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2 - /) 0,+$ ) *+ '( & Knowledge of Dental Patients about Infection Control Measures in Dental Practice Ammar Mashlah * Abstract The knowledge of () dental patients attending outpatient dental clinic in Damascus, Aleppo, Techreen and Albaath universities were studied Every patient was interviewed individually using a questionnaire concerning the routine use of protective gloves, masks and spectacles The results revealed that 901 of the patients expected dentists to wear gloves, 877 expected them to wear face masks and 399 to wear spectacles Most patients believed that gloves were for patient protection Techreen and high education patients were more concerned about cross infection than other patients * Instructor orel Medicine Dept Faculty of Demtistry- Damascus niversity 154

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4 - /) 0,+$ ) *+ '( & (infected blood) T 5 I+5 (10) )N H; )1N -+ $ 5 F $ -N$*?; N :,$; +," 1 *" - +? V ',* (* ) P > >1 1) 5, $ /) / 1* F19 9 1( ) G@ 1 + * 6 W V 5 + * 9 85,+$ /) 9 ( (9) 1* XA 1" /* I(9 4 * + $ * HXBA & 1 0 1,+$ ) /) Y) 1 " '; &B* +$ L$ $;,) /) 15< ' 1; > ( )=(9 Protection ) /" 1 H1 1 * " ' (Barrier 1* > " 9 > 1* * (++ /+ - 9 P ( * H5 (2) Viral ) 1 >1 1+ HQ+ 7B * B+ (diseases (AIDS) 1+ 1$ :1,$ (Herpes simplex) 1* 1*, 111Q5 5( (Cytomegalovirus) 1$; $1 I*,) 7B '1( B4"19 B+Q4 =(9 (3-5) 5R 1 /) + -+ *1* (Dental Personnel) $1,+$ ) /) /9 -H, (6-8) Q5 85 /) ' '1( /) 9 /1 B + - &N$+ M1O+ B19 =(19 -H" + 1$S (9) 7815 =4 = 156

5 L1" /$+ * -H, L1" I+ B$ 1 " 7 /" B5+ 7H Z@K + > '( +,) B$ (1) /) -1 I1+ 1 ZJQ1H () -H, / + ' /" (18) Porter 1 1" = 1 '1( &1" Q +* ]$ ]$ K 6+ /) 9 1 ) 0 1,+$ ) Z+ 1* " + =*,+ '( L 73 7" -H" I+ I+ / L" +,) B$ KI+ L" + 40 " 2 $"9 9 '( N G9,) 7-N$ 1 -A *+ >* '( /* Z@11$ F911 Q +11 /11) = ' G1@ Glasgow (19) Samarnayake H '( /, $ /) * 14* 1 1$? " 9 H 1 Z@K (++ (masks) - (gloves) -H, (eye protectors) 11-11" V9 (tray covers) /$ V9 I 11( P 11 (11-15)HB B$ + = " M+ (Impregnated) *111 *111+ (Microorganisms)," - (* 1 I+ + =$9," 20 * ' F@ * B$ =Q = 9 &$ 6+) / * 9 8+$+$ 9 /, $ =Q =+" F+ F@ 1 5 =( I$9 /) F@1 1* 9 0,+$ (16) I+ 8 M5 5 5 and aims of : The literature study Maguire 1 2* " Q + /) = ZJQ 1H (17) I1+ B41* 9 " + '( 157

