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牙科学院中教育工作者和学生的手部卫生依从性:一项系统评价和荟萃分析。

Educator and Student Hand Hygiene Adherence in Dental Schools: A Systematic Review and Meta-Analysis.

作者信息

Resende Kemelly Karolliny Moreira, Neves Layla Ferreira, de Rezende Costa Nagib Leonardo, Martins Lázara Joyce Oliveira, Costa Cláudio Rodrigues Rezende

机构信息

Kemelly Karolliny Moreira Resende is a graduate student, Universidade de Rio Verde, Rio Verde, Brazil; Layla Ferreira Neves is a graduate student, Universidade de Rio Verde, Rio Verde, Brazil; Leonardo de Rezende Costa Nagib is a postgraduate student, Universidade Federal de Uberlandia, Uberlandia, Brazil; Lázara Joyce Oliveira Martins is Professor, Universidade de Rio Verde, Rio Verde, Brazil; and Cláudio Rodrigues Rezende Costa is Professor, Universidade de Rio Verde, Faculty of Dentistry, Rio Verde, Brazil.

出版信息

J Dent Educ. 2019 May;83(5):575-584. doi: 10.21815/JDE.019.060. Epub 2019 Feb 25.

DOI:10.21815/JDE.019.060
PMID:30804172
Abstract

Health professionals and their patients are subject to cross-contamination and potential exposure to harmful infectious diseases. A common form of cross-contamination is through dental procedures without proper instrument care and lack of hand hygiene. The aim of this systematic review was to evaluate the published research on the adherence of educators and students in academic dental institutions to hand hygiene procedures. This systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and included articles collected in the Cochrane, LILACS, PubMed, Science Direct, Scopus, and Web of Science databases. The initial search identified 1,196 articles. Ultimately, three studies were included for qualitative synthesis and two for the meta-analysis. The three articles had similar characteristics of observational hand hygiene research involving educators and dental students. In all three, hand hygiene among dental students did not reach 50% of the total number of opportunities, which is a troubling result. Although the hand hygiene rate of educators was higher than that of dental students, these findings point to a need to further promote hand hygiene to future professionals to avoid cross-contamination between health professionals and patients.

摘要

卫生专业人员及其患者容易受到交叉污染,并有可能接触到有害的传染病。交叉污染的一种常见形式是在牙科诊疗过程中,器械未得到妥善护理且缺乏手部卫生。本系统评价的目的是评估已发表的关于牙科学院的教育工作者和学生遵守手部卫生程序情况的研究。本系统评价是根据系统评价和Meta分析的首选报告项目(PRISMA)进行的,纳入了在Cochrane、LILACS、PubMed、Science Direct、Scopus和Web of Science数据库中收集的文章。初步检索确定了1196篇文章。最终,纳入三项研究进行定性综合分析,两项进行Meta分析。这三篇文章具有涉及教育工作者和牙科学生的观察性手部卫生研究的相似特征。在所有三项研究中,牙科学生的手部卫生情况未达到总机会数的50%,这是一个令人担忧的结果。尽管教育工作者的手部卫生率高于牙科学生,但这些发现表明有必要进一步向未来的专业人员推广手部卫生,以避免卫生专业人员与患者之间的交叉污染。

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