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格鲁吉亚牙科保健工作者血源性疾病知识、态度及行为调查

Knowledge, attitudes and practice survey on blood-borne diseases among dental health care workers in Georgia.

作者信息

Kochlamazashvili Marika, Kamkamidze George, McNutt Louise-Anne, DeHovitz Jack, Chubinishvili Olga, Butsashvili Maia

机构信息

Health Research Union, Tbilisi, Georgia.

State University of New York; Rensselaer, NY, United States.

出版信息

J Infect Dev Ctries. 2018 Oct 31;12(10):864-870. doi: 10.3855/jidc.9911.

Abstract

INTRODUCTION

In Georgia limited data exists about awareness of blood borne-diseases among dental health care workers (DHCW).

METHODOLOGY

To assess DHCW knowledge, attitudes and practices related to infection control practice guidelines designed to limit transmission of blood-borne diseases, a cross-sectional study was conducted. All respondents were asked to voluntarily complete a self-administered questionnaire. Doctors of Dental Medicine, nurses, and dental residents were recruited from 13 private and governmental dental units in three large Georgian cities: Tbilisi (the capital city), Batumi (Western Georgia) and Rustavi (Eastern Georgia).

RESULTS

Of 244 DHCWs recruited, 196 (80%) agreed to participate. Nearly 42% DHCWs did not know the prevalence of hepatitis B virus (HBV) and hepatitis C virus (HCV) in Georgia. Knowledge about risk factors for transmission of human immunodeficiency virus (HIV), HCV and HBV was low; correct response proportions among all DHCWs were 45.3%, 37.9% and 34.2% for these pathogens, respectively. The 59.7% of DHCWs were uninformed about post-exposure prophylaxis for HIV. Only 37.3% reported being well informed on infection control guidelines. Nearly all (95.6%) DHCWs expressed interest in receiving additional education on occupational transmission of blood-borne pathogens.

CONCLUSIONS

Overall, the study suggests DHCWs are aware they have insufficient knowledge of universal precautions. There is a need for developing a continuous education program that is accessible to practicing DHCWs.

摘要

引言

在格鲁吉亚,关于牙科医护人员对血源性疾病的认知情况,现有数据有限。

方法

为评估牙科医护人员与旨在限制血源性疾病传播的感染控制实践指南相关的知识、态度和做法,开展了一项横断面研究。所有受访者被要求自愿完成一份自填式问卷。牙科医学博士、护士和牙科住院医师来自格鲁吉亚三个大城市的13个私立和政府牙科单位:第比利斯(首都)、巴统(格鲁吉亚西部)和鲁斯塔维(格鲁吉亚东部)。

结果

在招募的244名牙科医护人员中,196人(80%)同意参与。近42%的牙科医护人员不知道格鲁吉亚乙肝病毒(HBV)和丙肝病毒(HCV)的流行情况。对人类免疫缺陷病毒(HIV)、HCV和HBV传播危险因素的知晓率较低;所有牙科医护人员中,对这些病原体的正确回答比例分别为45.3%、37.9%和34.2%。59.7%的牙科医护人员不了解HIV暴露后预防措施。只有37.3%的人表示对感染控制指南有充分了解。几乎所有(95.6%)的牙科医护人员表示有兴趣接受关于血源性病原体职业传播的额外教育。

结论

总体而言,该研究表明牙科医护人员意识到他们对通用预防措施的了解不足。需要制定一项可供在职牙科医护人员参加的持续教育计划。

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