World Journal of Dentistry

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VOLUME 14 , ISSUE 1 ( January, 2023 ) > List of Articles

ORIGINAL RESEARCH

Awareness and Pragmatic Use of Respirators among Dental Healthcare Professionals during COVID-19 Pandemic: A Cross-sectional Study

Sruthima NVS Gottumukkala, Konathala SV Ramesh, Satyanarayana Raju Mantena, Boddeda Anusha, Mohan K Pasupuleti, Gautami S Penmetsa

Keywords : Awareness, Coronavirus disease 2019, Dentists, Health personnel, Masks, N95 respirators

Citation Information : Gottumukkala SN, Ramesh KS, Mantena SR, Anusha B, Pasupuleti MK, Penmetsa GS. Awareness and Pragmatic Use of Respirators among Dental Healthcare Professionals during COVID-19 Pandemic: A Cross-sectional Study. World J Dent 2023; 14 (1):47-51.

DOI: 10.5005/jp-journals-10015-2177

License: CC BY-NC 4.0

Published Online: 27-03-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Abstract

Aim: This cross-sectional study intends to assess dental healthcare professionals’ (DHCPs) knowledge and awareness of the proper use and reuse of respirators. Materials and methods: A hospital-based cross-sectional survey was conducted using a self-administered questionnaire adapted from the Centers for Disease Control and Prevention (CDC) guidelines regarding the use of respirators with the primary objective of cognizance regarding fit testing, use, reuse, and reprocessing. A total of 478 dental professionals, including 192 postgraduate (PG) students, 176 interns, and 110 teaching faculty, participated in the survey. Data were analyzed using descriptive statistics. Results: A cumulative assessment revealed that 56.9% of dental professionals signed in to use level III masks and 29.3% for N95/KN95 respirators. Amongst those individuals using respirators, only 2.9% have got fit testing done. 92.1% (n = 440) were clueless about the various fit testing methods. 75.7% of DHCPs chose rotation base reuse of respirators rather than extended use of respirators. Conclusion: Clear evidence of incognizance among dental professionals regarding respirator use may put the health care professional at risk of infection. The incorporation of respirator training in infection prevention and control programs should be a prerequisite for preventing cross-infection. Clinical significance: There is a definite need for regular training and educational programs among DHCPs on various infection control protocols with the incorporation of respirator training and the terms of use of the respirator.


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  1. CDC. Infection Control Guidance for. Healthcare Professionals about Coronavirus (COVID-19).2020 Jun 3. https://www.cdc.gov/coronavirus/2019-ncov/hcp/infection-control.html.
  2. WHO. Interim guidance: Prevention, identification and management of health worker infection in the context of COVID-19. November 7, 2020. https://www.who.int/publications/i/item/10665-336265.
  3. CDC. Guidance for Dental Settings. Interim Infection Prevention and Control Guidance for Dental Settings during the Corona. CDC. Guidance for Dental Settings. Interim Infection Prevention and Control Guidance for Dental Settings during the Coronavirus Disease 2019(COVID-19) Pandemic. 2020 Aug 28. https://www.cdc.gov/coronavirus/2019-ncov/hcp/dental-settings.html.
  4. ADA. ADA Interim Guidance for Management of Emergency and Urgent Dental Care. 2020 Apr 01. https://www.ada.org/en/press-room/news-releases/2020-archives/april/summary-of-ada-guidance-during-the-covid-19-crisis.
  5. ADA. Statement on Dentistry as Essential Health Care. August 10, 2020. https://www.ada.org/en/press-room/news-releases/2020-archives/august/statement-on-dentistry-as-essential-health-care.
  6. Feng S, Shen C, Xia N, et al. Rational use of face masks in the COVID-19 pandemic. Lancet Respir Med 2020;8(5):434–436. DOI: 10.1016/S2213-2600(20)30134-X
  7. Bartoszko JJ, Farooqi MAM, Alhazzani W, et al. Medical masks vs N95 respirators for preventing COVID-19 in healthcare workers: a systematic review and meta-analysis of randomized trials. Influenza Other Respir Viruses 2020;14(4):365–373. DOI: 10.1111/irv.12745
  8. Harding H, Broom A, Broom J. Aerosol-generating procedures and infective risk to healthcare workers from SARS-CoV-2: the limits of the evidence. J Hosp Infect 2020;105(4):717–725. DOI: 10.1016/j.jhin.2020.05.037
  9. Howard BE. High-risk aerosol-generating procedures in COVID-19: respiratory protective equipment considerations. Otolaryngol Head Neck Surg 2020;163(1):98–103. DOI: 10.1177/0194599820927335
  10. Mukerji S, MacIntyre CR, Newall AT. Review of economic evaluations of mask and respirator use for protection against respiratory infection transmission. BMC Infect Dis 2015;15:413. DOI: 10.1186/s12879-015-1167-6
  11. Mukerji S, MacIntyre CR, Seale H, et al. Cost-effectiveness analysis of N95 respirators and medical masks to protect healthcare workers in China from respiratory infections. BMC Infect Dis 2017;17(1):464. DOI: 10.1186/s12879-017-2564-9
  12. OSHA. Appendix A to §1910.134—Fit Testing Procedures (Mandatory) Part I. OSHA-Accepted Fit Test Protocols 2020. https://www.osha.gov/laws-regs/regulations/standardnumber/1910/1910.134AppA.
  13. Benson SM, Novak DA, Ogg MJ. Proper use of surgical N95 respirators and surgical masks in the OR. AORN J 2013;97:457–467. DOI: 10.1016/j.aorn.2013.01.015
  14. Health and Safety Executive. Rapid Evidence Review. 2020. Available athttps://www.hse.gov.uk/news/assets/docs/face-mask-equivalence-aprons-gown-eye-protection.pdf.
  15. Dental Protection. Fit testing of masks - Dental Protection position statement. 2020. Available athttps://www.dentalprotection.org/uk/articles/fit-testing-of-masks-dental-protection-position-statement.
  16. Rollings L. FFP3 respirator face fit testing - what is it all about? Br Dent J 2020;229(2):112–114. DOI: 10.1038/s41415-020-1850-x
  17. Hussainy Haj AI, Khalaf F. Eliminating fogging in surgical visor masks. Bull Roy Coll Surg Engl 2016;98(4):164–167. DOI: 10.1308/rcsbull.2016.164
  18. Patil SR, Weighill FJ. The use of two face masks to prevent clouding of spectacles and surgical visors. Ann R Coll Surg Engl 2000;82(6):442.
  19. CDC. Recommended Guidance for Extended Use and Limited Reuse of N95 Filtering Facepiece Respirators in Healthcare Settings. 2020. https://www.cdc.gov/niosh/topics/hcwcontrols/recommendedguidanceextuse.html.
  20. OSHA. OSHA Allows Extended Use and Reuse of Respirators During COVID-19 Crisis. April 9, 2020. https://www.aiha.org/news/osha-allows-extended-use-and-reuse-of-respirators-during-covid-19-crisis.
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