Dental practice modification, protocol compliance and risk perception of dentists during COVID-19 pandemic in Colombia: a cross-sectional study
DOI:
https://doi.org/10.17533/udea.rfo.v33n1a2Keywords:
Covid-19, Dentistry, Dental Office, Containment of biohazardsAbstract
Introduction: this study aimed to evaluate practice modification, use of personal protective equipment, biosafety measures, impact on career plans, prevalence of contagion, and risk perception of dentists during the COVID-19 pandemic 19 in Colombia. Methods: this is a cross-sectional study. Following ethical approval, an anonymous digital survey was conducted with dentists in Colombia. The questions comprised four domains: 1) sociodemographic, 2) employment and impact on career plans, 3) protocol compliance and biosafety, and 4) knowledge, risk, and contagion risk perception. A descriptive analysis of the data is presented. Results: 5,370 general and specialist dentists participated in the study (women: 3878; average age: 45 years). 41.94% were general dentists. Compliance with safety guidelines and use of personal protective equipment (PPE) was greater than 99%. The majority of dentists (91.29%) canceled their clinical activities during quarantine and have thought about reducing their working hours (77.96%). The perception of COVID-19 risk contagion was high (95.91% reported that contagion is likely/highly likely), although COVID-19 contagion self-report was low (0.61%). Conclusion: COVID-19 pandemic has strongly impacted the practice of dentistry in Colombia, leading to changes in clinical activities and career prospects. Biosafety measures compliance and PPE use was high. Although the contagion risk perception was high, self reported contagion was very low.
Downloads
References
Zhu N, Zhang D, Wang W, Li X, Yang B, Song J et al. A novel coronavirus from patients with pneumonia in China, 2019. N Engl J Med. 2020; 382: 727–33. DOI: https://doi.org/10.1056/nejmoa2001017
Yu J, Zhang T, Zhao D, Haapasalo M, Shen Y. Characteristics of endodontic emergencies during coronavirus disease 2019 outbreak in Wuhan. J Endod. 2020; 46(6): 730–5. DOI: https://dx.doi.org/10.1016%2Fj.joen.2020.04.001
Qasim-Agha O, Berryman R. Acute splenic artery thrombosis and infarction associated with COVID-19 disease. Case Rep Crit Care. 2020; 2020: 8880143. DOI: https://doi.org/10.1155/2020/8880143
Sinadinos A, Shelswell J. Oral ulceration and blistering in patients with COVID-19. Evid Based Dent. 2020; 21(2): 49. DOI: https://dx.doi.org/10.1038%2Fs41432-020-0100-z
Cascella M, Rajnik M, Aleem A, Dulebohn SC, Di Napoli R. Features, Evaluation, and Treatment of Coronavirus (COVID-19). StatPearls. Treasure Island (FL): StatPearls Publishing LLC.; 2021.
Hu X, Liu S, Wang B, Xiong H, Wang P. Management practices of emergency departments in general hospitals based on blockage of chain of infection during a COVID-19 epidemic. Intern Emerg Med. 2020; 15(8): 1545-52. DOI: https://doi.org/10.1007/s11739-020-02499-6
Landi F, Marzetti E, Sanguinetti M, Ciciarello F, Tritto M, Benvenuto F et al. Should face masks be worn to contain the spread of COVID-19 in the postlockdown phase? Trans R Soc Trop Med Hyg. 2021; 115 (1): 74-7. DOI: https://doi.org/10.1093/trstmh/traa085
Vizcaychipi MP, Shovlin CL, McCarthy A, Howard A, Brown A, Hayes M et al. Development and implementation of a COVID-19 near real-time traffic light system in an acute hospital setting. Emerg Med J. 2020; 37(10): 630-36. http://dx.doi.org/10.1136/emermed-2020-210199
Weiss PG, Li S-TT. Leading change to address the needs and well-being of trainees during the COVID-19 pandemic. Acad Pediatr. 2020; 20 (6): 735-41. DOI: https://dx.doi.org/10.1016%2Fj.acap.2020.06.001
Jovanović A, Klimek P, Renn O, Schneider R, Øien K, Brown J et al. Assessing resilience of healthcare infrastructure exposed to COVID-19: emerging risks, resilience indicators, interdependencies and international standards. Environ Syst Decis. 2020: 1–35. DOI: https://dx.doi.org/10.1007%2Fs10669-020-09779-8
Choi H, Cho W, Kim MH, Hur JY. Public health emergency and crisis management: case study of SARSCoV-2 outbreak. Int J Environ Res Public Health. 2020; 17(11):3984. DOI: https://doi.org/10.3390/ijerph17113984
Villani FA, Aiuto R, Paglia L, Re D. Covid-19 and dentistry: prevention in dental practice, a literature review. Int J Environ Res Public Health. 2020; 17(12): 4609. DOI: https://doi.org/10.3390/ijerph17124609
Tysiąc-Miśta M, Dziedzic A. The attitudes and professional approaches of dental practitioners during the COVID-19 outbreak in Poland: a cross-sectional survey. Int J Environ Res Public Health. 2020; 17(13): 4703. DOI: https://doi.org/10.3390/ijerph17134703
Ternera-Pulido JH. Mirada comparativa de los servicios odontológicos en Colombia y otros países, en el marco de la Pandemia por el SarsCov2. Available in: https://bit.ly/3uQ0GLs
Johns Hopkins University & Medicine, Coronavirus Resource Center. COVID-19 Dashboard by the Center for Systems Science and Engineering (CSSE) at Johns Hopkins University (JHU). Available in: https://coronavirus.jhu.edu/map.html
Instituto Nacional de Salud. Noticias coronavirus-casos [Internet]. Bogotá: Ministerio de Salud; 2020. Available in: https://www.ins.gov.co/Noticias/paginas/coronavirus.aspx
Colombia. Presidencia. Decreto Número 457. Boletín Oficial, n°51264, (22 de marzo de 2020).
