Naidoo S
Department of Community Dentistry, University of the Western Cape, Mitchells Plain.
J Dent Assoc S Afr. 1997 Mar;52(3):165-7.
A structured questionnaire was administered to a random sample of general dental practitioners in Natal, South Africa in 1994, to ascertain the precautions they use against cross-infection and to gauge the attitudes and behaviour towards the treatment of HIV-infected individuals. An interview was conducted covering 5 broad topics: demographic details, personal barrier protection, instrument sterilization and disinfection, sharps disposal and incidence of needlestick injuries and the extent of the knowledge, attitude and behaviour of the practitioners toward the treatment of HIV-infected individuals. The key findings were: routine glove wearing, for all patients, was practised by 87 per cent. The most common heat sterilization method was by autoclave (68 per cent), although a dry heat sterilizer and water boiler were used by 22 per cent of the respondents. Of the 18 respondents reporting a needlestick injury in the past 6 months only one sought after-care. 42 per cent of the respondents would continue to treat carriers of HIV in their practices. This survey shows that a significant number of dentists are using unacceptable cross-infection control procedures. Educational efforts should be made to improve their knowledge and to alleviate anxiety of health workers to treat HIV-infected patients.
1994年,对南非纳塔尔的普通牙科医生进行了随机抽样,并向他们发放了一份结构化问卷,以确定他们针对交叉感染采取的预防措施,并衡量他们对治疗艾滋病毒感染者的态度和行为。进行了一次涵盖5个广泛主题的访谈:人口统计学细节、个人屏障防护、器械消毒灭菌、锐器处理及针刺伤发生率,以及从业者对治疗艾滋病毒感染者的知识、态度和行为程度。主要调查结果如下:87%的医生对所有患者都常规佩戴手套。最常用的热消毒方法是使用高压灭菌器(68%),不过22%的受访者使用干热灭菌器和水煮器。在过去6个月报告有针刺伤的18名受访者中,只有1人寻求后续护理。42%的受访者会继续在其诊所治疗艾滋病毒携带者。这项调查表明,相当多的牙医正在使用不可接受的交叉感染控制程序。应开展教育工作,以增进他们的知识,并减轻医护人员治疗艾滋病毒感染者的焦虑。