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Knowledge About Biosafety Measures in Clinical Setting During the COVID-19 Pandemic: A Cross-Sectional Study With Brazilian Dental Students

Published online by Cambridge University Press:  10 January 2022

Matheus dos Santos Fernandez ,
Andreia Morales Cascaes ,
Francisco Wilker Mustafa Gomes Muniz Open the ORCID record for Francisco Wilker Mustafa Gomes Muniz [Opens in a new window] ,
Nathalia Ribeiro Jorge da Silva ,
Camilla Hubner Bielavski  and
Alexandre Emidio Ribeiro Silva
Matheus dos Santos Fernandez
Affiliation:
School of Dentistry, Federal University of Pelotas (UFPel), Pelotas, Brazil
Andreia Morales Cascaes
Affiliation:
Department of Public Health and Graduate Program in Dentistry, Federal University of Santa Catarina (UFSC), Florianópolis, Brazil
Francisco Wilker Mustafa Gomes Muniz*
Affiliation:
Department of Periodontology, Federal University of Pelotas (UFPel), Pelotas, Brazil
Nathalia Ribeiro Jorge da Silva
Affiliation:
Graduate Program in Dentistry, Federal University of Pelotas (UFPel), Pelotas, Brazil
Camilla Hubner Bielavski
Affiliation:
School of Dentistry, Federal University of Pelotas (UFPel), Pelotas, Brazil
Alexandre Emidio Ribeiro Silva
Affiliation:
Graduate Program in Dentistry, Federal University of Pelotas (UFPel), Pelotas, Brazil
*
Corresponding author: Francisco Wilker Mustafa Gomes Muniz, Email: wilkermustafa@gmail.com.
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Abstract

Objective:

The aim of this study is to evaluate the knowledge of Brazilian dental students about biosafety measures that should be adopted in the clinical setting during the coronavirus disease (COVID-19) pandemic.

Methods:

A cross-sectional study with 1050 dental students was conducted. A semi-structured questionnaire was shared with students. Mean knowledge score on biosafety guidelines during the COVID-19 pandemic was the outcome, with a maximum of 8 scores. Explanatory variables included sociodemographic and educational characteristics, aspects related to biosafety education, actions adopted by the dental schools during the pandemic, and sources of biosafety information. Multivariate linear regression analyses were performed.

Results:

Mean knowledge score was 5.19 (1.28). Female students (β = 0.346; 95% CI: 0.154–0.539), those enrolled in the intermediate (β = 0.525; 95% CI: 0.167–0.883) or final (β = 0.569; 95% CI: 0.200–0.937) stage of course, and those who had already received theoretical-practical training in biosafety (β = 0.464; 95% CI: 0.063–0.866) presented higher mean knowledge scores. Students who did not receive guidance on aerosol control measures before the pandemic (β = −0.324; 95% CI: −0.519 to −0.130) had the lowest score.

Conclusion:

Students presented a medium level of knowledge about dental biosafety measures concerning the COVID-19 pandemic. Sociodemographic characteristics and those related to the institutional profile of the participants, and access to orientation and training in biosafety, may influence their knowledge.

Keywords

biosafetyCOVID-19dentistrystudents
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 17 , 2023 , e108
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of Society for Disaster Medicine and Public Health, Inc.

