Gershon R R, Karkashian C, Vlahov D, Grimes M, Spannhake E
Department of Environmental Health Science, School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA.
Am J Infect Control. 1998 Feb;26(1):29-34. doi: 10.1016/s0196-6553(98)70058-6.
Studies conducted in the first decade of the AIDS epidemic indicated that, in general, dentists had suboptimal levels of compliance with standard infection control practices, including work practices designed to reduce exposure to bloodborne pathogens. This study was designed to assess current rates of compliance with these practices in a population of Maryland dentists and to identify correlates of safe work practices.
We surveyed 648 Maryland dentists using a confidential, self-administered questionnaire.
Three hundred and ninety-two questionnaires were returned (60% response rate). We found that infection control practices were variable as reported by responding dentists. In addition, several potentially modifiable factors were found to be significantly correlated with these practices, including (1) attitudes toward patients infected with HIV and (2) safety program management within the practice.
These data are encouraging in that recommended infection control practices are being adopted, at least among a sample of Maryland dentists. Strategies for further improvement are identified.
在艾滋病流行的第一个十年所开展的研究表明，总体而言，牙医对标准感染控制措施的依从水平欠佳，这些措施包括旨在减少接触血源性病原体的工作规范。本研究旨在评估马里兰州牙医群体对这些措施的当前依从率，并确定安全工作规范的相关因素。
我们使用一份保密的自填式问卷对648名马里兰州牙医进行了调查。
共收回392份问卷（回复率为60%）。我们发现，回复问卷的牙医所报告的感染控制措施存在差异。此外，还发现了几个可能可改变的因素与这些措施显著相关，包括（1）对感染HIV患者的态度以及（2）诊所内的安全计划管理。
这些数据令人鼓舞，因为至少在马里兰州的一个牙医样本中，推荐的感染控制措施正在得到采用。同时也确定了进一步改进的策略。
