Farrier S L, Farrier J N, Gilmour A S M
Department of Adult Dental Health, Dental School, Cardiff University, Cardiff, CF14 4XY.
Br Dent J. 2006 Feb 25;200(4):218-23; discussion 208. doi: 10.1038/sj.bdj.4813257.
In this safety conscious age all general dental practitioners should be promoting the use of eye protection. The aim of this study was to highlight the uptake of eye protection by all clinical staff and patients within the general dental practice setting, with regard to adequate protection and its use at appropriate times.
Questionnaires were sent to 200 GDPs, chosen at random, to accumulate information on the use of protection, the preferred methods of eye protection and any experience of ocular injury.
Eighty-seven per cent of GDPs wore eye protection routinely, but their choice of protection was not always adequate and not worn for all procedures. Forty-eight per cent of GDPs had experience of ocular trauma or infection which occurred during a variety of procedures; 75% of these injuries resulted from not wearing eye protection. In contrast less than half of the DNs and Hygienists use protection routinely, particularly when cleaning contaminated instruments. However, hygienists did wear eye protection for the majority of their patient work (96%).
Eye protection use by all staff and patients is currently suboptimal to conform to published guidelines. Risks encountered within the dental environment do cause harm to the unprotected eye, which can be reduced or even eliminated by improving the uptake of suitable eye protection; several choices for eye protection are available. Each individual dentist is responsible for the uptake of eye protection for all persons in their surgery environment.
在这个注重安全的时代，所有普通牙科从业者都应倡导使用眼部防护装备。本研究的目的是强调在普通牙科诊疗环境中，所有临床工作人员和患者对眼部防护装备的使用情况，包括防护是否充分以及是否在适当的时候使用。
随机向200名普通牙科从业者发送问卷，以收集有关防护装备使用情况、首选的眼部防护方法以及任何眼部受伤经历的信息。
87%的普通牙科从业者经常佩戴眼部防护装备，但他们选择的防护装备并不总是足够的，而且并非在所有操作过程中都佩戴。48%的普通牙科从业者曾在各种操作过程中经历过眼部创伤或感染；其中75%的损伤是由于未佩戴眼部防护装备所致。相比之下，不到一半的牙科护士和口腔保健员经常使用防护装备，尤其是在清洁受污染器械时。然而，口腔保健员在为大多数患者进行诊疗工作时会佩戴眼部防护装备（96%）。
目前所有工作人员和患者的眼部防护装备使用情况未达到已发布指南的要求。牙科环境中遇到的风险确实会对未受保护的眼睛造成伤害，通过提高合适眼部防护装备的使用率可以减少甚至消除这种伤害；有几种眼部防护装备可供选择。每位牙医都有责任确保其诊疗环境中的所有人都使用眼部防护装备。
