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Comprehensive Knowledge on Dental Management of HIV/AIDS: a Survey on Private Sector Oral Health Care Providers in Andhra Pradesh
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Background: In India capacity building and training in HIV/AIDS has been focused on doctors, nurses, and counsellors. Oral healthcare providers namely, dentists, dental assistants and nursing assistants have been marginalized. Dentists form the first source of healthcare contact to many HIV/ AIDS patients for complaints of oral lesions, with absolutely no knowledge of their patients HIV status. As there is a lack of data on oral health care providers and HIV /AIDS in India, ARUN took the initiative to address this issue and collect data that can prove invaluable in designing future programs and policies.
Methodology: The sampling technique used for the assessment is simple random sampling. The survey was carried out in dental colleges and private clinics and trust hospitals both in the rural and urban settings. A total of 75 dental health care providers from 5 dental colleges and 12 private clinics participated in the survey. The tool was a self administered questionnaire. MS Excel was used for recording the findings. Data analysis was done using SPSS software.
Results: None of the oral health care providers are referring the patients to HIV testing centres in government hospitals.67% are referring the patients for HIV testing to labs in private sector.32% of the dentists are referring patients for HIV testing based on the clinical manifestations, 23% as a routine, 8% based on risk behaviour, and 37% of dentists are not at all referring for HIV testing. Only 20% oral health care providers were aware of oral manifestations of HIV/AIDS, 56% of them are not sterilizing the instruments after each use, 61% of them are disinfecting the impressions before sending to the dental laboratory, only 61% dentists are following Universal safety precautions, 94% are not aware of PEP.
Conclusion: Approximately 10776 patients seeking oral health care in 20 private dental colleges and hospitals can be presented with potential HIV infection and approximately 2000 dentists need to be trained every year. Involving dentists would help in early detection and reducing the HIV epidemic.
- HIV Sentinel Surveillance and HIV estimation in India 2007-A Technical brief [http:// www.nacoonline.org].
- Johnson NW, Glick M, Mbuguye TNL (2006). Oral health and general health. Adv Dent Res 19: 118–121.
- Coogan MM, Sweet SP, editors (2002). Oral manifestations of HIV in the developing and developed world. Proceedings and abstracts of the 4th International Workshop on Oral Manifestations of HIV infection. Skukuza, South Africa, 4–8 July 2000. Oral Dis 8(Suppl 2):5–190.
- Glick M, Muzyka BC, Lurie D, Salkin LM (1994). Oral manifestations associated with HIV-related disease as markers for immune suppression and AIDS. Oral Surg Oral Med Oral Pathol 77:344–349.
- Oral manifestations of HIV infection in children and adults receiving highly active antiretroviral therapy [HAART] in Dar es Salaam, Tanzania [http://www.biomedcentral.com/ 1472-6831/6/12]
- http://www.whoindia.org/LinkFiles/ Oral_Health_Multicentric_epidemiological_study_intro.pdf
- World Health Organization (1995). Building the capacity for an oral health response to the global HIV pandemic. Geneva: WHO Oral Health Programme; www.who.int/oral_health
- World Health Organization (2003a). The World Health Report 2003—shaping the future. Geneva: WHO.
- Compliance with Infection Control Programs in Private Dental Clinics in Jordan http:// www.jdentaled.org/cgi/content/full/69/6/693
- Al-Rabeah A, Mohamed AGI. Infection control in the private dental sector in Riyadh. Ann Saudi Med 2002; 22:1–2.
- Gore SM, Felix DH, Bird AG, Wray D. Occupational risk and precautions related to HIV infection among dentists in the Lothian region of Scotland. J Infect 1994; 28:209–222.
- McCarthy GM, MacDonald JK. The infection control practices of general dental practitioners. Infect Control Hosp Epidemiology 1997; 18:699– 703.
- Treasure P, Treasure ET. Survey of infection control procedures in New Zealand dental practices. Int Dent J 1994; 44:342–348.
- Upton LG, Barber HD. Double-gloving and the incidence of perforations during specific oral and maxillofacial surgical procedures. J Oral Maxillofacial Surgery 1993; 51:261–263.
- Morris E, Hassan FS, Al Nafisi A, Sugathan TN. Infection control knowledge and practices in Kuwait: a survey on oral health care workers. Saudi Dent J 1996;8:19–26
- Lewis DL, Boe RK. Infection risks associated with current procedures for using high-speed dental handpieces. J Clin Microbiol 1992;30:401– 6.
- Lewis DL, Arens M, Appleton SS, Nakashima K, Ryu J, Boe RK, et al. Cross-contamination potential with dental equipment. Lancet 1992; 340:1252–1254.
- Miller CH. Sterilization: disciplined microbial control. Dent Clin North Am 1991; 35:339–355.
- Georgescu CE, Skaug N, Patrascu I. Cross infection in dentistry. Biotechnol Lett 2002;7(4):861–868
- Yengopal V, Naidoo S, Chikte UM. Infection control among dentists in private practice in Durban. SADJ 2001; 56(12):580–584.
- Cochran MA, Miller CH, Sheldrake MA. The efficacy of the rubber dam as a barrier to the spread of microorganisms during dental treatment. J Am Dent Assoc 1989; 119(1):141–144.
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