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Published in: BMC Oral Health 1/2018

Open Access 01-12-2018 | Research article

Dentists’ knowledge, attitudes and practices regarding Hepatitis B and C and HIV/AIDS in Sanandaj, Iran

Authors: Masomeh Rostamzadeh, Abdorrahim Afkhamzadeh, Sirus Afrooz, Kaveh Mohamadi, Mohammad Aziz Rasouli

Published in: BMC Oral Health | Issue 1/2018

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Abstract

Background

Healthcare workers including physicians, dentists, nurses and laboratory workers are considered to be among the groups at the risk of blood-borne pathogen transmission. Thus, it is necessary to evaluate the Knowledge, Attitude, and Practices (KAP) of dentists regarding infection control and basic principles.

Methods

This cross-sectional study recruited 106 dentists in Sanandaj, Iran. The dentists’ KAP regarding hepatitis B virus (HBV), hepatitis C virus (HCV), and HIV/AIDS were evaluated. Chi-square test, student’s t-test, and one-way ANOVA were used to assess differences between the groups. Data were analyzed in Stata 12.

Results

The results showed that the majority of the subjects in the study population (53.8%) were female. The mean ± standard deviation (SD) for age and work experience was 39.6 ± 9.80 and 10.6 ± 8.7 years, respectively. The mean ± SD for knowledge, attitude and practices of participants was 37.3 ± 3.01, 22.9 ± 4.80 and 24.07 ± 5.06, respectively. The results also indicated that dentists’ higher level of knowledge about HBV, HCV and HIV/AIDS was significantly influenced by work experience (≥10 years; P < 0.001) and graduation year (after 2006: P < 0.001). Positive attitude towards HBV, HCV and HIV/AIDS was considerably influenced by age group (< 30 years: P = 0.021), work experience (≥10 years: P < 0.001), and workplace (dental office: P = 0.016).