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References

Mehta, S, Machado, F, Kwizera, A, et al. COVID-19: a heavy toll on health-care workers. Lancet Respir Med. 2021;9(3):226-228. doi: 10.1016/S2213-2600(21)00068-0 CrossRefGoogle ScholarPubMed
Amaral-Prado, HM, Borghi, F, Mello, TMVF, Grassi-Kassisse, DM. The impact of confinement in the psychosocial behaviour due to COVID-19 among members of a Brazilian university. Int J Soc Psychiatry. 2021;67(6):720-727. doi: 10.1177/0020764020971318 CrossRefGoogle ScholarPubMed
Wu, DT, Wu, KY, Nguyen, TT, Tran, SD. The impact of COVID-19 on dental education in North America—Where do we go next? Eur J Dent Educ. 2020;24(4):825-827. doi: 10.1111/eje.12561 CrossRefGoogle ScholarPubMed
Spanemberg, JC, Simões, CC, Cardoso, JA. The impacts of the COVID-19 pandemic on the teaching of dentistry in Brazil. J Dent Educ. 2020;84(11):1185-1187. doi: 10.1002/jdd.12364 CrossRefGoogle ScholarPubMed
Quinn, B, Field, J, Gorter, R, et al. COVID-19: the immediate response of European academic dental institutions and future implications for dental education. Eur J Dent Educ. 2020;24(4):811-814. doi: 10.1111/eje.12542 CrossRefGoogle ScholarPubMed
Machado, RA, Bonan, PRF, Perez, DEDC, Martelli, JÚnior H. COVID-19 pandemic and the impact on dental education: discussing current and future perspectives. Braz Oral Res. 2020;34:e083. doi: 10.1590/1807-3107bor-2020.vol34.0083 CrossRefGoogle ScholarPubMed
dos Santos Fernandez, M, da Silva, NRJ, dos Santos Viana, V, da Cunha Oliveira, CC. Doença por Coronavírus 2019: desafios emergentes e o ensino odontológico brasileiro. Revista da ABENO. 2020;20(2):2-15.CrossRefGoogle Scholar
Meng, L, Hua, F, Bian, Z. Coronavirus disease 2019 (COVID-19): emerging and future challenges for dental and oral medicine. J Dent Res. 2020;99(5):481-487. doi: 10.1177/0022034520914246 CrossRefGoogle ScholarPubMed
Peng, X, Xu, X, Li, Y, et al. Transmission routes of 2019-nCoV and controls in dental practice. Int J Oral Sci. 2020;12(1):9. doi: 10.1038/s41368-020-0075-9 CrossRefGoogle ScholarPubMed
Iyer, P, Aziz, K, Ojcius, DM. Impact of COVID-19 on dental education in the United States. J Dent Educ. 2020;84(6):718-722. doi: 10.1002/jdd.12163 CrossRefGoogle ScholarPubMed
Shields, AM, Faustini, SE, Kristunas, CA, et al. COVID-19: seroprevalence and vaccine responses in UK dental care professionals. J Dent Res. 2021;100(11):1220-1227. doi: 10.1177/00220345211020270 CrossRefGoogle ScholarPubMed
Van Vinh Chau, N, Lam, VT, Dung, NT, et al. The natural history and transmission potential of asymptomatic severe acute respiratory syndrome coronavirus 2 infection. Clin Infect Dis. 2020;71(10):2679-2687. doi: 10.1093/cid/ciaa711 CrossRefGoogle ScholarPubMed
Allison, JR, Currie, CC, Edwards, DC, et al. Evaluating aerosol and splatter following dental procedures: addressing new challenges for oral health care and rehabilitation. J Oral Rehabil. 2021;48(1):61-72. doi: 10.1111/joor.13098 CrossRefGoogle ScholarPubMed
Estrich, CG, Mikkelsen, M, Morrissey, R, et al. Estimating COVID-19 prevalence and infection control practices among US dentists. J Am Dent Assoc. 2020;151(11):815-824. doi: 10.1016/j.adaj.2020.09.005 CrossRefGoogle ScholarPubMed
Silveira, MGS, Fernandez, MS, Tillmann, TFF, et al. Changes in dental practice in times of COVID-19: review and recommendations for dental health care. RGO (Porto Alegre). 2021;69:e2021001-e2021001.Google Scholar
Pinelli, C, Neri, SdN, Loffredo, LdCM. Dental students’ reports of occupational exposures to potentially infectious biological material in a Brazilian School of Dentistry. Cadernos Saúde Coletiva. 2016;24:162-169.CrossRefGoogle Scholar
Jum’ah, AA, Elsalem, L, Loch, C, et al. Perception of health and educational risks amongst dental students and educators in the era of COVID-19. Eur J Dent Educ. 2021;25(3):506-515. doi: 10.1111/eje.12626 CrossRefGoogle ScholarPubMed
Aragão, MGB, Gomes, FIF, Pinho Maia Paixão-de-Melo, L, Corona, SAM. Brazilian dental students and COVID-19: a survey on knowledge and perceptions. Eur J Dent Educ. 2021;26(1):93-105. doi: 10.1111/eje.12676 CrossRefGoogle ScholarPubMed
Umeizudike, KA, Isiekwe, IG, Fadeju, AD, et al. Nigerian undergraduate dental students’ knowledge, perception, and attitude to COVID-19 and infection control practices. J Dent Educ. 2021;85(2):187-196. doi: 10.1002/jdd.12423 CrossRefGoogle ScholarPubMed
