CC BY-NC-ND 4.0 · Eur J Dent 2020; 14(S 01): S1-S6
DOI: 10.1055/s-0040-1721295
Original Article

Evaluation of Patient’s Knowledge, Attitude, and Practice of Cross-Infection Control in Dentistry during COVID-19 Pandemic

Muhammad Adeel Ahmed
1   Department of Restorative Dentistry and Endodontics, College of Dentistry, King Faisal University, Al Ahsa, Saudi Arabia
,
Rizwan Jouhar
1   Department of Restorative Dentistry and Endodontics, College of Dentistry, King Faisal University, Al Ahsa, Saudi Arabia
,
Samira Adnan
2   Department of Operative Dentistry, Sindh Institute of Oral Health Sciences, Jinnah Sindh Medical University, Karachi, Pakistan
,
Naseer Ahmed
3   Department of Prosthodontics, Altamash Institute of Dental Medicine, Karachi, Pakistan
4   Prosthodontics Unit, University Sains Malaysia, School of Dental Sciences, Kubang Kerian, Kelantan
,
Tuba Ghazal
5   Department of Community Dentistry, Dr. Ishrat-ul-ebad khan Institute of Oral Health Science, Dow University of Health Sciences, Karachi, Pakistan
,
Necdet Adanir
1   Department of Restorative Dentistry and Endodontics, College of Dentistry, King Faisal University, Al Ahsa, Saudi Arabia
› Author Affiliations
Funding None.

Abstract

Objectives The aim of this study was to evaluate the patient’s knowledge, attitude, and practice of cross-infection control in dentistry during coronavirus diseases 2019 (COVID-19).

Materials and Methods This cross-sectional observational study was conducted at Altamash Institute of Dental Medicine, Karachi from June 2020 to August 2020. A total of 775 patients participated to fill questionnaire. After scrutiny, 25 questionnaire forms were excluded due to incomplete information. Questionnaire was divided in to four sections. First section obtained patients sociodemographic information, while knowledge of patients regarding cross-infection control during COVID-19 pandemic was evaluated in second section. Similarly, the purpose of third section was to assess attitude and fourth section was designed to evaluate practice. Likert’s 3-point scale was used for registration of participant’s response. The reliability of questionnaire was assessed through Crohnbach’s α (α = 0.74). Statistical analysis was performed after entering data in to SPSS version 25. Independent t-test was used to evaluate the difference in patients’ knowledge, attitude, and practice. A p-value ≤ 0.05 was considered as statistically significant.

Results Majority of the participants agreed that COVID-19 is a highly contagious disease (631, 97%) and daily screening of staff, dental assistants, dentists, and patients is necessary (568, 75.7%) along with proper sterilization of instruments and disinfection of dental operatory (650, 86.66%). A large number of participant also agreed that proper disposal of waste is utmost important for cross-infection control (601, 80.24%) and patient's waiting area should also be marked with social distancing sign (620, 82.66%). However, when asked about the common route of COVID-19 transmission in dentistry, 341 (45.5%) participants disagreed that it is not through aerosol (water droplets) generated during dental procedures.

Conclusions Dental health professionals should take additional measures to educate dental patients on mechanism of potential spread of COVID-19 through the aerosols and droplets generated during dental procedures. They should also encourage the dental patients to be vigilant and question the cross-infection control measures practiced by the dentist to whom they go for dental treatment, and to decrease their chances of acquiring an infection during their visit to the dental office.



Publication History

Article published online:
15 December 2020

© 2020. European Journal of Dentistry. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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  • References

