Frazão Paulo, Bortolotti Marcia Gabriella L de Barros
Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, Brazil.
Cad Saude Publica. 2006 May;22(5):965-74. doi: 10.1590/s0102-311x2006000500009. Epub 2006 Apr 28.
The study analyzed infection control conditions in dentistry offices in Cariacica, Espírito Santo, Brazil. Data pertaining to interviewees, location and type of office, setting, equipment, and materials were obtained by direct observation in all the registered services and in twenty unlicensed establishments operated by "non-graduate dentists". For grouped analysis of infection control measurements in each establishment, a composite indicator based on 19 variables was developed, such that the lower its value, the better the infection control. The results referred to 113 offices. Infection control in offices of "non-graduate dentists" (xICI = 23.05, dp = 11.86) was four times worse than for private offices. Public dental care services (xICI = 16.27; dp = 6.96) occupied an intermediate position. Conditions were also four times worse in dentistry offices located in peripheral urban areas. There was a clear-cut division in sanitary conditions within dental care as a whole. A large proportion of the population depending on dental care from unlicensed dentists is exposed to increased risk of cross-infection.
该研究分析了巴西圣埃斯皮里图州卡里亚西卡市牙科诊所的感染控制情况。通过对所有注册服务机构以及由“非研究生牙医”经营的20家无证机构进行直接观察，获取了与受访者、诊所位置和类型、环境、设备及材料相关的数据。为对每家机构的感染控制措施进行分组分析，制定了一个基于19个变量的综合指标，其值越低，感染控制情况越好。结果涉及113家诊所。“非研究生牙医”诊所的感染控制情况（xICI = 23.05，标准差 = 11.86）比私人诊所差四倍。公共牙科护理服务机构（xICI = 16.27；标准差 = 6.96）处于中间位置。位于城市周边地区的牙科诊所的情况也差四倍。在整个牙科护理领域，卫生条件存在明显差异。很大一部分依赖无证牙医提供牙科护理的人群面临交叉感染风险增加的问题。
