Journal of Dental Hygiene Science Vol. 10, No. 4 pp. 199~209 (2010) 치과감염관리에관한국내문헌고찰 (1988~2009 년 ) wùá x Á û w e w Ha-Na Choi, Hyun-Sook Bae and Young-Sik Cho Department of Dental Hygiene, Namseoul University, Mae Ju-Ri Seonghwan-Eup Seobuk-Gu Chonan 331-707, Korea "CTUSBDU The purpose of this paper is to suggest fundamental data for finding problems and ways to improve Korean dental infection control studies through the classification of literature on dental infection control which have been conducted in Korea. The collection of literature was done via seven online database programs only for domestic literature. The date of first search was September 16-17th, 2009, and the final search was completed on December 20th, 2009. (1) From the examination of the frequency of research according to the publishing form by year, it is revealed that after 2006, dental infection control is being performed most vigorously, compared with 1980's when the studied on this area started. (2) According to the classification of research method by research design of original article among the literature, original articles were 45 studies, and the others were 20 studies. It was also found that in 45 studies of original article, there were 37 studies of survey research, and there were 8 studies which include microbiology examination. (3) On the analysis of the subject of each study, glob and mask using rate have gradually increased, and the frequency of pierced with sharp implement or needle have gradually decreased. Through this research, it can be observed roughly how the results depended on subject of each studies change. However, it may be restricted to generalize the results of this research, because there are lack of clear standard and literature evidence to assess the interrelationship between each study. Also, since there are shortage of research and studies in dental infection control, the research to examine the effects should be tried actively after the standards and precaution of dental infection control developed.,fz XPSET Dental infection control, Personal protection 서 1. e p w Ÿ w w. x e, p š w v q e» w y» y w, y e» w y ƒ x j 1,2). w e p e y e (cross infection) š y w. e y l Bx»zƒ. w Corresponding author Tel: 041-580-2560 Fax: 041-580-2927 E-mail: calli-chn@hanmail.net 론 y ù,» ù t w w ù. x ³wš e l y ƒ x š 3). e y x w š w» w v w., e y l yw» w «w ³ w ƒ e» wš 4). k(centers for Disease Control and Prevention, CDC) 1986 e w «w, e xz(american Dental Association, ADA) w e «w z mw. w ³ (OSHA), t t (Food and Drug Administration, FDA) y y (Environmental Protection Agency, EPA),
(Occupational Safety and Health Administration, OSHA) ³ z ³ w yw w l yw w wš w ³ ƒ ƒ š 5,6). ù e y l yw» w e wš ³ w š. w «w w¼ew z(hankil Dental Society) 1990 e, w wù? e ww, 1995 q w e w e 7). w we xz(kda) 2001 e» ³ w ü e w e»zw 8). z w e z q(korea Dentist's Association for Healthy Society) 2001 e e w»», s, ³, t w w š. ù w ³ y (Ministry of Environment) ƒ s» w š 9). e y e w ƒ» w»,» v w x wš e š. w yw k k w w ƒ w. w w x dental infection control w ƒ Effectiveness of gloves and infection control in dentistry: student and provider perspectives sww 3,661 w e w ƒ y w š. ù 1983 z w e w ü y e ³ e ³ y jš, e ³ w 1987 l š s ƒ 10). 