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COVİD-19 Pandemisinde Diş Hekimlerinin Dezenfeksiyon, Antisepsi ve Sterilizasyon Uygulamalarına Bakışı

Year 2023, Volume: 12 Issue: 3, 348 - 356, 25.09.2023
https://doi.org/10.54617/adoklinikbilimler.1169560

Abstract

Amaç: COVİD-19 pandemi sürecinde diş kliniklerinde dezenfeksiyon, antisepsi ve sterilizasyona yönelik tedbir ve uygulamalar hakkında diş hekimlerinin bakış açıları ve SARS-CoV2 hakkındaki farkındalık düzeylerini araştırmak amaçlanmıştır.
Gereç ve Yöntem: Türk Diş Hekimleri Birliği (TDB)’ne bağlı 25000 diş hekimi çalışmanın evrenini oluşturmuş; kesitsel olarak tanımlanan çalışmanın verileri, Haziran 2021-Ekim 2021 tarihleri arasında, kamu ve özel kliniklerde çalışan gönüllü 175 diş hekimine elektronik ortamda uygulanan 20 soruluk bir anket aracılığıyla sağlanmıştır. Veriler, SPSS.26 programı ile Ki-Kare analizi yapılarak frekans ve yüzdelere dönüştürülmüştür.
Bulgular: Araştırmaya katılan diş hekimlerinin yaş ortalaması 42,35 olup, %40,6’sı kadın (n=71) ve %59,4’ü erkektir (n=104) ve katılımcıların %26,9’u kamuda, %73,1’i özel kliniklerde çalışmaktadır. Diş hekimlerinin %22,9’u pozitif hastaya tedavi uyguladığını, %22,9’u SARS-Cov2 enfeksiyonu geçirdiğini, %53,1’i muayene öncesi hastalardan detaylı anamnez aldığını belirtmiştir. Diş hekimlerinin %27.4’ü SARS-Cov2’nin aerosol olarak canlı kaldığı süreyi bilmekte, %24’ü dört saatte bir maskesini yenilemekte, %42,3’ü anti-retraksiyon sistemli ekipman kullanmaktadır. SARS-Cov2 geçirmeyen diş hekimlerinin (%57,6-%17,4), SARS-Cov2 geçiren diş hekimlerine (%44,4-%12,8) göre daha yüksek oranda “alkol bazlı el antiseptiği” ve “klorheksidin glukonat” etken maddesini içeren el dezenfektanı kullandıkları saptanmıştır (χ2=17,521; 𝑝<,05).
Sonuç: Çalışmamızdaki diş hekimlerinin büyük çoğunluğu, pandemi sürecinde güvenli tedavi hizmeti verebilmek için rutin uygulamaların yanında virüs saçılımını minimize eden metod ve prosedürlerle yollarına devam etmiştir.

