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Dentists and cross-infection

S Naidoo1

  • 1Department of Community Dentistry, University of the Western Cape, Mitchells Plain.

The Journal of the Dental Association of South Africa = Die Tydskrif Van Die Tandheelkundige Vereniging Van Suid-Afrika
|March 1, 1997
PubMed
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Many dentists in South Africa use inadequate infection control measures and have concerning attitudes towards treating HIV patients. Improved education is crucial for enhancing dental healthcare worker knowledge and reducing anxiety.

Area of Science:

  • Dentistry
  • Infectious Disease Control
  • Public Health

Background:

  • Cross-infection control in dentistry is critical for patient and healthcare worker safety.
  • Concerns exist regarding dental practitioners' adherence to infection control protocols and their attitudes towards treating patients with Human Immunodeficiency Virus (HIV).

Purpose of the Study:

  • To assess the infection control practices of general dental practitioners in Natal, South Africa.
  • To evaluate dental practitioners' knowledge, attitudes, and behaviors concerning the treatment of HIV-infected individuals.
  • To identify areas for educational intervention to improve dental healthcare standards.

Main Methods:

  • A structured questionnaire and interview were administered to a random sample of general dental practitioners in 1994.
Keywords:
Acquired Immunodeficiency Syndrome--prevention and controlAfricaAfrica South Of The SaharaAttitudeBehaviorBiologyDelivery Of Health CareDeveloping CountriesDiseasesEnglish Speaking AfricaEquipment And SuppliesHealthHealth PersonnelHiv Infections--prevention and controlOccupational HealthOral EffectsPhysiologyPsychological FactorsResearch MethodologyResearch ReportSampling StudiesSouth AfricaSouthern AfricaStudiesSurveysViral Diseases

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  • Data collected included demographic details, personal barrier protection, instrument sterilization, sharps disposal, needlestick injuries, and knowledge/attitude/behavior towards HIV patients.

    • Main Results:

    • 87% of practitioners reported routine glove use for all patients.
    • Autoclave was the most common sterilization method (68%), but dry heat sterilizers and water boilers were also used.
    • Only one of 18 respondents reporting needlestick injuries sought post-exposure care.
    • 42% of practitioners indicated willingness to treat HIV carriers.

    Conclusions:

    • A significant proportion of dentists in the study employed suboptimal cross-infection control procedures.
    • There is a need for targeted educational initiatives to enhance dental practitioners' knowledge and address anxieties related to treating HIV-infected patients.
    • Improving infection control practices and attitudes is essential for safe dental care delivery.