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牙医对其感染 SARS-CoV-2 风险和感染控制需求的认知。

Dentists' Perceptions of Their SARS-CoV-2 Risk and Infection Control Needs.

机构信息

Departamento de Atención a la Salud, Universidad Autónoma Metropolitana-Xochimilco, Mexico City, Mexico.

Posgrado en Ciencias Sociomédicas, Facultad de Medicina, Universidad Nacional Autónoma de México, Mexico City, Mexico.

出版信息

Int Dent J. 2022 Apr;72(2):216-222. doi: 10.1016/j.identj.2021.07.002. Epub 2021 Jul 19.

Abstract

OBJECTIVE

Rapid worldwide dissemination of SARS-CoV-2 has prompted dental professionals to optimise their infection control procedures. To help identify areas of opportunity for protecting dentists and their patients, the aim of this investigation was to analyse Mexican dentists' early perceptions of their risk of exposure to SARS-CoV-2 and their need for comprehensive infection control education.

METHODS

This cross-sectional survey was conducted from May 9 to June 3, 2020, during the social distancing phase in Mexico. The survey adhered to relevant guidelines for ethical research design. The questionnaire was designed with Google Surveys and applied online in Spanish. The questionnaire included items on demographics and clinical specialisation. To obtain time-sensitive perceptions, statements were preceded by "While SARS-CoV-2 circulates in the community and new COVID-19 cases are reported"; responses were collected in a 5-point Likert-type scale.

RESULTS

The survey's link received 1524 "clicks." Over 25 days, 996 dentists participated (39% men; 89% working in Mexico and 11% in other Spanish-speaking Latin American countries). Most participants (73%) fully agreed that "Looking after patients will pose a risk for the dentist." Total agreement was more common (P = .0001) amongst dentists in Mexico (76%) than amongst those in other countries (53%). Knowing someone with COVID-19 was more common amongst Mexican dentists (P = .0008). The perceived need for enhanced infection control procedures increased with age (P = .0001). Forty-nine percent totally agreed that they sterilise dental handpieces between patients. One-third expressed total agreement that everyone in their clinic was trained in infection control.

CONCLUSIONS

Amongst this nonprobabilistic self-selected sample of dentists, age and country of work influenced their perceptions about occupational exposure to SARS-CoV-2 and infection control needs. This survey revealed areas of opportunity to improve infection control education and training for dental professionals.

摘要

目的

SARS-CoV-2 在全球范围内的迅速传播促使牙科专业人员优化其感染控制程序。为了帮助确定保护牙医及其患者的机会领域,本研究旨在分析墨西哥牙医对接触 SARS-CoV-2 风险的早期认识及其对全面感染控制教育的需求。

方法

这项横断面调查于 2020 年 5 月 9 日至 6 月 3 日在墨西哥社会隔离阶段进行。该调查遵循了相关的伦理研究设计指南。问卷由 Google Surveys 设计,以西班牙语在线应用。问卷包括人口统计学和临床专业的项目。为了获得具有时间敏感性的认知,陈述前有“当 SARS-CoV-2 在社区中传播并报告新的 COVID-19 病例时”;以 5 点李克特量表收集回答。

结果

调查链接收到了 1524 次“点击”。在 25 天内,有 996 名牙医参与(39%为男性;89%在墨西哥工作,11%在其他西班牙语拉丁美洲国家工作)。大多数参与者(73%)完全同意“照顾患者将对牙医构成风险”。在墨西哥(76%)的牙医比在其他国家(53%)的牙医更普遍表示完全同意(P=.0001)。知道有人患有 COVID-19 在墨西哥牙医中更为常见(P=.0008)。对增强感染控制程序的需求随着年龄的增长而增加(P=.0001)。49%的人完全同意他们在患者之间对牙科手机进行消毒。三分之一的人完全同意他们的诊所中的每个人都接受过感染控制培训。

结论

在这个非概率性自我选择的牙医样本中,年龄和工作国家影响了他们对 SARS-CoV-2 职业暴露和感染控制需求的认知。这项调查揭示了为牙科专业人员改进感染控制教育和培训的机会领域。

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