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http://dx.doi.org/10.13065/jksdh.20190005

Survey of the real-world re-use of disposable dental supplies in dental offices  

Park, Bo-Young (Department of Dental Hygiene, Graduate School, Yonsei University)
Mun, So-Jung (Department of Dental Hygiene, Wonju College of Medicine, Yonsei University)
Chung, Won-Gyun (Department of Dental Hygiene, Wonju College of Medicine, Yonsei University)
Choi, Eun-Sil (Department of Public Health Sciences, The Graduate School, Korea University)
Noh, Hie-Jin (Department of Dental Hygiene, Wonju College of Medicine, Yonsei University)
Publication Information
Journal of Korean society of Dental Hygiene / v.19, no.1, 2019 , pp. 141-149 More about this Journal
Abstract
Objectives: To investigate the real-world re-use of disposable dental supplies (DDS) in dental offices and assess the relationship between general characteristics of dental hygienists and reuse of DDS, with respect to infection control characteristics. Methods: A questionnaire was administered to 277 dental hygienists to assess their general characteristics, awareness of infection control/DDS management, and re-use of DDS. Nine DDS were categorized into the following categories based on their purpose: Critical, Semicritical, Noncritical, and Personal protective equipment (PPE). The association between general characteristics of dental hygienists and re-use of DDS, with respect to infection control characteristics, was assessed using the chi-squared test. Results: All 9 DDS were re-used to different extents. The highest reuse rate of supplies were for masks (64.6%), prophylaxis cups (61.0%) and plastic saliva ejectors (30.0%). Overall, 89.5% of the participants re-used DDS; subgroup analysis showed the following proportions of specific DDS re-use: PPE 66.4%; Semicritical DDS 63.9%; Noncritical DDS 19.5%; and Critical DDS 1.8%. Based on the type of clinic, the rate of re-use was higher in dental clinics than dental hospitals. Thus, the re-use of DDS may be caused by inappropriate or nonexistent guidelines or habitual practice, rather than the awareness or attitude of dental hygienists. Conclusions: In order to ensure a safe environment within the dental clinic, DDS classifications must be clearly outlined in the dental infection control guidelines; moreover, additional studies are needed regarding the regulations for DDS re-use and disposal.
Keywords
Dental hygienist; Dental office; Infection control;
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Times Cited By KSCI : 4  (Citation Analysis)
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1 Oosthuysen J, Potgieter E, Blignaut E. Compliance with infection control recommendations in South African dental practices: a review of studies published between 1990 and 2007. Int Dent J 2010;60(3):181-9. https://doi.org/10.1922/IDJ_2371Oosthuysen09
2 Van Lerberghe W. The world health report 2008: primary health care now more than ever. Generva, Switzerland: World Health Organization; 2008: 44.
3 Hutin YJ, Hauri AM, Armstrong GL. Use of injections in healthcare settings worldwide, 2000: literature review and regional estimates.BMJ 2003;327(7423):1075. https://doi.org/10.1136/bmj.327.7423.1075   DOI
4 Noh H. Guidelines for infection control in dental clinic. Seoul, Korea: Korean Socity of Infection Control and Prevention in Dental Hygiene; 2015: 7-15.
5 Petty T, Trey L. Infection prevention and control in the dental office: An opportunity to improve safety and compliance. Ottawa, Canada: Canadian Dental Association; 2006:52.
6 Korea Legislation Research Institute. Medical Devices Act. Act No.15486, Article 20 (Labeling on containers, etc.). 2018 Mar 13 [cited 2018 Dec 15]; Available from: https://elaw.klri.re.kr/kor_service/lawView.do?hseq=48691&lang=ENG.
7 Healy CM, Kearns HP, Coulter WA, Stevenson M, Burke FJ. Autoclave use in dental practice in the Republic of Ireland. Int Dent J 2004;54(4):182-6. https://doi.org/10.1111/j.1875-595X.2004.tb00278.x   DOI
8 Friedman C, Newson W. IFIC Basic concept of infection control. 2nd Edition-Revised 2011. Craigavon, UK: International Federation of Infection Control; 2011: 181-2.
