The Investigation of Clinical Guidelines and Standards on Infection Control in Specialized Dental Departments
DOI:
https://doi.org/10.3889/oamjms.2022.10981Keywords:
Dental clinics, Infection control, Guideline adherence, Hand hygieneAbstract
Background: It is important to adhere to infection control measures in dental procedures due to direct contact with blood and saliva. During the Coronavirus disease 2019 pandemic, regular surveillance is imperative to ensure adherence to the standards. This study aimed to assess the level of adherence to infection control guidelines in specialized dental clinics in different working shifts.
Materials and Methods: This study was assessed the level of adherence of 45 selected dental departments to three main guidelines released by (I) the Center for Disease Control (CDC), (II) Ministry of Health (MOH), and (III) armed forces organization (AFO) in three different working shift. The CDC checklist had eight domains. Thus, the items of each domain were individually scored, and considering the weighting coefficient of each item, the total score was calculated. The same procedure was carried out for the two remaining guidelines. Possible effect of working shifts and different specialties on infection control practice was also calculated.
Results: The mean rate of adherence was 70.7% to the CDC, 93.8% to the MOH and 84.4% to the AFO guidelines indicating that adherence to the CDC guidelines was lower than the other two domestic guidelines. Individual assessment of each item revealed that hand hygiene (39%) and safe handling and disposal of sharp instruments (46%) acquired the lowest, and sterilization (79%) and safe injection (97%) acquired the highest score according to the CDC checklist. There was no relationship between working shifts and dental specialties regarding the adherence to infection control standards.
Conclusion: Dental clinics had different performances regarding infection control guidelines. Further emphasis should be placed on hand hygiene and disposal of sharp instruments.
Downloads
Metrics
Plum Analytics Artifact Widget Block
References
Shenoy N, Ballal V, Rani U, Kotian H, Lakshmi V. Assessment of knowledge, attitude and practices among dental practitioners on methods of infection control while carrying out dental procedures during novel coronavirus (COVID-19) pandemic. Pan Afr Med J. 2021;39:265. https://doi.org/10.11604/pamj.2021.39.265.29003 PMid: 34707766 DOI: https://doi.org/10.11604/pamj.2021.39.265.29003
Volgenant CM, Persoon IF, de Ruijter RA, de Soet JJ. Infection control in dental health care during and after the SARS-CoV-2 outbreak. Oral Dis. 2021;27(Suppl 3):674-83. https://doi.org/10.1111/odi.13408 PMid: 32391651 DOI: https://doi.org/10.1111/odi.13408
Ajami B, Ebrahimi M, Seddighi Z. Evaluation of awareness and behavior of dental students of mashhad dental school on infection control. J Mashhad Dent School. 2009;33(1):53-62.
Umeizudike KA, Isiekwe IG, Fadeju AD, Akinboboye BO, Aladenika ET. Nigerian undergraduate dental students’ knowledge, perception, and attitude to COVID-19 and infection control practices. J Dent Educ. 2021;85(2):187-96. https://doi.org/10.1002/jdd.12423 PMid: 32959382 DOI: https://doi.org/10.1002/jdd.12423
Yazdanian M, Motallaei MN, Tahmasebi E, Tebyaniyan H, Alam M, Abbasi K, et al. Chemical characterization and cytotoxic/antibacterial effects of nine iraanian propolis extracts on human fibroblast cells and oral bacteria. Biomed Res Int. 2022;2022:6574997. https://doi.org/10.1155/2022/6574997 PMid: 35434137 DOI: https://doi.org/10.1155/2022/6574997
Motallaei MN, Yazdanian M, Tebyanian H, Tahmasebi E, Alam M, Abbasi K, et al. The current strategies in controlling oral diseases by herbal and chemical materials. Evid Based Complement Alternat Med. 2021;2021:3423001. https://doi.org/10.1155/2021/3423001 PMid: 34471415 DOI: https://doi.org/10.1155/2021/3423001