6 - /) 0,+$ ) *+ '( & 1,+$+ 9 1 /+ > +$ ( GS / *$ IS * B+ 6 * 0 1 1,+$ 1 " 4 HS G@ C B /$+$S G$K 7 /) 5^+ :/+3 '; Z@K &B+ Q +1? B1 F9 60 '( - + I1+ $1 I1* 9 " +,+$ ) *+ >* Z+ *V -$ 7 /$+ * -H, ( 0 *1 Y9 $N :5 'N -1 /) 6J 1 72$ * K -H,,+$ ) Z+ '( 1* I1+* :5 N L$ 0 Q15 1$" 9 -H1, 0 +1 L1) -1 +* T 5 ) *+ K9 / / (20) Yorden 1 I; /) = $1 - /) 0,+$ '( V9 3* =,+ " 24QH 1), 4 ' 3+ * - -H, I+ 3*,+ B9 L* QS Subjects and :85-( 5 Methods Random ) 4 1 $ + + = 15 1 &3 1++ (Sample 1 & / B -), 1 - /) " 7+ * 1N+$? 19 /) $ )9 *, 9 7/$+ * + 9 /) /) '( 1( * 1+K 19 $ '1( 1 0 1,+$ ) * 6 H + 6 ( K9 L*$+ B+ B4< ) '( /) K V ' ( ) K 158

7 6 1 5 /) 0 1 Q5 85,+$? " + /1) 1 *+?) ( =4; c-^ba -$* Z@K - :51 1 ' A $*+ (1 P`O 76 ' B$ 51+ '( I?JB *+? B+*; B4a* 41 *+? &3+ 1,+$ ) *+ Z+ IR *+ : N ) 8" ) ) " ) 2 ) ? @ O) 2P 0 159

8 - /) 0,+$ ) *+ '( & ) M C B Q 7 160

9 Results and statistical analysis : -NP A- * :B? < -1 : /$+ * -H, * I+ 6 (* '( I< 9 I B? S@ T " H " ) ) " ) ) ) :-NP : ;<=>