9 Hogg NJ, Morrison AD. Resterilization of instruments used in a hospital-based oral and maxillofacial surgery clinic. J Can Dent Assoc 2005;71(3):179-82.
10 Reynolds KA, Watt PM, Boone SA, Gerba CP. Occurrence of bacteria and biochemical markers on public surfaces. Int J Environ Health Res 2005;15(3):225-34. https://doi.org/10.1080/09603120500115298   DOI
11 Bae SS, Lee MS. Study on elements for effective infection control at dental hospitals. J Korean Soc Dent Hyg 2011;11(4):557-69.
12 Garland KV. A survey of United States dental hygienists' knowledge, attitudes, and practices with infection control guidelines. J Dent Hyg 2013;87(3):140-51.
13 Jeong HJ, Lee JH. Impact factor of cognition and practice of infection control in the dental hygienists. J Korean Soc Dent Hyg 2015;15(3):363-9. https://doi.org/10.13065/jksdh.2015.15.03.363   DOI
14 Haridi HK, Al-Ammar AS, Al-Mansour MI. Compliance with infection control standard precautions guidelines: a survey among dental healthcare workers in Hail Region, Saudi Arabia. J Infect Prev 2016;17(6):268-76. https://doi.org/10.1177/1757177416645344   DOI
15 Choi DR, Kim SH. The study on organization, infection controller, patient infection control of dental clinic in certain areas. J Dent Hyg Sci 2015;15(4):399-406. https://doi.org/10.17135/jdhs.2015.15.4.399   DOI
16 Oosthuysen J. Infection control techniques used in South African dental practices[Master's thesis]. Bloemfontein; Central Univ. of Technology, 2003.
17 Abreu MH, Lopes-Terra MC, Braz LF, Rimulo AL, Paiva SM, Pordeus LA. Attitudes and behavior of dental students concerning infection control rules: a study with a10-year interval. Braz Dent J 2009;20(3):221-5. https://doi.org/10.1590/S0103-64402009000300009   DOI
18 Petti S, Polimeni A, Dancer SJ. Effect of disposable barriers, disinfection, and cleaning on controlling methicillin-resistant Staphylococcus aureus environmental contamination. Am J Infect Control 2013;41(9):836-40. https://doi.org/10.1016/j.ajic.2012.09.021   DOI
19 Kim KM, Jung JY, Hwang YS. A study on the state of infection control in dental clinic. J Korean Soc Dent Hyg 2007;7(3):213-30.
20 De KK, C. Van WC. Infection control in South African oral hygiene practice. The South African Dental Journal 2001;56(12):584-7.
21 Park BY. The relationship between treatment status of disposabledental care supplies and awareness of infection controlby dental hygienists[Master's thesis]. Seoul: Univ. of Yonsei, 2008.
22 Noh H, Bae SS, Kim SK, Mun SJ, Han SY, Cho HS, et al. Survey on organizational structures of clinical dental hygienists. J Korean Soc Dent Hyg 2017;17(1):169-79. https://doi.org/10.13065/jksdh.2017.17.01.169   DOI
23 Ministry of Health and Welfare and Korea Institute for Health and Social Affairs. 2016 Patient Survey. Sejong, Korea: Ministry of Health and Welfare ; 2016: 56-61.
24 Kim SJ, Kang J. Emergency nurses' perception and performance of tuberculosis infection control measures. Journal of Korean Academy of Fundamentals of Nursing 2010;17(3):351-61.
25 Kohn WG, Collins AS, Cleveland JL, Harte JA, Eklund KJ, Malvitz DM. Guidelines for infection control in dental health-care settings-2003. MMWR Recomm Rep 2003;52(RR17):1-61. https://doi.org/10.14219/jada.archive.2004.0019
26 US Department of Health Human Services, Food and Drug Administration, and Center for Devices and Radiological Health. Reprocessing and reuse of single-use devices: Review prioritization scheme. Rockville, MD: Food and Drug Administration; 2000: 1.
27 Lim HJ. Influence of the infection control's recognition level of a dental hygienist on an practice degree[Master's thesis]. Seoul: Univ. of Chungang, 2009.