1996 w wz ü w w š11), 2006 5 24 MBC PD v e xw e š k w ü e ü w ƒ» w. 2006 7 e» w w 12) w w tw» x e» k, eƒ y k ww» w. z e w v t y e w sƒ w w e» w ƒ w 13), w z ƒ 2007 l 2009 ¾ w e» sƒ w w sw» w 14). 2. v 1988 l 2009 12 ¾ ù w e w x w ù e w w» wš w w.» wz w, w, š 100 x w.. 1) e w qxk q w. 2) w w. 3) ƒ w. 연구대상및연구방법 e w w x ww. 1. x l x x ƒ w l ü ü x w l. ü x ww» 7 l l w. e w ww ù l l w l œ wš w. 2009 9 16~17, z 2009 12 30 w. z http://www.nanet.go.kr w w http://www.riss4u.net w l http://kiss.kstudy.com w http://dbpia.co.kr
Journal of Dental Hygiene Science Vol. 10, No. 4, pp. 199~209 (2010) w w ebook http://ebook.kstudy.com w œ x z http://thesis.or.kr w» wz http://society.kisti.re.kr 2. x 1) ü x l», w, w x w. w w v w x w» w w Ÿ w wš, z e x y w z ü v w x w. 2) q xk x w ü w, w š xk q x w. w w w w üw üwz w w (z ) x»k w, w x w. w w e e w ü w sww, š š sww. 3) x e ù w w y w e ü w š w k, w ƒ w w xš,, sww. 4) x k» mw x mw xy q w z kw x k x w. k» - e w k - e w - e w w ƒ sw - e w x - ü x» - e w - p w - (abstract) t 5) x k x w x 756. ƒ l» w x jš k x 139. x x k ƒ l x w. l w x, 5BCMF The study search result of each journal Journal Number of literature Journal Number of literature The journal of capital armed forces general hospital 1 The journal of wonkwang health science college 1 The journal of namseoul univ. 1 Journal of wonkwang dental research institute 1 The journal of taejeon health sciences college 1 The journal of wonkwang biomaterial-implant 1 The journal of the korean academy of dental health* 3 The chung-ang journal of nursing 1 Korean journal of oral and maxillofacial pathology* 1 The korean jungang medical journal 1 The journal of korean academy of oral medicine* 1 The research bulletin of chinju junior college of 3 nursing & health The journal of the korean military medical association 1 The research bulletin of jinju health college 1 The journal of korean association of maxillofacial 1 Journal of the korean dentistry 3 plastic and reconstructive surgeons* The journal of korean academy of conservative 1 The journal of dental clinic 3 dentistry(jkacd)* The journal of the korean academy of dental hygiene 2 Journal of korean society of quality assurance in 1 health care The journal of the korean dental association** 14 The journal of dental hygiene science** 12 The journal of mokpo science college 1 Journal of korean academy of dental hygiene 8 education** The journal of shingeung college 1 Total 65 ** Inclusion in the KCI database ** Inclusion in the KCI candidate