Conclusions

The results of this study demonstrated a satisfactory level of knowledge and attitude of dentists about HBV, HCV and HIV/AIDS infections, but some gaps were observed, suggesting that higher knowledge level of dentists plays a very important role in forming the attitudes and practices regarding patients with HBV, HCV and HIV/AIDS.
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Literature
1.
go back to reference McPherson D, Neuhaus V, Dhar R, Edu S, Nicol AJ, Navsaria PH. The effect of human-immunodeficiency virus status on outcomes in penetrating abdominal trauma: an interim analysis. World J Surg. 2018;31(5):1–9. McPherson D, Neuhaus V, Dhar R, Edu S, Nicol AJ, Navsaria PH. The effect of human-immunodeficiency virus status on outcomes in penetrating abdominal trauma: an interim analysis. World J Surg. 2018;31(5):1–9.
2.
go back to reference Amiri FB, Mostafavi E, Mirzazadeh A. HIV, HBV and HCV coinfection prevalence in Iran-a systematic review and meta-analysis. PLoS One. 2016;11(3):e0151946.CrossRef Amiri FB, Mostafavi E, Mirzazadeh A. HIV, HBV and HCV coinfection prevalence in Iran-a systematic review and meta-analysis. PLoS One. 2016;11(3):e0151946.CrossRef
3.
go back to reference Malekinejad M, Navadeh S, Lotfizadeh A, Rahimi-Movaghar A, Amin-Esmaeili M, Noroozi A. High hepatitis C virus prevalence among drug users in Iran: systematic review and meta-analysis of epidemiological evidence (2001-2012). Int J Infect Dis. 2015;40(5):116–30.PubMedCrossRef Malekinejad M, Navadeh S, Lotfizadeh A, Rahimi-Movaghar A, Amin-Esmaeili M, Noroozi A. High hepatitis C virus prevalence among drug users in Iran: systematic review and meta-analysis of epidemiological evidence (2001-2012). Int J Infect Dis. 2015;40(5):116–30.PubMedCrossRef
4.
go back to reference Mohd Hanafiah K, Groeger J, Flaxman AD, Wiersma ST. Global epidemiology of hepatitis C virus infection: new estimates of age-specific antibody to HCV seroprevalence. Hepatology. 2013;57(4):1333–42.PubMedCrossRef Mohd Hanafiah K, Groeger J, Flaxman AD, Wiersma ST. Global epidemiology of hepatitis C virus infection: new estimates of age-specific antibody to HCV seroprevalence. Hepatology. 2013;57(4):1333–42.PubMedCrossRef
5.
go back to reference Razavi-Shearer D, Gamkrelidze I, Nguyen MH, Chen DS, Van Damme P, Abbas Z, Abdulla M, Rached AA, Adda D, Aho I, Akarca U. Global prevalence, treatment, and prevention of hepatitis B virus infection in 2016: a modelling study. The lancet Gastroenterology & hepatology. 2018;3(6):383-403. Razavi-Shearer D, Gamkrelidze I, Nguyen MH, Chen DS, Van Damme P, Abbas Z, Abdulla M, Rached AA, Adda D, Aho I, Akarca U. Global prevalence, treatment, and prevention of hepatitis B virus infection in 2016: a modelling study. The lancet Gastroenterology & hepatology. 2018;3(6):383-403.
6.
go back to reference Javadi A, Ataei B, Kassaian N, Nokhodian Z, Yaran M. Co-infection of human immunodeficiency virus, hepatitis C and hepatitis B virus among injection drug users in drop in centers. J Res Med Sci. 2014;19(1):S17–21.PubMedPubMedCentral Javadi A, Ataei B, Kassaian N, Nokhodian Z, Yaran M. Co-infection of human immunodeficiency virus, hepatitis C and hepatitis B virus among injection drug users in drop in centers. J Res Med Sci. 2014;19(1):S17–21.PubMedPubMedCentral
7.
go back to reference Hosoglu S, Akalin S, Sunbul M, Otkun M, Ozturk R, Occupational Infections Study G. Healthcare workerse compliance with universal precautions in Turkey. Med Hypotheses. 2011;77(6):1079–82.PubMedCrossRef Hosoglu S, Akalin S, Sunbul M, Otkun M, Ozturk R, Occupational Infections Study G. Healthcare workerse compliance with universal precautions in Turkey. Med Hypotheses. 2011;77(6):1079–82.PubMedCrossRef
8.
go back to reference Moro PL, Moore A, Balcacer P, Montero A, Diaz D, Gómez V, Garib Z, Weniger BG. Epidemiology of needlesticks and other sharps injuries and injection safety practices in the Dominican Republic. Am J Infect Control. 2007;35(8):552–9.PubMedCrossRef Moro PL, Moore A, Balcacer P, Montero A, Diaz D, Gómez V, Garib Z, Weniger BG. Epidemiology of needlesticks and other sharps injuries and injection safety practices in the Dominican Republic. Am J Infect Control. 2007;35(8):552–9.PubMedCrossRef
9.
go back to reference Mahboobi N, Porter SR, Karayiannis P, Alavian S-M. Dental treatment as a risk factor for hepatitis B and C viral infection. A review of the recent literature. J Gastrointestin Liver Dis. 2013;22(1):79–86.PubMed Mahboobi N, Porter SR, Karayiannis P, Alavian S-M. Dental treatment as a risk factor for hepatitis B and C viral infection. A review of the recent literature. J Gastrointestin Liver Dis. 2013;22(1):79–86.PubMed
