1Department of Pharmacology, University of Zagreb School of Medicine, Zagreb, Croatia; 2University of Zagreb School of Dental Medicine, Zagreb, Croatia; 3Department of Environmental and Occupational Health and Sports, Andrija Štampar School of Public Health, University of Zagreb School of Medicine, Zagreb, Croatia; 4Department of Periodontology, University of Zagreb School of Dental Medicine, Zagreb, Croatia; 5Gastroenterology and Hepatology Division, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; 6Department of Internal Medicine, University of Zagreb School of Medicine, Zagreb, Croatia; 7Cardiovascular Division, Zagreb University Hospital Centre, Zagreb, Croatia; 8Gastroenterology Unit, Dr. Ivo Pedišić General Hospital, Sisak, Croatia; 9Department of Internal Medicine, University of Zagreb School of Dental Medicine, Zagreb, Croatia.
Acta Clin Croat. 2021 Jun;60(2):216-230. doi: 10.20471/acc.2021.60.02.07.
Dental health care workers, particularly dental medicine students (DMS), are at an increased risk of hepatitis B virus (HBV) and hepatitis C virus (HCV) infection. The aim of our study was to assess the level of knowledge on HBV and HCV, estimate needlestick injury (NSI) prevalence and reporting practice in DMS at the University of Zagreb, and analyze how enrolment in obligatory and supplemental courses affects knowledge and NSI reporting practice. The knowledge was assessed by our questionnaires based on the Centers for Disease Control general handouts. Additional information was collected to examine the prevalence and reporting practice of NSI. Data were analyzed by descriptive statistical analysis, independent-samples t-test, proportion analyses, and combined factor analyses of categorical and quantitative variables in SPSS and R. In total, 206 students participated in the survey. The overall level of HBV- and HCV-related knowledge was poor, with the mean scores of 61.90% and 51.35%, respectively. Moreover, students enrolled in the first year demonstrated significantly lower levels of knowledge in comparison with their older peers. Of all participants, 18.2% had sustained a NSI and the majority of them (78.95%) had never reported the injury. In conclusion, DMS have low levels of knowledge on important occupational pathogens and poor NSI reporting practice. Moreover, formal education in the current form has failed to significantly improve student competence and theoretical knowledge translates poorly into more conscientious injury reporting practice. We should look for a better way to increase student awareness and level of knowledge on this topic.
牙科医护人员,尤其是牙医学学生(DMS),感染乙型肝炎病毒(HBV)和丙型肝炎病毒(HCV)的风险增加。我们的研究旨在评估萨格勒布大学 DMS 对 HBV 和 HCV 的认知水平,估计其针刺伤(NSI)的流行率和报告实践,并分析必修和补充课程的注册如何影响知识和 NSI 报告实践。我们的问卷基于疾病控制中心的一般讲义来评估知识。收集了其他信息来检查 NSI 的流行率和报告实践。使用 SPSS 和 R 中的描述性统计分析、独立样本 t 检验、比例分析以及分类和定量变量的组合因素分析来分析数据。共有 206 名学生参加了调查。HBV 和 HCV 相关知识的整体水平较差,平均得分分别为 61.90%和 51.35%。此外,与年长的学生相比,一年级的学生表现出明显较低的知识水平。在所有参与者中,18.2%发生过 NSI,其中大多数(78.95%)从未报告过受伤。总之,DMS 对重要职业病原体的知识水平较低,且 NSI 报告实践较差。此外,目前形式的正规教育未能显著提高学生的能力,理论知识转化为更自觉的伤害报告实践的效果不佳。我们应该寻找更好的方法来提高学生对这一主题的认识和知识水平。