Comparison of Knowledge, Attitudes and Practice of Dental Safety from Eight Countries at the Turn of the Century
Raghunath Puttaiah, Kierste Miller, Raman Bedi, Sadashiva Shetty, Khalid Almas, Edwin Tse, Byoung Ock Kim, Dennis Youngblood, Du Minquan
Citation Information :
Puttaiah R, Miller K, Bedi R, Shetty S, Almas K, Tse E, Kim BO, Youngblood D, Minquan D. Comparison of Knowledge, Attitudes and Practice of Dental Safety from Eight Countries at the Turn of the Century. J Contemp Dent Pract 2011; 12 (1):1-7.
To compare infection control (IC) knowledge, attitudes and practice of dentists across eight countries.
Methods
Self-administered infection control surveys were completed by 1,874 clinicians in eight countries. Practitioner's knowledge, attitudes, and practice of infection control were examined using over 100 variables. Chi-squared statistics (á = 0.05) were used to compare respondents from different national groups.
Results
Immunizations rates varied significantly across the eight countries (p < 0.01) with Asian countries having a lower rate of immunization against HBV than the United States practitioners. Perceived risk of acquiring HIV varied significantly across the study groups (p < 0.01); China had the lowest portion (75%). Dentists in the US reported 92% surface barrier use; only 15% in China reported use. Only 58% of practitioners in Pakistan reportedly used disposable exam gloves; 97% of US practitioners regularly use these gloves. For all groups assessed, including the United States, little over 50% of practitioners understood and practiced Universal/Standard (UP/SP) precautions effectively.
Conclusion: Analyses from this study suggest that the dental IC knowledge and practice varied widely across the eight countries of interest. Many of the countries were found to have barriers to access IC materials. Results indicate that all eight countries could use improved education standards for universal precautions.
Clinical significance: Knowledge, attitudes and practice of dental safety vary in different parts of the world. This study compares the compliance rates in dental safety among countries and pegs them to the level of practice in the United States. This study also provides evidence-based data on the needs in the regions surveyed and could be used to implement remedial educational measures in improving safe practices.
How to cite this article: Puttaiah R, Miller K, Bedi R, Shetty S, Almas K, Tse E, Kim BO, Youngblood D, Minquan D. Comparison of Knowledge, Attitudes and Practice of Dental Safety from Eight Countries at the Turn of the Century. J Contemp Dent Pract 2011;12(1):1-7.
Retrieved from http://www.avert.org/aids-statistics.htm
AIDS Epidemic Update. Retrieved from http://www.unaids.org/en/CountryResponses/Regions/default.asp
UNAIDS Report on the Global AIDS epidemic. Geneva: Joint UN Programme on HIV/AIDS; 2010 [September 10, 2011]; Available from: http://www.unaids.org/globalreport/global_report.htm.
Public health guidance for community-level preparedness and response to severe acute respiratory syndrome (SARS) version 2. Retrieved from http://www.cdc.gov/ncidod/sars/guidance/core/app2.htm
Occupational safety and health administration. Retrieved from: http://www.osha.gov/SLTC/bloodbornepathogens/index.html
Education in HIV risk screening, Counseling, Testing and referral: Survey of US. Dental School. Journal of Dental Education 2002;66:1167-77.
AIDS in the world: A global report. Cambridge, MA: Harvard University Press 1992.
Human immunodeficiency virus infection, acquired immune deficiency syndrome, and related infections. In: Cottone J, Terézhalmy G, Molinari J (Eds). Practical infection control in dentistry. Baltimore, MD: Williams & Wilkins 1996.
Current trends acquired immune deficiency syndrome (AIDS): Precautions for clinical and laboratory staffs: MMRW 31(43)1982.
Acquired immunodeficiency syndrome (AIDS): Precautions for healthcare workers and allied professionals: MMRW 1983;32(34).
Guidelines for infection control in dental health-care settings 2003: Guidlines and reports 2003:52(RR17).
Public health focus: Surveillance, prevention, and control of nosocomial infections. MMWR, October 23, 1992;41(42):783-787. http://www.cdc.gov/mmwr/preview/mmwrhtml/00017800.htm
An oral surgeon related hepatitis B outbreak. Calif. Morbid. April 16, 1976.
New light on the transmissibility of viral hepatitis in dental practice and its controls. J Am Dent. Assoc 1975;91:829-35.
Infection Control & Safety in Periodontics. In: Wilson T, Kornman K (Eds). Fundamentals of Periodontics. Chicago, IL: Quintessence Publishing Co Inc 1996;179-93.
Recommended infection-control practices for dentistry: MMRW 1986;35(15).
Recommended infection-control practices for dentistry: MMRW 1993;42(RR-8).
Final rule on occupational exposure to bloodborne pathogens: 29; CFR 1910.10301991.
Sample infection control needs assessment survey data from eight countries. International Dental Journal 2009;59:271-76.
Dental infection control and occupational safety for oral health professionals, Dental Council of India. Retrieved from http://www.dentalsafety.in/i/Infection-Control-Safety-Book.pdf
Dentists and AIDS: A survey of knowledge, attitudes, and behavior in Italy. J Public Health Dent 1994;54(3): 145-52.
Knowledge of the human immunodeficiency virus among final year dental students. J Dent 1994; 22(4):229-35.
Use of gloves among dentists in Sweden: A 3-year follow-up study. Swed Dent J 1994;18(1-2):9-14.
Knowledge and attitudes of Japanese dental health care workers towards HIVrelated disease. J Dent 1997;25(3-4):279-83.
Geographic differences in the attitudes, knowledge and infection control practices of Ontario dentists. Can J Public Health 1996; 87(2):119-24.
Crossinfection compliance of UK dental staff and students. Oral Dis 1995;1(4):198-200.
Pennsylvania dental hygienists’ knowledge, attitudes, and infection control practices in relation to AIDS and AIDS patients. J Dent Hyg 1993;67(4):188-96.