Possible Blood-Borne Pathogen Risk: Alert for New Hampshire Providers

|May 07, 2014

On April 28, 2014, the New Hampshire Division of Public Health Services (NH DPHS) was notified that the State of New Hampshire Board of Dental Examiners suspended the license of Dr. Nicholas Marshall, Jr., an orthodontist who practices at 835 Hanover Street #202, Manchester, NH. The reason for closure was inadequate infection control practices that were documented during an unannounced inspection on April 24, 2014.

NH DPHS and the City of Manchester Health Department have conducted a preliminary investigation and determined that recommended monitoring was not performed on units used to sterilize patient care equipment and that sterility of patient care equipment could not be assured.

There is an anticipation that patients may have questions about whether they may have been infected if they had care at this orthodontic practice.

NH DPHS Recommendations:

There is no current evidence that any patient has acquired disease from this orthodontic practice and preliminary findings suggest that risk of exposure to blood-borne pathogens for patients is very low, though not zero. Therefore, NH DPHS recommends that clinicians discuss testing options with their patients who report having received dental care at this practice from 1986 through April 28, 2014. Healthcare providers who offer testing to patients may use routinely available screening methods, including hepatitis B surface antigen, hepatitis C antibody, and HIV antibody.

NH DPHS requests that clinicians report blood-borne pathogen infections that may be associated with having received care at this orthodontic practice by contacting the Bureau of Infectious Disease Control at 603-271-4496 (after hours 1-800-852-3345 ext. 5300).

This investigation is ongoing and updates will be provided as necessary.

NH DPHS and partners have developed an FAQ – which you can check for updates for use with your patients – available at http://www.dhhs.state.nh.us.

For any questions regarding the contents of this message, please contact NH DHHS, DPHS, Bureau of Infectious Disease Control at 603-271-4496 (after hours 1-800-852-3345 ext.5300).

To change your contact information in the NH Health Alert Network, contact Denise Krol at 603-271-4596 or email Denise.Krol@dhhs.state.nh.us.



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