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约旦牙医对感染控制策略的依从性。

Compliance of Jordanian dentists with infection control strategies.

作者信息

AlNegrish Abdulrohman, Al Momani Aref Salim, Al Sharafat Fawwaz

机构信息

Department of Dentistry-Royal Services, Irbid, Jordan.

出版信息

Int Dent J. 2008 Oct;58(5):231-6. doi: 10.1111/j.1875-595x.2008.tb00193.x.

Abstract

OBJECTIVES

To assess whether dentists in Jordan are employing recommended infection techniques in their clinics and to identify the level of compliance of dentists with the recommended infection techniques commonly found in western countries.

PARTICIPANTS

Dentists in Jordan (n = 300).

METHODS

Aquestionnaire incorporating information regarding: infection control practices, vaccination, personal barrier protection, instrument sterilisation and disinfection, were distributed to 300 dentists in private and public practices.

RESULTS

A (93%) response rate (n = 279) was available for analysis. Gloves were used by 73.3% of dentists; masks by 69.5%, protective eye wear by 43.8% and white coats worn by 75.9%. About 25% recorded patient medical histories. Offices in Jordan were found to be in compliance with respect to the use of disposable anaesthetic needles and carpules but only 27% use plastic containers for sharps; 72.6% of dentists had been vaccinated against hepatitis B viruses; approximately 70% use an autoclave for sterilisation but only 15% always use plastic bags for packing sterilised instruments.

CONCLUSIONS

The majority of dental practitioners were found to be in compliance with most of the recommended infection control regulations. In this study the overall compliance with infection control procedures was 61.17% among dentists in Jordan. Further education may be appropriate in taking a medical history of each patient before treatment, wearing of masks and protective glasses and the use of plastic bags to wrap sterilised instruments.

摘要

目的

评估约旦的牙医在其诊所是否采用了推荐的感染控制技术,并确定约旦牙医对西方国家常见的推荐感染控制技术的遵守程度。

参与者

约旦的牙医(n = 300)。

方法

向300名在私立和公立诊所工作的牙医发放了一份问卷,问卷内容包括:感染控制措施、疫苗接种、个人屏障防护、器械灭菌和消毒。

结果

有279名牙医(回复率为93%)可供分析。73.3%的牙医使用手套;69.5%使用口罩;43.8%使用防护眼镜;75.9%穿着白大褂。约25%的牙医记录患者病史。约旦的诊所被发现遵守一次性麻醉针和安瓿的使用规定,但只有27%的诊所使用塑料容器盛放锐器;72.6%的牙医接种了乙肝病毒疫苗;约70%的牙医使用高压灭菌器进行灭菌,但只有15%的牙医总是使用塑料袋包装灭菌后的器械。

结论

大多数牙科从业者被发现遵守了大多数推荐的感染控制规定。在本研究中,约旦牙医对感染控制程序的总体遵守率为61.17%。在治疗前记录每位患者的病史、佩戴口罩和防护眼镜以及使用塑料袋包装灭菌器械方面,可能需要进一步开展教育。

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