Infection Control Clinical Trial
Official title:
Knowledge, Attitude and Practice Survey for Group of Egyptian Dentists About Infection Control in Different Pediatric Dental Clinics: A Cross-Sectional Study
This study is designed to gather information about knowledge of pediatric dentistry interns towards infection control procedures in pediatric dental clinics, also about their attitude towards the rules and guidelines of infection control, and finally their practice to these guidelines to achieve the ultimate infection control in pediatric dental clinics.
Patient's safety is considered a very important medical protocol which aims at improving
quality of patient's care, minimizing treatment mistakes and improving safety to the maximum
extent that can be reached. On this approach infection is one of the most critical issues in
healthcare service worldwide, where it can be transmitted during dental procedures through
direct and indirect contact , in addition to high risk blood borne infections , and nowadays
we are facing global emergence and re-emergence of many communicable diseases that can also
be transmitted during dental practice.
As a result of the high risk of transmission of the above infections, high standard
precautions must be implemented for all patients attending dental clinics regardless of their
infection status , because those patients could be in the prodromal phase or carriers without
even knowing. In addition, some infectious diseases have prolonged incubation periods during
which antibodies can't be detected , So in order to avoid infection transmission hazards and
to achieve patient's safety, infection prevention and control of cross-contamination are our
goal in providing a secure environment for patients and healthcare workers within healthcare
settings in general and more specifically in dental practices.
Transmission of infectious agents among patients and dental health care personnel (DHCP) in
dental settings is rare. However, transmissions in dental settings, including
patient-to-patient transmissions, have been documented. In most cases, investigators failed
to link a specific lapse of infection prevention and control with a particular transmission.
However, reported breakdowns in basic infection prevention procedures included unsafe
injection practices, failure to heat sterilize dental handpieces between patients, and
failure to monitor autoclaves by conducting spore tests.
Generally, Concerns have increased considerably by a report about the transmission of human
immunodeficiency virus (HIV) from an American dentist to five of his patients. With the
presence of people infected with hepatitis B and C and the HIV viruses, cross infection has
become a major concern for dentists, dental personnel and patients. On the other hand,
developing countries including Egypt showed the increased prevalence of transmission of
infection among dental clinics.
Therefore, Universal precautions should be followed considering all patients as infectious.
However, Most hospitals have no infection control programs due to the lack of awareness of
the problem or absence of properly trained personnel. This highlight the need for training to
improve understanding of principles, practices, and implementation, in addition to the
conditions that cause disease transmission, So all dental settings, regardless of the level
of care provided, must make infection prevention a priority and should be equipped to observe
Standard Precautions and other infection prevention recommendations contained in CDC's
Guidelines for Infection Control in Dental Health-Care Settings — 2003.
POS format:
P (population): Interns in pediatric dental clinics.
O (outcome): Knowledge, attitude, and practice of infection control in pediatric dental
clinics.
- Outcome measuring tool: A Questionnaire.
- Outcome measuring unit: Closed- ended questions (dichotomous, multiple choice questions,
Likert, and matrix questions).
S (study design): Cross-sectional survey (Observational type of study).
Research question:
What is the level of knowledge, attitude, and practice of intern pediatric dentists in
pediatric dental clinics in Faculty of Dentistry, Cairo University towards infection control
protocols and guidelines in pediatric dentistry?
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