Continuing progress in infection control in U.S. dental schools

1990 ◽  
Vol 54 (8) ◽  
pp. 521-526
Author(s):  
VA Merchant ◽  
JA Molinari
2020 ◽  
Vol 8 (E) ◽  
pp. 509-515
Author(s):  
Asmaa Abdelnaby ◽  
Laila Mahmoud Kamel ◽  
Jylan Elguindy ◽  
Reham Yousri Elamir ◽  
Eman Elfar

BACKGROUND: Health-care safety focuses on improving patient’s and worker’s safety in a safe working clinics’ environment and prevent infection transmission including droplet infections as seasonal influenza and novel coronavirus (COVID-19). Dental health-care personnel (DHCP) are the target of safety measures and are themselves responsible for elimination of preventable harm. Dental schools are expected to demonstrate the model for quality safe care. AIM: This study aims to achieve high-quality safe dental care at dental clinics, Faculty of Dentistry, Cairo University. METHODS: A cross-sectional survey study was conducted at two Dental Outpatient Clinics, Cairo University. Disk review of policies, observation checklists for practices and awareness questionnaires of DHCP were used. RESULTS: DHCP showed good awareness for most of infection control (IC) and X-ray safety items. However, there are no policies or procedures to control droplet infections in the clinics. The clinics were closed in the current COVID-19 pandemic. There were poor patient safety practices, hand hygiene compliance, and personal protective equipment (PPE) use except for protecting clothes and disposable gloves. Students showed better compliance for patient safety guidelines. Other safety policies were poorly communicated. CONCLUSION: There should be preparedness plan to deal with any droplet infection outbreak, epidemic or pandemic as COVID-19 in all dental settings. There is a need to initiate dental safety unit in dental schools to implement, communicate, train, and supervise all dental safety practices including infection control.


Author(s):  
Basma A. Elawady ◽  
Mona S. Mohamed ◽  
Eman H. Elsebaie ◽  
Essraa A. Hegazy ◽  
Lamiaa A. Madkour

This study was carried out in the dental school of Ahram Canadian University in Egypt to investigate the knowledge and compliance of senior students and interns toward infection control practices. A self‑administered questionnaire was employed with questions pertinent to the participants’ knowledge of risks in the dental settings, the practice of hand hygiene, the use of protective equipment, and the management of sharp injuries, among others. Although the knowledge and practice of the 240 surveyed participants were good; they were not up to the coveted standards. Despite being an integral part of their curriculum, an alarming percentage (19.6%) of the participants denied receiving knowledge about infection control instructions. Meanwhile, only 72.5% were aware of being at risk in the dental settings, and 78.3% confirmed their practice of hand hygiene. On the other hand, 84.6% of the surveyed participants confirmed the availability of protective equipment and 94.2% of them expressed their willingness to apply infection control measures in the future. The defects in the knowledge and practice mandate corrective actions to promote and upgrade the students’ compliance. Meanwhile, other gaps can be rectified via developing state-of-the-art communicative strategies. Efforts are warranted to enhance the attitude and motivate the students to conform to the protective safety measures. With all the infection control procedures already established in dental schools, the challenge lies in improving the students’ compliance with these recommendations.


Author(s):  
Christina El-saaidi ◽  
Omid Dadras ◽  
Patou Masika Musumari ◽  
Masako Ono-Kihara ◽  
Masahiro Kihara

In developing countries such as Egypt, the risk of blood-borne diseases such as human immunodeficiency virus, hepatitis B virus, and hepatitis C virus is high for healthcare workers. To evaluate infection control knowledge, attitudes and practices, as well as the associated risk of percutaneous infection among dental students, a cross-sectional study was conducted in four Egyptian public dental schools in 2016. A total of 1776 students received an anonymous questionnaire on infection control knowledge, attitudes, and practices and the occurrence of needle and sharps injuries; 1,067 (60.1%) completed the questionnaire. Third- (pre-clinical), fourth- (junior-clinical), and fifth-year (senior-clinical) students comprised 44.2%, 15.6%, and 40.2%, respectively. Although the majority of the students reported good attitudes and practices for infection control, knowledge scores were generally low. Female students scored higher on self-protection and sterilization practices than did male students, and the fourth-year students showed significantly higher scores for infection control practice than did the fifth-year students. In multivariate analysis, higher scores for all infection control practices were associated with higher scores for attitudes towards infection control and fewer (1–3) needle injury experiences. Although an alarming proportion had experienced needle or sharps injuries during clinical training, around 30% of the students had not received a complete hepatitis B vaccination. Future infection control education should introduce refresher training before graduation that focuses on injury prevention and post-exposure protocols. Additionally, introducing safer products and clinical procedures is highly recommended to minimize the risk of injuries during clinical practice for dental students in Egypt.