10 - /) 0,+$ ) *+ '( & :$ *+ I B? S@ T " H P O) :-NP J

11 :+ *+ I B? S@ T " H ) :-NP : ;<=>

12 - /) 0,+$ ) *+ '( & 5 A D -H, * I+ * 3* >,+ :V 3 S3 A D H )3 : " ) ) " ) ) ) :-NP F=GH<= ;<=> GIJ ;<@8<= ABCDE

13 V A D -H, * I+ * 3* >,+ T : 3 3 S A D H )3 : " ) ) " ) ) ) :-NP J

14 - /) 0,+$ ) *+ '( & A D -H, * I+ * 3* >,+ I :V 3 = S3 = A D H )3 : " ) ) " ) ) ) :-NP J

15 :7) < 12 :/$+ * F) * I+ K '( ) 09 S@ I T " F) )3 H " ) ) " ) ) ) :-NP

16 - /) 0,+$ ) *+ '( & :$ $ S@ I T " F) C )3 H P O) :-NP J

17 :$) + =*+ S@ I T " F) C )3 H ) :-NP

18 - /) 0,+$ ) *+ '( & 5 D 2 * I+ * Y9 '(,+ :V S N3 E H )3 : " ) ) " ) ) ) :-NP J

19 D 2 * I+ * Y9 >,+ T : V SN3 E 300 H )3 : " ) ) " ) ) ) :-NP J

20 - /) 0,+$ ) *+ '( & 5 V D 2 * I+ * Y9 >,+ I : = S = E H )3 : " ) ) " ) ) ) :-NP

21 :E G -3 :/$+ * E G I+ 6 ( '( ) " S@ I T " E G C H " ) ) " ) ) ) :-NP J

22 - /) 0,+$ ) *+ '( & :$ $ =*+ " I G S@ T " E H P 0 O) :-NP J

23 :$ + S@ I " E G C H ) :-NP

24 - /) 0,+$ ) *+ '( & 5 D " -N$ * I+ * 3* '(,+ :V 3 S3 E H )3 : " ) ) " ) ) ) :-NP

25 5 D " -N$ * I+ * 3* '(,+ T : 3 V 3 S D H )3 : " ) ) " ) ) ) :-NP J

26 - /) 0,+$ ) *+ '( & 53 D " -N$ * I+ * 3* '(,+ I : = V S3 D = H )3 : " ) ) " ) ) ) :-NP F=GH<= ;<=> GIJ ;<@8<= ABCDE

27 ) K9 ) $ /) B 0 Z@1K '1( L" + $1 * I+ 6 ( +$ Z@K /$+ * 2 Bowden 2 '9 /K =(9 2+ '9 G@ /) 56 : 72 :Mousa 1* '( * -H, I+ 6 N) /) '1; + *$ Z@K -+ /$+ 1N) /) + /) B$9 "@Q 947 '; + '( $ -B $ 399 Y9 $),) G *$* 9 B * I+ 9 '( 1 1*, +$ Z@K /$+ * G@1 37 :Mousa 2+ 1 F@1 ZJQ1H Porter ]1$ ]1$ K '( 37 *$ /) NQ $ * '( 44 1 $ Z@K Discussion :"E 1 901L1" + 1 Z@1K /) $1 1* F1+ 9 '( $, ' /K +$ Z@K B? -1? '1(,* - L 1B :(20) Yorden 1 84 :24QH (21) Burke 76 :24QH (22) Gerbert 70 :24QH (23) Bowden 69 :24QH (17) Maguire :(19) McDonald Samaranyake $ ' (24) Mousa : /) =( 460 J / $ L /) -H, I+ /$+ -? 6B F9 Z@K /) '( 804 *1 H$ 9 $$ * 7 $+1 1 '; + *$ Z@K - * /K 1 1), QS 4 2+* 179

28 - /) 0,+$ ) *+ '( & 27,) Y9 '; Scottish -9 I1+ 31*,+ '( 1,+$,+ 4 0; K -H, '( /* * 0 1 Z@K N+ ) O) *$* 1) $S & * =$*+ 70 ) *+ :5 5+1? *1$* V -1N$ -H, L &+5 Bowden QH Mousa 1") 1+N + 24QH 1* 7$S & 4; 6H+ K '; G@ H$ 9 $$ * 85 Q15 $$ 56 ' 6 ), ( L+ )9 4 *+$ 9 &1 ' 2$ /) + L1 B+*; 0 + '( I?JK 1 G1@ 21 2$3* $)+ $ ), 9 FK 41 1* 1KHH+ $S +5 &,+ QS 1* I1+ * 49 * N$ /),$ >5$ 0,+$ 6 5 '( ) 1 1 >1 1* 0 +$ G@ -H 1 1 * '; > /* '; > ) -Q() * '( 3* 84+$ *+ -H1, * *9 * K 1 G@ * 7-N$ B+ B+ 9 -H, 3* /1B) $1 1* 1 4 0; 1B$ *, 593 -N$ *$* G@ 7B+ *, * B$9 268 B+ B$ "9 +$ Z@K QH Porter ) 7B+ -H, 9 '; '( 180

29 > 19 AIDS H 1S B 1* Conclusions : ) 1 -H1, 9 * 7059 B =+ 84+$,+ 1* /K -N$ 1,+$ 1) 9 '1 '( > 1 7 $ /) * 9 +K? 1) *1+ 1K9 ' 3+ =, /) - /) , 6$ + 1 7B+ /) I* 0 1 ) *+ * + ( 1 Q1 $ ), /1) B+ B*+ I$9 /) * '( *V = ) -H, * I+ ' : N Suggestions -$" /) =Q5 Z@K -N? I (1 1+ P+,$ G@ '( :Q5 ' 1B Z*+$? QS = 1( 5 >,+$ H Influenza 1; 6 1B+ Tuberculosis L4 181

30 - /) 0,+$ ) *+ '( & ( ) " * 6+ ( ) * ( ) + ( ) ( ) :) ( ) '$9 : * ( :O) * ( ) ; 9 4+* ( ) ( ) /d9 ( ) $ :6 M * ( ) H$ * ( ) F : M * ( ) /*+ ( ) 6B / /) ( ) -*5 T+ /$B ( ) ( ) H T " B? S@ I 11 T I S0 H S)3 03 ( ) ( ) H S3 A D 1 ( ) ( ) H 3 S A D 1 ( ) ( ) H S3 = A D 1 182