References

  • 1. Mohamadian M, Chiti H, Shoghli A, Biglari S, Parsamanesh N, Esmaeilzadeh A. COVID-19: Virology, biology and novel laboratory diagnosis. J Gene Med 2021;23(2):e3303.
  • 2. WHO, COVID-19 Weekly Epidemiological Update Edition 104 published 10 August 2022.
  • 3. Jarvis MC. Aerosol Transmission of SARS-CoV-2: Physical Principles and Implications. Front Public Health 2020;8:590041.
  • 4. Şenel, FÇ. COVİD-19 salgınının diş hekimliği uygulamalarına etkisi. ADO Klinik Bilimler Derg 2021 ;10(1):1-12.
  • 5. Wei, J. & Li, Y. Airborne spread of infectious agents in the indoor environment. Am. J. Infect. Control 2016;(44): 102–108.
  • 6. Cleveland JL, Gray SK, Harte JA, Robison VA, Moorman AC, Gooch BF. Transmission of blood-borne pathogens in US dental health care settings. J Am Dent Assoc 2016;147(9):729-738
  • 7. Colaneri M, Seminari E, Novati S, Asperges E, Biscarini S, Piralla A,et al. Severe acute respiratory syndrome coronavirus 2 RNA contamination of inanimate surfaces and virus viability in a health care emergency unit. Clin Microbiol Infect 2020;26(8):1094.e1-1094.e5.
  • 8. Kim JI, Yu M, Yu S, Park JH. Information and General Guidance for Healthcare Professionals in the Fourth Wave of COVID-19. J Korean Acad Nurs 2021;51(4):395-407.
  • 9. Mathieu, E, Ritchie, H, Ortiz-Ospina, E, Roser M, Hasell J, Appel C,et al. A global database of COVID-19 vaccinations. Nat Hum Behav 2021;5(7):947-953.
  • 10. Iurcov R, Pop LM, Ciavoi G, Iorga M. Evaluating the Practice of Preventive Behaviors and the Fear of COVID-19 among Dentists in Oradea Metropolitan Area after the First Wave of Pandemic; a Cross-Sectional Study. Healthcare (Basel) 2021;9(4):443.
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  • 14. Bardellini E, Amadori F, Veneri F, Conti G, Majorana A. Coronavirus Disease-2019 and dental practice: A project on the use of ozonized water in the water circuit of the dental armchair. Stomatologija 2020;22(2):35-38.
  • 15. Karaca, B. Yeni Coronavirus Pandemisinde Dental-Oral Muayene- Radyografik Değerlendirme Üçgenine Genel Yaklaşım ve Üçüncü Basamak Dişhekimliği Sağlık Kuruluşunda Olgu Ayrımlama (Triyaj) Uygulama Örneği. EÜ Dişhek Fak Derg 2020; COVID ÖZEL: 13-26
  • 16. Soysal F, İşler SÇ, Peker İ, Akca G, Özmeriç N, Ünsal B. The impact of COVID-19 pandemic on dentistry practices. Klimik Derg 2020; 33(1): 5-14.
  • 17. Kumbargere Nagraj S, Eachempati P, Paisi M, Nasser M, Sivaramakrishnan G, Verbeek JH. Interventions to reduce contaminated aerosols produced during dental procedures for preventing infectious diseases. Cochrane Database Syst Rev 2020;12;10(10):CD013686.
  • 18. Ballıkaya E, Esentürk G, Ünverdi GE, Çehreli ZC. Yeni Koronavirüs Salgını ve Diş Hekimliği Tedavileri Üzerine Etkileri. HÜ Sağ Bil Fak Derg 2020;7(2):92-107.
  • 19. Hu, T, Li, G, Zuo, Y,Zhou, X. Risk of hepatitis B virus transmission via dental handpieces and evaluation of an anti-suction device for prevention of transmission. Infect Control Hosp Epidemiol 2007; 28(1): 80–82.
  • 20. Samaranayake, LP, Peiris, M. Severe acute respiratory syndrome and dentistry: a retrospective view. J. Am. Dent. Assoc 2004;135(1): 1292–1302.
  • 21. Gandolfi MG, Zamparini F, Spinelli A, Sambri V, Prati C. Risks of Aerosol Contamination in Dental Procedures during the Second Wave of COVID-19-Experience and Proposals of Innovative IPC in Dental Practice. Int J Environ Res Public Health 2020; 17(23):8954.
  • 22. Rundle CW, Presley CL, Militello M, Barber C, Powell DL, Jacob SE, et al. Hand hygiene during COVID-19: Recommendations from the American Contact Dermatitis Society. J Am Acad Dermatol 2020;83(6):1730-1737.
  • 23. Araghi F, Tabary M, Gheisari M, Abdollahimajd F, Dadkhahfar S. Hand Hygiene Among Health Care Workers During COVID-19 Pandemic: Challenges and Recommendations. Dermatitis 2020;31(4):233-237.
  • 24. Sakallı OA, Sakallı S, Akbaşak AÖ, Erkut S. Yeni Tip Koronavirüs (COVID-19) Salgınının Diş Hekimlerinin Tedavi Kliniği Düzeni Üzerine Etkisi. ADO Klinik Bilimler Derg 2022;11(2):140-149.

