Knowledge and Attitudes of Dentists with Respect to the Risks of Blood-Borne Pathogens-A Cross-Sectional Study in Poland.
Knowledge and Attitudes of Dentists with Respect to the Risks of Blood-Borne Pathogens-A Cross-Sectional Study in Poland.
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DOI：
10.3390/ijerph14010069
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发表时间：
2017-01-12
影响因子：
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通讯作者：
Szatko F
中科院分区：
文献类型：
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作者：
Garus-Pakowska A;Górajski M;Szatko F
背景：分析牙医对血源性感染的知识、对感染患者的态度及接触感染性物质的频率；方法：采用不记名问卷对192名牙医进行调查。结果：只有四分之一的牙医正确回答了所有问题。96%接受检查的牙医证实，他们在治疗HBV、HCV和HIV患者时更加谨慎。25%的应答者由于担心自身健康而拒绝帮助受感染患者。牙医偶尔会脱掉防护服，以便“更容易”进行特定的手术。牙科医生接触传染性物质最常见的方式是溅到结膜上或由于表面损伤。医疗工具造成伤害的风险随着工作年限的增加而增加。针头复盖与受伤风险增加有关；结论：尽管人们对血源性病毒感染者的容忍度普遍较高，且医务人员感染风险较低，但牙医仍然存在偏见，出于对自身健康的考虑，可能会拒绝治疗感染患者。可以假设，拒绝治疗的比例甚至更大。这种态度应该意味着在病原体传播和感染的真正危险方面实施培训。
Background: To analyze dentists’ knowledge of blood-borne infections, their attitudes towards infected patients, and to determine the frequency of the contact with infectious material; Methods: We surveyed 192 dentists using an anonymous questionnaire. Results: Only a quarter of dentists responded correctly to all questions. 96% of the examined dentists confirmed that they were more cautious during treatment of patients with HBV, HCV and HIV. 25% of all respondents refuse to help infected patients due to concerns about their own health. The dentists occasionally removed protective clothing to make it “easier” to perform specific procedures. The dentists experienced contact with infectious material most frequently by splashes onto the conjunctiva or as a result of superficial injuries. The risk of injury by a medical tool increased with the years of employment. Re-capping needles was associated with an increased risk of injury; Conclusions: Despite the widespread tolerance of people infected with blood-borne viruses and the well-proven low infection risk to medical personnel, dentists continue to be prejudiced and concerned about their own health and may refuse to treat infected patients. It may be assumed that the proportion of refusing treatment is even greater. This attitude should imply the implementation of training in the field of pathogen transmission and the real risk of infection.