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Sammanfattning

Spread of resistant and multi-resistant bacteria is a problem of worldwide concern, and prevention calls for an international as well as a local effort. Recently, international and national strategies for preventing spread of resistant bacteria have been developed, and one of the goals is to improve infection control through efficient hygienic efforts. In the western part of the world efforts should particularly include health services like dental clinics. Studies have identified a few multi-resistant Enterobacteriaceae and Enterococcus species in the oral cavity but a number of MRSA (methicillin-resistant Staphylococcus aureus). Also transmission of MRSA and even subsequent infections have been proven. Resistance in the resident oral microflora is also an increasing problem. Preventing such incidents must include blocking bacterial transmission from the oral cavity, as well as the skin and hands. This is achieved by basic hygiene measures such as performing correct hand hygiene procedures and the use of personal protective equipment. Further, apart from cleaning, disinfection and sterilization of dental instruments, interventions like cleaning and surface disinfection to prevent building up reservoirs of resistant bacteria at the dental clinic should be in focus. Shortly, preventing spread of resistant bacteria is achieved by an optimal inclusion of the guidelines for general infection control when planning and performing treatment of all patients at the dental clinic.

MeSH