STUDY AND EVALUATION OF MEASURES ON INFECTIOUS SAFETY OF MEDICAL PERSONNEL AND PATIENTS WHEN PROVIDING DENTAL CARE IN ACCORDANCE WITH REGULATORY DOCUMENTS
Introduction: According to WHO and international experts, at the beginning of the new millennium, the problem of infectious safety of health care has acquired global proportions in all countries of the world, regardless of their level of development. The problem of combating infections associated with the provision of medical care (HCAI) is relevant in all countries of the world, that is, an increase in HCAI leads to an increase in mortality, morbidity and cost of treatment, as well as an increase in health risks for patients and medical personnel. According to medical experts, infection control was carried out, including universal precautions such as the use of protective measures and personal protective equipment to prevent the transmission of HIV and other measures, criminal methods through blood, protection of patients and healthcare workers from possible transmission of infection in medical and dental organizations. High risks of the spread of infections are a serious problem in dentistry, since dental care is the most common medical service among the population, and at the same time, the situation regarding HIV infection, hepatitis B and C continues to remain tense.
Aim: Study and evaluate measures to comply with infection safety in dental organizations in accordance with regulatory documents.
Materials and methods: To control the safe conduct of medical procedures, we conducted monitoring studies in dental institutions of the East Kazakhstan region and the Abay region (Ust-Kamenogorsk, Semey, Zaisan, Ayaguz, Kurchum, military hospital Semey) in order to reduce the incidence of hepatitis B and C, COVID-19 and HIV infection. The research was carried out on the basis of 11 dental institutions in the East Kazakhstan region and the Abay region from January to June 2023. Evaluation and monitoring using the assessment tool was carried out through direct observation of existing infection control practices in dental health care organizations.
Results: Failure to comply with infection control and safety, sanitary and hygienic requirements, safety of medical procedures, stages of disinfection and sterilization, medical waste management, insufficient provision of disposable medical products and personal protective equipment creates a risk of transmission of bloodborne infection.
Not all dental organizations understand the importance of knowledge and implementation of basic requirements and measures for the prevention of infections associated with the provision of medical dental care to the population.
Conclusion: The study proves the need to strengthen measures to control infection safety in dental institutions. The average percentage of compliance with infection control criteria in dental settings was less than 50%.
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
Kuralay Е. Kalikhanova1, https://orcid.org/0000-0002-5995-3362
Diana M. Tokanova1, https://orcid.org/0000-0002-9171-8565
Sabina S. Sailaugalieva1, https://orcid.org/0000-0002-0652-5719
1 NJSC «Semey Medical University», Semey, Republic of Kazakhstan.
1. Будняк М.А., Окунькова Е.В., Дмитриева Е.А. и др. Степень риска передачи инфекционного заболевания в условиях стоматологического приема // Современные проблемы науки и образования. 2015. № 3. С.16-20 https://science-education.ru/ru/article/view?id=17340. (Дата обращения: 26.06.2023)
2. Воробьев М.В. Проблема инфекционной безопасности при оказании стоматологической помощи // Здоровье, демография, экология финно-угорских народов. 2014. (1). С.6-10.
3. Джумалиева Г.А., Кравцов А.А., Соромбаева Н.О. и др. Руководство по эпидемиологическому надзору за вирусными гемоконтактными инфекциями в организациях здравоохранения Кыргызской Республики, Бишкек, 2014. 102 с.
4. Красильникова И.В., Ястребцев М.С. Профилактика ВИЧ-инфекции в стоматологической практике // Вестник совета молодых ученых и специалистов Челябинской области. 2016. Т.2. №3 (14). С.40-41.
5. Покровский В.И., Акимкин В.Г., Брико Н.И. и др. Национальная Концепция профилактики инфекций, связанных с оказанием медицинской помощи и информационный материал по ее положениям. - Н. Новгород: Ремедиум Приволжье, 2012. 84с.
6. Рабинович И.М., Голуисов А.А., Гуревич К.Г., Фабрикант Е.Г., Мартынов Ю.В. Профилактика ВИЧ/СПИДа в стоматологической практике : методические рекомендации. Роспотребнадзор. – М., 2006. 85 c.
7. Супатаева Н.У. Жылкыбаева Р.А., Жолдошбекова и др. Инфекционный контроль в стоматологии: учебное пособие: Изд-во КРСУ, 2018. 4-5 с.
8. Тутельян А.В., Акимкин В.Г., Марьин Г.Г. От внутрибольничных инфекций до инфекций, связанных с оказанием медицинской помощи: научное развитие проблемы // Эпидемиология и инфекционные болезни. Актуальные вопросы. 2019. Т. 9. №1. С. 14-22.
9. Al-Negrish A., Al Momani A.S., Sharafat F.Al. Compliance of Jordanian dentists with infection control strategies // International Dental Journal, 2008. vol. 58, no. 5, pp. 231–236,
10. Al-Omari M.A., Al-Dwairi Z.N. Compliance with infection control programs in private dental clinics in Jordan // Journal of Dental Education, 2005. vol. 69, no. 6, pp. 693–698,
11. Al-Rabeah G., Mohamed A.G. Infection control in the private dental sector in Riyadh // Annals of Saudi Medicine. 2002., vol. 22, pp. 13–17,
12. Bates D.W. Global priorities for patient safety research // British Medical Journal. 2009. Vol.338. P.1775.
13. Cronk R., Bartram J. Environmental conditions in health care facilities in low-and middle-income countries: coverage and inequalities // International Journal of Hygiene and Environmental Health, 2018. Vol. 221, no. 3, pp. 409–422, https://clck.ru/36gTHi (Accessed: 13.06.2023)
14. Djumalieva G., Toktobaev N., Schueth T., Eremin S. Experience with the National Programme for Infection Control in the Kyrgyz Republic // Int J Infect Control 2009, 5:10–11.
