STUDY AND ASSESSMENT OF INFORMED MEDICAL PERSONNEL ON QUESTIONS OF INFECTION CONTROL AND INFECTION SAFETY IN DENTAL CARE
Introduction: In accordance with the state policy in the field of healthcare of the Republic of Kazakhstan and the Healthy Nation program, the priority direction for the development of healthcare is the formation of a modern system of epidemiological forecasting and response, as well as epidemiological surveillance of infectious diseases.
One of the areas of epidemiological surveillance of infectious diseases is the infection control of dental clinics. As the coronavirus pandemic has shown, it has affected all areas of activity, including dental care. During the pandemic, dental care, for objective reasons, could not be completely suspended. Work in this difficult time has shown the shortcomings of organizational, legislative and executive measures to comply with infection control in dentistry.
The main reason for the need for strict infection control in dentistry is the regular contact of doctors with sharp instruments that work at a sufficiently high speed in the mouth, and come into contact with the saliva and blood of patients, so dentists are at increased risk of contracting infectious diseases such as hepatitis B virus (HBV), hepatitis C virus (HCV), HIV and COVID-19.
The purpose of the study: To study and evaluate the awareness of medical personnel on infection control and infection safety in the provision of dental care.
Materials and methods: cross-sectional study. The research was carried out in dental institutions of the East Kazakhstan region and the Abai region (Ust-Kamenogorsk, Semey, Zaisan, Ayaguz, Kurchum, Semey military hospital). Object of study: medical workers of all specialties (doctors, nurses and junior medical personnel) from 11 dental clinics and offices. The sample consisted of 100 medical workers of dental clinics and offices. The survey was conducted online using the Google Questionnaire platform and offline. For statistical analysis of qualitative data, Pearson's Chi 2 test and Fisher's test were used using the IBM SPSS 20.0 program. The results were considered statistically significant at p<0.05.
Results: More than 1/3 of the surveyed medical workers consider their knowledge of infectious diseases insufficient and did not receive proper training in the field of infection control and safety. At the same time, but differences were found by gender and work experience. Every 4th out of 5 medical workers received an injury during the provision of dental services (wounds, scratches, punctures) in the last 6 months. Many doctors are not interested in the patient about his infectious status. And despite the likelihood of infection, 65 (65%) respondents will not be able to refuse treatment to a patient, even if they are known to have an infectious disease. At the same time, compliance with sanitary and hygienic standards for the prevention of infection is not sufficient.
Conclusions: As a result of the study, an insufficient level of knowledge of medical workers in dental clinics about infection safety and infection control was established, which can lead to an increase in the risk of contracting infectious diseases. It is necessary to conduct periodic monitoring of knowledge and training, education on infection safety and infection control.
Zhanna Zh. Tolegenova1, https://orcid.org/0000-0001-8174-2193
Sholpan E. Tokanova1, https://orcid.org/0000-0003-0304-4976
Assel Zh. Baibussinova1, http://orcid.org/0000-0003-3447-6245
Zhanar М. Zhumanbayeva1, http://orcid.org/0000-0001-8941-862X
Nurzhanat B. Khaidarova1, https://orcid.org/0000-0002-1364-1945
Altynay М. Dosbayeva1, https://orcid.org/0000-0002-0554-2680
Assel М. Iskakova1, https://orcid.org/0009-0003-0144-6100
Kuralay Е. Kalikhanova1, https://orcid.org/0000-0002-5995-3362
1 NJSC «Semey Medical University», Semey, Republic of Kazakhstan.
1. Постановление Правительства Республики Казахстан от 12 октября 2021 года № 725. «Об утверждении национального проекта "Качественное и доступное здравоохранение для каждого гражданина "Здоровая нация". [Электронный ресурс] URL: https://adilet.zan.kz/rus/docs/P2100000725. (Дата обращения 11.03.2023 г).
2. Amato A., Caggiano M., Amato M., Moccia G., Capunzo M., De Caro F. Infection Control in Dental Practice During the COVID-19 Pandemic // International Journal of Environmental Research and Public Health. 2020; 17(13):4769. https://doi.org/10.3390/ijerph17134769. (Дата обращения 11.03.2023 г).
3. Bin Mubayrik A., Al Dosary S., Alshawaf R., Alduweesh R., Alfurayh S., Alojaymi T., Tuwaym M., et al. Public Attitudes Toward Chairside Screening for Medical Conditions in Dental Settings // Patient Prefer Adherence. 2021 Feb 2. 15:187-195. doi: 10.2147/PPA.S297882. PMID: 33564229; PMCID: PMC7866954.
4. Centers for Diseases Control and Prevention. Guidelines for Infection Control in Dental Health-Care Settings—2003 // Centers for Diseases Control and Prevention: Atlanta, GA, USA, 2003. pp. 1–76.
