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      The impact of COVID-19 on knowledge, attitude, and infection control behaviors among dentists

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          Abstract

          Background

          This study seeks to elucidate the impact of COVID-19 on knowledge, attitude, and infection control behaviors among dentists.

          Methods

          Changes in knowledge, attitude, and infection control behaviors reported in 2020 (COVID-19 period) were compared to the historical control of the non-COVID-19 period in 2018. A proportional random sampling method was used to select the study samples from 400 dental institutions. The response rate was 69% in 2018 and 62.8% in 2020. A total of 276 dentists in 2018 and 251 dentists in 2020 responded to this questionnaire. Multiple logistic regression was used to assess the associations between factors and recommended infection control practices.

          Results

          High rates of correct COVID-19 knowledge (94.76%), fears of being infected with the virus (94%) and use of personal protective equipment (mask, glove and protection gown; 95%) were reported. We found that knowledge regarding environmental infection control, HIV transmission, and the window of HIV transmission were significantly higher in the post-COVID-19 period compared with the pre-COVID-19 period. High compliance rates of wearing mask, gloves and protection were reported. The number of dentists wearing a hair cap and a protective eye mask/face shield during the pandemic significantly increased compared with that noted before the COVID-19 pandemic. Factors associated with the use of a hair cap and an eye mask/face shield differed between the pre- and post-COVID-19 periods. The factors associated with compliance regarding environment infection control also differed between the pre- and post-COVID-19 periods.

          Conclusion

          The significant impact of COVID-19 on the knowledge, attitude, and infection control behaviors among dental care workers was observed in the current study. In particular, the use of hair caps and protective eye mask or face shields as well as environmental disinfection protocols has significantly improved.

          Trial registration TMU-JIRB: N201804006.

          Supplementary Information

          The online version contains supplementary material available at 10.1186/s12903-021-01946-w.

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          Most cited references34

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          A Novel Coronavirus from Patients with Pneumonia in China, 2019

          Na Zhu, Dingyu Zhang, Wenling Wang … (2020)
          Summary In December 2019, a cluster of patients with pneumonia of unknown cause was linked to a seafood wholesale market in Wuhan, China. A previously unknown betacoronavirus was discovered through the use of unbiased sequencing in samples from patients with pneumonia. Human airway epithelial cells were used to isolate a novel coronavirus, named 2019-nCoV, which formed a clade within the subgenus sarbecovirus, Orthocoronavirinae subfamily. Different from both MERS-CoV and SARS-CoV, 2019-nCoV is the seventh member of the family of coronaviruses that infect humans. Enhanced surveillance and further investigation are ongoing. (Funded by the National Key Research and Development Program of China and the National Major Project for Control and Prevention of Infectious Disease in China.)
          Article 0 comments Cited 12804 times – based on 0 reviews     Review now
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            Persistence of coronaviruses on inanimate surfaces and their inactivation with biocidal agents

            G Kampf, D Todt, S. Pfaender … (2020)
            Summary Currently, the emergence of a novel human coronavirus, SARS-CoV-2, has become a global health concern causing severe respiratory tract infections in humans. Human-to-human transmissions have been described with incubation times between 2-10 days, facilitating its spread via droplets, contaminated hands or surfaces. We therefore reviewed the literature on all available information about the persistence of human and veterinary coronaviruses on inanimate surfaces as well as inactivation strategies with biocidal agents used for chemical disinfection, e.g. in healthcare facilities. The analysis of 22 studies reveals that human coronaviruses such as Severe Acute Respiratory Syndrome (SARS) coronavirus, Middle East Respiratory Syndrome (MERS) coronavirus or endemic human coronaviruses (HCoV) can persist on inanimate surfaces like metal, glass or plastic for up to 9 days, but can be efficiently inactivated by surface disinfection procedures with 62–71% ethanol, 0.5% hydrogen peroxide or 0.1% sodium hypochlorite within 1 minute. Other biocidal agents such as 0.05–0.2% benzalkonium chloride or 0.02% chlorhexidine digluconate are less effective. As no specific therapies are available for SARS-CoV-2, early containment and prevention of further spread will be crucial to stop the ongoing outbreak and to control this novel infectious thread.
            Article 0 comments Cited 1477 times – based on 0 reviews     Review now
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              Quantifying SARS-CoV-2 transmission suggests epidemic control with digital contact tracing

              Luca Ferretti, Chris Wymant, Michelle L. Kendall … (2020)
              The newly emergent human virus SARS-CoV-2 is resulting in high fatality rates and incapacitated health systems. Preventing further transmission is a priority. We analyzed key parameters of epidemic spread to estimate the contribution of different transmission routes and determine requirements for case isolation and contact-tracing needed to stop the epidemic. We conclude that viral spread is too fast to be contained by manual contact tracing, but could be controlled if this process was faster, more efficient and happened at scale. A contact-tracing App which builds a memory of proximity contacts and immediately notifies contacts of positive cases can achieve epidemic control if used by enough people. By targeting recommendations to only those at risk, epidemics could be contained without need for mass quarantines (‘lock-downs’) that are harmful to society. We discuss the ethical requirements for an intervention of this kind.
              Article 0 comments Cited 1060 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Sam Li-Sheng Chen: samchen@tmu.edu.tw
                Journal
                Journal ID (nlm-ta): BMC Oral Health
                Journal ID (iso-abbrev): BMC Oral Health
                Title: BMC Oral Health
                Publisher: BioMed Central (London )
                ISSN (Electronic): 1472-6831
                Publication date (Electronic): 19 November 2021
                Publication date PMC-release: 19 November 2021
                Publication date Collection: 2021
                Volume: 21
                Electronic Location Identifier: 584
                Affiliations
                [1 ]GRID grid.412896.0, ISNI 0000 0000 9337 0481, School of Dentistry, College of Oral Medicine, , Taipei Medical University, ; Taipei, Taiwan
                [2 ]GRID grid.412897.1, ISNI 0000 0004 0639 0994, Division of Orthodontics, Department of Dentistry, , Taipei Medical University Hospital, ; Taipei, Taiwan
                [3 ]GRID grid.265073.5, ISNI 0000 0001 1014 9130, Department of Dental Education Development, Graduate School of Medical and Dental Sciences, , Tokyo Medical and Dental University, ; Tokyo, Japan
                [4 ]GRID grid.7132.7, ISNI 0000 0000 9039 7662, Faculty of Public Health, , Chiang Mai University, ; Chiang Mai, Thailand
                [5 ]GRID grid.412896.0, ISNI 0000 0000 9337 0481, School of Oral Hygiene, College of Oral Medicine, , Taipei Medical University, ; No.250, Wuxing St., Xinyi Dist, Taipei, 110 Taiwan
                Article
                Publisher ID: 1946
                DOI: 10.1186/s12903-021-01946-w
                PMC ID: 8602991
                PubMed ID: 34798843
                SO-VID: 11d8c512-6f1a-4957-8c01-fdab12f232bf
                Copyright © © The Author(s) 2021
                License:

                Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

                History
                Date received : 23 May 2021
                Date accepted : 4 November 2021
                Funding
                Funded by: Ministry of Health and Welfare, Taiwan
                Award ID: MOHW108CDC-C-114-122115
                Award Recipient :
                Categories
                Subject: Research
                Custom metadata
                issue-copyright-statement © The Author(s) 2021

                ScienceOpen disciplines: Dentistry
                Keywords: covid-19,dentistry,infection control,taiwan
                Data availability:
                ScienceOpen disciplines: Dentistry
                Keywords: covid-19, dentistry, infection control, taiwan

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