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6/22/2017 » 6/25/2017
2017 OSAP Annual Conference

Dental Bib Chain Contamination Toolkit
Dental Bib Chain Contamination Toolkit




A study conducted by the University of North Carolina at Chapel Hill's School of Dentistry Oral Microbiology Laboratory found that dental bib clips may be potential sources of cross-contamination in the dental office. As part of the study, researchers sampled 50 bib clips from hygiene and dental operatories. One out of five bib clips were found to have a presence of significant microorganisms. Of most concern were the pathogenic species found: pseudomonas, S. aureus and the enteric bacteria, E. coli.
Bacteria from one patient can stay on the clip and be passed on to the next patient or dental healthcare worker. The species comprising the contamination on the clips were consistent with coming from saliva and/or dental plaque, skin or water lines. 
Ways to avoid the risk of bib chain contamination include effective sterilization of chains between patients or choosing a disposable bib holder that is discarded with the bib.
Source: Study Finds Bib Chain Potential Source of Bacteria

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Regulations & Guidelines


Overview of Enterovirus

Enterovirus D68 for Healthcare Professionals including Infection Control Recommendations


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Best Practices
Key Learnings as of November 2014

In the United States, people are more likely to get infected with enteroviruses in the summer and fall.

There is no vaccine to protect you from non-polio enterovirus infection.

Since many infected people do not have symptoms, it is difficult to prevent non-polio enteroviruses from spreading.

You can help protect yourself and others from non-polio enterovirus infections by:

  • Washing your hands often with soap and water, especially after using the toilet and changing diapers,
  • Avoiding close contact, such as touching and shaking hands, with people who are sick, and
  • Cleaning and disinfecting frequently touched surfaces.
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Instructional Resources
Videos Respiratory Illness and Enterovirus D68: Clinical Guidance

Image Library

Keep Your Child from Getting and Spreading Enterovirus D68 Infographic

Neurologic Illness with Limb Weakness in Children
Fact Sheets

Enterovirus D68 in the United States, 2014

Activity of Enterovirus D68-like illness in States

What is Enterovirus D68

Enterovirus D68


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Patient Resources

Enterovirus D68 (EV-D68) Resources

Enterovirus D68 Infographic

What Parents need to Know about Enterovirus D68

Parents: Learn the Facts about Enterovirus D68

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