Assessment of adherence to infection prevention and control guidelines among dentists in the West Bank and Jerusalem.

IF 1.7 4区 医学 Q3 HEALTH CARE SCIENCES & SERVICES
Rawan Al-Sharif, Abdullatif Husseini
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引用次数: 0

Abstract

Background: Adherence to infection prevention and control (IPC) guidelines is mandatory in healthcare service provision.

Aims: We assessed the knowledge and adherence to IPC guidelines among dentists in the West Bank and Jerusalem.

Methods: A self-administered questionnaire was distributed to a convenience sample of dentists in the West Bank and Jerusalem between 12 March 2019 and 9 May 2019. The total sample comprised 395 dentists, categorized into good compliance and fair compliance according to a scale developed from 32 questions. The Chi-squared test was used to compare the 2 categories. Data were analysed using SPSS, version 25.

Results: Overall compliance with IPC guidelines was low; only 18.5% of respondents reported good compliance. Compliance with basic principles such as wearing gloves and changing them for each patient and using autoclaves to sterilize equipment was high. Good compliance was significantly associated with age, years of experience, and year of graduation, P = 0.045, P = 0.036 and P = 0.007, respectively. Providers in the north of West Bank and public sector workers were significantly associated with good compliance, P = 0.018 and P ≤ 0.0001, respectively. Experiencing a needle stick injury and the number of needle stick injuries experienced were significantly inversely associated with good compliance, P ≤ 0.001.

Conclusion: Based on our results, there is a need for substantial improvements in compliance with IPC guidelines by dentists in the West Bank and Jerusalem; mandatory education and training regulated by governing institutions would be very helpful.

评估西岸和耶路撒冷牙医遵守感染预防和控制准则的情况。
背景:在卫生保健服务提供中,遵守感染预防和控制(IPC)指南是强制性的。目的:我们评估了西岸和耶路撒冷牙医对IPC指南的了解和遵守情况。方法:在2019年3月12日至2019年5月9日期间,向西岸和耶路撒冷的方便样本牙医分发了一份自填问卷。根据由32个问题组成的量表,共有395名牙医被分为良好依从性和一般依从性。采用卡方检验对两类进行比较。数据分析使用SPSS,版本25。结果:IPC指南的总体依从性较低;只有18.5%的受访者表示遵守情况良好。对基本原则的遵守程度很高,例如戴手套并为每位患者更换手套,以及使用高压灭菌器对设备进行消毒。良好的依从性与年龄、工作年限、毕业年限相关,P = 0.045、P = 0.036、P = 0.007。西岸北部的医疗服务提供者和公共部门工作人员与良好的依从性显著相关,P = 0.018和P≤0.0001。经历过针刺损伤和经历过针刺损伤的次数与良好的依从性呈显著负相关,P≤0.001。结论:根据我们的研究结果,西岸和耶路撒冷的牙医在遵守IPC指南方面需要进行实质性改进;由管理机构管理的强制性教育和培训将非常有帮助。
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来源期刊
Eastern Mediterranean Health Journal
Eastern Mediterranean Health Journal HEALTH CARE SCIENCES & SERVICESPUBLIC, ENV-PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
CiteScore
3.30
自引率
4.80%
发文量
112
期刊介绍: The Eastern Mediterranean Health Journal, established in 1995, is the flagship health periodical of the World Health Organization Regional Office for the Eastern Mediterranean. The mission of the Journal is to contribute to improving health in the Eastern Mediterranean Region by publishing and publicising quality health research and information with emphasis on public health and the strategic health priorities of the Region. It aims to: further public health knowledge, policy, practice and education; support health policy-makers, researchers and practitioners; and enable health professionals to remain informed of developments in public health. The EMHJ: -publishes original peer-reviewed research and reviews in all areas of public health of relevance to the Eastern Mediterranean Region -encourages, in particular, research related to the regional health priorities, namely: health systems strengthening; emergency preparedness and response; communicable diseases; noncommunicable diseases and mental health; reproductive, maternal, child health and nutrition -provides up-to-date information on public health developments with special reference to the Region. The Journal addresses all members of the health profession, health educational institutes, as well as governmental and nongovernmental organizations in the area of public health within and outside the Region.
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