Students’ knowledge, attitudes and practices related to infection control in undergraduate dental clinical training during COVID-19 A report from one South African university

Authors

  • Shenuka Singh School of Health Sciences, Discipline of Dentistry, School of Health Sciences, College of Health Sciences, University of KwaZulu-Natal, South Africa. https://orcid.org/0000-0003-4842-602X
  • Rajeshree Moodley School of Health Sciences, Discipline of Dentistry, School of Health Sciences, College of Health Sciences, University of KwaZulu-Natal, South Africa https://orcid.org/0000-0003-2703-9370
  • Ilana Moodley School of Health Sciences, Discipline of Dentistry, School of Health Sciences, College of Health Sciences, University of KwaZulu-Natal, South Africa https://orcid.org/0000-0001-5834-9887

DOI:

https://doi.org/10.17159/2519-0105/2022/v77no6a3

Keywords:

incontrol, COVID-19, dental students, learning

Abstract

The COVID-19 pandemic has highlighted the need for renewed conversations in infection control in the context of dental undergraduate learning. This study set out to examine dental therapy and oral hygiene students’ knowledge, attitudes and practices
related to infection control.This quantitative survey was conducted at one dental training site in South Africa. The study population
comprised 156 full time enrolled students that was stratified into Year 1 (n=55), Year 2 (n=54) and Year 3 (n=47). An online, self-administered questionnaire with closed and open-ended questions was used to collect information. Data were analyzed using SPSS version 25.0 (IBM Corp., USA) and thematic analysis. The response rate for the study was 70.5% (n=111).Almost all participants (n=104) strongly agreed/agreed that COVID-19 is transmitted mainly through infected droplets. Most participants (Year 1: n=24, 22.5%; Year
2: n=28, 26.2%; Year 3: 22, 31.2%) strongly disagreed / disagreed that younger people were less susceptible to contracting COVID-19 disease. While 23 first (21.5%) and 16 second-year students (14.9%) strongly agreed/agreed that personal protective gear was sufficient protection against COVID-19, about 16 third-year students (14%) were unsure or disagreed. Almost all participants (n=105, 98.1%) strongly agreed/agreed to washing or sanitizing their hands regularly. The emergent themes from qualitative data analysis included: better access to resources and more coordinated planning for clinical and classroom-based learning. There were inconsistencies in participants’ knowledge and attitudes towards infection control. There is a need for ongoing awareness of infection control in both clinical and class-room based learning.

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Author Biography

  • Rajeshree Moodley, School of Health Sciences, Discipline of Dentistry, School of Health Sciences, College of Health Sciences, University of KwaZulu-Natal, South Africa



References

Cleveland JL, Bonito AJ, Corley TJ, Foster M, Barker L, Gordon Brown G, Lenfestey N, Lux L. Advancing infection control in dental care settings: factors associated with dentists' implementation of guidelines from the Centers for Disease Control and Prevention. J Am Dent Assoc. 2012 Oct;143(10):1127-38. doi: 10.14219/jada. archive.2012.0044. Erratum in: J Am Dent Assoc. 2012 Dec;143(12):1289.

Ghai S. Are dental schools adequately preparing dental students to face outbreaks of infectious diseases such as COVID-19? J Dent Educ. 2020 Jun;84(6):631-633. doi: 10.1002/jdd.12174.

Coleman DC, O’Donnell MJ, Shore AC, Russell RJ. Biofilm problems in dental unit water systems and its practical control. J Appl Microbiol. 2009 May;106(5):1424–37

Weinstein RA, Bridges CB, Kuehnert MJ, Hall CB. Transmission of Influenza: Implications for Control in Health Care Settings. Clin Infect Dis

[Internet]. 2003;37(8):1094–101. Available from: https://academic.oup.com/cid/article-lookup/doi/10.1086/378292

Garner JS. Guideline for isolation precautions in hospitals. The Hospital Infection Control Practices Advisory Committee. Infect Control Hosp Epidemiol [Internet]. 1996 Jan;17(1):53–80. Available from: http://www.ncbi.nlm.nih.gov/pubmed/8789689

Kohn WG, Amy S. Collins AS,, Cleveland JL., Harte JA., Eklund KL, Malvitz DM. Guidelines for Infection Control in Dental Health-Care Settings.

December 19/ 52(RR17);1-61. https://www.cdc.gov/mmwr/preview/mmwrhtml/rr5217a1.htm PMID: 14685139

Centers for Disease Control and Prevention. Summary of Infection Prevention Practices in Dental Settings: Basic Expectations for Safe

Care. Atlanta, GA: Centers for Disease Control and Prevention, US Dept of Health and Human Services; October 2016.

Bastani, P., Mohammadpour, M., Ghanbarzadegan, A. et al. Global concerns of dental and oral health workers during COVID-19 outbreak: a scope study on the concerns and the coping strategies. yst Rev, 2021, 10, 45. https://doi.org/10.1186/s13643-020-01574-5

Yusoff MSB, Hadie SNH, Mohamad I, et al. Sustainable Medical Teaching and Learning During the COVID-19 Pandemic: Surviving the New

Normal. Malays J Med Sci. 2020;27(3):137-142. doi:10.21315/mjms2020.27.3.14

Chang T., Hong G., Paganelli C., Phantumvanit P., Chang W,, Shieh Y., Hsu M. Innovation of dental education during COVID-19 pandemic, Journal of Dental Sciences, 2021,16(1): 15-20. https://doi.org/10.1016/j.jds.2020.07.011.