2011 ◽  
Vol 2 (1) ◽  
pp. 1-9 ◽  
Author(s):  
Raghunath Puttaiah ◽  
Sadashiva Shetty ◽  
Deepthi Shetty ◽  
Sumit Dubey ◽  
Scott Walters ◽  
...  

ABSTRACT The objective was to study knowledge, attitudes, practice (KAP) and needs regarding infection control measures using two cross-sectional surveys from 1999 and 2010 conducted in India. Both data collection instruments had only about 35 comparable variables in common. In 1999, there were 456 respondents (dentists) who used a self-administered survey instrument compared to 272 respondents in 2010. Both the 1999 and 2010 samples were mutually independent with no overlap, had regional differences, and therefore were not directly compared for changes in KAP over time. While almost all respondents from both surveys felt that education in dental safety was needed and wanted mandatory dental safety curriculum in dental schools, severe inadequacies in dental safety knowledge, protection against immunizable diseases, and practice of universal precaution were noted. Data from the study demonstrated that there is a substantial opportunity to improve the knowledge, attitude and practice of dental infection control and occupational safety in India. Respondents reported that infectious disease status of a patient is always known and a significant number reported that they had the right to refuse care for patients of known infectious disease status. Stigma in treating HIV/AIDS patients was still a concern, an ethically troubling response suggesting the need for a stronger focus on educating dentists in subjects, such as dental safety, stigma and infectious disease. Information obtained from this study could be utilized for developing policies oriented towards increasing dental safety educational efforts, in both dental schools as curriculum, and for practicing dentists through professional updates or continuing dental education.


2014 ◽  
Vol 78 (2) ◽  
pp. 187-194 ◽  
Author(s):  
Nuala B. Porteous ◽  
Eamon Bizra ◽  
Annaliese Cothron ◽  
Chih-Ko Yeh

Author(s):  
Yuniardini Septorini Wimardhani ◽  
Yuli Fatzia Ossa ◽  
Indriasti Indah Wardhany ◽  
Diah Ayu Maharani ◽  
Cliff Lee

Abstract Objective To assess the Indonesian dental students' knowledge of HIV/AIDS in terms of transmission and oral manifestation, the attitudes toward people living with HIV/AIDS (PLWHA), the preparedness in infection control, and willingness to treat PLWHA, and assess the factors for willingness to treat PLWHA. Materials and Methods A modified version of a questionnaire used to assess dental students' knowledge, attitude, preparedness, and willingness to treat PLWHA in China was used. The questionnaire was cross-culturally adapted into Indonesian and had been pre-tested for face validity and test and retest reliability. The dental students from 32 dental schools in Indonesia were invited to participate in the study. Results A total of 1,280 dental students from 23 dental schools participated in the study. This study found that only 63% of students scored higher than 70% for knowledge of HIV/AIDS, and the mean score for knowledge was 15.02 (2.4). Higher than 80% of students had a positive professional attitude toward PWLHA; however, 80% of students worried about possible disease transmission in the dental office by PLWHA and 70% of students overestimated the occupational risk when treating PLWHA. The dental students had good preparedness for infection control with a mean score for preparedness of 3.19 (0.4). The mean score for willingness was 2.5 (0.9). Willingness to treat significantly differed by the type of universities, gender, age, and clinical experience. This study showed that knowledge about HIV/AIDS correlated with the willingness to treat PLWHA among dental students. Conclusion Dental students who have good knowledge about HIV infection tend to have a good willingness to treat PLWHA. The knowledge would in turn affect their attitude, preparedness, and willingness to provide care for PLWHA with confidence and comfort. This study suggests that the improvement of dental training may play an important role in changing students' perception of willingness to treat PLWHA.


Author(s):  
Riham N Mahmood ◽  
Neamat H Abu-bakr ◽  
Nada M Sanhouri ◽  
Yahia E Ibrahim

ABSTRACT Purpose The purpose of this study was to investigate the quality of final impressions and prescriptions for fixed restorations that were received by private and educational institute's laboratories in Sudan. Materials and methods Two hundred and seventeen questionnaires were distributed to eight private laboratories and seven dental schools in Sudan. The questionnaires were filled by the dental technicians and who were trained and instructed to complete one questionnaire per one final impression for fixed restoration immediately after it was received. Results Total response rate was 87%; the responding technicians had found evidence of obvious contamination in 23.8% of the examined impressions; blood was clear in 68.9% of these cases. Metal stock trays were used in 57.1% of the examined sample. About two-third of the impressions had been taken using condensation silicone (64.6%). Poor or no written instructions were observed in half of the sample (n = 103). Conclusion According to results of this study there was widespread use of inappropriate impression materials; the cross-infection control of sent impressions was below standard and there were poor prescriptions and communications with laboratory technicians in Sudan. How to cite this article Mahmood RN, Abu-bakr NH, Sanhouri NM, Ibrahim YE. Quality of Final Impressions and Prescriptions for Fixed Prosthodontics. Int J Prosthodont Restor Dent 2013;3(3):87-91.


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