The blood borne virus (BBV) infected dentist
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The blood borne (BBV) infected dentist: better times are here at last
Dental practitioners and other members of the dental team will receive an update on the recent amendments to policies affecting blood-borne viruses (BBV) infected healthcare workers who undertake exposure prone procedures. This will include information on the background evidence for the changes and the impact of antiviral drugs.
The potential for transmission of blood-borne viruses (BBVs) from infected healthcare workers to patients during exposure prone procedures (EPPs) has been recognised for many years. Historically there were numerous reports of transmission of hepatitis B virus (HBV) from dentists to patients before the advent of routine glove wearing and widespread HBV immunisation. Furthermore, the highly publicised 'Florida Dentist' case involving HIV transmission from an infected dentist raised anxieties. The over-riding importance of patient safety resulted in the introduction of UK policies that placed restrictions on healthcare workers who were infected with BBVs and who undertook exposure prone procedures (EPPs). The impact was especially acute for dentists, because virtually all dental procedures were classified as EPPs and the paucity of alternative career pathways in the profession.
In recent years there have been dramatic developments resulting in very positive progress for BBV infected dentists and, indeed, other healthcare workers who perform EPPs.
Lecture filmed at the British Dental Conference and Exhibition 2017
- Be familiar with the current UK guidance affecting BBV-infected dentists and restrictions on performance of EPPs.
- Understand how knowledge of epidemiology gained from Patient Notification Exercises and the developments in antiviral drug discovery have positively impacted and permitted amendments to policy.
- Understand the requirement for appropriate infrastructure to support the new guidance.
- Be familiar with the recently updated categorisation of exposure prone procedures in dentistry.
1 hour of verifiable CPD
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About the speaker
Jeremy Bagg, Professor of Clinical Microbiology and Head of the Dental
School, University of Glasgow
Jeremy qualified BDS (Hons) from the University of Edinburgh in 1979. He was a Leckie-Mactier Research Fellow at Edinburgh Medical School from 1979 -1982, gaining a PhD on the basis of research into bacterial adhesion mechanisms. From 1983 – 1991 he was Lecturer in Oral Medicine and Oral Pathology at Cardiff Dental School, before moving to Glasgow University where he is now Professor of Clinical Microbiology and Head of the Dental School. In October 2016 Jeremy was elected as a Vice-Dean of the Dental Faculty of the Royal College of Physicians & Surgeons of Glasgow. His research interests include the role of oral micro-organisms in systemic disease and the medically compromised, infection control and public health microbiology. Jeremy has represented Dentistry on the UK Advisory Panel for Healthcare Workers Infected with Blood borne Viruses since 2001. He has co-authored two textbooks and published over 170 research and educational papers.
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