Lorosa Adair H, Pereira Claudia M, Hussne Renata P, Silva-Boghossian Carina M
School of Dentistry, University of Grande Rio (UNIGRANRIO), Duque de Caxias, Brazil.
Postgraduate Program in Dentistry, Postgraduate Program in Translational Biomedicine, University of Grande Rio (UNIGRANRIO), Duque de Caxias, Brazil.
Eur J Dent Educ. 2019 May;23(2):212-219. doi: 10.1111/eje.12423. Epub 2019 Feb 17.
The aim was to evaluate the knowledge of the students of dental students regarding patients care towards HIV positive individuals.
Two hundred and eighty-three dental students (pre-clinical, n = 45; clinical, n = 238) answered an electronic questionnaire, approaching biosafety procedures, oral manifestations of AIDS and knowledge of HIV infection. Data were present as an average from findings from students of nine different semesters, grouping them by pre-clinical (1-4) and clinical (5-9) semesters, from two different university campuses. Furthermore, data were analysed using the t test and chi-square test.
Students' mean age was 24 years. Amongst 14 oral manifestations questioned, Kaposi sarcoma, oral candidiasis, necrotizing ulcerative gingivitis and herpes simplex were more associated with HIV. Over 90% of the respondents would be concerned about becoming infected with HIV after a needle stick injury and were willing to be tested for HIV; know that HIV/AIDS patients can contaminate dental care professionals, that needle perforation can transmit HIV, and that medical professionals are more prone to cross-contamination. Regarding the use of physical barrier, almost all participants use disposable mask, goggles, cap and procedure gloves with all patients; the use of disposable lab coat and two pairs of gloves were the least used with all patients.
Participating students have good knowledge on biosafety in the management of HIV/AIDS patients, as well as on the most commonly associated oral manifestations. However, there is a need for improvement on some topics related to HIV/AIDS, especially regarding less known oral lesions, and HIV diagnostic tests.
评估牙科专业学生对艾滋病毒呈阳性个体患者护理的了解情况。
283名牙科专业学生(临床前阶段,n = 45;临床阶段,n = 238)回答了一份电子问卷,内容涉及生物安全程序、艾滋病的口腔表现以及艾滋病毒感染知识。数据以来自九个不同学期学生调查结果的平均值呈现,将他们按临床前(1 - 4)和临床(5 - 9)学期分组,来自两个不同的大学校园。此外,使用t检验和卡方检验对数据进行分析。
学生的平均年龄为24岁。在被问及的14种口腔表现中,卡波西肉瘤、口腔念珠菌病、坏死性溃疡性牙龈炎和单纯疱疹与艾滋病毒的关联更为密切。超过90%的受访者担心针刺伤后感染艾滋病毒,并愿意接受艾滋病毒检测;知道艾滋病毒/艾滋病患者可能会感染牙科护理专业人员,针刺穿孔可传播艾滋病毒,以及医疗专业人员更容易发生交叉污染。关于使用物理屏障,几乎所有参与者对所有患者都使用一次性口罩、护目镜、帽子和手术手套;对所有患者使用一次性实验室工作服和两副手套的情况最少。
参与调查的学生在艾滋病毒/艾滋病患者管理中的生物安全以及最常见的相关口腔表现方面有良好的知识。然而,在一些与艾滋病毒/艾滋病相关的主题上仍有改进的必要,特别是关于鲜为人知的口腔病变和艾滋病毒诊断测试方面。