Colombia. Ministerio de Salud y Protección Social. Lineamiento de bioseguridad para la prestación de servicios relacionados con la atención de la salud bucal durante el periodo de la pandemia por SARSCOV-2 (COVID-19). Bogotá: MinSalud; 2020.
Colombia. Ministerio de Salud y Protección Social. Limpieza y desinfección en servicios de salud ante la introducción del nuevo coronavirus (SARS-CoV-2) a Colombia. Bogotá: MinSalud; 2020.
Acosta-Ortiz S, Amaris-Jiménez E, Arias-Ruiz S, Betancur-Gracía CA, Benavides-Díaz N, Borrero-Castro IL et al. Consenso técnico sobre las condiciones de bioseguridad frente al SARS-CoV-2 y la prevención de la enfermedad COVID-19 en el Sector Salud. Colombia: Colectivo Colombiano de Médicos Especialistas en Medicina Laboral y del Trabajo; 2020.
Colombia. Ministerio de Salud y Protección Social. Orientaciones para la restauración de los servicios de salud en las fases de mitigación y control de la emergencia sanitaria por COVID-19 en Colombia. Bogotá: MinSalud; 2020.
de Graaff J, van Amerongen WE, Mulder GR. Hygiene in dental practice. Part II: measures to reduce the risk of contamination. ASDC J Dent Child. 1988; 55(1): 56–63.
Webber LM. Bloodborne viruses and occupational exposure in the dental setting. SADJ. 2000; 55(9): 494–6.
Araujo MWB, Andreana S. Risk and prevention of transmission of infectious diseases in dentistry. Quintessence Int. 2002; 33(5): 376–82.
Siles-Garcia AA, Alzamora-Cepeda AG, Atoche-Socola KJ, Peña-Soto C, Arriola-Guillén LE. Biosafety for dental patients during dentistry care after COVID-19: a review of the literature. Disaster Med Public Health Prep. 2020: 1–6. DOI: https://doi.org/10.1017/dmp.2020.252
Cabrera-Tasayco FP, Rivera-Carhuavilca JM, Atoche-Socola KJ, Peña-Soto C, Arriola-guillén LE. Biosafety measures at the dental office after the appearance of COVID-19: a systematic review. Disaster Med Public Health Prep. 2020: 1–5. DOI: https://doi.org/10.1017/dmp.2020.269
Cagetti MG, Cairoli JL, Senna A, Campus G. COVID-19 outbreak in North Italy: an overview on dentistry: a questionnaire survey. Int J Environ Res Public Health. 2020; 17(11): 3835. DOI: https://doi.org/10.3390/ijerph17113835
De Stefani A, Bruno G, Mutinelli S, Gracco A. COVID-19 outbreak perception in Italian dentists. Int J Environ Res Public Health. 2020; 17(11): 3867. DOI: https://doi.org/10.3390/ijerph17113867
Singh-Gambhir R, Singh-Dhaliwal J, Aggarwal A, Anand S, Anand V, Kaur-Bhangu A. Covid-19: a survey on knowledge, awareness and hygiene practices among dental health professionals in an Indian scenario. Rocz Panstw Zakl Hig. 2020; 71(2): 223–9. DOI: https://doi.org/10.32394/rpzh.2020.0115
Putrino A, Raso M, Magazzino C, Galluccio G. Coronavirus (COVID-19) in Italy: knowledge, management of patients and clinical experience of Italian dentists during the spread of contagion. BMC Oral Health. 2020;20(1):200. https://doi.org/10.1186/s12903-020-01187-3
Kamate SK, Sharma S, Thakar S, Srivastava D, Sengupta K, Hadi AJ et al. Assessing knowledge, attitudes and practices of dental practitioners regarding the covid-19 pandemic: a multinational study. Dent Med Probl. 2020; 57(1): 11–7. DOI: https://doi.org/10.17219/dmp/119743
Campus G, Diaz-Betancourt M, Cagetti MG, Carvalho JC, Carvalho TS, Cortés-Martiniorena JF et al. Study protocol for an online questionnaire survey on symptoms/signs, protective measures, level of awareness and perception regarding COVID-19 outbreak among dentists: a global survey. Int. J Environ Res Public Health. 2020; 17(15): 5598. DOI: https://doi.org/10.3390/ijerph17155598
Ternera-Pulido JH. Un complejo escenario laboral para la odontología en Colombia. Available in: https://bit.ly/3eNejWl
Berdejo-Casas JP, Ternera-Pulido JH. Estado de la afiliación a la seguridad social en salud de los odontólogos registrados ante la Secretaría Distrital de Salud entre 1960 y 2015, y estado de afiliación a la seguridad social en salud de los odontólogos habilitados como profesionales independientes. Bogotá: Alcaldía Mayor de Bogotá. Secretaría Distrital de Salud; 2019.
