Factors affecting occupational exposure to needlestick and sharps injuries among dentists in Taiwan: a nationwide survey
Although the risks of needlestick and sharps injuries (NSIs) for dentists are well recognized, most papers published only described the frequency of occupational exposure to NSIs. Less has been reported assessing factors contributing to exposure to NSIs. The purpose of this study was to update the e...
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description | Although the risks of needlestick and sharps injuries (NSIs) for dentists are well recognized, most papers published only described the frequency of occupational exposure to NSIs. Less has been reported assessing factors contributing to exposure to NSIs. The purpose of this study was to update the epidemiology of NSIs among dentists in Taiwan and identify factors affecting NSIs in order to find preventive strategies.
A nationwide survey was conducted in dentists at 60 hospitals and 340 clinics in Taiwan. The survey included questions about factors supposedly affecting exposure to NSIs, such as dentist and facility characteristics, knowledge and attitudes about infectious diseases, and practices related to infection control. Univariate and multivariate logistic regression analyses were conducted to determine the association between risk factors and exposure to NSIs. In total, 434 (74.8%) of 580 dentists returned the survey questionnaires, and 100 (23.0%) reported that they had experienced more than one NSI per week. Our data showed that the risk of occupational NSIs is similarly heightened by an older age (odds ratio [OR], 3.18; 95% confidence interval [CI], 1.62-6.25), more years in practice (OR, 2.57; 95% CI, 1.41-4.69), working in clinics (OR, 1.73; 95% CI, 1.08-2.77), exhibiting less compliance with infection-control procedures (OR, 1.82; 95% CI, 1.04-3.18), having insufficient knowledge of blood-borne pathogens (OR, 1.67; 95% CI, 1.04-2.67), and being more worried about being infected by blood-borne pathogens (OR, 1.82; 95% CI, 1.05-3.13).
High rates of NSIs and low compliance with infection-control procedures highly contribute to the chance of acquiring a blood-borne pathogen infection and threaten occupational safety. This study reveals the possible affecting factors and helps in designing prevention strategies for occupational exposure to NSIs. |
doi_str_mv | 10.1371/journal.pone.0034911 |
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A nationwide survey was conducted in dentists at 60 hospitals and 340 clinics in Taiwan. The survey included questions about factors supposedly affecting exposure to NSIs, such as dentist and facility characteristics, knowledge and attitudes about infectious diseases, and practices related to infection control. Univariate and multivariate logistic regression analyses were conducted to determine the association between risk factors and exposure to NSIs. In total, 434 (74.8%) of 580 dentists returned the survey questionnaires, and 100 (23.0%) reported that they had experienced more than one NSI per week. Our data showed that the risk of occupational NSIs is similarly heightened by an older age (odds ratio [OR], 3.18; 95% confidence interval [CI], 1.62-6.25), more years in practice (OR, 2.57; 95% CI, 1.41-4.69), working in clinics (OR, 1.73; 95% CI, 1.08-2.77), exhibiting less compliance with infection-control procedures (OR, 1.82; 95% CI, 1.04-3.18), having insufficient knowledge of blood-borne pathogens (OR, 1.67; 95% CI, 1.04-2.67), and being more worried about being infected by blood-borne pathogens (OR, 1.82; 95% CI, 1.05-3.13).