31 ( ) ( ) H T " F) S@ I 12 : I H S)3 03 ( ) ( ) H :S N3 E 1 ( ) ( ) H : 3 SN3 E 1 ( ) ( ) H : W S E 1 ( ) ( T " E G S@ I 13 ) H : I H S)3 03 ( ) ( ) H :S3 E 1 ( ) ( ) H : 3 S D 1 ( ) ( ) H : = S3 D 1 183

32 - /) 0,+$ ) *+ '( & References 1- Barleanu L, Danila I, Parus M [Infection control in dentistry Educational requirements] Rev Med Chir Soc Med Nat Iasi 2004 Jul- Sep;108(3): Adeyemo WL, Ogunlewe MO, Ladeinde AL, Bamgbose BOAre sterile gloves necessary in nonsurgical dental extractions? : J Oral Maxillofac Surg 2005 Jul;63(7): Oral health-care workers and HIV infection control practices in Nigeria Ogunbodede EO, Folayan MO, Adedigba MA : Trop Doct 2005 Jul;35(3): Al-Omari MA, Al-Dwairi ZNCompliance with infection control programs in private dental clinics in Jordan J Dent Educ 2005 Jun;69(6): Wilson KI Blood borne viruses Br Dent J 2005 Feb 12;198(3): Rustage KJ,Rothwell PS, Brook IM Evaluation of a dedicated dental procedure gloves for clinical dentistry British dental journal, 1987, 103 : Kohn WG, Harte JA, Malvitz DM et al Guidelines for infection control in dental health care settings-2003 JADA 135:33-, Murray CA, Burke FJ, McHugh S An assessment of the incidence of punctures in latex and non-latex dental examination gloves in routine clinical practice Br Dent J 190 : , Burke FJT Gloves wearing by dental surgery assistants Dental update, 1993, 20: Trick WE, Vernon MO, Hayes RA, et al Impact of ring wearing on hand contamination and comparison of hand hygiene agents in a hospital Clin Infect Dis 36 : , American Dental Association Council on Scientific Affairs The dental team and latex hypersensitivity JADA 130 : , Pittet D, Hugonnet S, Harbarth S, et al Effectiveness of a hospitalwide programme to improve compliance with hand hygiene Lancet 356 : , Harte JALooking inside the 2003 CDC dental infection control guidelines J Calif Dent Assoc 2004 Nov;32(11):

33 14- Molinari JA; Centers for Disease Control and Preventionpdated CDC infection control guidelines for dental health care settings: 1 year later Compend Contin Educ Dent 2005 Mar;26(3):192, 194, Harte JA, Charlton DGCharacteristics of infection control programs in S Air Force dental clinics: a survey J Am Dent Assoc 2005 Jul;136(7): Runge P Not all face masks are created equal What is best for you? Dent Assist 2005 Jul-Aug;74(4):4-6, 8; quiz Maguire B, Gerbert B, Spitser S Dental patients, opinions about infection control journal of dental research, (Abst), 1989, 68: Porter SR et al Attitude to cross infection measures of K and Hong Kong patients British dental journal, 1993,175: Samaranayake LP and McDonald KC patient perception of cross infection prevention in dentistry Oral surgery, oral medicine and oral pathology, 1990, 69: Yorden KS Patients attitudes towards the routine use of rubber gloves in a dental office journal of the indianna Dental Association, 1985,64: Burke FJT, Baggett Fj, Wilson NHF, patient attitudes to the wearing of gloves by dentists Dental update, 1991, 18 : Gerbert B, Maguire BT and Spitzer S Patients attitudes toward dentistry and AIDS journal of the American Dental Association, 1989, suppl1:16s-21s 23- Bowden JR et al cross infection control, attitudes of patients toward wearing of gloves and masks by the dentist in the nited Kingdom in 1987 Oral surgery, oral pathology and oral medicine J, 1989,67(1): Mousa AA et al knowledge and attitudes of dental patients towards cross infection control measures in dental practice Eastern Mediterranean Health Journal, Vol 3, No 2, /10/30 : '; * e+ 2006/6/5:$ 2 *" e+ 185