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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 hygiene practices. In the western world the efforts should especially include health services including dental clinics. Studies have identified only a few multiresistant Enterobacteriaceae and Enterococcus species in the oral cavity but a larger number of MRSA (methicillinresistant Staphylococcus aureus). Also transmission of MRSA and even subsequent infection 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 from the skin and hands. This is achieved by basic hygiene measures including performing correct hand hygiene procedures and use of personal protective equipment. Further, apart from cleaning, disinfection and sterilization of dental instruments interventions like cleaning and surface disinfection are also required to prevent building up reservoirs of resistant bacteria at the dental clinic. In brief, preventing the spread of resistant bacteria is achieved by following the guidelines for general infection control when planning and performing the treatment of all patients at the dental clinic.

MeSH