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Goggles vs protective eyewear

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  • #76651
    Kylie Robb
    Participant

    Author:
    Kylie Robb

    Position:
    Director

    Organisation:
    Niche Dental

    State:
    NSW

    Hi everyone,

    I’m getting a lot of questions from dentists under Level 3 restrictions with regards to wearing eye sealing goggles instead of your routine safety glasses aka protective eyewear. I think this has stemmed from social media posts of HCWs in Italy having bruised faces after wearing P2s and goggles all day and night.

    It appears the terms of goggles/protective eyewear is sometimes used interchangeably. I’d like to ask the group for guidance (please) to reassure dentists that you can’t contract COVID-19 through your eyeballs – and to carry on with your safety glasses.

    I know a lot of dentists don’t have goggles and I don’t want to encourage them unnecessarily to try and get them when other healthcare workers may need them more!

    FYI – L3 restrictions include performing only urgent and emergency dental care for the community and applying (when necessary) appropriate transmission based precautions for suspected/confirmed COVID-19 cases. This also includes limiting AGPs

    Regards,

    Kylie Robb
    Practice Services Manager

    Australian Dental Association NSW Branch
    Level 1, 1 Atchison Street, St Leonards, New South Wales 2065
    t: 02 8436 9936 m: 0438 628 664
    E: kylie.robb@adansw.com.au | W: https://www.adansw.com.au

    [cid:image001.png@01D60833.315EA990] [cid:image002.png@01D60833.315EA990] [cid:image003.png@01D60833.315EA990]

    [cid:image004.jpg@01D60833.315EA990]

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    #76655
    Tony Skapetis (Western Sydney LHD)
    Participant

    Author:
    Tony Skapetis (Western Sydney LHD)

    Position:

    Organisation:

    State:

    Hi Kylie
    This link has useful information.
    https://www.allaboutvision.com/conditions/coronavirus-and-your-eyes/

    Cheers
    TS

    Dr Tony Skapetis
    Clinical Director of Education
    Oral Health, Western Sydney LHD
    Chair, Western Sydney Local Health District HREC
    Clinical Associate Professor
    University of Sydney faculty of Medicine and Health
    Sydney Dental School
    [untitled] https://orcid.org/0000-0003-0401-9908

    Hi everyone,

    I’m getting a lot of questions from dentists under Level 3 restrictions with regards to wearing eye sealing goggles instead of your routine safety glasses aka protective eyewear. I think this has stemmed from social media posts of HCWs in Italy having bruised faces after wearing P2s and goggles all day and night.

    It appears the terms of goggles/protective eyewear is sometimes used interchangeably. I’d like to ask the group for guidance (please) to reassure dentists that you can’t contract COVID-19 through your eyeballs – and to carry on with your safety glasses.

    I know a lot of dentists don’t have goggles and I don’t want to encourage them unnecessarily to try and get them when other healthcare workers may need them more!

    FYI – L3 restrictions include performing only urgent and emergency dental care for the community and applying (when necessary) appropriate transmission based precautions for suspected/confirmed COVID-19 cases. This also includes limiting AGPs

    Regards,

    Kylie Robb
    Practice Services Manager

    Australian Dental Association NSW Branch
    Level 1, 1 Atchison Street, St Leonards, New South Wales 2065
    t: 02 8436 9936 m: 0438 628 664
    E: kylie.robb@adansw.com.au | W: https://www.adansw.com.au

    [cid:image001.png@01D60833.315EA990] [cid:image002.png@01D60833.315EA990] [cid:image003.png@01D60833.315EA990]

    [cid:image004.jpg@01D60833.315EA990]

    MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

    The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

    Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

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    #76656
    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Position:

    Organisation:

    State:
    NSW

    Hi Kylie

    As a point of fact your CAN be exposed to SARS-CoV-2 through your eyeballs (they are mucous membrane surfaces, after all), but just what role that plays in developing disease if not yet certain. I believe the best way to get COVID-19 is to inoculate the virus directly into your nose.

    BUT, and it is quite a big but, SARS-CoV-2 would need to be present inside the tight fitting sealed goggles to get anywhere near the eyeball. Unless you are purposefully inoculating the inside of your sealed goggles with patient secretions before you don them, I can’t see the risk. Provided you are wearing your PPE appropriately, when anticipating secretion exposure.

