Labafchi Ali, Rahpeyma Amin, Khajehahmadi Saeedeh
Student Research Committee, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran.
Oral and Maxillofacial Diseases Research Center, Mashhad, Iran.
J Family Med Prim Care. 2020 Mar 26;9(3):1403-1406. doi: 10.4103/jfmpc.jfmpc_900_19. eCollection 2020 Mar.
We aimed to identify the percutaneous exposure incident (PEI) by private dentists in Mashhad, Iran.
Subjects included 199 dentists enrolled in this study. A questionnaire consisting of 11 questions was sent to the dentists for data collection. Information was collected on knowledge about dangers of PEI, a history of needlestick or sharps injuries over the past 12 months, types of devices causing the needlestick or sharps injuries, HBV vaccination, knowledge about PEI protective and therapeutic protocol, and reporting PEI to the specialist. The first ten questions were corrected and each sheet received a score ranging from 0 to 10.
95 women (47.7%) and 104 men (52.3%) participated in this study aged between 27-72 years old. The findings showed that a total of 132 dentists (66.3%) had experiences with PEI. 45 (22.6%) of them had experiences with PEI in the past year. Files and needles were found to be the most frequent tools causing PEI, each with 29.7% of frequency. 16.6%, 8.6, 5.7, and 9.7% were obtained for dental burs, band, and surgical baled, respectively as other tools responsible for injuries. Results of the question about causes of needlestick injuries showed that personal carelessness is the most frequent reason (53.8%) followed by inappropriate disposal of the needles (7.6%).
The personal carelessness and inappropriate disposal of needles were reported as the most common reasons for PEI injuries. It is suggested to educational programs for dentists should focus on preventing the PEI.
我们旨在确定伊朗马什哈德私立牙医的经皮暴露事件（PEI）。
研究对象包括199名参与本研究的牙医。向牙医发送了一份包含11个问题的问卷以收集数据。收集了有关PEI危险的知识、过去12个月内针刺或锐器伤史、导致针刺或锐器伤的器械类型、乙肝疫苗接种情况、PEI防护和治疗方案的知识以及向专家报告PEI的信息。前十个问题进行了校正，每张问卷的得分范围为0至10分。
95名女性（47.7%）和104名男性（52.3%）参与了本研究，年龄在27至72岁之间。研究结果显示，共有132名牙医（66.3%）有过PEI经历。其中45名（22.6%）在过去一年有过PEI经历。锉刀和针头被发现是导致PEI最常见的工具，每种工具的发生率均为29.7%。牙科车针、牙箍和手术打包带分别占造成伤害的其他工具的16.6%、8.6%和5.7%。关于针刺伤原因的问题结果显示，个人疏忽是最常见的原因（53.8%），其次是针头处理不当（7.6%）。
个人疏忽和针头处理不当被报告为PEI损伤的最常见原因。建议针对牙医的教育项目应侧重于预防PEI。
