Prevention and control of healthcare-associated infection and SARS-CoV-2 in the work context of dentists of Family Health Strategy in a large municipality of the Brazilian Northeast
Vigil Sanit Debate, Rio de Janeiro, 2024, v.12: e02190 | Published on: 04/09/2024
DOI:
https://doi.org/10.22239/2317-269X.02190Keywords:
SARS-CoV-2, COVID-19, Personal Protective Equipment, Dentistry, Primary Health CareAbstract
Introduction: The health emergency related to the COVID-19 pandemic in Brazil and around the world, brought the need to reassess and implement new measures to protect the worker health. Objective: To analyze the work context of dentists from the Family Health Strategy (ESF) regarding the prevention and control of Healthcare-associated Infections (HAI) and SARS-Cov-2. Methods: This cross-sectional study was conducted with primary care dentists in Fortaleza, Ceará, in Northeast Brazil. In order to identify the sample of dentists from the ESF, a sample calculation was carried out, and 103 dentists participated. The selection of participants was carried out through a systematic probabilistic sampling. Data collection was carried out from June 8 to August 23, 2022, through an electronic questionnaire, which was accessed and completed electronically by a computer or smartphone, with questions that evaluated the offer of Personal Protective Equipment (PPE), equipment and infrastructure necessary for the good performance of the profession and the health conditions of workers in this context. A descriptive analysis was performed. Results: A total of 29.1% of respondents belonged to COVID-19 risk group. Overall, most participants had taken both doses and one (46.6%) or both (50.2%) booster doses and were vaccinated against influenza (81.6%). There is no 100.0% adherence to any of the PPE recommended by health authorities or by dentists. The availability of sufficient quantities of PPE in the service was always below the recommended level, and, in all situations, the quality of the PPE was considered questionable, potentially compromising work safety. Deficiencies related to the provision of equipment, devices, and infrastructure necessary for good performance were also verified. Conclusions: Despite the good vaccination practices of professionals, deficiencies in the process of implementing standards that provide for good practices in dental procedures were identified and needed to be implemented to avoid the risks inherent in the profession.
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Author Biographies
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Elizabete Araújo Melo, Programa de Pós-Graduação Profissional em Saúde da Família, Universidade Federal do Ceará, Fortaleza, CE, Brasil
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Tomaz de Medeiros Aquino, Curso de Pós-Graduação em Farmácia, Faculdade de Farmácia, Odontologia e Enfermagem. Universidade Federal do Ceará, Fortaleza, CE, Brasil
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Maria Eneide Leitão de Almeida, Faculdade de Farmácia, Odontologia e Enfermagem, Universidade Federal do Ceará, Fortaleza, CE, Brasil
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Caroline Mary Gurgel Dias Florêncio, Faculdade de Medicina e Fisioterapia, Universidade Federal do Ceará, Fortaleza, CE, Brasil
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Paulo Sergio Dourado Arrais, Programa de Pós-Graduação Profissional em Saúde da Família, Universidade Federal do Ceará, Fortaleza, CE, Brasil | Curso de Pós-Graduação em Farmácia, Faculdade de Farmácia, Odontologia e Enfermagem. Universidade Federal do Ceará, Fortaleza, CE, Brasil | Faculdade de Farmácia, Odontologia e Enfermagem, Universidade Federal do Ceará, Fortaleza, CE, Brasil
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