Evidence map›Paper›PMID 24080927›Full record

ArticleJournal of the American Dental Association (1939)2013

Hepatitis B virus transmissions associated with a portable dental clinic, West Virginia, 2009.

Rachel A Radcliffe, Danae Bixler, Anne Moorman, Vicki A Hogan, Vickie S Greenfield, Diana M Gaviria, Priti R Patel, Melissa K Schaefer, Amy S Collins, Yury E Khudyakov and 3 more

Erratum issuedOpen access · greenAbstract read
In one paragraph

Article in Journal of the American Dental Association (1939), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Bloodborne Infections Relevant to Dental Practice.International dental journal · 2024
    Review
  6. Article
  7. Article
  8. Article
  9. Precautions and recommendations for orthodontic settings during the COVID-19 outbreak: A review.American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics · 2020
    Review
  10. Article
  11. Article
  12. Utilization of a Mobile Dental Vehicle for Oral Healthcare in Rural Areas.International journal of environmental research and public health · 2019
    Article
  13. Article
  14. Article
  15. Review
  16. Transmission of blood-borne pathogens in US dental health care settings: 2016 update.Journal of the American Dental Association (1939) · 2016
    Article
  17. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 1 institution in 1 country.

Rachel A RadcliffeDr. Radcliffe was with the Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, when the investigation described in this article was conducted. She now is a program manager, Division of Acute Disease Epidemiology, South Carolina Department of Health and Environmental Control, Columbia.
Danae Bixler
Anne Moorman
Vicki A Hogan
Vickie S Greenfield
Diana M Gaviria
Priti R Patel
Melissa K Schaefer
Amy S Collins
Yury E Khudyakov
Jan Drobeniuc
Barbara F Gooch
Jennifer L Cleveland
South Carolina Department of Health and Environmental Control · US

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

backgroundAlthough hepatitis B virus (HBV) transmission in dental settings is rare, in 2009 a cluster of acute HBV infections was reported among attendees of a two-day portable dental clinic in West Virginia.

methodsThe authors conducted a retrospective investigation by using treatment records and volunteer logs, interviews of patients and volunteers with acute HBV infection as well as of other clinic volunteers, and molecular sequencing of the virus from those acutely infected.

resultsThe clinic was held under the auspices of a charitable organization in a gymnasium staffed by 750 volunteers, including dental care providers who treated 1,137 adults. Five acute HBV infections-involving three patients and two volunteers-were identified by the local and state health departments. Of four viral isolates available for testing, all were genotype D. Three case patients underwent extractions; one received restorations and one a dental prophylaxis. None shared a treatment provider with any of the others. One case volunteer worked in maintenance; the other directed patients from triage to the treatment waiting area. Case patients reported no behavioral risk factors for HBV infection. The investigation revealed numerous infection control breaches.

conclusionsTransmission of HBV to three patients and two volunteers is likely to have occurred at a portable dental clinic. Specific breaches in infection control could not be linked to these HBV transmissions. PRACTICAL IMPLICATIONS: All dental settings should adhere to recommended infection control practices, including oversight; training in prevention of bloodborne pathogens transmission; receipt of HBV vaccination for staff who may come into contact with blood or body fluids; use of appropriate personal protective equipment, sterilization and disinfection procedures; and use of measures, such as high-volume suction, to minimize the spread of blood.

Indexed as

Dental ClinicsAdultCross InfectionDisease OutbreaksHepatitis BHumansMobile Health UnitsRetrospective StudiesRisk FactorsWest VirginiaDentistryhepatitis B virusinfection controloutbreakportable dental equipment

Identifiers

PMID24080927
PMCPMC5675528
OpenAlexW2061696193

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.