Educator and Student Hand Hygiene Adherence in Dental Schools: A Systematic Review and Meta‐Analysis

Resende, Kêmelly Karolliny Moreira; Neves, Layla Ferreira; Nagib, Leonardo de Rezende Costa; Martins, Lázara Joyce Oliveira; Costa, Cláudio Rodrigues Rezende

doi:10.21815/jde.019.060

Cited by 15 publications

(9 citation statements)

References 39 publications

(79 reference statements)

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“…20 Knowledge level and practice of infection control measures, such as hand hygiene, were found to be poor among dental students. 21,22 Similar to the AIDS pandemic in the 1980s, the COVID-19 crisis serves to heighten the awareness of dental aerosolization, pushing dentists to revisit clinical safety standards 23 and encouraging dental schools to regard infection control-teaching as a significant part of dental education. 20 In addition to developing online and offline combined teaching method, focusing on the psychological status of residents, and establishing evaluation system of COVID-19 infection control, WHUSS has implemented measures to narrow the gap of the reduction of clinical operating opportunities of residents due to area divisions for infection control and financial pressure from PPE supplies of departments.…”

Section: Discussionmentioning

confidence: 99%

Impact of COVID‐19 on advanced dental education: Perspectives of dental residents in Wuhan

Zhao

Zhang

et al. 2021

Journal of Dental Education

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Purpose This study investigated the impact of coronavirus disease 2019 (COVID‐19) from the perspectives of dental residents in Wuhan, the former COVID‐19 epicenter of China. Methods A survey form was sent to 424 residents in the School of Stomatology, Wuhan University (WHUSS) in September 2020. The form included 23 questions on demographics, study situation of residents during the COVID‐19 outbreak, effect of COVID‐19 on graduates, and status of residents who returned to clinic training. Results A total of 361 (85%) survey forms were collected. Over 70% of respondents felt anxious during Wuhan lockdown. Most respondents continued studying (94%) mainly through free online resources (79%). The majority reported improvement in didactic knowledge (80%), but the respondents’ perceptions of their clinical skills, especially those in Wuhan, did not change (41%) or worsened (40%) ( p < 0.05). Most graduates (88%) reported having found jobs or continued study. Among the 209 responders who returned to clinical training, 52% felt no concern about COVID‐19 infection, 89% thought they were equipped with adequate personal protective equipment (PPE), and 57% indicated that they received sufficient knowledge for preventing COVID‐19 in clinic. Most respondents agreed that the way to gain the knowledge for preventing COVID‐19 in clinic was training at dental school (93%). Conclusion Although online study has been appreciated by residents, concern about clinical skill learning in the COVID‐19 hardest‐hit area has arisen. Most graduates felt that the impact of COVID‐19 on their immediate postgraduation career was limited. Teaching about infection control in dental schools seemed effective to develop a positive attitude for residents after they returned to clinical training.

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Section: Discussionmentioning

confidence: 99%

Impact of COVID‐19 on advanced dental education: Perspectives of dental residents in Wuhan

Zhao

Zhang

et al. 2021

Journal of Dental Education

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“…This leads to inadequate practice of infection control. A systematic review that included studies from Brazil, United Kingdom, and France, studying the adherence of educators and students in academic dental institutions to hand hygiene procedures, found that hand hygiene among dental students did not even reach 50% of the total number of students 11 …”

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confidence: 99%

Are dental schools adequately preparing dental students to face outbreaks of infectious diseases such as COVID‐19?

Ghai

2020

Journal of Dental Education

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The recent 2019‐novel coronavirus (2019‐nCoV, also known as SARS‐CoV‐2) has caused >2,622,571 confirmed cases of coronavirus disease 2019 (COVID‐19) in >185 countries, and >182,359 deaths globally. More than 9000 healthcare workers have also been infected by 2019‐nCoV. Prior to the present pandemic of COVID‐19, there have been multiple large‐scale epidemics and pandemics of other viral respiratory infections, such as seasonal flu, Spanish flu (H1N1), severe acute respiratory syndrome (SARS), Middle East respiratory syndrome (MERS), and others. Dental professionals are at an increased risk for contracting these viruses from dental patients, as dental practice involves face‐to‐face communication with the patients and frequent exposure to saliva, blood, and other body fluids. Dental education can play an important role in the training of dentists, helping them to adopt adequate knowledge and attitudes related to infection control measures. The current dental curriculum does not cover infection control adequately, especially from airborne pathogens. Infection control education needs to be included in the dental curriculum itself, and students should be trained adequately to protect them and prevent the infection from disseminating even before they see their first patient.

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“…14 However, the literature has demonstrated that compliance with hand hygiene is not as high as desired and ranges from 35% to 56%. [45][46][47] In this study, compliance with hand hygiene improved from 92.5% in 2019 to 96.2% in 2020. With respect to adherence to infection control standards according to gender, it was interesting to find that more male than female dental students were compliant.…”

Section: Discussionmentioning

confidence: 55%

Comparison of Compliance with Infection Control Practices Among Dental Students in Saudi Arabia Before and During the COVID-19 Pandemic

Meisha¹

2021

RMHP

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Background With the emergence of the COVID-19 pandemic, professional organizations issued new guidelines for infection control standards in dental clinics. The objective of this study was to compare dental students’ compliance with those standards before the COVID-19 outbreak and during the pandemic. Methods This cross-sectional study entailed observing 622 dental students during their clinical sessions to assess compliance with the infection control protocol. The compliance checklist used was adopted from the Centers for Disease Control and Prevention Infection Control Checklist for Dental Settings. Observations took place during two consecutive years: once in 2019 before the COVID-19 outbreak and once in 2020 during the pandemic. Results The dental students audited in 2019 were 1.4 times more likely to violate infection control measures compared with those in 2020. The two most common violations in both audits were not wearing eye protection and not following hand hygiene recommendations immediately after they removed their gloves. During both audits, male students violated infection controls significantly less often than female students. Conclusion Dental students’ adherence to infection control measures improved during the COVID-19 pandemic compared with before the COVID-19 pandemic. Compliance with personal protective equipment standards was higher than with hand hygiene practices. Our findings have important clinical implications in designing strategies to improve dental students’ compliance with infection control standards, particularly hand hygiene practices.

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Educator and Student Hand Hygiene Adherence in Dental Schools: A Systematic Review and Meta‐Analysis

Cited by 15 publications

References 39 publications

Impact of COVID‐19 on advanced dental education: Perspectives of dental residents in Wuhan

Impact of COVID‐19 on advanced dental education: Perspectives of dental residents in Wuhan

Are dental schools adequately preparing dental students to face outbreaks of infectious diseases such as COVID‐19?

Comparison of Compliance with Infection Control Practices Among Dental Students in Saudi Arabia Before and During the COVID-19 Pandemic

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