Author, year | Study Design | Level of Evidence | Subjects (n) | Study Groups | Study outcomes | Conclusion | Directness of evidence |
---|---|---|---|---|---|---|---|
Ishihama, 2010 [27] | Descriptive, cross sectional study | N/A | 54 | Patients undergoing head and neck surgeries. | Blood-contaminated aerosols in OR air conduction filters | Surgical procedures using electrocautery and high-speed rotating instruments can result in aerosolization of blood. | Direct |
Ishihama, 2009 [42] | Descriptive, cross sectional study | N/A | 100 | Patients undergoing third molar removal | Blood-contaminated aerosols in air samples | At 20 cm: 76% particles were blood contaminated, at 100 cm: 57%. Blood aerosols can be generated during oral surgery with high speed instruments | Direct |
Ishihama, 2008 [43] | Descriptive, cross sectional study | N/A | 25 | Patients undergoing third molar removal | Blood-contamination of mask, visor and gown | Dental procedures with high-speed instruments exposed surgeons to possible blood-borne infections by splashing in nearly 90% of cases; blood splatters were confirmed in 84% of cases and 76% of visor masks | Indirect |
Al-Eid, 2018 [44] | Descriptive, cross sectional study | N/A | 30 | Patients undergoing third molar removal | Blood-contamination of mask, visor and gown | Blood contamination was present for 100% of facemasks and gloves, 87% of protective eyewear, 73% of surgical gowns | Indirect |
Hallier, 2010 [45] | Descriptive, cross sectional study | N/A | 8 | Patients undergoing dental procedures | Bacterial growth, caused by aerosol contamination, sampled 20 cm from dental chair. | Oral examination, tooth extraction, oral cavity preparation and ultrasonic scaling produce pathogen containing aerosols, which can form bacteria colonies | Direct |
Perdelli, 2008 [46] | Experimental study | N/A | 132 | Patients undergoing dental procedures and maxillofacial surgery in the OR and experimental during autopsy | Hemoglobin concentration in air samples from dental cubicles, MFS operating room and autopsy room | Hemoglobin concentrations in air samples were highest in dental operations and lowest during autopsy procedures | Indirect |