Abreu Mauro Henrique Nogueira Guimarães de, Lopes-Terra Maria Claudia, Braz Leila Fátima, Rímulo Alcione Lúcia, Paiva Saul Martins, Pordeus Isabela Almeida
Department of Community and Preventive Dentistry, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil.
Braz Dent J. 2009;20(3):221-5. doi: 10.1590/s0103-64402009000300009.
The study compared the attitudes and behavior of 4th-year dental students regarding infection control rules in 1995 and 2005. Self-administrated questionnaires were applied to 592 students at 5 different dental schools in 1995 (n=350) and in 2005 (n=242). The chi-square and Fisher's exact tests were used for statistical analysis of data. Significance level was set at p<0.05. The response rate was 90.3% in 1995 and 81.0% in 2005. There was no improvement in the use of rubber gloves (p=0.316), face masks (p=0.572) or gowns (p=0.862) between 1995 and 2005. There was a lesser frequency of the use of protective eyewear in 2005 (p<0.001). No student used the individual protection equipment correctly. There was a decrease in the sterilization of burs in 2005 when compared to 1995 (p<0.001). No student could describe the correct use of the autoclave. Disinfection and use of a dental chair barrier were done correctly by a minority of students in 1995 (2.8%) and 2005 (6.1%) (p=0.069). Most students correctly discarded perforating/cutting instruments in both years (p=0.749). The attitudes and behavior of dental students concerning infection control are worrisome. There was no improvement and, for some parameters, there was a worsening in the procedures over the time period evaluated.
该研究比较了1995年和2005年牙科四年级学生对感染控制规则的态度和行为。1995年(n = 350)和2005年(n = 242),对5所不同牙科学校的592名学生进行了自填式问卷调查。采用卡方检验和Fisher精确检验对数据进行统计分析。显著性水平设定为p<0.05。1995年的回复率为90.3%,2005年为81.0%。1995年至2005年间,橡胶手套(p = 0.316)、口罩(p = 0.572)或手术衣(p = 0.862)的使用情况没有改善。2005年防护眼镜的使用频率较低(p<0.001)。没有学生正确使用个人防护设备。与1995年相比,2005年车针的消毒情况有所下降(p<0.001)。没有学生能够描述高压灭菌器的正确使用方法。1995年(2.8%)和2005年(6.1%)只有少数学生正确进行了牙科椅的消毒和使用隔离屏障操作(p = 0.069)。在这两年中,大多数学生都正确丢弃了穿孔/切割器械(p = 0.749)。牙科学生在感染控制方面的态度和行为令人担忧。在所评估的时间段内,情况没有改善,而且某些参数的操作反而变差了。