15. Reilly J. Results from the Scottish National HAI Prevalence Survey // Journal of Hospital Infection. 2008. Vol. 69. P.62-68.
16. Khader Y., Burgan S., Amarin Z. Self-reported needle-stick injuries among dentists in north Jordan // East Mediterr Health J. Jan-Feb. 2009. 15(1):185-9.
17. Kotsiomiti E., Tzialla A., Hatjivasiliou K. Accuracy and stability of impression materials subjected to chemical disinfection-a literature review // J Oral Rehabil. 2008. 35(4):291-9. https://doi. org/10.1111/j.1365-2842.2007.01771.x PMid:18321265. (Дата обращения: Accessed: 11.06.2023)
18. Reis R.K., Gir E., Canini S.R. Accidents with biological material among undergraduate nursing students in a public Brazilian university // Braz J Infect Dis. Fev 2004. 8(1):18-24.
19. Somasundram J., Geetha R.V. Disinfection of impression material-a review // Eur J Mol Clin Med. 2020. 7(1):2451-60.
20. Veronesi L., Bonanini M., Dall’Aglio P. et al. Health hazard evaluation in private dental practices: a survey in a province of northen Italy. Acta Biomed. Apr 2004. 75(1):50-5.
21. Vincent J.L. Nosocomial infections in adult intensive-care units // Lancet. 2003. Vol. 361. P.2068-2077.
22. World Health Organization. Report on the burden of endemic health care-associated infection worldwide. 2011. 34-40 p.
References: [1-8]
1. Budnyak M.A., Okun'kova E.V., Dmitrieva E.A. i dr. Stepen' riska peredachi infektsionnogo zabolevaniya v usloviyakh stomatologicheskogo priema [Studying of level of knowledge and abilities of doctors of stomatologists concerning infectious safety]. Sovremennye problemy nauki i obrazovaniya [Modern problems of science and education]. 2015. № 3. pp.16-20. (Accessed: 26.06.2023) [in Russian]
2. Vorob'ev M.V. Problema infektsionnoi bezopasnosti pri okazanii stomatologicheskoi pomoshchi. [The problem of infection safety in the provision of dental care]. Zdorov'e, demografiya, ekologiya finno-ugorskikh. 2014. (1): p.6-10.
3. Dzhumalieva G.A., Kravtsov A.A., Sorombaeva N.O. i dr. Rukovodstvo po epidemiologicheskomu nadzoru za virusnymi gemokontaktnymi infektsiyami v organizatsiyakh zdravookhraneniya Kyrgyzskoi Respubliki [Tutorial for epidemiological surveillance of viral blood-borne infections in healthcare organizations of the Kyrgyz Republic], Bishkek, 2014. 102 p. [in Russian]
4. Krasil'nikova I.V., Yastrebtsev M.S. Profilaktika VICh-infektsii v stomatologicheskoi praktike [Prevention of HIV infection in dental practice]. Vestnik soveta molodykh uchenykh i spetsialistov Chelyabinskoi oblasti [Bulletin of the Council of Young Scientists and Specialists of the Chelyabinsk Region]. 2016. T.2. №3 (14). pp. 40-41. [in Russian]
5. Pokrovskii V.I., Akimkin V.G., Briko N.I. i dr. Natsional'naya Kontseptsiya profilaktiki infektsii, svyazannykh s okazaniem meditsinskoi pomoshchi i informatsionnyi material po ee polozheniyam [National concept for the prevention of infections associated with medical care and information material on its provisions]. N. Novgorod: Remedium Privolzh'e, 2012. p.84. [in Russian].
6. Rabinovich I.M., Goluisov A.A., Gurevich K.G., Fabrikant E.G., Martynov Yu.V. Profilaktika VICh/SPIDa v stomatologicheskoi praktike : metodicheskie rekomendatsii [Prevention of HIV/AIDS in dental practice: guidelines]. Rospotrebnadzor. – M., 2006. 85 p.
7. Supataeva N.U. Zhylkybaeva R.A. Zholdoshbekova i dr. Infektsionnyi kontrol'' v stomatologii: uchebnoe posobie [Infection control in dentistry Training manual]. Bishkek: Izd-vo KRSU, 2018. pp. 4-5. [in Russian]
8. Tutel'yan A.V., Akimkin V.G., Mar'in G.G. Ot vnutribol'nichnykh infektsii do infektsii, svyazannykh s okazaniem meditsinskoi pomoshchi: nauchnoe razvitie problemy [From nosocomial infections to infections associated with medical care: scientific development of the problem]. Epidemiologiya i infektsionnye bolezni. Aktual'nye voprosy. [Epidemiology and infectious diseases. Current items]. 2019. T.9. №1. pp. 14-22. [in Russian]
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Tolegenova Zh.Zh., Tokanova Sh.E., Baibussinova A.Zh., Zhumanbayeva Zh.М., Kalikhanova K.Е., Tokanova D.M., Sailaugalieva S.S. Study and evaluation of measures on infectious safety of medical personnel and patients when providing dental care in accordance with regulatory documents // Nauka i Zdravookhranenie [Science & Healthcare]. 2023, (Vol.25) 6, pp. 113-121. doi 10.34689/SH.2023.25.6.013Related publications:
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