von Elm, E, Altman, DG, Egger, M, et al. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. Bull World Health Organ. 2007;85(11):867-872. doi: 10.2471/blt.07.045120 CrossRefGoogle ScholarPubMed
Fernandez, MDS, Vieira, IS, Silva, N, et al. Anxiety symptoms and alcohol abuse during the COVID-19 pandemic: a cross-sectional study with Brazilian dental undergraduate students. J Dent Educ. 2021;85(11):1739-1748. doi: 10.1002/jdd.12742 CrossRefGoogle ScholarPubMed
Instituto Nacional de Estudos e Pesquisas Educacionais Anísio Teixeira (INEP). Sinopse Estatística da Educação Superior 2019. Brasília: INEP, 2020. Accessed October 6, 2021. https://www.gov.br/inep/pt-br/acesso-a-informacao/dados-abertos/sinopses-estatisticas/educacao-superior-graduacao.Google Scholar
Moraes, RR, Correa, MB, Daneris, Â, et al. Email vs. Instagram recruitment strategies for online survey research. Braz Dent J. 2021;32(1):67-77. doi: 10.1590/0103-6440202104291 CrossRefGoogle ScholarPubMed
Boerman, SC. The effects of the standardized Instagram disclosure for micro-and meso-influencers. Comput Hum Behav. 2020;103:199-207.CrossRefGoogle Scholar
American Dental Association (ADA). Interim Guidance for Minimizing Risk of COVID-19 Transmission. Chicago: ADA, 2020. Accessed October 9, 2021. https://snlg.iss.it/wp-content/uploads/2020/04/ADA_COVID_Int_Guidance_Treat_Pts.pdf.Google Scholar
Centers for Disease Control and Prevention (CDC). Interim Infection Prevention and Control Guidance for Dental Settings During the COVID-19 Response. Washington, DC: CDC, 2020. Accessed July 31, 2021. https://www.cdc.gov/oralhealth/infectioncontrol/index.html.Google Scholar
World Health Organization (WHO). Coronavirus Disease (COVID-19) Outbreak: Rights, Roles and Responsibilities of Health Workers, Including Key Considerations for Occupational Safety and Health: Interim Guidance. Geneva: WHO, 2020. Accessed August 10, 2021. https://www.who.int/docs/default-source/coronaviruse/who-rights-roles-respon-hw-covid-19.pdf.Google Scholar
Agência Nacional de Vigilância Sanitária (ANVISA). Nota Técnica GVIMS/GGTES/ANVISA Nº 04/2020:  Orientações para serviços de saúde: medidas de prevenção e controle que devem ser adotadas durante a assistência aos casos suspeitos ou confirmados de infecção pelo novo coronavírus (SARS-CoV-2). Brasília: ANVISA, 2020. Accessed August 21, 2021. https://www.gov.br/anvisa/pt-br/centraisdeconteudo/publicacoes/servicosdesaude/notas-tecnicas/nota-tecnica-gvims_ggtes_anvisa-04-2020-09-09-2021.pdf.Google Scholar
Thomé, G, Bernardes, SR, Guandalini, S, Guimarães, MCV. Manual de boas práticas em biossegurança para ambientes odontológicos. Conselho federal de odontologia; 2020.Google Scholar
Costa, COd, Branco, JC, Vieira, IS, et al. Prevalência de ansiedade e fatores associados em adultos. Jornal Brasileiro de Psiquiatria. 2019;68:92-100.CrossRefGoogle Scholar
Vieira, IS, Pedrotti Moreira, F, Mondin, TC, et al. Resilience as a mediator factor in the relationship between childhood trauma and mood disorder: a community sample of young adults. J Affect Disord. 2020;274:48-53. doi: 10.1016/j.jad.2020.04.011 CrossRefGoogle ScholarPubMed
Pimentel, MJ, Batista Filho, MMV, Santos, JPd, Rosa, MRDd. Biossegurança: comportamento dos alunos de Odontologia em relação ao controle de infecção cruzada. Cadernos Saúde Coletiva. 2012;20:525-532.CrossRefGoogle Scholar
Lopes, AL, Rodrigues, LG, Zina, LG, Clemente, A. Biosafety in dentistry: conduct of students before and after an educational intervention. Revista da ABENO. 2019;19(2):43-53.CrossRefGoogle Scholar
de Xerez, JÉ, Neto, HC, Júnior, FL, et al. Perfil de acadêmicos de odontologia sobre biossegurança. Revista da Faculdade de Odontologia de Porto Alegre. 2012;53(1):11-15.CrossRefGoogle Scholar
Arantes, DC, de Andrade Hage, C, do Nascimento, LS, Pontes, FSC. Biossegurança aplicada à odontologia na Universidade Federal do Pará, cidade de Belém, estado do Pará, Brasil. Revista Pan-Amazônica de Saúde. 2015;6(1):11-18.CrossRefGoogle Scholar
Esmaeelinejad, M, Mirmohammadkhani, M, Naghipour, A, et al. Knowledge and attitudes of Iranian dental students regarding infection control during the COVID-19 pandemic. Braz Oral Res. 2020;34:e121. doi: 10.1590/1807-3107bor-2020.vol34.0121 CrossRefGoogle ScholarPubMed