10.
go back to reference Mohamed N, Saddki N, Yusoff A, Jelani AM. Association among oral symptoms, oral health-related quality of life, and health-related quality of life in a sample of adults living with HIV/AIDS in Malaysia. BMC Oral Health. 2017;17(1):119.PubMedPubMedCentralCrossRef Mohamed N, Saddki N, Yusoff A, Jelani AM. Association among oral symptoms, oral health-related quality of life, and health-related quality of life in a sample of adults living with HIV/AIDS in Malaysia. BMC Oral Health. 2017;17(1):119.PubMedPubMedCentralCrossRef
11.
go back to reference Bhat M, Ghali P, Deschenes M, Wong P. Hepatitis B and the infected health care worker: public safety at what cost? Can J Gastroenterol. 2012;26(5):257–60.PubMedPubMedCentralCrossRef Bhat M, Ghali P, Deschenes M, Wong P. Hepatitis B and the infected health care worker: public safety at what cost? Can J Gastroenterol. 2012;26(5):257–60.PubMedPubMedCentralCrossRef
12.
go back to reference Kashyap B, Tiwari U, Prakash A. Hepatitis B virus transmission and health care workers: epidemiology, pathogenesis and diagnosis. Ind J Med Special. 2018;9(1):30–5.CrossRef Kashyap B, Tiwari U, Prakash A. Hepatitis B virus transmission and health care workers: epidemiology, pathogenesis and diagnosis. Ind J Med Special. 2018;9(1):30–5.CrossRef
13.
go back to reference Moradi Khanghahi B, Jamali Z, Pournaghi Azar F, Naghavi Behzad M, Azami-Aghdash S. Knowledge, attitude, practice, and status of infection control among Iranian dentists and dental students: a systematic review. J Dent Res Dent Clin Dent Prospects. 2013;7(2):55–60.PubMedPubMedCentral Moradi Khanghahi B, Jamali Z, Pournaghi Azar F, Naghavi Behzad M, Azami-Aghdash S. Knowledge, attitude, practice, and status of infection control among Iranian dentists and dental students: a systematic review. J Dent Res Dent Clin Dent Prospects. 2013;7(2):55–60.PubMedPubMedCentral
14.
go back to reference Wagle M, Acharya G, Basnet P, Trovik TA. Knowledge about preventive dentistry versus self-reported competence in providing preventive oral healthcare - a study among Nepalese dentists. BMC Oral Health. 2017;17(1):76.PubMedPubMedCentralCrossRef Wagle M, Acharya G, Basnet P, Trovik TA. Knowledge about preventive dentistry versus self-reported competence in providing preventive oral healthcare - a study among Nepalese dentists. BMC Oral Health. 2017;17(1):76.PubMedPubMedCentralCrossRef
15.
go back to reference Khanghahi BM, Jamali Z, Azar FP, Behzad MN, Azami-Aghdash S. Knowledge, attitude, practice, and status of infection control among Iranian dentists and dental students: a systematic review. J Dent Res, dent clin, dent prospects. 2013;7(2):55. Khanghahi BM, Jamali Z, Azar FP, Behzad MN, Azami-Aghdash S. Knowledge, attitude, practice, and status of infection control among Iranian dentists and dental students: a systematic review. J Dent Res, dent clin, dent prospects. 2013;7(2):55.
16.
go back to reference Al-Dwairi ZN. Infection control procedures in commercial dental laboratories in Jordan. J Dent Educ. 2007;71(9):1223–7.PubMed Al-Dwairi ZN. Infection control procedures in commercial dental laboratories in Jordan. J Dent Educ. 2007;71(9):1223–7.PubMed
17.
go back to reference McCarthy GM, Koval JJ, MacDonald JK. Factors associated with refusal to treat HIV-infected patients: the results of a national survey of dentists in Canada. Am J Public Health. 1999;89(4):541–5.PubMedPubMedCentralCrossRef McCarthy GM, Koval JJ, MacDonald JK. Factors associated with refusal to treat HIV-infected patients: the results of a national survey of dentists in Canada. Am J Public Health. 1999;89(4):541–5.PubMedPubMedCentralCrossRef
18.
go back to reference Su J, Deng XH, Sun Z. A 10-year survey of compliance with recommended procedures for infection control by dentists in Beijing. Int Dent J. 2012;62(3):148–53.PubMedCrossRef Su J, Deng XH, Sun Z. A 10-year survey of compliance with recommended procedures for infection control by dentists in Beijing. Int Dent J. 2012;62(3):148–53.PubMedCrossRef
19.
go back to reference Mosharrafian S, Hashemipour M, Nasab RA. Assessment of the Dentists’ Knowledge and practice on post-exposure prophylaxis of HIV. J Dentistry Shiraz Univ Med Sci. 2013;11(4):335–42. Mosharrafian S, Hashemipour M, Nasab RA. Assessment of the Dentists’ Knowledge and practice on post-exposure prophylaxis of HIV. J Dentistry Shiraz Univ Med Sci. 2013;11(4):335–42.
20.