  • 1 Taha F, Joseph J, Janakiram C, Puttaiah R. Dental infection control practices and public perception: a cross-sectional study. J Int Oral Health 2015; 7 (12) 20
  • 2 CDC. Summary of Infection Prevention Practices in Dental Settings: Basic Expectations for Safe Care. Atlanta, GA: Centers for Disease Control and Prevention, US Dept of Health and Human Services; October 2016. https://www.cdc.gov/oralhealth/infectioncontrol/pdf/safe-care2.pdf. Accessed Oct 19, 2020
  • 3 Minimum requirements for infection prevention and control. Geneva: World Health Organization; 2019. Available at: https://www.who.int/infectionprevention/publications/min-req-IPCmanual/en/, Accessed October 19, 2020.
  • 4 Setiawan AS, Zubaedah C. Application of health belief model on child's dental visit postponement during the COVID-19 pandemic. Eur J Dent 2020;14(suppl S1):S7–S13 doi:10.1055/s-0040-1715784
  • 5 Jayaweera M, Perera H, Gunawardana B. Manatunge J. Transmission of COVID-19 virus by droplets and aerosols: a critical review on the unresolved dichotomy. Environ Res 2020; 188: 109819
  • 6 Balogh EP, Miller BT, Ball JR. Improving Diagnosis in Health Care. Washington (DC): National Academics Press (US); 2015
  • 7 Bizzoca ME, Campisi G, Muzio LL. Covid-19 Pandemic: What Changes for Dentists and Oral Medicine Experts? A Narrative Review and Novel Approaches to Infection Containment. Int J Environ Res Public Health 2020; 17 (11) 3793 DOI: 10.3390/ijerph17113793.
  • 8 Haleem A, Javaid M, Vaishya R. Effects of COVID 19 Pandemic in Daily Life. Current Medicine Research and Practice. 2020
  • 9 Faccini M, Ferruzzi F, Mori AA, et al. Dental care during COVID-19 outbreak: A web-based survey. Eur J Dent 2020;14(suppl S1):S14–S19 doi:10.1055/s-0040-1715990
  • 10 Ahmed MA, Jouhar R, Ahmed N. et al. Fear and practice modifications among dentists to combat Novel Coronavirus Disease (COVID-19) outbreak. Int J Environ Res Public Health 2020; 17 (08) 2821
  • 11 World Health Organization. Advice on the use of masks in the context of COVID-19: interim guidance, 5 June 2020. World Health Organization. Available at: https://apps.who.int/iris/handle/10665/332293.
  • 12 Ahmed N, Shakoor M, Vohra F, Abduljabbar T, Mariam Q, Rehman MA. Knowledge, awareness and practice of health care professionals amid SARS-CoV-2, corona virus disease outbreak. Pak J Med Sci 2020; 36 (COVID19-S4) S49-S56
  • 13 Kamate SK, Sharma S, Thakar S. et al. Assessing knowledge, attitudes and practices of dental practitioners regarding the COVID-19 pandemic: a multinational study. Dent Med Probl 2020; 57 (01) 11-17
  • 14 Hussain I, Majeed A, Imran I. et al. Knowledge, attitude, and practices toward COVID-19 in primary healthcare providers: a cross-sectional study from three tertiary care hospitals of Peshawar, Pakistan. J Community Health 2020; •••: 1-9
  • 15 Roy D, Tripathy S, Kar SK, Sharma N, Verma SK, Kaushal V. Study of knowledge, attitude, anxiety & perceived mental healthcare need in Indian population during COVID-19 pandemic. Asian J Psychiatr 2020; 51: 102083
  • 16 Khader Y, Al Nsour M, Al-Batayneh OB. et al. Dentists’ awareness, perception, and attitude regarding COVID-19 and infection control: cross-sectional study among Jordanian dentists. JMIR Public Health Surveill 2020; 6 (02) e18798
  • 17 Spagnuolo G, De Vito D, Rengo S, Tatullo M. COVID-19 Outbreak: An Overview on Dentistry. Multidisciplinary Digital Publishing Institute; 2020
  • 18 Ahmed N, Maqsood A, Abduljabbar T, Vohra F. Tobacco smoking a potential risk factor in transmission of COVID-19 infection. Pak J Med Sci 2020; 36 (COVID19-S4) S104-S107
  • 19 Yip HK, Tsang PC, Samaranayake LP, Li AH. Knowledge of and attitudes toward severe acute respiratory syndrome among a cohort of dental patients in Hong Kong following a major local outbreak. Community Dent Health 2007; 24 (01) 43-48
  • 20 Ashok N, Rodrigues JC, Azouni K. et al. Knowledge and apprehension of dental patients about MERS-A questionnaire survey. J Clin Diagn Res 2016; 10 (05) ZC58-ZC62
  • 21 Ali S, Farooq I, Abdelsalam M, AlHumaid J. Current clinical dental practice guidelines and the financial impact of COVID-19 on dental care providers. Eur J Dent 2020;14(suppl S1):S140–S145 doi:10.1055/s-0040-1716307
  • 22 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 (01) 9
  • 23 Sun J, Xu Y, Qu Q, Luo W. Knowledge of and attitudes toward COVID-19 among parents of child dental patients during the outbreak. Braz Oral Res 2020; 34: e066
  • 24 Ather A, Patel B, Ruparel NB, Diogenes A, Hargreaves KM. Coronavirus disease 19 (COVID-19): implications for clinical dental care. J Endod 2020; 46 (05) 584-595
  • 25 Azim AA, Shabbir J, Khurshid Z, Zafar MS, Ghabbani HM, Dummer PMH. Clinical endodontic management during the COVID-19 pandemic: a literature review and clinical recommendations. Int Endod J 2020;53(11):1461-1471 doi:10.1111/iej.13406