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John A Molinari

Publications and source records attributed to John A Molinari.

14 recordsLinked to original sources

Environmental surface infection control, 2003.

Infection control guidelines address the routine use of disposable covers and cleaning and disinfecting treatment-area surfaces contaminated during patient care. While the rationale and approaches for accomplishing environmental surface disinfection have been considered in many previous infection control recommendations, exaggerated claims have led to some confusion regarding the wide variety of available surface covers and disinfectant products. The Centers for Disease Control and Prevention Guideline for Infection Control in Dental Health-Care Settings, 2003, considers the current state of scientific and clinical knowledge in environmental infection control, reinforce basic principles, and provide updated recommendations aimed at minimizing the potential for microbial cross-contamination and cross-infection from inanimate surfaces.

Centers for Disease Control and Prevention, U.S.↗

Infection control compliance issues and questions.

This article uses the 2003 CDC infection control guidelines for dentistry as a framework for discussing representative questions and issues that continue to be raised by dental health care workers. Where applicable, additional supporting evidence will be incorporated to provide appropriate, useful information, to assist in understanding and complying with updated recommendations.

Centers for Disease Control and Prevention, U.S.↗

Diagnostic modalities for infectious diseases.

The role of the microbiology laboratory is essential to successful provision of patient care. Obtaining appropriate laboratory data allows clinicians the best opportunity to arrive at a definitive diagnosis in a timely manner, eliminates the need for further tests, and can offer specific treatment approaches with maximal potential for success. This article discusses the laboratory procedures useful for diagnosis of oral or maxillofacial infections, including collection and transport of microbial specimens, representative techniques and methods available for culture and diagnostic assays, diagnostic laboratory principles for specific types of microbial etiologies, antimicrobial sensitivity, quality control issues, and evaluation of reported findings.

Bacterial Infections↗

Infection control: its evolution to the current standard precautions.

BACKGROUND: The use of appropriate infection control precautions to protect against transmission of bloodborne and other occupational microbial pathogens has become a routine component of health care provision. Evolution and revision of recommendations continues to be based on updated scientific information, as well as documented and inferred clinical applications of new knowledge. In addition, surveillance of occupational risks in medical treatment settings often has served as a basis for subsequent disease prevention recommendations for dental care. TYPES OF STUDIES REVIEWED: Guidelines designed to protect dental professionals and their patients have focused on bloodborne pathogens since the first published American Dental Association recommendations in the 1970s. Subsequent statements developed by the Centers for Disease Control and Prevention, the ADA and other organizations during the past 30 years also have addressed prevention of other infections, transmitted by either direct or indirect contact with a variety of potentially infectious body fluids. RESULTS: Review of the major features of these recommendations provides an appropriate framework to consider current guideline revisions. The success of long-standing universal precautions, or UP, against bloodborne infection has been augmented with the incorporation of body substance isolation, or BSI, practices into the infection control protocol designated "standard precautions." Combination of the major tenets of UP with the BSI systems routinely employed in acute care facilities affords all health care professionals the means of preventing a spectrum of bloodborne, respiratory, contact and other potential exposures during provision of patient care. CLINICAL IMPLICATIONS: As infection control recommendations for dentistry are updated this year, they undoubtedly will include guidelines expanding previous UP to provide expanded protection for dental professionals in the multiple types of nonacute treatment settings in which routine treatment is provided.

American Dental Association↗