High rates of NSIs and low compliance with infection-control procedures highly contribute to the chance of acquiring a blood-borne pathogen infection and threaten occupational safety. This study reveals the possible affecting factors and helps in designing prevention strategies for occupational exposure to NSIs.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0034911</identifier><identifier>PMID: 22509367</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adult ; Biology ; Blood ; Communicable Diseases - epidemiology ; Confidence intervals ; Data Collection ; Dentistry ; Dentists ; Dentists - statistics & numerical data ; Disease control ; Epidemiology ; Exposure ; Female ; Health aspects ; Health care ; Health risks ; Hepatitis ; HIV ; Hospitals ; Human immunodeficiency virus ; Humans ; Infections ; Infectious diseases ; Injuries ; Male ; Medical personnel ; Medicine ; Middle Aged ; Needlestick injuries ; Needlestick Injuries - epidemiology ; Occupational exposure ; Occupational Exposure - statistics & numerical data ; Occupational health ; Occupational safety ; Orthodontics ; Pathogens ; Questionnaires ; Regression analysis ; Response rates ; Risk analysis ; Risk factors ; Statistical analysis ; Studies ; Surveys ; Taiwan - epidemiology</subject><ispartof>PloS one, 2012-04, Vol.7 (4), p.e34911</ispartof><rights>COPYRIGHT 2012 Public Library of Science</rights><rights>2012 Cheng et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License: https://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Cheng et al. 2012</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c758t-fde8dee5b2f6513c6531814a7fa47a2626e1670570382eb78cee134400442efb3</citedby><cites>FETCH-LOGICAL-c758t-fde8dee5b2f6513c6531814a7fa47a2626e1670570382eb78cee134400442efb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3318009/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3318009/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793,79600,79601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22509367$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Vermund, Sten H.</contributor><creatorcontrib>Cheng, Hsin-Chung</creatorcontrib><creatorcontrib>Su, Chen-Yi</creatorcontrib><creatorcontrib>Yen, Amy Ming-Fang</creatorcontrib><creatorcontrib>Huang, Chiung-Fang</creatorcontrib><title>Factors affecting occupational exposure to needlestick and sharps injuries among dentists in Taiwan: a nationwide survey</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Although the risks of needlestick and sharps injuries (NSIs) for dentists are well recognized, most papers published only described the frequency of occupational exposure to NSIs. Less has been reported assessing factors contributing to exposure to NSIs. The purpose of this study was to update the epidemiology of NSIs among dentists in Taiwan and identify factors affecting NSIs in order to find preventive strategies.
A nationwide survey was conducted in dentists at 60 hospitals and 340 clinics in Taiwan. The survey included questions about factors supposedly affecting exposure to NSIs, such as dentist and facility characteristics, knowledge and attitudes about infectious diseases, and practices related to infection control. Univariate and multivariate logistic regression analyses were conducted to determine the association between risk factors and exposure to NSIs. In total, 434 (74.8%) of 580 dentists returned the survey questionnaires, and 100 (23.0%) reported that they had experienced more than one NSI per week. Our data showed that the risk of occupational NSIs is similarly heightened by an older age (odds ratio [OR], 3.18; 95% confidence interval [CI], 1.62-6.25), more years in practice (OR, 2.57; 95% CI, 1.41-4.69), working in clinics (OR, 1.73; 95% CI, 1.08-2.77), exhibiting less compliance with infection-control procedures (OR, 1.82; 95% CI, 1.04-3.18), having insufficient knowledge of blood-borne pathogens (OR, 1.67; 95% CI, 1.04-2.67), and being more worried about being infected by blood-borne pathogens (OR, 1.82; 95% CI, 1.05-3.13).
High rates of NSIs and low compliance with infection-control procedures highly contribute to the chance of acquiring a blood-borne pathogen infection and threaten occupational safety. This study reveals the possible affecting factors and helps in designing prevention strategies for occupational exposure to NSIs.