Mosaddad SA, Beigi K, Doroodizadeh T, Haghnegahdar M, Golfeshan F, Ranjbar R, et al. Therapeutic applications of herbal/synthetic/bio-drug in oral cancer: An update. Eur J Pharmacol. 2021;890:173657. https://doi.org/10.1016/j.ejphar.2020.173657 PMid: 33096111 DOI: https://doi.org/10.1016/j.ejphar.2020.173657
Tahmasebi E, Alam M, Yazdanian M, Tebyanian H, Yazdanian A, Seifalian A, et al. Current biocompatible materials in oral regeneration: A comprehensive overview of composite materials. J Mater Res Technol. 2020;9(5):11731-55. https://doi.org/10.1016/j.jmrt.2020.08.042 DOI: https://doi.org/10.1016/j.jmrt.2020.08.042
Mosaddad SA, Tahmasebi E, Yazdanian A, Rezvani MB, Seifalian A, Yazdanian M, et al. Oral microbial biofilms: An update. Eur J Clin Microbiol Infect Dis. 2019;38(11):2005-19. https://doi.org/10.1007/s10096-019-03641-9 PMid: 31372904 DOI: https://doi.org/10.1007/s10096-019-03641-9
Hakim LK, Yazdanian M, Alam M, Abbasi K, Tebyaniyan H, Tahmasebi E, et al. Biocompatible and biomaterials application in drug delivery system in oral cavity. Evid Based Complement Alternat Med. 2021;2021:9011226. https://doi.org/10.1155/2021/9011226 PMid: 34812267 DOI: https://doi.org/10.1155/2021/9011226
Sabouhi M, Alian MD, Ahmadian R, Farhad F. A survey on some principles of cross-infection control in dental health centers in Isfahan. J Isfahan Dental School. 2015:248-57.
Ayyed AB. Dental practice infection control measurements: Coronavirus disease (COVID-19) outbreaks. Int J Clin Pediatr Dent. 2020;13(3):279-83. https://doi.org/10.5005/jp-journals-10005-1770 PMid: 32904057 DOI: https://doi.org/10.5005/jp-journals-10005-1770
Banaee S, Claiborne DM, Akpinar-Elci M. Occupational health practices among dental care professionals before and during the COVID-19 pandemic. Work. 2021;68(4):993-1000. https://doi.org/10.3233/WOR-205319 PMid: 33843712 DOI: https://doi.org/10.3233/WOR-205319
Montagna MT, Napoli C, Tato D, Liguori G, Castiglia P, Tanzi ML, et al. Multicentric survey on hygienic aspects in private dental practice. Anna Ig. 2003;15(5):717-24. PMid: 14969326
Li L, Zeng M, Chen X, Cai S, Xu C, Xia W, et al. Optimizing safe dental practice during the COVID-19 pandemic: Recommendations based on a guide developed for dental practices in China. Front Med (Lausanne). 2021;8:619357. https://doi.org/10.3389/fmed.2021.619357 PMid: 34124084 DOI: https://doi.org/10.3389/fmed.2021.619357
Upendran A, Gupta R, Geiger Z. Dental infection control. In: StatPearls. Treasure Island, FL: StatPearls Publishing; 2022.
El-Saaidi C, Dadras O, Musumari PM, Ono-Kihara M, Kihara M. Infection control knowledge, attitudes, and practices among students of public dental schools in Egypt. Int J Environ Res Public Health. 2021;18(12):6248. https://doi.org/10.3390/ijerph18126248 PMid: 34207772 DOI: https://doi.org/10.3390/ijerph18126248
Ghimire B, Chandra S. Awareness of infection control among dental students and interns. JNMA J Nepal Med Assoc. 2018;56(210):598-608. PMid: 30376004 DOI: https://doi.org/10.31729/jnma.3582
DePaola LG, Grant LE. Infection Control in the Dental Office: A Global Perspective. 2nded. Berlin, Germany: Springer Nature; 2019. DOI: https://doi.org/10.1007/978-3-030-30085-2
Qamar MK, Shaikh BT, Afzal A. What do the dental students know about infection control? A cross-sectional study in a teaching hospital, Rawalpindi, Pakistan. Biomed Res Int. 2020;2020:3413087. https://doi.org/10.1155/2020/3413087 PMid: 32596299 DOI: https://doi.org/10.1155/2020/3413087
Induri SN, Chun YC, Chun JC, Fleisher KE, Glickman RS, Xu F, et al. Protective measures against COVID-19: Dental practice and infection control. Healthcare (Basel). 2021;9(6):679. https://doi.org/10.3390/healthcare9060679 PMid: 34200036 DOI: https://doi.org/10.3390/healthcare9060679
