November-Rider Debra, Bray Kimberly Krust, Eklund Kathy J, Williams Karen B, Mitchell Tanya Villalpando
Forsyth Dental Hygiene Program, Massachusetts College of Pharmacy and Health Sciences, MA, USA.
J Dent Hyg. 2012 Summer;86(3):248-55. Epub 2012 Aug 27.
The objective of this exploratory study was to deter mine the current infection control practices used in Massachusetts dental public health programs and assess the perceived compliance and challenges with infection control standards as outlined in the 2003 Centers for Disease Control and Prevention (CDC) infection control guidelines.
A convenience sample of program directors of dental public health programs in Massachusetts (n=82) were invited to participate. The directors were identified through the Massachusetts Department of Public Health, Massachusetts League of Community Health Centers, local dental/dental hygiene schools and key stakeholders in dental public health. The electronic questionnaire-based survey consisted of 26 open/closed-ended and Likert scale questions. Statistical analysis included frequency distribution and factor analysis.
The overall response rate was 43%. The majority of responders to the survey were from public health settings using fixed/mobile dental equipment (82.9%), compared to settings using portable equipment (17.1%). Perceived lapses in the guidelines were attributed to lack of finances (r=0.938), lack of personnel (r=0.874) and lack of space (r=0.763). The only significant correlation between the program directors perceived adherence to the CDC guidelines was having access to necessary supplies and equipment (r=0.914). Program directors indicated that the CDC guidelines are hard to apply (r=0.895) and guide lines specific to settings using portable equipment would be helpful (r=0.925).
Within the limitations of the sample size and response rate, directors from public health settings using both fixed/mobile and portable equipment reported being able to apply the current 2003 CDC infection control guidelines with few compliance challenges. However, respondents indicated that the guidelines were hard to apply and that infection control guidelines for settings using portable equipment would be useful.
本探索性研究的目的是确定马萨诸塞州牙科公共卫生项目目前使用的感染控制措施，并评估对2003年疾病控制与预防中心（CDC）感染控制指南中概述的感染控制标准的感知依从性和挑战。
邀请马萨诸塞州牙科公共卫生项目的项目主任（n = 82）作为便利样本参与。通过马萨诸塞州公共卫生部、马萨诸塞州社区健康中心联盟、当地牙科/口腔卫生学校以及牙科公共卫生的关键利益相关者确定这些主任。基于电子问卷的调查包括26个开放式/封闭式和李克特量表问题。统计分析包括频率分布和因子分析。
总体回复率为43%。与使用便携式设备的机构（17.1%）相比，参与调查的大多数回复者来自使用固定/移动牙科设备的公共卫生机构（82.9%）。指南中察觉到的失误归因于资金不足（r = 0.938）、人员短缺（r = 0.874）和空间不足（r = 0.763）。项目主任认为遵守CDC指南的唯一显著相关性是能够获得必要的用品和设备（r = 0.914）。项目主任表示，CDC指南难以应用（r = 0.895），针对使用便携式设备的机构的特定指南会有所帮助（r = 0.925）。
在样本量和回复率的限制范围内，来自使用固定/移动和便携式设备的公共卫生机构的主任报告称能够应用当前的2003年CDC感染控制指南，且几乎没有依从性挑战。然而，受访者表示该指南难以应用，针对使用便携式设备的机构的感染控制指南会很有用。