5. Dagher J., Sfeir C., Abdallah A., Majzoub Z. Infection Control Measures in Private Dental Clinics in Lebanon // Int J Dent. 2017;2017:5057248. doi: 10.1155/2017/5057248. Epub 2017 May 31. PMID: 28642792; PMCID: PMC54700496.
6. Dai J., Zhang Y.P., Wang W.M., Luo X.M., Zhuo W.J., Yang W.J., Zhang L.Z. A survey on the disposal of blood-contaminated tampon after dental extraction // Springerplus. 2016 Sep 7. 5(1):1498. doi: 10.1186/s40064-016-3210-5. PMID: 27652071; PMCID: PMC5014768.
7. Ge Z.Y., Yang L.M., Xia J.J., Fu X.H., Zhang Y.Z. Possible aerosol transmission of COVID-19 and special precautions in dentistry // J Zhejiang Univ Sci B. 2020 May. 21(5):361-368. doi: 10.1631/jzus.B2010010. Epub 2020 Mar 16. PMID: 32425001; PMCID: PMC7089481.
8. Harrel S.K., Molinari J. Aerosols and splatter in dentistry: A brief review of the literature and infection control implications // J. Am. Dent. Assoc. 2004. 135, 429–437.
9. Kassim S., Othman B., AlQahtani S., Kawthar A.M., McPherson S.M., Greenberg B.L. Dentists' attitudes towards chairside medical conditions screening in a dental setting in Saudi Arabia: an exploratory cross-sectional Study // BMC Oral Health. 2019 Aug 6;19(1):179. doi:10.1186/s12903-019-0870-x. PMID: 31387573; PMCID: PMC6685149.
10. Kochlamazashvili M., Kamkamidze G., McNutt L.A., De Hovitz J., Chubinishvili O., Butsashvili M. Knowledge, attitudes and practice survey on blood-borne diseases among dental health care workers in Georgia // J Infect Dev Ctries. 2018 Oct 31;12(10):864-870. doi: 10.3855/jidc.9911. PMID: 32004155.
11. Mahboobi N., Porter S.R., Karayiannis P., Alavian S.M. Dental treatment as a risk factor for hepatitis B and C viral infection. A review of the recent literature // J Gastrointestin Liver Dis. 2013. 22:79-86.
12. Malsam R., Nienhaus A. Occupational Infections among Dental Health Workers in Germany-14-Year Time Trends // Int J Environ Res Public Health. 2021 Sep 27. 18(19):10128. doi: 10.3390/ijerph181910128. PMID: 34639430; PMCID: PMC8508029.
13. Moradi Kh.B, Jamali Z., Pournaghi A.F., Naghavi Behzad M., Azami-Aghdash S. Knowledge, Attitude, Practice, and Status of Infection Control among Iranian Dentists and Dental Students: A Systematic Review // J Dent Res Dent Clin Dent Prospects. 2013;7(2):55-60. doi: 10.5681/joddd.2013.010. Epub 2013 May 30. PMID: 23875081; PMCID: PMC3713861.
14. Tada A., Watanabe M., Senpuku H. Factors affecting changes in compliance with infection control practices by dentists in Japan // Am J Infect Control. 2015; 43: 95- 97.
15. Tanner J., Parkinson H. Double gloving to reduce surgical crossinfection // Cochrane Database Syst Rev 2006. (3):CD003087. https://doi.org/10.1002/14651858.CD003087.pub2
16. Santella A.J., Conway D.I., Watt R.G. The potential role of dentists in HIV screening // Br Dent J. 2016 Mar 11;220(5):229-33. doi: 10.1038/sj.bdj.2016.172. PMID: 26964593.
17. Uti O.G., Agbelusi G.A., Jeboda S.O., Ogunbodede E. Infection control knowledge and practices related to HIV among Nigerian dentists // J Infect Dev Ctries. 2009 Sep 15;3(8):604-10. doi: 10.3855/jidc.552. PMID: 19801803.
References: [1]
1. Postanovlenie Pravitel'stva Respubliki Kazakhstan ot 12 oktyabrya 2021 goda № 725. «Ob utverzhdenii natsional'nogo proekta "Kachestvennoe i dostupnoe zdravookhranenie dlya kazhdogo grazhdanina "Zdorovaya natsiya". [Decree of the Government of the Republic of Kazakhstan dated October 12, 2021 No. 725. "On approval of the national project "Quality and affordable healthcare for every citizen" "Healthy Nation"] https://adilet.zan.kz/rus/docs/P2100000725. [Date of access 11.03. 2023].
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Tolegenova Zh.Zh., Tokanova Sh.E., Baibussinova A.Zh., Zhumanbayeva Zh.М., Khaidarova N.B., Dosbayeva A.М., Iskakova A.М., Kalikhanova K.Е.Study and assessment of informed medical personnel on questions of infection control and infection safety in dental care // Nauka i Zdravookhranenie [Science & Healthcare]. 2023, (Vol.25) 2, pp. 150-159. doi 10.34689/SH.2023.25.2.021Related publications:
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