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1996-02-26
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Document 0712
DOCN M9620712
TI Dental care of infectious patients in Denmark, 1986-1993: theoretical
considerations and empirical findings.
DT 9602
AU Scheutz F; Langebaek J; Department of Oral Epidemiology and Public
Health, Royal Dental; College, Faculty of Health Sciences, Aarhus
University, Denmark.
SO Community Dent Oral Epidemiol. 1995 Aug;23(4):226-31. Unique Identifier
: AIDSLINE MED/96037073
AB Changes in infection control and behavior and attitudes towards
HIV-infected patients from 1986 to 1992/93 were studied among a random
sample of 335 Danish dentists; previous studies among random samples of
Danish dentists served as references. 249 (74.3%) returned a mailed
questionnaire together with a time, steam, temperature (TST) control
indicator strip processed in their steam autoclaves, 3.4% of the
autoclaves had not sterilized properly, which was an insignificant
decrease compared to 1986. Overall, infection control had improved since
1986. In 1992/93 17.3% of dentists surveyed reported use of gloves
always: in 1986 0.8% did so. Many (60.2%) reported at least one
needlestick or cut accident within the last year. The number of dentists
who were willing to treat HIV-infected patients and the number of
clinics that found they could treat infectious patients safely had
increased from 56.1% to 78.7% and from 43.0% to 66.8%, respectively.
Other attitudinal dimensions, for example views on secrecy of HIV test
results and HIV screening policy, had not changed. A conceptual model
based on the theory of reasoned action formed the framework for multiple
logistic regression analysis with two different outcomes: Willingness to
treat HIV-infected individuals and Treatment of HIV-infected patients.
In particular, expected staff problems turned out to have a high
explanatory value (odds ratio = 18.2) if HIV-infected patients were
received. In both models Certainty about hygienic precautions had some
explanatory value. The findings may give some clues about how to plan
and implement future continuing education on infection control and
attitudinal and behavioral aspects of caring for infectious patients.
DE Adult Attitude of Health Personnel AIDS Serodiagnosis Confidentiality
Denmark/EPIDEMIOLOGY *Dental Care for Chronically Ill Dentist-Patient
Relations Female Gloves, Surgical Health Planning Health Policy
Hepatitis B/PREVENTION & CONTROL Human *HIV Infections/PREVENTION &
CONTROL Infection Control/STATISTICS & NUMER DATA Logistic Models
Male Middle Age Needlestick Injuries/EPIDEMIOLOGY Occupational
Diseases/EPIDEMIOLOGY Steam Sterilization/INSTRUMENTATION/METHODS
Support, Non-U.S. Gov't Temperature JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).