Ataş, O, Talo Yildirim, T. Evaluation of knowledge, attitudes, and clinical education of dental students about COVID-19 pandemic. Peer J. 2020;8:e9575. doi: 10.7717/peerj.9575 CrossRefGoogle ScholarPubMed
Marui, VC, Souto, MLS, Rovai, ES, et al. Efficacy of preprocedural mouthrinses in the reduction of microorganisms in aerosol: a systematic review. J Am Dent Assoc. 2019;150(12):1015-1026.e1. doi: 10.1016/j.adaj.2019.06.024 CrossRefGoogle ScholarPubMed
Dominiak, M, Shuleva, S, Silvestros, S, Alcoforado, G. A prospective observational study on perioperative use of antibacterial agents in implant surgery. Adv Clin Exp Med. 2020;29(3):355-363. doi: 10.17219/acem/115087 CrossRefGoogle ScholarPubMed
Vergara-Buenaventura, A, Castro-Ruiz, C. Use of mouthwashes against COVID-19 in dentistry. Br J Oral Maxillofac Surg. 2020;58(8):924-927. doi: 10.1016/j.bjoms.2020.08.016 CrossRefGoogle ScholarPubMed
Seneviratne, CJ, Balan, P, Ko, KKK, et al. Efficacy of commercial mouth-rinses on SARS-CoV-2 viral load in saliva: randomized control trial in Singapore. Infection. 2021;49(2):305-311. doi: 10.1007/s15010-020-01563-9 CrossRefGoogle ScholarPubMed
Langa, GPJ, Muniz, FWMG, Costa, RDSA, et al. The effect of cetylpyridinium chloride mouthrinse as adjunct to toothbrushing compared to placebo on interproximal plaque and gingival inflammation—a systematic review with meta-analyses. Clin Oral Investig. 2021;25(2):745-757. doi: 10.1007/s00784-020-03661-2 CrossRefGoogle ScholarPubMed
Yang, M, Chaghtai, A, Melendez, M, et al. Mitigating saliva aerosol contamination in a dental school clinic. BMC Oral Health. 2021;21(1):52. doi: 10.1186/s12903-021-01417-2 CrossRefGoogle Scholar
Azim, AA, Shabbir, J, Khurshid, Z, et al. 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 CrossRefGoogle ScholarPubMed
Vandenberghe, B, Jacobs, R, Bosmans, H. Modern dental imaging: a review of the current technology and clinical applications in dental practice. Eur Radiol. 2010;20(11):2637-2655. doi: 10.1007/s00330-010-1836-1 CrossRefGoogle ScholarPubMed
Dave, M, Coulthard, P, Patel, N, et al. Letter to the Editor: use of dental radiography in the COVID-19 pandemic. J Dent Res. 2020;99(9):1112. doi: 10.1177/0022034520923323 CrossRefGoogle Scholar
Zocratto, KBF, Silveira, AMV, Arantes, DCB, Borges, LV. Conduta dos estudantes na clínica odontológica integrada em relação às normas de controle de infecção e biossegurança. Revista da Faculdade de Odontologia-UPF. 2016;21(2):213-218.CrossRefGoogle Scholar
Abreu, MH, Lopes-Terra, MC, Braz, LF, et al. Attitudes and behavior of dental students concerning infection control rules: a study with a 10-year interval. Braz Dent J. 2009;20(3):221-225. doi: 10.1590/s0103-64402009000300009 CrossRefGoogle Scholar
Holliday, R, Allison, JR, Currie, CC, et al. Evaluating contaminated dental aerosol and splatter in an open plan clinic environment: implications for the COVID-19 pandemic. J Dent. 2021;105:103565. doi: 10.1016/j.jdent.2020.103565 CrossRefGoogle Scholar
Stewart, CM, Bates, RE, Smith, GE, Young, L. Impact of gender on dental state licensure examination performance. J Dent Educ. 2006;70(5):525-530.CrossRefGoogle ScholarPubMed
Silva, ET, Nunes MeF, Queiroz MG, Leles CR. Factors influencing students’ performance in a Brazilian dental school. Braz Dent J. 2010;21(1):80-86. doi: 10.1590/s0103-64402010000100013 CrossRefGoogle Scholar
Kfouri, MDG, Moysés, ST, Gabardo, MCL, et al. The feminization of dentistry and the perceptions of public service users about gender issues in oral health. Cien Saude Colet. 2019;24(11):4285-4296. doi: 10.1590/1413-812320182411.00832018 CrossRefGoogle ScholarPubMed
Kfouri, MG, Moyses, SJ, Moyses, ST. Women’s motivation to become dentists in Brazil. J Dent Educ. 2013;77(6):810-816.CrossRefGoogle ScholarPubMed
Loch, C, Kuan, IBJ, Elsalem, L, et al. COVID-19 and dental clinical practice: students and clinical staff perceptions of health risks and educational impact. J Dent Educ. 2021;85(1):44-52. doi: 10.1002/jdd.12402 CrossRefGoogle ScholarPubMed
Hattar, S, AlHadidi, A, Sawair, FA, et al. Impact of COVID-19 pandemic on dental education: online experience and practice expectations among dental students at the University of Jordan. BMC Med Educ. 2021;21(1):151. doi: 10.1186/s12909-021-02584-0 CrossRefGoogle ScholarPubMed
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