Dentists' Perspective on Disinfection, Antisepsis and Sterilization Practices in the COVID-19 Pandemic

Year 2023, Volume: 12 Issue: 3, 348 - 356, 25.09.2023
https://doi.org/10.54617/adoklinikbilimler.1169560

Abstract

Aim: It was aimed to investigate the perspectives of dentists about the precautions and practices for disinfection, antisepsis and sterilization in dental clinics during the COVID-19 pandemic and their awareness level about SARS-CoV2.
Material and Methods: 25000 dentists affiliated to the Turkish Dental Association (TDB) formed the universe of the study; The data of the study, which was defined as cross-sectional, were provided through a 20-question questionnaire administered electronically to 175 volunteer dentists working in the public and private clinics between June 2021 and October 2021. The data were converted into frequencies and percentages by performing Chi-Square analysis with SPSS.26 program.
Results: The average age of the dentists participating in the study was 42.35, 40.6% were female (n=71) and 59.4% were male (n=104) and 26.9% of the participants were in the public sector, 73.1% were in private clinics. 22.9% of the dentists stated that they applied treatment to positive patients, 22.9% of them had SARS-Cov2 infection, 53.1% of them stated that they took detailed anamnesis from the patients before the examination. 27.4% of dentists know how long SARS-Cov2 remains alive as aerosol, 24% renew their masks every four hours, 42.3% use equipment with an anti-retraction system. Dentists without SARS-Cov2 (57.6%-17.4%) had a higher rate of “alcohol-based hand sanitizer” and “chlorhexidine gluconate” than dentists who had SARS-Cov2 (44.4%-12.8%). It was determined that they used hand disinfectant containing the active ingredient (χ2=17,521; 𝑝<,05).
Conclusion: The majority of dentists in our study continued on their way with methods and procedures that minimize virus shedding as well as routine practices in order to provide safe treatment service during the pandemic process.