go back to reference Norsayani MY, Noor Hassim I. Study on incidence of needle stick injury and factors associated with this problem among medical students. J Occup Health. 2003;45(3):172–8.PubMedCrossRef Norsayani MY, Noor Hassim I. Study on incidence of needle stick injury and factors associated with this problem among medical students. J Occup Health. 2003;45(3):172–8.PubMedCrossRef
21.
go back to reference Shojaei S, Jamshidi S, Moghimbeigi A, Mostaghimi N. Evaluation of infection control in dental offices in Hamadan in 2010. Avicenna J Dent Res. 2010;3(1):43–52. Shojaei S, Jamshidi S, Moghimbeigi A, Mostaghimi N. Evaluation of infection control in dental offices in Hamadan in 2010. Avicenna J Dent Res. 2010;3(1):43–52.
22.
go back to reference Kadeh H, Saravani S, Golzari P. Knowledge, attitude and practice of dentists towards patients with HIV, Hepatitis B and Hepatitis C infections. Avicenna J Dent Res. 2014;6(1):e21348.CrossRef Kadeh H, Saravani S, Golzari P. Knowledge, attitude and practice of dentists towards patients with HIV, Hepatitis B and Hepatitis C infections. Avicenna J Dent Res. 2014;6(1):e21348.CrossRef
23.
go back to reference Askarian M, Mirzaei K, McLaws M-L. Attitudes, beliefs, and infection control practices of Iranian dentists associated with HIV-positive patients. Am J Infect Control. 2006;34(8):530–3.PubMedCrossRef Askarian M, Mirzaei K, McLaws M-L. Attitudes, beliefs, and infection control practices of Iranian dentists associated with HIV-positive patients. Am J Infect Control. 2006;34(8):530–3.PubMedCrossRef
24.
go back to reference Brailo V, Pelivan I, Skaricic J, Vuletic M, Dulcic N, Cerjan-Letica G. Treating patients with HIV and Hepatitis B and C infections: Croatian dental students’ knowledge, attitudes, and risk perceptions. J Dent Educ. 2011;75(8):1115–26.PubMed Brailo V, Pelivan I, Skaricic J, Vuletic M, Dulcic N, Cerjan-Letica G. Treating patients with HIV and Hepatitis B and C infections: Croatian dental students’ knowledge, attitudes, and risk perceptions. J Dent Educ. 2011;75(8):1115–26.PubMed
25.
go back to reference Kabir A, Tabatabaei SV, Khaleghi S, Agah S, Faghihi Kashani AH, Moghimi M, et al. Knowledge, attitudes and practice of Iranian medical specialists regarding hepatitis B and C. Hepat Mon. 2010;10(3):176–82.PubMedPubMedCentral Kabir A, Tabatabaei SV, Khaleghi S, Agah S, Faghihi Kashani AH, Moghimi M, et al. Knowledge, attitudes and practice of Iranian medical specialists regarding hepatitis B and C. Hepat Mon. 2010;10(3):176–82.PubMedPubMedCentral
26.
go back to reference Rabiee M, Kazennezhad E. Knowledge and attitude of general dentists regarding HIV and Hepatitis Infections in Rasht. Res Med Educ. 2012;4(1):58–67.CrossRef Rabiee M, Kazennezhad E. Knowledge and attitude of general dentists regarding HIV and Hepatitis Infections in Rasht. Res Med Educ. 2012;4(1):58–67.CrossRef
27.
go back to reference Kakoei S, Sheibani G, Mohammad Alizadeh S. Awareness and practice of Kerman dentists about B–hepatitis, 2004. Shahid Beheshti Univ Dent J. 2007;25(1):66–72. Kakoei S, Sheibani G, Mohammad Alizadeh S. Awareness and practice of Kerman dentists about B–hepatitis, 2004. Shahid Beheshti Univ Dent J. 2007;25(1):66–72.
28.
go back to reference McCarthy GM, Britton JE. A survey of final-year dental, medical and nursing students: occupational injuries and infection control. J Can Dent Assoc. 2000;66(10):561–7.PubMed McCarthy GM, Britton JE. A survey of final-year dental, medical and nursing students: occupational injuries and infection control. J Can Dent Assoc. 2000;66(10):561–7.PubMed
29.
go back to reference Leon MP, Rivera A, Chinchilla A. Occupational accidents and knowledge about universal precautions in medical interns of Costa Rica. Antivir Ther. 2003;8(1):S517–S8. Leon MP, Rivera A, Chinchilla A. Occupational accidents and knowledge about universal precautions in medical interns of Costa Rica. Antivir Ther. 2003;8(1):S517–S8.
30.
go back to reference Hammond JS, Eckes JM, Gomez GA, Cunningham DN. HIV, trauma, and infection control: universal precautions are universally ignored. J Trauma. 1990;30(5):555–8.PubMedCrossRef Hammond JS, Eckes JM, Gomez GA, Cunningham DN. HIV, trauma, and infection control: universal precautions are universally ignored. J Trauma. 1990;30(5):555–8.PubMedCrossRef
31.
go back to reference Sadeghi M, Hakimi H. Iranian dental students’ knowledge of and attitudes towards HIV/AIDS patients. J Dent Educ. 2009;73(6):740–5.PubMed Sadeghi M, Hakimi H. Iranian dental students’ knowledge of and attitudes towards HIV/AIDS patients. J Dent Educ. 2009;73(6):740–5.PubMed
32.
