NHS National Services Scotland, Health Protection Scotland, Meridian Court, 5 Cadogan Street, Glasgow, G2 6QE, United Kingdom.
University of Glasgow Dental School, 378 Sauchiehall Street, Glasgow, G2 3JZ, United Kingdom.
Br Dent J. 2018 Nov 23;225(10):957-961. doi: 10.1038/sj.bdj.2018.1028.
Safer sharps devices (SSDs) are commercially available and their use is mandated through UK legislation.
To identify the current usage of SSDs in UK primary care dentistry.
A cross-sectional survey was administered to delegates at the 2017 British Dental Association (BDA) Conference and Exhibition in Manchester, and at the 2017 BDA Scottish Conference and Exhibition in Glasgow. The survey covered a range of questions relating to sharps injuries and use of traditional and safety syringes for delivery of local anaesthesia. Statistical analyses were conducted using SPSS Version 22 (IBM Corp., 2013) and included chi-square and Fisher's exact tests.
Seven hundred and ninety-six delegates participated, of whom 396 (49.7%) were using safety syringes for delivery of local anaesthesia. Of the 166 participants who had experienced a sharps injury in the past year, 76 (45.8%) worked in facilities that most commonly used SSDs for delivery of local anaesthesia.
Our results indicate that a significant number of dental practices in our sample have not adopted SSDs and suggest sharps injuries are still being sustained in some practices using SSDs. Further epidemiological research is required to provide strong evidence for the effectiveness of SSDs and reasons why SSDs have not been fully adopted in UK primary dental care.
更安全的锐器（SSDs）已在市面上出售，英国立法规定必须使用这些锐器。
确定 SSD 在英国初级保健牙科中的使用情况。
对 2017 年在曼彻斯特举行的英国牙科协会（BDA）会议和展览会上的代表，以及在 2017 年在格拉斯哥举行的 BDA 苏格兰会议和展览会上的代表进行了横断面调查。该调查涵盖了与锐器伤和传统注射器与安全注射器用于局部麻醉的一系列问题。使用 SPSS 版本 22（IBM 公司，2013 年）进行统计分析，包括卡方检验和 Fisher 确切检验。
共有 796 名代表参加了调查，其中 396 名（49.7%）代表在使用安全注射器进行局部麻醉。在过去一年中经历过锐器伤的 166 名参与者中，有 76 名（45.8%）在最常使用 SSD 进行局部麻醉的设施工作。
我们的结果表明，我们抽样中的许多牙科诊所尚未采用 SSD，并且表明在一些使用 SSD 的诊所中仍在发生锐器伤。需要进一步进行流行病学研究，以提供 SSD 有效性的有力证据，以及 SSD 为何未在英国初级牙科护理中得到充分采用的原因。
