A multicenter survey of factors influencing knowledge, attitude and behavior of dentists towards blood borne virus infected patients and associated infection control guidelines

S. H. Ahsan, K. Alanazi, Z. Al-Qahtani, S. Turkistani, M. Siblini, M. Al-Arabi
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Abstract

Objectives: The objectives of the study were to assess the knowledge, attitude, and behavior (KAB) of dentists toward blood-borne virus (BBV) diseases, associated hazards, and infection control guidelines and to determine factors which influence KAB of dentists toward above-mentioned variables. Materials and Methods: This was a cross-sectional survey. Eighty-four dentists were provided a self-prepared, structured questionnaire. The dentists were of varying specialties and health-care sectors. Frequency distribution and Fisher's exact test were performed. Results: Most of the dentists knew the common oral manifestations of acquired immunodeficiency syndrome, but none knew all. Many dentists were not aware of mode of transmission of hepatitis D virus (HDV) (n = 42), herpes simplex virus (n = 50), and herpes zoster virus (n = 47). Over half of the dentists (n = 43) did not know that hepatitis C virus vaccine does not exist. Many dentists (n = 63) knew that interferon is used for treating hepatitis B virus infection. Knowledge of HDV transmission and infection control officer availability in dentist's clinic were influenced by a number of continued dental education (CDE) hours and workplace of dentist. Most of the dentists were not aware of National Health Service guidelines for BBV-infected dentists practicing exposure-prone procedures (EPPs). Conclusion: KAB of dentists was influenced by a number of CDE hours and workplace of dentist. We request the dental authorities to increase the number of infection control-based CDE hours, BBV educational campaign for dentists and to issue a guidelines for BBV-infected dentists practicing EPP.
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影响牙医对血源性病毒感染患者的知识、态度和行为的因素及相关感染控制指南的多中心调查
目的:评估牙医对血源性病毒(BBV)疾病、相关危害及感染控制指南的知识、态度和行为(KAB),并确定影响牙医对上述变量的KAB的因素。材料与方法:本研究为横断面调查。84名牙医被提供了一份自行准备的结构化问卷。这些牙医来自不同的专业和保健部门。进行了频率分布和Fisher精确检验。结果:大多数牙医知道获得性免疫缺陷综合征的常见口腔表现,但没有人知道全部。许多牙医不了解丁型肝炎病毒(n = 42)、单纯疱疹病毒(n = 50)和带状疱疹病毒(n = 47)的传播方式。超过一半的牙医(n = 43)不知道丙型肝炎病毒疫苗不存在。许多牙医(n = 63)知道干扰素用于治疗乙型肝炎病毒感染。口腔继续教育(CDE)时数和牙医工作场所对口腔病毒传播知识和感染控制人员的可用性有影响。大多数牙医都不知道英国国家卫生服务指南对于bbv感染的牙医实行暴露倾向程序(EPPs)。结论:牙医师的KAB受CDE时数和工作场所的影响。我们要求牙科当局增加以感染控制为基础的CDE时数,为牙医开展BBV教育活动,并为感染BBV的牙医颁布实施EPP的指导方针。
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