go back to reference Jafari A, Khami MR, Yazdani R, Mohammadi M. Knowledge and attitude of senior dental students towards HIV/AIDS. J Dental Med. 2009;22(4):192–8. Jafari A, Khami MR, Yazdani R, Mohammadi M. Knowledge and attitude of senior dental students towards HIV/AIDS. J Dental Med. 2009;22(4):192–8.
33.
go back to reference Rabiee M, Kazennezhad E. Knowledge and Attitude of general dentists regarding HIV and Hepatitis Infections in Rasht. Res Med Educ. 2015;4(1):58–67. Rabiee M, Kazennezhad E. Knowledge and Attitude of general dentists regarding HIV and Hepatitis Infections in Rasht. Res Med Educ. 2015;4(1):58–67.
34.
go back to reference Eguchi H, Wada K. Knowledge of HBV and HCV and individuals’ attitudes toward HBV-and HCV-infected colleagues: a national cross-sectional study among a working population in Japan. PLoS One. 2013;8(9):e76921.PubMedPubMedCentralCrossRef Eguchi H, Wada K. Knowledge of HBV and HCV and individuals’ attitudes toward HBV-and HCV-infected colleagues: a national cross-sectional study among a working population in Japan. PLoS One. 2013;8(9):e76921.PubMedPubMedCentralCrossRef
35.
go back to reference Ajami B, Ebrahimi M, Seddighi Z. Evaluation of awareness and behavior of dental students of Mashhad dental school on infection control. J Mashhad Dent School. 2009;33(1):53–62. Ajami B, Ebrahimi M, Seddighi Z. Evaluation of awareness and behavior of dental students of Mashhad dental school on infection control. J Mashhad Dent School. 2009;33(1):53–62.
36.
go back to reference Burke FJT, Wilson NHF, Shaw WC, Cheung SW. Glove use by orthodontists: results of a survey in England and Wales. Eur J Orthod. 1992;14(3):246–51.PubMedCrossRef Burke FJT, Wilson NHF, Shaw WC, Cheung SW. Glove use by orthodontists: results of a survey in England and Wales. Eur J Orthod. 1992;14(3):246–51.PubMedCrossRef
37.
go back to reference Salgam N, Medine A, Sarikaya N. Evaluation of infection-control practices by orthodontists in Turkey. Quintessence Int. 2004;35(1):61–7. Salgam N, Medine A, Sarikaya N. Evaluation of infection-control practices by orthodontists in Turkey. Quintessence Int. 2004;35(1):61–7.
38.
go back to reference Ter Horst G, Hammann-Konings GM, Van Hegten MJ, Maritz BM, Meijer KL, Meyland YM, et al. AIDS and infection control: Amsterdam dentists surveyed. J Public Health Dent. 1988;49(4):201–5.CrossRef Ter Horst G, Hammann-Konings GM, Van Hegten MJ, Maritz BM, Meijer KL, Meyland YM, et al. AIDS and infection control: Amsterdam dentists surveyed. J Public Health Dent. 1988;49(4):201–5.CrossRef
39.
go back to reference Tabeshian A. Dentists attitude and performance of Najafabad on observing health standards to prevent infection transmission in dentistry. Paramed Sci Military Health. 2016;11(1):30–7. Tabeshian A. Dentists attitude and performance of Najafabad on observing health standards to prevent infection transmission in dentistry. Paramed Sci Military Health. 2016;11(1):30–7.
40.
go back to reference Saber S. Evaluation of knowledge of general dentists about Hepatitis C viral infection in Rasht Guilan university of medical sciences. 2007;14(4):124–130. Saber S. Evaluation of knowledge of general dentists about Hepatitis C viral infection in Rasht Guilan university of medical sciences. 2007;14(4):124–130.
41.
go back to reference Rankin KV, Jones DL, Rees TD. Attitudes of dental practitioners and dental students towards AIDS patients and infection control. Am J Dent. 1993;6(1):22–6.PubMed Rankin KV, Jones DL, Rees TD. Attitudes of dental practitioners and dental students towards AIDS patients and infection control. Am J Dent. 1993;6(1):22–6.PubMed
42.
go back to reference Vejdani M. Knowledge, attitudes, and professional behaviors of dentist Shirazto AIDS. Isfahan Univ Med Sci J. 2013;8(4):365–75. Vejdani M. Knowledge, attitudes, and professional behaviors of dentist Shirazto AIDS. Isfahan Univ Med Sci J. 2013;8(4):365–75.
43.
go back to reference Crossley M. An investigation of dentists’ knowledge, attitudes and practices towards HIV+ and patients with other blood-borne viruses in South Cheshire, UK. Br Dent J. 2004;196(12):749–54.PubMedCrossRef Crossley M. An investigation of dentists’ knowledge, attitudes and practices towards HIV+ and patients with other blood-borne viruses in South Cheshire, UK. Br Dent J. 2004;196(12):749–54.PubMedCrossRef
Metadata
Title
Dentists’ knowledge, attitudes and practices regarding Hepatitis B and C and HIV/AIDS in Sanandaj, Iran
Authors
Masomeh Rostamzadeh
Abdorrahim Afkhamzadeh
Sirus Afrooz
Kaveh Mohamadi
Mohammad Aziz Rasouli
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Oral Health / Issue 1/2018
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-018-0685-1

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