COVID-19, n. 27/2020). Available from: https://www.iss.it/rapporti-covid-19/-/asset_publisher/btw1J82wtYzH/content/rapporto-iss-covid-19-n.-27-2020-indicazioni-per-la-prevenzione-del-rischio-legionella-nei-riuniti-odontoiatrici-durante-la-pandemia-da-covid-19.-versione-del-17-maggio-2020 [Last accessed: 2025 Jan 8].
44. Corte di Cassazione, Sentenza n. 6386/2023, Sulla responsabilità della struttura sanitaria in caso di infezioni nosocomiali. Available from: https://www.federalismi.it/nv14/articolo-documento.cfm?Artid=48813 [Last accessed: 2025 Jan 8].
45. Editorial. European health security needs a reboot in 2025. The Lancet. 2024 Dec 21;404(1047):2487. doi: 10.1016/S0140-6736(24)02789-2. Available from: https://pubmed.ncbi.nlm.nih.gov/39709193/ [Last accessed: 2025 Jan 8].
46. Thornhill M, Prendergast B, Dayer M, Frisby A, Lockhart P, Baddour RM, et al. Prevention of infective endocarditis in at-risk patients: how should dentists proceed in 2024? Br Dent J. 2024 Mar;236(9):709-716. Epub 2024 May 10. Available from: https://doi.org/10.1038/s41415-024-7355-2 [Last accessed: 2025 Jan 8].
47. Sperotto F, France K, Gobbo M, Bindakhil M, Pimolbutr K, Holmes H, et al. Antibiotic Prophylaxis and Infective Endocarditis Incidence Following Invasive Dental Procedures. A Systematic Review and Meta-Analysis. JAMA Cardiol. 2024 Jul 1;9(7):599-610. doi:10.1001/jamacardio.2024.0873. Available from: https://jamanetwork.com/journals/jamacardiology/article-abstract/2817467 [Last accessed: 2025 Jan 8].
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