l ü». w w w» w ù 1 ƒù w mw x w mw x 39 (28.1%). ƒ w w w Table 1. 연구결과 1. e w qxk q e w ü 1988 15) w w e w Bx w. qxk w 24 t 15-38). 16) e ü w y l w w wš 23 w. e w ü w 1990 w Human Immunodeficiency Virus AIDS e 65 w 39~103). w 1989 e w š 2007 we xz e e» v, 2009 e w ¾ 10 x 7-10, 104-109). e w š 2006 w e w w w e» t 13)(Table 2). x ƒ r e w ƒ 1980 w 1 w 1 t 1990 ~1995 19, 1996 ~2000 16 ƒ. 1990 e w ƒw» w. 2001 ~2005 26 w w t š, 2006 z 37 e w ƒ ƒ y w y w. w e ü k w ü f mw e ¾ ƒ» w ƒ w. 2. w 1) w x w. w (Original article) 45, (Reviews paper) š w,»k we xz ƒ w p p»š x 14, w x 6 20 x (Table 3). 2) (Original Article) w w. w (Original Article) w w w 45r (survey) 37r, w ƒ sw 8r (Table 4). 3) (Original Article) t w. Survey w w survey 37. 5BCMFThe number of research at each year according to the publishing type 1988~1989 1990~1995 1996~2000 2001~2005 2006~2009 Total % Thesis 1-3 6* 14 24 24.0 Journal article - 18 11 16 20 65 65.0 Book 1 1 2 4 2 10 10.0 Report - - - - 1 1 1.0 Total 2 19 16 26 37 100 100.0 % 2.0 19.0 16.0 26.0 37.0 100.0 *There are 5 master's thesis 2001~1005 and doctoral dissertation one. 5BCMF The classification for the research type of the journal article Journal article Original article Review paper Case report The rest paper Total 45 - - 20 65 5BCMF The study design of the Original Article Journal article Survey Microbiological examination The rest Total 37 8-45
Journal of Dental Hygiene Science Vol. 10, No. 4, pp. 199~209 (2010) 5BCMF The classification for the survey study Author(year) Participants Number of Respondent analysis Data subjects Data collection Statistical analysis Lee (1994) Dental hygienist 200 200 134 Distribution - Kim et al (1995) Dentist 300-59 Mail Descriptive statistics, X 2 -test Lee (1997) Dental hygienist 114-88 Distribution Percentage, mean, T-test, pearson correlation, ANOVA Yoon et al (1997) Dental hygienist 300 230 210 Mail Percentage, X 2 -test Lee (1998) Student 84 84 84 Distribution Frequency,percentage, X 2 -test, multiple regression analysis, T-test Kang (1998) Dental hygienist 300 100 80 Distribution Frequency, percentage, X 2 -test Park et al (1998) Dental hygienist 200-139 Mail Percentage, X 2 -test Min(1999) Dental hygienist 300-244 Distribution Percentage, X 2 -test Song et al (2000) Dental hygienist - - 215 Interview X 2 -test, fisher's exact test Yoon et al (2001) Dental hygienist, Nurse's aide 400 133 128 Mail Frequency, percentage, X 2 -teste, T-test Kang (2001) Student 170-132 Distribution Frequency, percentage, X 2 -teste Kwag et al(2001) Dental clinic (dental staff) - - 40 Interview Frequency, percentage, ANOVA, pearson correlation Kim et al (2002) Student 93 93 93 Distribution X 2 -test Kang et al(2002) Dental staff 307 109 100 Mail Frequency, X 2 -test Kang (2003) Student 310 310 310 Distribution Spss Cho et al (2003) Dental hygienist 200 124 124 Distribution Univariate analysis, fisher's exact test, multiple logistic regression analysis Choi (2004) Dental clinic 67 67 67 Distribution - Lee (2004) Dental hygienist 108 108 108 Visit survey Frequency, percentage, X 2 -test Kim et al (2005) Dental hygienist 300 250 215 Visit survey Frequency, percentage, X 2 -test Eun (2005) Dental staff 400 216 185 Visit survey Frequency, percentage, crosstabs, X 2 -test Jeong et al(2005) Student 104 104 104 Distribution Paired t-test,pearson correlation Park et al (2006) Dental hygienist 200 180 156 Visit survey, Frequency, percentage, X 2 -test mail Kim et al (2007) Dental hygienist - - 429 Distribution Frequency, X 2 -test