Rankin K V, Jones D L, Rees T D
Department of Diagnostic Sciences, Baylor College of Dentistry, Dallas, TX 75246.
Am J Dent. 1993 Feb;6(1):22-6.
Members of a large urban dental society and students of three Texas dental schools were surveyed concerning their attitude and actions regarding infectious disease (AIDS and hepatitis) and infection control measures. In general, the responses of clinicians in practice less than 10 years more nearly paralleled that of students. Although the majority of both groups felt they were well informed regarding appropriate infection control, the percentage was significantly greater for the practitioners. While infection control is imposed in all clinical situations in the dental schools, compliance for practitioners was not consistent with their reported level of awareness. A majority of both groups reported decreased apprehension because of their knowledge of infection control techniques in the treatment of HIV positive individuals. A significantly higher percentage of students had received hepatitis B vaccine. Similar percentages of both groups reported they would willingly treat HIV positive patients, although a higher percentage of students were undecided. Practitioners reported having treated a significantly higher percentage of HIV positive individuals than did students in their clinical years. The percentage of clinical students who felt it was their professional obligation to treat HIV+ patients was significantly higher than in practitioners. There was an increase in student perception of their knowledge across years in school and a significant reduction in fear associated with education. Education appeared to have no effect on opinions as to whether the HIV positive patient could be safely treated using appropriate infection control measures.
对一个大型城市牙科协会的成员以及三所德克萨斯州牙科学校的学生进行了调查,询问他们对传染病(艾滋病和肝炎)以及感染控制措施的态度和行为。总体而言,从业不到10年的临床医生的回答与学生的回答更为相似。虽然两组中的大多数人都觉得自己对适当的感染控制措施了解充分,但从业者的这一比例明显更高。尽管牙科学校在所有临床情况下都实施了感染控制措施,但从业者的遵守情况与其报告的认知水平不一致。两组中的大多数人都表示,由于他们了解在治疗艾滋病毒阳性个体时的感染控制技术,所以担忧有所减少。学生中接种乙肝疫苗的比例明显更高。两组中相似比例的人表示他们愿意治疗艾滋病毒阳性患者,不过有更高比例的学生还未决定。从业者报告称,在临床工作中他们治疗的艾滋病毒阳性个体的比例明显高于学生。认为治疗艾滋病毒阳性患者是其职业义务的临床学生的比例明显高于从业者。随着在校年限的增加,学生对自身知识的认知有所提高,与教育相关的恐惧也显著降低。对于是否可以通过适当的感染控制措施安全地治疗艾滋病毒阳性患者,教育似乎对观点没有影响。