Amir, L.R., Tanti, I., Maharani, D.A. et al. Student perspective of classroom and distance learning during COVID-19 pandemic in the undergraduate dental study program Universitas Indonesia. BMC Med Educ 2020,20, 392. https://doi.org/10.1186/s12909-020-02312-0

Generali L., Iani C., Macaluso GM., Montebugnoli L., Siciliani G., Consolo U. The perceived impact of the COVID-19 pandemic on dental undergraduate students in the Italian region of Emilia-Romagna. European Journal of Dental Education. Dec. 2020. Available at: https://doi.org/10.1111/eje.12640

Grossman S, Sandhu P., Sproat C., PateL V. Provision of dental services at a single institution in the UK’s epicentre during the COVID-19 pandemic. British Dental Journal, 2020, 228 (12): 964-70.

Banakar, M., Bagheri Lankarani, K., Jafarpour, D. et al. COVID-19 transmission risk and protective protocols in dentistry: a systematic review. BMC Oral Health 2020, 20, 275 https://doi.org/10.1186/s12903-020-01270-9

15. Petersen PE. Continuous improvement of oral health in the 21st century-the approach of the WHO Global Oral Health Programme. 2003.

Singh S. Can undergraduate student learning in prevention influence oral health self-care practices? - a report from a South African

University. International Journal of Dental Hygiene, 2016;15(4) DOI: 10.1111/idh.12235

Moodley R, Singh S, Moodley I. Dental undergraduate students' perspectives on teaching and learning during the Covid-19 pandemic –

a report from a South African university. 2021. Submitted to African Journal for Health Professions Education. In review.

Ebrahimpour A., Pakravan A.H., Nezhad M.Y., Alipour N., Saravi M.E., Rahbar F., Khatam Z.S. Knowledge and performance of dentalstudents

with regard to infection control guidelines in Dental School of Mazandaran University of Medical Sciences in 2015. International Journal of Medical Research & Health Sciences, 2016, 5, 8:298-304. Available at: https://www.ijmrhs.com/medicalresearch/knowledge-and-performance-ofdental-students-with-regard-to-infection-controlguidelines-in-dental-school-of-mazandaran-.pdf

Halboub ES, Al-Maweri SA, Al-Jamaei AA, Tarakji B, Al-Soneidar WA. Knowledge, attitudes, and practice of infection control among Dental

Students at Sana’a University, Yemen. J Int Oral Health 2015;7(5):15-19.

World Health Organization 2020. Transmission of SARS-CoV-2: implications for infection prevention precautions. Scientific Brief. 9 July 2020.

Available at https://www.who.int/news-room/commentaries/detail/transmission-of-sars-cov-2-implications-for-infection-prevention-precautions

Monod M., Blenkinsop A., Xi X, Hebert D., Bershan 342 > RESEARCH www.sada.co.za / SADJ Vol. 77 No. 6S., Tietze S. et. al. Age groups that sustain resurging COVID-19 epidemics in the United States. Science., 02 Feb 2021:eabe8372. DOI: 10.1126/science.abe8372. Available at: https://science.sciencemag.org/content/early/2021/02/01/science.abe8372

Abbasi J. Younger Adults Caught in COVID-19 Crosshairs as Demographics Shift. JAMA. 2020;324(21):2141–2143. doi:10.1001/ jama.2020.21913

Rahman B, Abraham SB, Alsalami AM, Alkhaja FE, Najem SI. Attitudes and practices of infection control among senior dental students at college of dentistry, university of Sharjah in the United Arab Emirates. Eur J Dent 2013;7 Suppl 1:S15-9.

Blignaut E, Nemutandani S., Samaranayake L. Strategic implementation of dental infection control in resource-poor jurisdictions during COVID-19 pandemic: a perspective from South Africa, Acta Odontologica Scandinavica, 2020, 78:8, 614-617, DOI: 10.1080/00016357.2020.1804073

Chersich MF, Gray G, Fairlie L, et al. COVID-19 in Africa: care and protection for frontline healthcare workers. Global Health. 2020; 16(1):46.

Bizzoca ME. Campisi G., Muzio LL. Covid-19 Pandemic: What Changes for Dentists and Oral Medicine Experts? A narrative review and novel

approaches to infection containment. Int. J. Environ. Res. Public Health 2020, 17, 3793; doi:10.3390/ijerph17113793

Amato A., Caggiano M., Amato M., Moccia G., Capunzo M., De Caro F. Infection Control in Dental Practice During the COVID-19 Pandemic. Int. J. Environ. Res. Public Health 2020, 17, 4769. http://dx.doi.org/10.3390/ijerph17134769

Meng L., Hua F., Bian Z. Coronavirus Disease 2019 (COVID-19): Emerging and Future Challenges for Dental and Oral Medicine. Journal of Dental Research 00(0), 2020: 1–7. Available at: https://doi.org/10.1177/0022034520914246

Walke HT, Honein MA, Redfield RR. Preventing and Responding to COVID-19 on College Campuses. JAMA, 2020;324(17):1727–1728. Doi:10.1001/jama.2020.20027

AL-Essa N.A., AlMutairi M.A. To what extent do dental students comply with infection control practices? The Saudi Journal for Dental Research, 2017, 8 (1–2): 67-72. Available: https://doi.org/10.1016/j.sjdr.2016.10.003

Alharbi, G., Shono, N., Alballaa, L. et al. Knowledge, attitude and compliance of infection control guidelines among dental faculty members and students in KSU. BMC Oral Health, 2019,19 (1).1-18 https://doi.org/10.1186/s12903-018-0706-0

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Published

2022-10-10

How to Cite

Students’ knowledge, attitudes and practices related to infection control in undergraduate dental clinical training during COVID-19 A report from one South African university. (2022). South African Dental Journal, 77(06), 336-343. https://doi.org/10.17159/2519-0105/2022/v77no6a3

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