Nam et al (2007) Dental hygienist 200 181 168 Distribution Frequency, descriptive statistics Lee et al (2007) Dentist, 398-326 Distribution Frequency, X 2 -test Dental hygienist, Nurse's aide Yoon et al (2007) Dental hygienist 128 128 128 Visit survey Frequency, independent t-test Min et al (2007) Dental staff 200-184 Distribution Frequency, percentage, range, X 2 -test, ANOVA, T-test Park et al (2007) Dentist, Dental hygienist, Nurse's aide 402-326 Distribution Frequency, percentage, X 2 -test, multiple response analysis, crosstabs Park et al (2008) Dental hygienist 240 210 191 Distribution Frequency, crosstabs Nam (2008) Dental hygienist 200 181 168 Distribution Frequency, descriptive statistics, one-way ANOVA, T-test, X 2 -test, correlation analysis, multiple regression analysis Cho et al (2009) Dental hygienist 254-242 Distribution Exploratory factor analysis, comfirmatory factor analysis, multiple regression analysis Kim et al (2009) Dental hygienist 235-230 Distribution Frequency, percentage, T-test, One-way ANOVA Choi et al (2009) Dental hygienist 240 210 191 Distribution Frequency, crosstabs, fisher's exact test Lee et al (2009) Dental hygienist 235-230 Distribution Frequency, percentage, T-test, one-way ANOVA Lee et al (2009) Student 240 220 206 Distribution Frequency,percentage, T-test, One-way ANOVA, pearson correlation Yim et al (2009) Patient and guardians - - 714 Visit survey Frequency, X 2 -test, T-test, One-way ANOVA Lee et al (2009) Student 315 315 305 Distribution Frequency, percentage, mean,sd
r t w»», r 5, 5, 2, r wì w 1, s 24. e w ½ 53) 1 e w x ½ 92) sww 20 r. y sww e ww e w w,» w. t ƒ 300 6 100 ~250 w 24, t ƒ 100 w 7 (Table 5). w ƒ sw w w ƒ sw 8r s ³ w x w ƒ wì w w³ w wì 4 (Table 6). 3. ƒ 1) e y (, j) e Glove w w 20 14 e w. e w 1994 48) 15.7%, 1997 57) 17.1%, 1998 60) 22.5%, 1999 64) 18.0%, 40.6%, 2000 65) w 3.0%, 2001 70) 24.4%, 2003 25.0%, 2005 ½ 81) 48.8%, 2007 ½ 92) 89.5%, x 6.5%, û 87) 32.1%, 88) 43.0%, 90) 18.8%, 2008 42.4%, 2009 96) 42.4% ùkû. e w ½ 53) e 300 w ƒ 59 w 27.1%ƒ 74) 95) 5BCMF The classification for the study including microbiological examination Author (year) Rim et al (1998) Jang (2000) Moon et al (2001) Moon et al (2003) Han et al (2004) Min et al (2007) Lee et al (2008) Lee et al (2009) Subjects Dental environment Personnel Antibiotic 28 sections of dental environment 26 sections of dental chair & unit Dental environment, Air in the dental clinic Dental environment, Air in the dental clinic 4 site(hand piece, head rest, room air, cuspidor) in 30 dental clincs Environment of the CUDH(38) & a private dental clinic(11) Practical lav, Seminar room, Sterilizing room Handpiece Patient 4, Dental staff 7 Antibiotics 16, Antiseptics 4 Measure Staphylococci isolated, Resistance to antibiotics or antiseptics - - Gram positive cocci, Gram negative bacilli Healthy personnel, Patients Healthy personnel, Patients - Staphylococci isolated, Polymerase chain-reaction methicillin susceptible staphylococci - Staphylococci isolated, Polymerase chain-reaction methicillin susceptible staphylococci - - DNA