Leavy P, Templeton A, Young L, McDonnell C
Dental Officer and Scottish Dental Postgraduate Remote and Rural Fellow, Abban Street Dental Clinic, 22A Abban Street, Inverness, IV3 8HH.
Research Fellow, Translation Research in a Dental Setting (TRiaDS), Dundee Dental Education Centre, Frankland Building, Smalls Wynd, Dundee, DD1 4HN.
Br Dent J. 2014 Aug;217(4):E7. doi: 10.1038/sj.bdj.2014.734.
To evaluate experience, practice and beliefs regarding occupational exposures to blood and oral fluids among a random sample of 300 dentists working in Scotland's NHS primary dental services.
A cross-sectional postal survey assessed occupational exposure policies and procedures, recent occupational exposure incidence and current management. Beliefs were measured using constructs from the theory of planned behaviour, shown to influence behaviour in this population.
Forty-two percent of dentists responded. Fourteen percent had sustained an occupational exposure in the previous 12 months; of those, 35% did not report their exposure. All respondents' practices had protocols in place for managing and reporting dental team member sharps injuries. Most (82%) had protocols for mucocutaneous exposures. Less than half (48%) had a protocol for managing and reporting patient exposures to blood or saliva. Dentists placed significantly more importance (z-score -4.44, p value <0.001) and necessity (z-score -4.17, p value <0.001) on reporting patient exposure than dentist occupational exposure.
This study suggests that while dentists generally have positive beliefs about reporting occupational exposures, there are gaps in practice.
评估在苏格兰国民保健制度初级牙科服务机构工作的300名牙医随机样本中，关于职业接触血液和口腔液体的经验、做法和信念。
一项横断面邮寄调查评估了职业接触政策和程序、近期职业接触发生率以及当前管理情况。使用计划行为理论中的结构来衡量信念，该理论已证明会影响这一人群的行为。
42%的牙医回复了调查。14%的牙医在过去12个月中遭受过职业接触；其中，35%的人未报告其接触情况。所有受访者的诊所都制定了管理和报告牙科团队成员锐器伤的方案。大多数（82%）有处理黏膜皮肤接触的方案。不到一半（48%）有管理和报告患者血液或唾液接触的方案。与牙医职业接触相比，牙医认为报告患者接触的重要性（z值-4.44，p值<0.001）和必要性（z值-4.17，p值<0.001）明显更高。
本研究表明，虽然牙医对报告职业接触总体上有积极信念，但在实际操作中存在差距。