Colombia. Ministerio de Salud y Protección Social. Estimaciones de profesionales de Odontología en Colombia por municipio 2019. Bogotá, MinSalud; 2020.
Ahmed MA, Jouhar R, Ahmed N, Adnan S, Aftab M, Zafar MS et al. Fear and practice modifications among dentists to combat novel coronavirus disease (COVID-19) outbreak. Int J Environ Res Public Health. 2020; 17(8): 2821. DOI: https://doi.org/10.3390/ijerph17082821
Duruk G, Gümüşboğa ZŞ, Çolak C. Investigation of Turkish dentists’ clinical attitudes and behaviors towards the COVID-19 pandemic: a survey study. Braz Oral Res. 2020; 34: e054. DOI: https://doi.org/10.1590/1807-3107bor-2020.vol34.0054
Empleo y desempleo [Internet]. Bogotá: DANE; [2020]. Available in https://www.dane.gov.co/index.php/ estadisticas-por-tema/mercado-laboral/empleo-y-desempleo
FDI. Visión 2020 de la FDI. Suiza: World Dental Federation – FDI; 2020. Available in: https://www.fdiworlddental.org/es/resources/brochures/vision-2020-de-la-fdi
Asociacion Colombiana de Facultades de Medicina (ASCOFAME). Protocolo para el retorno seguro a las actividades académico-administrativas en el campus universitario y en los sitios de práctica. Bogotá: ASCOFAME; 2020.
Colombia. Ministerio de Salud y Protección Social. Lineamientos, orientaciones y protocolos para enfrentar la COVID-19 en Colombia. Bogotá, MinSalud; 2020.
Cooperativa SCO life. Costos de tratamiento de ortodoncia 2020 [Internet]. Bogotá: Sco Life; 2020. Available in: https://www.scolife.org/
Gollier C, Gossner O. Group Testing Against Covid-19, EconPol Policy Brief 24, April 2020.
Decreto Legislativo del 12 de abril del 2020. Ministerio de Salud y Protección Social, n.° 538.
Iván Duque anuncia quiénes recibirán primero la vacuna contra la covid-19. Revista Semana [Internet] 2020. Available in: https://www.semana.com/nacion/articulo/quienes-recibiran-la-vacuna-primero-encolombia-segun-duque--vacuna-coronavirus/691158/
Downloads
Additional Files
Published
How to Cite
Issue
Section
Categories
License
Copyright (c) 2021 Revista Facultad de Odontología Universidad de Antioquia
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Copyright Notice
Copyright comprises moral and patrimonial rights.
1. Moral rights: are born at the moment of the creation of the work, without the need to register it. They belong to the author in a personal and unrelinquishable manner; also, they are imprescriptible, unalienable and non negotiable. Moral rights are the right to paternity of the work, the right to integrity of the work, the right to maintain the work unedited or to publish it under a pseudonym or anonymously, the right to modify the work, the right to repent and, the right to be mentioned, in accordance with the definitions established in article 40 of Intellectual property bylaws of the Universidad (RECTORAL RESOLUTION 21231 of 2005).
2. Patrimonial rights: they consist of the capacity of financially dispose and benefit from the work trough any mean. Also, the patrimonial rights are relinquishable, attachable, prescriptive, temporary and transmissible, and they are caused with the publication or divulgation of the work. To the effect of publication of articles in the journal Revista de la Facultad de Odontología, it is understood that Universidad de Antioquia is the owner of the patrimonial rights of the contents of the publication.
The content of the publications is the exclusive responsibility of the authors. Neither the printing press, nor the editors, nor the Editorial Board will be responsible for the use of the information contained in the articles.
I, we, the author(s), and through me (us), the Entity for which I, am (are) working, hereby transfer in a total and definitive manner and without any limitation, to the Revista Facultad de Odontología Universidad de Antioquia, the patrimonial rights corresponding to the article presented for physical and digital publication. I also declare that neither this article, nor part of it has been published in another journal.
Open Access Policy
The articles published in our Journal are fully open access, as we consider that providing the public with free access to research contributes to a greater global exchange of knowledge.
Creative Commons License
The Journal offers its content to third parties without any kind of economic compensation or embargo on the articles. Articles are published under the terms of a Creative Commons license, known as Attribution – NonCommercial – Share Alike (BY-NC-SA), which permits use, distribution and reproduction in any medium, provided that the original work is properly cited and that the new productions are licensed under the same conditions.
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.