sequencing, all microorganisms were tested with 4 commercial antiseptics CUDH: dental Antibiotics 7 health care workers 42, PDC : DHCWs 20 Patient: 20, Student: 20 E.fecaelis was used as a experimental microorganism instead of oral flora Chlorhexidine,potadine, NaCl Staphylococcus aureus isolated, - Polymerase chain reaction, Antibiotics susceptible S. aureus Staphylococcus aureus, Resistance to antiseptics Various parts of dental handpiece, Swabbing time with alcohol sponge, Postoperative air-water spraying time, Consecutive use of latex covers without autoclaving Analysis Sensitivity to antibiotics- NCCLS, Sensitivity to antiseptics- ELISA reader Automated test for Bacteriology system (ATB) kit Statistical analysisproportion test, One-way ANOVA Statistical analysisproportion test, One-way ANOVA Statistical analysis- X 2 -test, Fisher's exact test Statistical analysisproportion test, X 2 -test, One-way ANOVA Statistical analysis- 2 way ANOVA
Journal of Dental Hygiene Science Vol. 10, No. 4, pp. 199~209 (2010) Glove w š šw, 96) e w e w 64.4%ƒ Glove w š šw. 70) e y w y w 16.0% šw, 90) e, e, y w y 9.0%ƒ Glove w š šw. x e w w 63) 84 w w w 42.9%ƒ e l w š šw. e Mask w w 16 e w 12. 1997 57) z j 11.4%, j 20.5%, 1998 60) 51.25%, 1999 64) 25.4%, 2000 65) 15.9%, 2001 70) 53.8%, 2003 74) 60.5%, 2005 ½ 81) 77.7%, 2007 ½ 92) 91.0%, û 87) 67.3%, 88) 64.1%, 90) 64.2%, 2008 95) 75.9%ƒ j w š šw. w 63) e w w v, œ»,»ù q e» w Mask w 60.7%ƒ w š šw š, 70) 50 y 46.0% šw, 80) e, y, e»œ, w 81.1%ƒ Mask w š šw (Table 7). 2) e x e x w w 15 e w 9. 1997 58) 96.6%, 57) 95.7%, 1998 60) 90.0%, 2001 70) 97.4%, 2003 74) 91.7%, 2007 û 87) 87.5%, 88) 5BCMF The wearing rate of the protection equipments(glove & mask) for dental hygienist Author(year) Number of subjects Respond-ent Data analysis Data collection Glove(%) Mask(%) Lee (1994) 200 200 134 Distribution 15.7 - Lee (1997) 114-88 Distribution - - Yoon et al (1997) 300 230 210 Mail Treatment(17.1) Operation(61.9) Disposable(11.4) Cotton(20.5) Kang (1998) 300 100 80 Distribution 22.50 51.25 Min (1999) 300-244 Distribution Treatment(18.0) Treatment (25.4) Operation(40.6) Song et al (2000) - - 215 Interview Wearing of glove at all 15.0 time(3.0) Yoon et al (2001) - - 78 Mail 24.4 53.8 Cho et al (2003) 200 124 124 Distribution 25.0 60.5 Kim et al (2005) 300 250 215 Visit survey Total (48.8) Dental clinic (45.0) Dental hospital (73.9) General hospital (31.6) Kim et al (2007) - - 429 Distribution Treatment (89.5) Assistance (61.4) Nam et al (2007) 200 181 168 Distribution 32.1 67.3 Yoon et al (2007) 128 128 128 Visit survey Total (43.0) Dental clinic (39.4) Dental hospital (63.2) Lee et al (2007) 200-176 Distribution 18.8 64.2 Park et al (2008) 240 210 191 Distribution Total (42.4) Dental clinic (32.3) Dental hospital (54.8) General hospital (72.0) Choi et al (2009) 240 210 191 Distribution Total (42.4) Dental clinic (32.3) Dental hospital (54.8) General hospital (72.0) Total (77.7) Dental clinic (82.4) Dental hospital (84.8) General hospital (52.6) Treatment (91.0) Assistance(77.8) Total (64.1) Dental clinic (64.2) Dental hospital (63.2) Total (75.9) Dental clinic (82.3) Dental hospital (57.1) General hospital (76.0) -
