COVID-19大流行期间卡拉奇公立和私立牙科机构研究生住院医师遵循的感染控制措施

Aushna Khushbakht Rana, S. Adnan, S. Abidi
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摘要

目的:了解牙科研究生住院医师在预防冠状病毒传播方面遵循的交叉感染方案。方法:采用横断面调查为基础的研究,通过社交媒体向在卡拉奇不同公立和私立机构工作的牙科研究生住院医师分发问卷。数据分析使用SPSS 21.0版本,p值<0.05,以确定两个部门之间的显著差异。结果:来自两个研究所的97名居民做出了回应。分别有60名(93.75%)和29名(87.87%)来自公立和私立机构的居民报告用红外体温计测量了患者的体温。然而,两所机构在使用氢酒精溶液进行手部消毒方面的依从性较低,其中28所(43.75%)来自公立机构,24所(72.72%)来自私立机构。11名(17.18%)公立医疗机构的居民回应在每位患者后处理个人防护用品,而1名(3.03%)私立医疗机构的居民回应在每位患者后处理个人防护用品。然而,由于样本量较小,差异没有统计学意义。结论:这次大流行暴露了牙科保健系统的许多缺点,无论哪个部门。鉴于COVID-19有可能成为一种地方病,需要加强对交叉感染方案的遵守,以防止其迅速传播。在巴基斯坦这样的第三世界国家,资源本来就很稀缺,需要更加重视为牙科保健系统提供资金,以加强基本的交叉感染控制。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Infection Control Practices Followed by Postgraduate Residents of Public and Private Dental Institutions of Karachi During the COVID-19 Pandemic
OBJECTIVE: To gain an insight into cross infection protocols being followed by dental postgraduate residents in the prevention of the spread of coronavirus. METHODOLOGY: A cross-sectional survey-based study was conducted using questionnaires, which were distributed among dental postgraduate residents working in different public and private institutes in Karachi, through social media. Data was analysed using SPSS, version 21.0 with p-value <0.05 to determine significant differences between both sectors. RESULTS: Ninety seven residents from both institutes responded. 60 (93.75%) and 29 (87.87%) residents from the public and private institutes respectively, reported to having the patient's temperature checked with an infrared thermometer. However, a lower compliance was noted in regard to the use of hand sanitization with a hydro alcoholic solution by both institutes with 28 (43.75%) from public and 24 (72.72%) from private institutes. 11 (17.18%) residents from public institutes responding with disposal of PPE after every patient, whereas 1 (3.03%) resident from a private institute responded with disposal after every patient. However, due to a smaller sample size, the differences were not statistically significant. CONCLUSION: The pandemic has exposed numerous shortcomings in the dental healthcare system, regardless of the sector. Since COVID-19 is likely to become an endemic, compliance with cross infection protocols needs to be improved so as to prevent its rapid spread. In a third world country like Pakistan, where resources are already scarce, greater emphasis needs to be placed on funding the dental healthcare system to enhance basic cross infection controls.
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