Exposure to Biological Fluids in Dental Practice—Narrative Review on Appropriate Risk Assessment to Guide Post-Exposure Management

Author:

Săndulescu Mihai1ORCID,Nicolescu Mihnea Ioan1ORCID,Funieru Cristian1,Şahin Gülşen Özkaya23,Săndulescu Oana45ORCID

Affiliation:

1. Faculty of Dentistry, Carol Davila University of Medicine and Pharmacy, 020021 Bucharest, Romania

2. Department of Translational Medicine, Faculty of Medicine, Lund University, 22362 Malmö, Sweden

3. Laboratory Medicine, Department of Clinical Microbiology, Skåne University Hospital, 22242 Lund, Sweden

4. Department of Infectious Diseases I, Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, 021105 Bucharest, Romania

5. National Institute for Infectious Diseases “Prof. Dr. Matei Balș”, 021105 Bucharest, Romania

Abstract

Accidental exposure to blood or other biological fluids is a common occurrence in dentistry, and its post-exposure management is a key component of infection prevention and control programs designed to prevent the transmission of blood-borne pathogens such as hepatitis B and C viruses (HBV, HCV) and human immunodeficiency virus (HIV). This narrative review aims to comprehensively review the risk assessment process for each of these pathogens at all steps of the epidemiological process, i.e., source–exposure route–receptive person, in order to provide a better understanding of the delicate differences that influence the transmission risk and that drive the individualized post-exposure management.

Funder

University of Medicine and Pharmacy Carol Davila

Publisher

MDPI AG

Subject

Infectious Diseases,Microbiology (medical),General Immunology and Microbiology,Molecular Biology,Immunology and Allergy

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