5BCMF The experience rate of the infection exposure for dental hygienist Author(year) Number of subjects Respondent Data analysis Data collection Exposures to infection(%) Lee (1997) 114-88 Distribution 96.6 Yoon et al (1997) 300 230 210 Mail Instrument 95.7 Kang (1998) 300 100 80 Distribution Needle 90 Yoon et al (2001) - - 78 Mail Instrument 97.4 Cho et al (2003) 200 124 124 Distribution 91.7 Nam et al (2007) 200 181 168 Distribution Instrument 87.5 Yoon et al (2007) 128 128 128 Visit survey 76.6 Kim et al (2009) 235-230 Distribution Blood 80.9 Lee et al (2009) 235-230 Distribution Blood 80.9 76.6%ƒ úe» ù e x š šw, ½ 97) 99) e 230 w 80.9%ƒ y x x š šw. ½ 53) e w 94.9%ƒ x š šw, x e w w 63) 59.6%, ½ 72) 52.7% w e x š šw. 67) w 92.5%ƒ» w ù x, 70) 50 e 94.0%ƒ w» x š šw. 80) e, y, e»œ, w 93.5%ƒ» w ƒ ù x š šw. 고 e w» w w. l e š y x k w l e yw w e ùkùš 89), w w û ùkùš. ü e w e w r 1994 15.7% ùkù w x 2009 42.4% ƒwš. 65) 3.0% ù w» l û ù. w ½ 92) x w w w w w ùkù. 찰 w 1994 z ƒwš. w 1995 ½ 53) e w 27.1%, 2007 90) e w 32.0%, 2002 ½ 72) e w e w ƒ 32.3%, 2009 96) e w e 64.4% ùk ù e ƒwš. y 2001 70) 16.0%, 2007 90) 9.0% ùkù y y y y w ƒ. 1989 Mitchell 110) Russell w e w y w w ƒ 1983 9% 1988 46% 5 ƒw š w š, Verussio 111) y w 1986 25% 1988 75% ƒw, 1989 112) Gerbert e 62%, e 82%ƒ y w š šw š 1993 113) Runnells š ü ƒw 90% e, e e ƒ y w w š šw. w 2001 B.L.Gordon 114) w w š w 1980 ~1990 û ù w 80% w š ùkû. ü w ƒwš ù w ü û x š» w w ƒ w» w 15 w w x j ƒw. j w e j 1997 11.4% 2008 75.9% j ƒ wš. e
Journal of Dental Hygiene Science Vol. 10, No. 4, pp. 199~209 (2010) w 2002 ½ 72) e w e j 83.9%, 2007 90) 94.0%, y w 2001 70) 46.0%, 2007 70) 29.0% ùkû. 2005 80) e k w 81.1%. e w e k w ƒ w e ù y w j y y w ƒ 115). Nash w ü e y w j 1986 30% 1988 49%, 1991 66% ƒw š, e 1986 31%, 1988 64%, 1992 86%, y 1986 18%, 1988 42%, 1991 66% š š š. ü ùkù w e j w š. j ƒ s ƒ s ùkùš, z š w l yƒ š š. e xz e w w w ww y 9.31$ƒ š šw 53) ü e y e w y w w. e x 1997 58) 96.6%, 57) 95.7%, 1998 60) 90.0%, 2001 70) 97.4%, 2003 74) 91.7%, 2007 û 87) 87.5%, 88) 76.6%, 2009 ½ 97) 80.9%ƒ úe» ù x š ùkû, ½ 97) 99) e 230 w 80.9%ƒ y x x š šw. e 1995 ½ 53) 94.9%ƒ x, y 2001 70) 94.0% ùkû. e w e w ƒ y y w 2001 70) 96.6% w 2009 80.9% e úe» ù e š ùkû. w úe» ù ù x w 71) wš 80% w x ùkù e x ùkù w w ƒ v w. ü w e w ƒ wš, y (, j) x w y w. mw ƒ w y y w ù ƒ sƒw» yw» x ƒ w yw w. ƒ w š w ü e w ƒ w y e w» w z z ³ w w y w. 요 약 ü w e w x w ù e w w» w š w ü x ww 7 l l w x w. 2009 9 16~17, z 2009 12 30 w. 1. e w ƒ qxk q w w ƒ 1980 w 2006 z e w ƒ ƒ y w y w. 2. w w (Original article) 45,»k 20 x. w (Original Article) w w 45r (survey) 37r, w ƒ s w 8r. 3. ƒ e, j ƒwš úe» ù e š ùkû. 참고문헌 1. Oie S, Hosokawa I, Kamiya A: Contamination of room door handles by methicillin-sensitive/methicillin-resistant Staphylococcus aureus. J Hosp Infec 51(2): 140-143, 2002. 2. Singh D, Kaur H, Gardner WG, Treen LB: Bacterial contamination of hospital pagers. Infect Control Hosp Epidemiol 23(5): 274-276, 2002. 3. : ü ³ w. w 25(6): 637-640, 1973.
