Self-Reported Percutaneous Injuries in Dentist: Implications for HBV, HIV Transmission Risk

Siew, Chakwan; Chang, S.B.; Gruninger, Stephen E.; Verrusio, A. Carl; Neidle, Enid A.

doi:10.14219/jada.archive.1992.0149

Cited by 43 publications

(30 citation statements)

References 20 publications

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“…16,17 Although the survey was conducted in the first accredited dental college in UAE, the results may not be generalized to all UAE dental colleges because of the differences in the training programmes and clinical requirements. The excellent response rate achieved illustrates the value of mass administration of short questionnaires following a brief verbal introduction.…”

Section: Discussionmentioning

confidence: 99%

A survey of needle sticks and other sharp injuries among dental undergraduate students

Jaber

2011

Int. j. infect. control

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Health-care workers (HCWs) including dental students are at occupational risk of exposure to blood-borne viruses (BBV) following needle sticks and sharp injuries (NSIs). The purpose of this study was to determine the prevalence of NSIs among dental students and evaluate the circumstances in acquiring such injuries. A survey was carried out of all clinical dental students in the College of Dentistry, Ajman University of Science and Technology, United Arab Emirate (UAE) by means of an anonymous self-administered questionnaire that asked questions on demography, number, type, level of knowledge of inoculation injuries and associated risks of exposure to BBV, management and reporting of such exposures. Of 230 dental students that responded to the questionnaire (response rate of 92 percent), 64 (27.9%) were males and 166 (72.1%) were females, 132 (57.3%) were 4 th year students and 98 (42.7%) from 5 th year students. Of the total sample, 53 students reported having had an inoculation injury, resulting in a 0.23 sharp injury events per student per year. Recapping a needle, administering local anesthesia and performing scaling and polishing procedures were the most important causes of NSIs among dental students (60.3%, 32/53). Despite a comprehensive educational programme and training for dental students, knowledge of inoculation injuries and associated issues remained inadequate. The findings of this study confirm that dental students experience NSIs but are not likely to report them, thus it is important that the principles of infection control training and reporting of all NSIs continue to be emphasized throughout undergraduate dental education.

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Section: Discussionmentioning

confidence: 99%

A survey of needle sticks and other sharp injuries among dental undergraduate students

Jaber

2011

Int. j. infect. control

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“…The risk also increases through injury involving instruments contaminated by biological¯uids. Dentists, hygenists and dental assistants frequently sustain such injuries (Hastreiter et al, 1992;Siew et al, 1992;Soto et al, 1990). In cases of injury involving HIV-contaminated blood, a prophylactic regimen of antiviral drugs seems to prevent seroconversion effectively, provided that it is initiated within a very short time post-exposure (Centers for Disease Control and Prevention, 1996).…”

Section: Introductionmentioning

confidence: 99%

Do people with HIV/AIDS disclose their HIV-positivity to dentists?

Charbonneau¹

1999

AIDS Care

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This study documents behaviours of people with HIV/AIDS regarding the disclosure of their HIV-positivity when seeking dental care. An anonymous survey was conducted in Québec, Canada, from 1993 to 1995, using a sample of 463 people with HIV/AIDS recruited from different sources. Over 80% of respondents reported having sought dental care since becoming aware of their positivity. Of these, 54% reported having always disclosed their HIV-positivity to dentists, while 25% reported never having disclosed this information to dentists. However, 83% of all respondents preferred that the dentist be aware of their HIV status. Respondents gave reasons related to the sociopathological impact of HIV infection to explain their behaviours. The predictors of disclosure of HIV-positivity to the dentist were: gender, main source of payment for dental care, prior disclosure of HIV status to family members, prior disclosure of HIV status to co-workers, and trust in the maintenance of confidentiality by the dentist. These results emphasize the need to use universal precautions in the dental office and to promote dentist-patient relations free of discrimination, so that people with HIV/AIDS are not reluctant to disclose their health status and are confident that such disclosure will lead to care best adapted to their condition.

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“…Numerous published reports (1–6) have examined occupational injuries in dental healthcare settings across different provider populations. These highlight that dental healthcare workers (DCHWs) are at a high risk of injuries by sharps and, of these, the most common are due to needle sticks.…”

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confidence: 99%

Needle stick injuries among dental students: risk factors and recommendations for prevention

Gaballah

Warbuton

Sihmbly

et al. 2012

Libyan Journal of Medicine

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Aim To evaluate the risk factors of needle stick injuries (NSIs) sustained by undergraduate dental students and nurse students at the King's College London (KCL) Dental Institute. Materials and methods A retrospective study evaluated the incident reports relating to NSIs reported over a period of 2 years. Factors including the dental department, study year, and when the injury took place during administration of local anaesthesia (LA) and recapping conventional syringe or clearing work surface or during disposal. Results This report showed that students are at the highest risk of NSIs at the fourth year of their 5-year BDS course. About one-third of injuries were reported among this group of students followed by year 5 students (25%). Oral surgery clinics were the major source of incident reporting when compared with other specialised dental clinics within the institute. The left hands of the students were the most frequently affected by such injuries and then the right hands of student dental nurses. The attempt of needle recapping of conventional syringes was the least reported mechanism of injuries and constituted only 15% of the total injuries and mainly occurred in third year students. The most frequent injuries among student nurses were during disposal of the needle. Conclusion Less NSIs occur when using safety syringes. A non-recapping policy with immediate disposal of either the conventional or safety syringe systems after injection would prevent all clearance-related NSIs sustained by nurses. To avoid NSIs, education plays a vital role particularly with effective implementation of the change to safety syringes with appropriate training.

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Self-Reported Percutaneous Injuries in Dentist: Implications for HBV, HIV Transmission Risk

Cited by 43 publications

References 20 publications

A survey of needle sticks and other sharp injuries among dental undergraduate students

A survey of needle sticks and other sharp injuries among dental undergraduate students

Do people with HIV/AIDS disclose their HIV-positivity to dentists?

Needle stick injuries among dental students: risk factors and recommendations for prevention

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