INFECTION CONTROL AMONG SAUDI DENTAL PROFESSIONALS DURING COVID-19 PANDEMIC: A SYSTEMATIC REVIEW

Main Article Content

Yazeed Mohammed Algumaizi
Mohammed Ali Alanazi
Rami Mansour Almughyiri
Majed Fahad Aljbreen
Abeer Hamdan Alswirhy
Ashwaq turki almutairi
Naef Nawwaf Aletaibi
Fahad Abdulrahman Algumaizi

Keywords

COVID-19, Dental Professionals, Infection Control, PPE, UV-C Disinfection, Tele-dentistry.

Abstract

Introduction: The COVID-19 pandemic has significantly impacted healthcare practices worldwide, with dental professionals facing unique challenges due to their close contact with patients and exposure to bodily fluids. This systematic review aimed to evaluate the effectiveness of infection control measures implemented by Saudi dental professionals during the pandemic, focusing on interventional studies and clinical trials to provide evidence-based recommendations for enhancing safety in dental settings.


 


Methods: A comprehensive literature search was conducted across multiple databases, including PubMed, Scopus, Web of Science, and the Cochrane Library, for studies published between 2007 and 2022. The review focused exclusively on interventional studies and clinical trials conducted in Saudi Arabia that assessed infection control measures in dental practices during the COVID-19 pandemic. Studies were selected based on predefined inclusion and exclusion criteria, with data extraction and quality assessment performed independently by two reviewers. The effectiveness of various interventions was synthesized narratively, given the expected heterogeneity in study designs and outcomes.


 


Results: Nine interventional studies were included, covering a range of infection control measures such as enhanced PPE protocols, UV-C light disinfection, pre-procedural mouth rinses, educational interventions, and the use of teledentistry. Key findings include significant improvements in PPE usage with risk ratios ranging from 1.1 to 1.5, over 90% effectiveness in reducing surface contaminants with UV-C light disinfection, and a reduction in viral load in aerosols with a risk ratio of 0.8 for pre-procedural mouth rinses. Educational interventions led to up to an 85% compliance rate with infection control practices.


Conclusions: This review highlights the effectiveness of a multifaceted approach to infection control in dental settings during the COVID-19 pandemic. Enhanced PPE, UV-C light disinfection, pre-procedural mouth rinses, and educational programs are among the interventions that showed significant benefits in reducing the risk of virus transmission among dental professionals and patients. Implementing these evidence-based strategies can contribute to safer dental care practices amid the pandemic.

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References

1. Yamalik N, Van Dijk W. Analysis of the attitudes and needs/demands of dental practitioners in the field of patient safety and risk management. Int Dent J 2013; 63(6): 291-7.
2. WHO. Ten threats to global health in 2019 [Internet]. Available from: https://www.who.int/ emergencies/ ten-threats-to-global-healthin-2019
3. Ayatollahi J, Ayatollahi F, Ardekani AM, et al. Occupational hazards to dental staff. Dent Res J (Isfahan) 2012; 9(1): 2-7.
4. Hu T, Li G, Zuo Y, Zhou X. Risk of hepatitis B virus transmission via dental handpieces and evaluation of an anti-suction device for prevention of transmission. Infect Control Hosp Epidemiol 2007; 28(1): 80-2.
5. Aurangjeb AM, Zaman T, Badruddoza M. Practice of dental surgeons about dental splatter and aerosol. City Dent Coll J. 2013; 10: 10-16.
6. Mahasneh AM, Alakhras M, Khabour OF, Al- Sa’di AG, Al-Mousa DS. Practices of Infection Control Among Dental Care Providers: A Cross Sectional Study. Clin Cosmet Investig Dent. 2020; 12: 281-289.
7. Edwards, J., Palmer, G., Osbourne, N. et al. Why individuals with HIV or diabetes do not disclose their medical history to the dentist: A qualitative analysis. Br Dent J. 2013; 216: E10.
8. Laheij A, Kistler J, Belibasakis G, Välimaa H, De Soet J, Workshop EOM. Healthcare-associated viral and bacterial infections in dentistry. J Oral Microbiol. 2012; 4: 17659.
9. Meisha DE. Comparison of Compliance with Infection Control Practices Among Dental Students in Saudi Arabia Before and During the COVID-19 Pandemic. Risk Manag Healthc Policy. 2021; 14: 3625-3633.
10. COVID-19 Dental Services Evidence Review (CoDER) Working Group. Recommendations for the re-opening of dental services: a rapid review of international sources. 2020.
11. https://www.cdc.gov/globalhealth/countries/sau di_arabia/default.html
12. Gulf Cooperation Council –Centre for Infection Control Riyadh 22490, Kingdom of Saudi Arabia 1 - Infection Control 2 – Infection - Prevention 1 – Title 616.9310798dc 1432/9036 L.D. no. 1432/9036 ISBN: 978-603-9022-3-0
13. Alharbi G, Shono N, Alballaa L. Knowledge, attitudeand compliance of infection control guidelines among dental faculty members and students in KSU. BMC Oral Health. 2019; 19: 7.
14. Noura A. AL-Essa, Manal A. AlMutairi, To what extent do dental students comply with infection control practices?, The Saudi Journal for Dental Research. 2017; 8: 67-72.
15. Mustafa RM, Alshali RZ, Bukhary DM. Dentists’ Knowledge, Attitudes, and Awareness of Infection Control Measures during COVID-19 Outbreak: A Cross-Sectional Study in Saudi Arabia. Int J Environ Res Public Health. 2020; 17: 9016.
16. Tarakji B, Nassani MZ, Alali FM. COVID-19- Awareness and Practice of Dentists in Saudi Arabia. Int J Environ Res Public Health. 2021; 18: 330.
17. Basheer SN, Vinothkumar TS, Albar NHM. Knowledge of COVID-19 Infection. Int J Environ Res Public Health. 2022; 19: 2034.
18. Shubayr MA, Mashyakhy M, Al Agili DE, Albar N, Quadri MF. Factors Associated with Infection-Control Behavior of Dental Health-Care Workers During the COVID-19 Pandemic: A Cross- Sectional Study Applying the Theory of Planned Behavior. J Multidiscip Healthc. 2020; 13: 1527-1535.
19. Cheng HC, Chang YJ, Liao SR, Siewchaisakul P, Chen SL. The impact of COVID-19 on knowledge, attitude, and infection control behaviors among dentists. BMC Oral Health. 2021; 21: 584.
20. Menegueti MG, Bellissimo-Rodrigues F, Ciol MA. Impact of replacing powdered gloves with powder-free gloves on hand-hygiene compliance among healthcare workers of an intensive care unit: a quasi-experimental study. Antimicrob Resist Infect Control. 2021; 10: 6.
21. Abu-Hammad O, Alnazzaw A, Babkair H, Jambi S, Mirah M, et al. COVID-19 Infection in Academic Dental Hospital Personnel; A Cross- Sectional Survey in Saudi Arabia. Int. J. Environ. Res. Public Health. 2021; 18: 10911.
22. M Lindberg, B Skytt, M Lindberg. Continued wearing of gloves: A risk behaviour in patient care, Infection Prevention in Practice. 2020; 2: 100091.
23. Raymond J. Roberge. Face shields for infection control: A review, Journal of Occupational and Environmental Hygiene. 2016; 13: 235-242.
24. Nejatidanesh F, Khosravi Z, Goroohi H, Badrian H, Savabi O. Risk of Contamination of Different Areas of Dentist’s Face During Dental Practices. Int J Prev Med. 2013; 4: 611-5.

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