Haridi Hassan Kasim, Al-Ammar Abdalmohsen Saud, Al-Mansour Moazzy Ibraheim
General Directorate of Health Affairs, Hail Region, Saudi Arabia.
J Infect Prev. 2016 Nov;17(6):268-276. doi: 10.1177/1757177416645344. Epub 2016 Apr 27.
The concept of standard precautions (SP) has been a cornerstone of dental infection control (IC) practice. Full adherence with SP guidelines is still a matter of concern in many institutions. The objectives of the present study were to assess and characterise compliance with SP guidelines among dental healthcare workers (DHCWs) and to analyse factors that affect compliance.
A regional cross-sectional questionnaire survey among DHCWs in all health facilities was carried out from August to November 2014.
A total of 307 returned valid self-report questionnaires with a response rate of 73.1%. Most participants (86.3%) were aware of the SP guidelines, 84.4% received IC training and 88.9% received hepatitis B vaccination. Compliance with SP was found to be high; the majority (90.1%) attained 75% on the compliance scale. In the multivariate logistic regression model, perceived higher institutional commitment as regard IC requirements (odds ratio [OR], 4.34; <0.001), perceived training as adequate (OR, 3.51; = 0.003), dentist job (OR, 2.99; = 0.035) and younger age (OR, 0.59; = 0.041) were independently predicted as good compliant behaviour.
This survey revealed high self-reported compliance with SP guidelines. Institutional factors appear to have an important role. Attention should be paid to dental assistants and private DHCWs.
标准预防措施（SP）的概念一直是牙科感染控制（IC）实践的基石。在许多机构中，全面遵守SP指南仍是一个令人担忧的问题。本研究的目的是评估和描述牙科医护人员（DHCWs）对SP指南的遵守情况，并分析影响遵守情况的因素。
2014年8月至11月，对所有医疗机构的DHCWs进行了一项区域性横断面问卷调查。
共收回307份有效自填式问卷，回复率为73.1%。大多数参与者（86.3%）了解SP指南，84.4%接受了IC培训，88.9%接受了乙肝疫苗接种。发现对SP的遵守情况良好；大多数人（90.1%）在遵守量表上达到了75%。在多变量逻辑回归模型中，认为机构对IC要求的承诺较高（优势比[OR]，4.34；<0.001）、认为培训足够（OR，3.51；=0.003）、牙医工作（OR，2.99；=0.035）和年龄较小（OR，0.59；=0.041）被独立预测为良好的合规行为。
本次调查显示，自我报告的对SP指南的遵守情况良好。机构因素似乎起着重要作用。应关注牙科助理和私人DHCWs。
