Young K L, Lange B, Dunning D
Division of Dental Health, Nebraska Department of Health.
Nebr Med J. 1991 Mar;76(3):55-62.
Based on the findings of this study, the following specific strategic recommendations are offered: 1. Offer continuing education courses throughout the state at reasonable fees. The courses should emphasize recognition of AIDS related lesions and infectious diseases, aseptic techniques/infectious disease control, AIDS, Hepatitis B, and infections/antibiotics. In addition, continuing education courses in the area of medical history taking methods should be offered to teach methods of inquiring about sexual and drug-use histories. 2. Establish a state resource center for information regarding infectious diseases. This could, perhaps, be a cooperative venture with the Department of Health, the Nebraska Dental Association, and the College of Dentistry. There is a need to gather, interpret and disseminate periodic updates on infectious disease research. This venture should also focus on developing literature for practitioners with consistent information about infection control regulations and guidelines. 3. Either through continuing education courses or through the information resource center, provide instruction on realistic assessment of the risk of infectious disease transmission in dentistry. 4. Develop a public relations campaign to educate the public about infection control policies in dentistry, what is being done to protect the public. 5. A research effort should be undertaken to determine the discrepancy between self-reported infection control practices and observed infection control practices. This could be accomplished through patient and dentist surveys, interviews, and/or observations. 6. Establish a confidential HIV blood screening program for health care providers.
基于本研究的结果，现提出以下具体战略建议：1. 在全州以合理费用提供继续教育课程。这些课程应重点关注艾滋病相关病变和传染病的识别、无菌技术/传染病控制、艾滋病、乙型肝炎以及感染/抗生素。此外，应提供病史采集方法领域的继续教育课程，教授询问性病史和药物使用史的方法。2. 建立一个关于传染病信息的州资源中心。这或许可以是与卫生部、内布拉斯加州牙科协会和牙科学院的合作项目。需要收集、解读并定期传播传染病研究的最新信息。该项目还应专注于为从业者编写有关感染控制法规和指南的统一资料。3. 通过继续教育课程或信息资源中心，提供关于牙科中传染病传播风险的实际评估指导。4. 开展一场公关活动，向公众宣传牙科的感染控制政策以及为保护公众所采取的措施。5. 应进行一项研究，以确定自我报告的感染控制措施与观察到的感染控制措施之间的差异。这可以通过对患者和牙医的调查、访谈及/或观察来完成。6. 为医疗保健提供者建立一个保密的艾滋病毒血液筛查项目。