4. U.S. Departmant of Health and Human Services: Guidelines for infection control in dental health-care setting-2003. 2003. 5. OSHA: Infection control in physician's offices. Academy of Pediatrics 1361-1369, 2000. 6. ½ƒ³: e :. we xz 32(6): 398-399, 1994. 7. w¼ew z: (e ) w w ù?. w¼ew z,, 1993. 8. we xz: e : y. 1r,, 2001. 9. ³: e w. ù q,, pp. 75-89, 2002. 10. Ÿ: e. w¼e z,, 1989. 11. w wz: 1996 ü. wz 2(2): 157-176, 1997. 12. : e».,, 2006. 13. : w e». w e w,»,, 2007. 14. y : 2008 e» sƒ. w z, ƒ,, 2008. 15. : w e w Bx w. û w w w, Ÿ, 1988. 16. : e ü w y l w. w w w, Ÿ, 2004. 17. : e w. w z w w,, 1996. 18. ½ : e w. w z w w,, 2000. 19. ½ : e k w. w w w w,, 2000. 20. : e x ü ³ e w. Ÿ w w w,, 2001. 21. : e w w w, k w w :». w w w w w w,, 2002. 22. : e k w. š w w w,, 2003. 23. : e w w w. w w w,, 2004. 24. «: e w t e w k. û w w w,, 2004. 25. : e w e w k. ƒm w w w w,, 2006. 26. û: e s» w w. û w,» w w,, 2006. 27. : e ü methicillin-resistant Staphylococcus aureus. w w w, Ÿ, 2006. 28. û : e š w. w w w,, 2006. 29. : e e k w e. w w w,, 2007. 30. ½ : e e» w k. w w w,, 2007. 31. y : e w k. w w w,, 2008. 32. : e k w. Ÿ w w w,, 2008. 33. ½ : e e» w k. š w w w,, 2008. 34. š w: w v ³ s. w w w,, 2008. 35. x : e w y. w w w,, 2009. 36. wù: e. w w w w,, 2009. 37. : e e w. w z w w,, 2009. 38.»y: e w v z. w e w w w,, 2009. 39. t: Human Immunodeficiency Virus AIDS e. w 13: 165-174, 1990. 40. : ü X. we x z 29(12): 925-928, 1991. 41. Schaefer, Milton K.: e w š I : y w w» w ƒ. we xz 30(1): 65-68, 1992. 42. Schaefer, Milton K.: e w š II : y w w» w ƒ. we xz 30(2): 133-140, 1992. 43. y û: e ü w š. we xz 31(12): 897-904, 1993. 44. Ÿ, ½ƒ³: e w w. we xz 32(6): 409-416, 1994. 45. : e. we xz 32(6): 417-421, 1994. 46. ½ : w. we xz 33(3): 170-177, 1995. 47. : e w w (w ). we xz 32(6): 400-408, 1994. 48. : e» w e. y w 17(1): 259-277, 1994. 49. y û, {: (1). e 14(10): 64-67, 1994. 50. y û, {: e ü (1). e 14(8): 70-71, 1994. 51. : e. w ww 26(1): 134-140, 1995. 52. :. we xz 33(3): 188-190, 1995. 53. ½x³, : e w ³, w w k. we xz 33(4): 291-307, 1995. 54. Ÿ: e. we xz 33(3): 184-187, 1995. 55. ½ : e mw q x. we x z 301: 422-426, 1994. 56. : e. w 3: 25-31, 1997; 57., y t, : e w. y 1(2): 95-141, 1997. 58. : e e AIDS w k. y w 20(1): 97-115, 1997. 59. Ÿ: e. we xz 36(12): 837-844, 1998. 60. : e k w. Ÿ w w w 1: 143-155, 1998.