Al Qadire M, Ballad CA, Al Omari O, Aldiabat KM, Shindi YA, Khalaf A. Prevalence, student nurses’ knowledge and practices of needle stick injuries during clinical training: A cross-sectional survey. BMC Nurs. 2021;20(1):187. https://doi.org/10.1186/s12912-021-00711-2 PMid: 34607585 DOI: https://doi.org/10.1186/s12912-021-00711-2
Veronesi L, Giudice L, Agodi A, Arrigoni C, Baldovin T, Barchitta M, et al. A multicentre study on epidemiology and prevention of needle stick injuries among students of nursing schools. Ann Ig. 2018;30(5 Suppl 2):99-110. https://doi.org/10.7416/ai.2018.2254 PMid: 30374515
Resende KK, Neves LF, Nagib LR, Martins LJ, Costa CR. Educator and student hand hygiene adherence in dental schools: A systematic review and meta‐analysis. J Dent Educ. 2019;83(5):575-84. https://doi.org/10.21815/JDE.019.060 PMid: 30804172 DOI: https://doi.org/10.21815/JDE.019.060
Labrague LJ, McEnroe‐Petitte DM, Van de Mortel T, Nasirudeen AM. A systematic review on hand hygiene knowledge and compliance in student nurses. Int Nurs Rev. 2018;65(3):336-48. https://doi.org/10.1111/inr.12410 PMid: 29077198 DOI: https://doi.org/10.1111/inr.12410
Pada SM, Chee PL, Rathenam S, Ng KS, Alenton LS, Poh L, et al. Effectiveness of a ward level target accountability strategy for hand hygiene. Antimicrob Resist Infect Control. 2019;8:17. https://doi.org/10.1186/s13756-019-0641-0 PMid:31788234 DOI: https://doi.org/10.1186/s13756-019-0641-0
Mahdi SS, Ahmed Z, Allana R, Amenta F, Agha D, Latif MW, et al. Knowledge, attitudes, and perceptions of dental assistants regarding dental asepsis and sterilization in the dental workplace. Int J Dent. 2021;2021:5574536. https://doi.org/10.1155/2021/5574536 PMid: 34221016 DOI: https://doi.org/10.1155/2021/5574536
Meng L, Hua F, Bian Z. Coronavirus disease 2019 (covid-19): Emerging and future challenges for dental and oral medicine. J Dent Res. 2020;99(5):481-7. https://doi.org/10.1177/0022034520914246 PMid: 32162995 DOI: https://doi.org/10.1177/0022034520914246
Meisha DE. Comparison of compliance with infection control practices among dental students in Saudi Arabia before and during the covid-19 pandemic. Risk Manag Healthc Policy. 2021;14:3625-33. https://doi.org/10.2147/RMHP.S318031 PMid: 34512050 DOI: https://doi.org/10.2147/RMHP.S318031
Ahmad IA, Rehan EA, Pani SC. Compliance of Saudi dental students with infection control guidelines. Int Dent J. 2013;63(4):196-201. https://doi.org/10.1111/idj.12030 PMid: 23879255 DOI: https://doi.org/10.1111/idj.12030
Mutters NT, Hägele U, Hagenfeld D, Hellwig E, Frank U. Compliance with infection control practices in an university hospital dental clinic. GMS Hyg Infect Control. 2014;9(3):1-5. https://doi.org/10.3205/dgkh000238 PMid: 25285262
Verma A, Kishore J, Gusain S. A comparative study of shift work effects and injuries among nurses working in rotating night and day shifts in a tertiary care hospital of North India. Iran J Nurs Midwifery Res. 2018;23(1):51-6. https://doi.org/10.4103/ijnmr.IJNMR_15_17 PMid: 29344047 DOI: https://doi.org/10.4103/ijnmr.IJNMR_15_17
Huang F, Boudjema S, Brouqui P. Three-year hand hygiene monitoring and impact of real-time reminders on compliance. J Hosp Infect. 2021;117:111-6. https://doi.org/10.1016/j.jhin.2021.08.01 PMid: 34428506 DOI: https://doi.org/10.1016/j.jhin.2021.08.015
Downloads
Published
How to Cite
Issue
Section
Categories
License
Copyright (c) 2022 Mohammad Ali Keshvad, Mohammad Taghi Vatandoust, Elahe Tahmasebi, Mohsen Yazdanian, Hormoz Sanaeinasab, Mahmood Salesi, Esmaeil Rafiei (Author)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
http://creativecommons.org/licenses/by-nc/4.0