    I will say, however, that I am not a dentist, and thus probably do not understand all of the concerns a dentist might have about secretion exposure, so am happy to stand corrected about my assumption of no inoculation of the inside of the google with patient secretions prior to donning.

    In my experience in both occupational safety and infection prevention and control, sealed safety goggles are a much better protective barrier that other forms of eye protection, such as face shields which are not sealed at the sides.

    Cheers
    Michael

    Michael Wishart | Infection Control Coordinator, CICP-E .
    B App Sc Nur, Grad Dip Occ Safety Nur, M Hlth Sc Inf Con

    St Vincent’s Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
    T +61 7 3326 3068 | F +61 7 3607 2226
    E michael.wishart@svha.org.au |
    W https://www.svphn.org.au

    [cid:image001.jpg@01D46C86.4CDB6090]

    [cid:image005.png@01D5C601.F77FEA40]

    Hi everyone,

    I’m getting a lot of questions from dentists under Level 3 restrictions with regards to wearing eye sealing goggles instead of your routine safety glasses aka protective eyewear. I think this has stemmed from social media posts of HCWs in Italy having bruised faces after wearing P2s and goggles all day and night.

    It appears the terms of goggles/protective eyewear is sometimes used interchangeably. I’d like to ask the group for guidance (please) to reassure dentists that you can’t contract COVID-19 through your eyeballs – and to carry on with your safety glasses.

    I know a lot of dentists don’t have goggles and I don’t want to encourage them unnecessarily to try and get them when other healthcare workers may need them more!

    FYI – L3 restrictions include performing only urgent and emergency dental care for the community and applying (when necessary) appropriate transmission based precautions for suspected/confirmed COVID-19 cases. This also includes limiting AGPs

    Regards,

    Kylie Robb
    Practice Services Manager

    Australian Dental Association NSW Branch
    Level 1, 1 Atchison Street, St Leonards, New South Wales 2065
    t: 02 8436 9936 m: 0438 628 664
    E: kylie.robb@adansw.com.au | W: https://www.adansw.com.au

    [cid:image001.png@01D60833.315EA990] [cid:image002.png@01D60833.315EA990] [cid:image003.png@01D60833.315EA990]

    [cid:image004.jpg@01D60833.315EA990]

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    MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

    The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

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    #76657
    Anonymous
    Inactive

    Author:
    Anonymous

    Position:

    Organisation:

    State:

    Hi Michael,
    Most dentists do no have sealed safety googles and most work with loupes and lights making this concept difficult. Our lights usually have cords also going to our waste etc etc making a seal impossible without wearing a space suit.

    It gets quite complex as many dentists are shutting down altogether because of the restrictions imposed by Level 3 dental restrictions.

    The fact that 70,000 hospital admissions occur each year, because of preventable dental causes, must be some concern to hospitals as Dentists at present are restricted and can not do routine checkups to try to prevent or detect unexpected dental issues according to the reading of the level 3 dental restrictions.
    Chinese research at present shows an increase in dental emergencies at hospitals and a decrease in dental trauma cases, with the closing of practices.

    Normal practice in dentistry would be to don and doff in the surgery and not outside the treatment room. Our practices building architecture doesn’t lend itself to eliminating risks (air flow, staff flow). The patient, dentist and DA needs to walk out the surgery door letting air out of the treatment room. etc.
    I don’t know anyone with a sealed door situation. Theoretically our habits could result in unpurposeful” inoculation of the inside of googles.
    Dentists are undertaking newer precautions to try and minimise risks.

    Dentists are not set up to see coronavirus patients – please if you see a patient with a dental issue give the patient antibiotics and pain killers and tell them not to seek treatment from a dentist until they are virus free please. Or get them to ring their dentist – not turn up at the clinic.

    I think that it is unwise to tell dentists you cant get coronavirus via eyewear issues.
    I also think it would be unwise to make sealed googles a required standard for emergency dental care (of patients not suspected to have the virus), on the basis of a theoretical risk, because of the broader issues.

