PROTECTING YOUR PATIENTS
HAS NEVER BEEN EASIER
Reduce your waterline compliance
protocol to a simple annual routine!
• 1 DentaPure® cartridge protects for
365 days, or 240L of water
• Cartridge installs in minutes
• Meets and exceeds microbiological
• Non-toxic, non-corrosive
• Not restrictd by the EPA Rule BMP
for Dental Amalgam Waste
Find out more at the new Crosstex.com
VISIT US AT ADA 2017 • BOOTH #2631
Clean Water. Clear Choice. ™
A product of Crosstex ®
All claims made based on use with potable water.
For waterlines plumbed directly to city water
Installs onto incoming lines with included fttings.
For independent water bottles
Easily self-installed onto existing pickup tube
with included ftting.
DentaPure® and Clean Water. Clear Choice. TM are trademarks or registered trademarks
of Crosstex International, Inc.
routinely wash their hands and use waterless alcohol-based
hand rub in accordance with evidence-based
recommendations before and after contact with patients.
However, clinical research has shown that high numbers
of health care-associated infections, in addition to the
spread of drug-resistant microorganisms, continue to
occur from poor hand hygiene compliance. Adherence to
recommended procedures has historically been shown to
be poor, with overall reported rates of only about 40%–60%
in hospital settings.
A variety of factors contribute to the problem. A few
of the more common reasons are listed in Table 1. When
these and other perceived barriers are evaluated, it is
apparent that quality assurance of hand hygiene practices
continues to be a major challenge in health care. The
following will briefly discuss two of these factors.
GLOVES AS SUBSTITUTES
Gloves are a very important element of any infection
prevention program, but they are not a substitute for hand
hygiene procedures. While there have been published
reports demonstrating that gloves do not maintain their
protective function as well after washing and reuse, the
principle given above can also be explained using basic
microbiology. Hands contact a variety of surfaces, both
animate and inanimate, many times an hour when gloves
are not being worn. These include the epithelial tissues
of others and environmental surfaces. Certain bacteria
and viruses can survive for days or even weeks on these
external surfaces. As an example, Staphylococcus aureus
is a common component of one’s normal skin microflora
and can remain viable on inanimate surfaces for weeks
to months. These and another virulent type of
staphylococcus, methicillin-resistant S. aureus (MRSA),
can attach to hand tissues after a person touches a surface
harboring these bacteria. In this instance, these organisms
are considered “transient flora” and can be readily
eliminated using appropriate hand hygiene.
However, if handwashing or waterless antiseptics are
not used before gloving, these organisms can reproduce
and thrive on the skin. Why? Think about it—hands
typically perspire when gloves are worn. That moisture
plus the warm temperature created under the gloves
causes a perfect humid environment for microbial growth.
Think of it as a “mini-incubator” under the gloves. They
can be passed onto others via direct skin contact when
the organisms are not removed and killed by hand hygiene
procedures. In fact, cross-infection of MRSA from colonized
health-care professionals to hospitalized patients was
shown to occur in this manner in studies performed in
the early 1980s. Clinical infections with other pathogenic
bacteria and viruses also have been described. In summary,
glove use in place of hand hygiene should be