</description><subject>Adult</subject><subject>Biology</subject><subject>Blood</subject><subject>Communicable Diseases - epidemiology</subject><subject>Confidence intervals</subject><subject>Data Collection</subject><subject>Dentistry</subject><subject>Dentists</subject><subject>Dentists - statistics & numerical data</subject><subject>Disease control</subject><subject>Epidemiology</subject><subject>Exposure</subject><subject>Female</subject><subject>Health aspects</subject><subject>Health care</subject><subject>Health risks</subject><subject>Hepatitis</subject><subject>HIV</subject><subject>Hospitals</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Infections</subject><subject>Infectious diseases</subject><subject>Injuries</subject><subject>Male</subject><subject>Medical personnel</subject><subject>Medicine</subject><subject>Middle Aged</subject><subject>Needlestick injuries</subject><subject>Needlestick Injuries - epidemiology</subject><subject>Occupational exposure</subject><subject>Occupational Exposure - statistics & numerical data</subject><subject>Occupational health</subject><subject>Occupational safety</subject><subject>Orthodontics</subject><subject>Pathogens</subject><subject>Questionnaires</subject><subject>Regression analysis</subject><subject>Response rates</subject><subject>Risk analysis</subject><subject>Risk factors</subject><subject>Statistical analysis</subject><subject>Studies</subject><subject>Surveys</subject><subject>Taiwan - epidemiology</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNqNkl2L1DAYhYso7jr6D0QDguDFjPlq0nohLIurAwsLunobMsnbmYydppu0-_HvTXe6yxQUpBctb55zkpyeLHtN8IIwST5ufR8aXS9a38ACY8ZLQp5kx6RkdC4oZk8Pvo-yFzFuMc5ZIcTz7IjSHJdMyOPs9kybzoeIdFWB6VyzRt6YvtWd88kdwW3rYx8AdR41ALaG2DnzG-nGorjRoY3INds-OEgWO5_kFprOxW6Yo0vtbnTzCWnU3BveOAso2V3D3cvsWaXrCK_G9yz7efbl8vTb_Pzi6_L05HxuZF5088pCYQHyFa1ETpgROSMF4VpWmktNBRVAhMS5xKygsJKFASCMc4w5p1Ct2Cx7u_dtax_VGFpUA0NKKXKeiOWesF5vVRvcToc75bVT9wMf1kqHdOkaFOYSWykFt0XBaZHyzUvgFSVUGinssNvncbd-tQNrUhZB1xPT6UrjNmrtrxVL18Lpn8yyd6NB8Fd9CvsfRx6ptU6nck3lk5nZuWjUCZeS8LIocaIWf6HSY2HnTKpN5dJ8IvgwESSmg9turfsY1fLH9_9nL35N2fcH7AZ03W2ir_uhEnEK8j1ogo8xQPWYHMFqaP1DGmpovRpbn2RvDlN_FD3UnP0BlWf95Q</recordid><startdate>20120403</startdate><enddate>20120403</enddate><creator>Cheng, Hsin-Chung</creator><creator>Su, Chen-Yi</creator><creator>Yen, Amy Ming-Fang</creator><creator>Huang, Chiung-Fang</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20120403</creationdate><title>Factors affecting occupational exposure to needlestick and sharps injuries among dentists in Taiwan: a nationwide survey</title><author>Cheng, Hsin-Chung ; Su, Chen-Yi ; Yen, Amy Ming-Fang ; Huang, Chiung-Fang</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c758t-fde8dee5b2f6513c6531814a7fa47a2626e1670570382eb78cee134400442efb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adult</topic><topic>Biology</topic><topic>Blood</topic><topic>Communicable Diseases - 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Less has been reported assessing factors contributing to exposure to NSIs. The purpose of this study was to update the epidemiology of NSIs among dentists in Taiwan and identify factors affecting NSIs in order to find preventive strategies.
A nationwide survey was conducted in dentists at 60 hospitals and 340 clinics in Taiwan. The survey included questions about factors supposedly affecting exposure to NSIs, such as dentist and facility characteristics, knowledge and attitudes about infectious diseases, and practices related to infection control. Univariate and multivariate logistic regression analyses were conducted to determine the association between risk factors and exposure to NSIs. In total, 434 (74.8%) of 580 dentists returned the survey questionnaires, and 100 (23.0%) reported that they had experienced more than one NSI per week. Our data showed that the risk of occupational NSIs is similarly heightened by an older age (odds ratio [OR], 3.18; 95% confidence interval [CI], 1.62-6.25), more years in practice (OR, 2.57; 95% CI, 1.41-4.69), working in clinics (OR, 1.73; 95% CI, 1.08-2.77), exhibiting less compliance with infection-control procedures (OR, 1.82; 95% CI, 1.04-3.18), having insufficient knowledge of blood-borne pathogens (OR, 1.67; 95% CI, 1.04-2.67), and being more worried about being infected by blood-borne pathogens (OR, 1.82; 95% CI, 1.05-3.13).
High rates of NSIs and low compliance with infection-control procedures highly contribute to the chance of acquiring a blood-borne pathogen infection and threaten occupational safety. This study reveals the possible affecting factors and helps in designing prevention strategies for occupational exposure to NSIs.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>22509367</pmid><doi>10.1371/journal.pone.0034911</doi><tpages>e34911</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult Biology Blood Communicable Diseases - epidemiology Confidence intervals Data Collection Dentistry Dentists Dentists - statistics & numerical data Disease control Epidemiology Exposure Female Health aspects Health care Health risks Hepatitis HIV Hospitals Human immunodeficiency virus Humans Infections Infectious diseases Injuries Male Medical personnel Medicine Middle Aged Needlestick injuries Needlestick Injuries - epidemiology Occupational exposure Occupational Exposure - statistics & numerical data Occupational health Occupational safety Orthodontics Pathogens Questionnaires Regression analysis Response rates Risk analysis Risk factors Statistical analysis Studies Surveys Taiwan - epidemiology |
title | Factors affecting occupational exposure to needlestick and sharps injuries among dentists in Taiwan: a nationwide survey |
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