Infection Control · patient case question

The same patient has an urgent need for treatment. What do you do?

Patient case: Patient with active tuberculosis

Scenario: A patient with ACTIVE TUBERCULOSIS.

  1. Treat in the regular operatory with standard precautions
  2. Treat in the regular operatory at the end of the day
  3. Refer to the emergency department for extraction
  4. Treat in an isolated room with appropriate airborne-infection controls
Show answer and explanation

Correct answer: D. Treat in an isolated room with appropriate airborne-infection controls

  • A. Standard precautions do not protect against airborne transmission.
  • B. Scheduling at the end of the day is a strategy for CONTACT and droplet precautions; it does not address airborne nuclei that persist in the air.
  • C. The emergency department is not equipped for definitive dental care, and referral without the appropriate airborne setting simply moves the exposure risk.
  • D. Correct. When treatment CANNOT be deferred, it is provided in a facility with AIRBORNE INFECTION ISOLATION — a negative-pressure room with appropriate air exchanges and HEPA filtration or UV germicidal irradiation, with all staff wearing fit-tested N95 or higher respirators. This is typically a hospital setting rather than a general dental practice.

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