    Cheers
    Glenda Farmer BDSc B Dent Studies
    http://www.smartdentist.com.au
    Dentist and Infection control policy and procedure solutions

    > On 1 Apr 2020, at 5:52 pm, Michael Wishart wrote:
    >
    > Hi Kylie
    >
    > As a point of fact your CAN be exposed to SARS-CoV-2 through your eyeballs (they are mucous membrane surfaces, after all), but just what role that plays in developing disease if not yet certain. I believe the best way to get COVID-19 is to inoculate the virus directly into your nose.
    >
    > BUT, and it is quite a big but, SARS-CoV-2 would need to be present inside the tight fitting sealed goggles to get anywhere near the eyeball. Unless you are purposefully inoculating the inside of your sealed goggles with patient secretions before you don them, I cant see the risk. Provided you are wearing your PPE appropriately, when anticipating secretion exposure.
    >
    > I will say, however, that I am not a dentist, and thus probably do not understand all of the concerns a dentist might have about secretion exposure, so am happy to stand corrected about my assumption of no inoculation of the inside of the google with patient secretions prior to donning.
    >
    > In my experience in both occupational safety and infection prevention and control, sealed safety goggles are a much better protective barrier that other forms of eye protection, such as face shields which are not sealed at the sides.
    >
    > Cheers
    > Michael
    >
    > Michael Wishart | Infection Control Coordinator, CICP-E .
    > B App Sc Nur, Grad Dip Occ Safety Nur, M Hlth Sc Inf Con
    >
    > St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
    > T +61 7 3326 3068 | F +61 7 3607 2226
    > E michael.wishart@svha.org.au |
    > W https://www.svphn.org.au
    >
    >
    >
    >
    >
    > From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU > On Behalf Of Kylie Robb
    > Sent: Wednesday, 1 April 2020 1:38 PM
    > To: ACIPCLIST@ACIPC.ORG.AU
    > Subject: [ACIPC_Infexion_Connexion] Goggles vs protective eyewear
    >
    > Hi everyone,
    >
    > Im getting a lot of questions from dentists under Level 3 restrictions with regards to wearing eye sealing goggles instead of your routine safety glasses aka protective eyewear. I think this has stemmed from social media posts of HCWs in Italy having bruised faces after wearing P2s and goggles all day and night.
    >
    > It appears the terms of goggles/protective eyewear is sometimes used interchangeably. Id like to ask the group for guidance (please) to reassure dentists that you cant contract COVID-19 through your eyeballs and to carry on with your safety glasses.
    >
    > I know a lot of dentists dont have goggles and I dont want to encourage them unnecessarily to try and get them when other healthcare workers may need them more!
    >
    > FYI – L3 restrictions include performing only urgent and emergency dental care for the community and applying (when necessary) appropriate transmission based precautions for suspected/confirmed COVID-19 cases. This also includes limiting AGPs
    >
    > Regards,
    >
    > Kylie Robb
    > Practice Services Manager
    >
    > Australian Dental Association NSW Branch
    > Level 1, 1 Atchison Street, St Leonards, New South Wales 2065
    > t: 02 8436 9936 m: 0438 628 664
    > E: kylie.robb@adansw.com.au | W: https://www.adansw.com.au
    >
    >
    >
    >
    >
    >
    >
    > ______________________________________________________________________
    > This email and any attachments to it (the “Email”) is confidential and is for the use only of the intended recipient, and may not be duplicated or used by any other party without the express consent of the sender. If you are not the intended recipient of the Email, please notify the sender immediately by return email, delete the Email, and do not copy, print, retransmit, store or act in reliance on the Email. St Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is free from errors, viruses or interference. Emails to and from SVHA or its related entities may be scanned and filtered in locations outside Australia.
    > MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
    > The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
    >
    > Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
    >
    > Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au
    > To send a message to the list administrator send an email to admin@acipc.org.au
    > You can unsubscribe manually from this list by sending ‘signoff acipclist’ (without the quotes) to listserv@aicalist.org.au
    > ______________________________________________________________________
    > This email and any attachments to it (the “Email”) is confidential and is for the use only of the intended recipient, and may not be duplicated or used by any other party without the express consent of the sender. If you are not the intended recipient of the Email, please notify the sender immediately by return email, delete the Email, and do not copy, print, retransmit, store or act in reliance on the Email. St Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is free from errors, viruses or interference. Emails to and from SVHA or its related entities may be scanned and filtered in locations outside Australia.
    > MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
    > The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
    >
    > Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
    >
    > Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au
    > To send a message to the list administrator send an email to admin@acipc.org.au
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    MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

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