References

  • 1. Mohamadian M, Chiti H, Shoghli A, Biglari S, Parsamanesh N, Esmaeilzadeh A. COVID-19: Virology, biology and novel laboratory diagnosis. J Gene Med 2021;23(2):e3303.
  • 2. WHO, COVID-19 Weekly Epidemiological Update Edition 104 published 10 August 2022.
  • 3. Jarvis MC. Aerosol Transmission of SARS-CoV-2: Physical Principles and Implications. Front Public Health 2020;8:590041.
  • 4. Şenel, FÇ. COVİD-19 salgınının diş hekimliği uygulamalarına etkisi. ADO Klinik Bilimler Derg 2021 ;10(1):1-12.
  • 5. Wei, J. & Li, Y. Airborne spread of infectious agents in the indoor environment. Am. J. Infect. Control 2016;(44): 102–108.
  • 6. Cleveland JL, Gray SK, Harte JA, Robison VA, Moorman AC, Gooch BF. Transmission of blood-borne pathogens in US dental health care settings. J Am Dent Assoc 2016;147(9):729-738
  • 7. Colaneri M, Seminari E, Novati S, Asperges E, Biscarini S, Piralla A,et al. Severe acute respiratory syndrome coronavirus 2 RNA contamination of inanimate surfaces and virus viability in a health care emergency unit. Clin Microbiol Infect 2020;26(8):1094.e1-1094.e5.
  • 8. Kim JI, Yu M, Yu S, Park JH. Information and General Guidance for Healthcare Professionals in the Fourth Wave of COVID-19. J Korean Acad Nurs 2021;51(4):395-407.
  • 9. Mathieu, E, Ritchie, H, Ortiz-Ospina, E, Roser M, Hasell J, Appel C,et al. A global database of COVID-19 vaccinations. Nat Hum Behav 2021;5(7):947-953.
  • 10. Iurcov R, Pop LM, Ciavoi G, Iorga M. Evaluating the Practice of Preventive Behaviors and the Fear of COVID-19 among Dentists in Oradea Metropolitan Area after the First Wave of Pandemic; a Cross-Sectional Study. Healthcare (Basel) 2021;9(4):443.
  • 11. Guideline for the Diagnosis and Treatment of Novel Coronavirus Pneumonia (the 5th edition) (http://www.nhc.gov.cn/yzygj/s7653p/202002/ 3b09b894ac9b4204a79db5b8912d4440.shtml)
  • 12. Peng X, Xu X, Li Y, Cheng L, Zhou X, Ren B. Transmission routes of 2019-nCoV and controls in dental practice. Int J Oral Sci 2020;12(1):9.
  • 13. Vergara-Buenaventura A, Castro-Ruiz C. Use of mouthwashes against COVID-19 in dentistry. Br J Oral Maxillofac Surg 2020;58(8):924-927.
  • 14. Bardellini E, Amadori F, Veneri F, Conti G, Majorana A. Coronavirus Disease-2019 and dental practice: A project on the use of ozonized water in the water circuit of the dental armchair. Stomatologija 2020;22(2):35-38.
  • 15. Karaca, B. Yeni Coronavirus Pandemisinde Dental-Oral Muayene- Radyografik Değerlendirme Üçgenine Genel Yaklaşım ve Üçüncü Basamak Dişhekimliği Sağlık Kuruluşunda Olgu Ayrımlama (Triyaj) Uygulama Örneği. EÜ Dişhek Fak Derg 2020; COVID ÖZEL: 13-26
  • 16. Soysal F, İşler SÇ, Peker İ, Akca G, Özmeriç N, Ünsal B. The impact of COVID-19 pandemic on dentistry practices. Klimik Derg 2020; 33(1): 5-14.
  • 17. Kumbargere Nagraj S, Eachempati P, Paisi M, Nasser M, Sivaramakrishnan G, Verbeek JH. Interventions to reduce contaminated aerosols produced during dental procedures for preventing infectious diseases. Cochrane Database Syst Rev 2020;12;10(10):CD013686.
  • 18. Ballıkaya E, Esentürk G, Ünverdi GE, Çehreli ZC. Yeni Koronavirüs Salgını ve Diş Hekimliği Tedavileri Üzerine Etkileri. HÜ Sağ Bil Fak Derg 2020;7(2):92-107.
  • 19. Hu, T, Li, G, Zuo, Y,Zhou, X. Risk of hepatitis B virus transmission via dental handpieces and evaluation of an anti-suction device for prevention of transmission. Infect Control Hosp Epidemiol 2007; 28(1): 80–82.
  • 20. Samaranayake, LP, Peiris, M. Severe acute respiratory syndrome and dentistry: a retrospective view. J. Am. Dent. Assoc 2004;135(1): 1292–1302.
  • 21. Gandolfi MG, Zamparini F, Spinelli A, Sambri V, Prati C. Risks of Aerosol Contamination in Dental Procedures during the Second Wave of COVID-19-Experience and Proposals of Innovative IPC in Dental Practice. Int J Environ Res Public Health 2020; 17(23):8954.
  • 22. Rundle CW, Presley CL, Militello M, Barber C, Powell DL, Jacob SE, et al. Hand hygiene during COVID-19: Recommendations from the American Contact Dermatitis Society. J Am Acad Dermatol 2020;83(6):1730-1737.
  • 23. Araghi F, Tabary M, Gheisari M, Abdollahimajd F, Dadkhahfar S. Hand Hygiene Among Health Care Workers During COVID-19 Pandemic: Challenges and Recommendations. Dermatitis 2020;31(4):233-237.
  • 24. Sakallı OA, Sakallı S, Akbaşak AÖ, Erkut S. Yeni Tip Koronavirüs (COVID-19) Salgınının Diş Hekimlerinin Tedavi Kliniği Düzeni Üzerine Etkisi. ADO Klinik Bilimler Derg 2022;11(2):140-149.
There are 24 citations in total.

Details

Primary Language Turkish
Subjects Dentistry
Journal Section Araştırma Makalesi
Authors

Pelin Özmen 0000-0001-9496-3032

Serdar Sütcü 0000-0002-6255-1428

Haluk Köse 0000-0003-3473-7206

Publication Date September 25, 2023
Submission Date September 1, 2022
Published in Issue Year 2023 Volume: 12 Issue: 3

Cite

Vancouver Özmen P, Sütcü S, Köse H. COVİD-19 Pandemisinde Diş Hekimlerinin Dezenfeksiyon, Antisepsi ve Sterilizasyon Uygulamalarına Bakışı. ADO Klinik Bilimler Dergisi. 2023;12(3):348-56.