Journal of Dental Hygiene Science Vol. 10, No. 4, pp. 199~209 (2010) 61. : e y ³ w. Ÿ w e w. 8(2): 103-110, 1998. 62., : x e ³ w. w 63(6): 281-284, 1998. 63. : e w e w k. y w 21(1): 147-167, 1998. 64. y: e w k. w 20: 427-444, 1999. 65.,, x : Ÿ ƒ e k w. w wz 24(3): 217-226, 2000. 66. : e p ³ s w. w 23(1): 37-51, 2000. 67.,, : e k. s w w 25(2): 153-167, 2001. 68. : e x. Ÿ 10(1): 43-85, 2001. 69. x : e k. e 50(6): 37-59, 2001. 70., : «e Bx w» y k w w. e wz 1(1): 51-57, 2001. 71., ½, ½ : e s» k. e wz 2(2): 105-113, 2002. 72. ½, ½ x: e k e w Bx xy. w e wz 2(2): 215-225, 2002. 73. : : e y s ³ x. w x wz 25(1): 25-32, 2003. 74. : e k w. w QAwz 10(2): 190-203, 2003. 75. : e w Bx w. w e wz 3(2): 89-99, 2003. 76. w, : e ü ³ w. w wz 28(2): 119-134, 2004. 77. : e w. we wz 6(1): 57-64, 2004. 78. : ƒ» ³» k e,. e 56(6): 71-80, 2004. 79. x: e ù w. û w 11(1): 157-172, 2005. 80. y: e k w. we wz 7(1): 85-97, 2005. 81. ½, : e y w k. e wz 5(2): 63-70, 2005. 82. : w w w sƒ e 3w. e 58(6): 61-66, 2005. 83. ½, : e y. we xz 44(8): 482-487, 2006. 84. x, x, ½ ³: AIDS y e. e 26(12): 1404-1409, 2006. 85. û, y, x : e s» k. w e wz 6(1): 37-48, 2006. 86. : e ü k g w Staphylococcus aureus. we wz 32(2): 102-110, 2007. 87. û,, : e k. e wz 7(1): 1-7, 2007. 88., : e w wk. e wz 7(2): 101-106, 2007. 89. x : e w. e wz 7(4): 257-262, 2007. 90. : e w. e wz 7(4): 263-269, 2007. 91. y, «: e yw w. w e wz 7(4): 455-470, 2007. 92. ½,, y : e k. w e wz 7(3): 213-230, 2007. 93. x, ½ : e y ü Staphylococcus aureus x w³. w wz 32(3): 405-415, 2008. 94. û : e (e ). e wz 8(3): 189-198, 2008. 95. w : e w -,». e wz 8(4): 275-281, 2008. 96. : e w w -e k -. e wz 9(1): 35-41, 2009. 97. ½, ƒ : e k w. e wz 9(1): 129-136, 2009. 98., x, : e d k y. e wz 9(1): 53-59, 2009. 99. ƒ, : e e w. w e wz 9(1): 45-58, 2009. 100., : e w w. w e wz 9(2): 73-88, 2009. 101. x : e y w y. w wz 33(3): 441-450, 2009. 102., ½ : e (w) w e w xy. w e wz 9(3): 468-478, 2009. 103.»y, x: e w v z. w ü wz 34(3): 237-245, 2009. 104. James A, et al.: e, lü ú,, 1998. 105. Wood, Peter R: (e ), š,, 1998. 106. we xz: e t. we xz,, 2003. 107. we xz: e e w w y». we xz,, 2004. 108. we xz: e» v. we xz,, 2007. 109. : e w. wù q,, 2009. 110. Mitchell R, Russell J: The elimination of cross-infection in dental-practice-a 5-year follow-up. Br Dent J 166: 209-211, 1989. 111. Verrusio AC, et al.: The dentist and infectous disease: a national survey of attitudes and behavior. J Am Dent Assoc 118(5): 553-562, 1986. 112. Gerbert B: The impact of AIDS on dental practice: update 1989. J Dent Educ 53(9): 529-530, 1989. 113. Runnells RR: Countering the Concerns: How to reinforce dental practice safety. J Am Dent Assoc 124: 65-73, 1993. 114. B.L. Gordon, et al.: Systematic review of adherence to infection control guidelines in dentistry. Dent 29: 509-516, 2001. 115. Nash KD: How infection control procedures are affecting dental practice today. J Am Dent Assoc 123: 67-73, 1992. (Received June 29, 2010; Revised June 29, 2010; Accepted June 29, 2010)