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HIV infection and oral health care in South Africa.
SADJ. 1999 Dec; 54(12):594-601.SADJ

Abstract

This study determined the knowledge, attitude and practice of oral health care workers in public clinics in South Africa towards HIV/AIDS and investigated the implementation of infection control measures. A total of 727 questionnaires were distributed to dentists, dental therapists, oral hygienists and chairside assistants in the public dental clinics of 9 provinces, of which 276 were returned from 8 provinces, giving a response rate of 38%. The questionnaire covered demographic factors and assessed issues such as knowledge, infection control practices, continuing education, legal, ethical and psychosocial issues and available support for HIV/AIDS. The common oral manifestations seen by respondents were candidiasis, acute necrotising ulcerative gingivitis (ANUG), hairy leukoplakia and Kaposi's sarcoma. Of the 174 who had a previous HIV test, 48% were for insurance purposes and 21% for post-needle-stick injury. Over 10% of the respondents indicated that gloves were not available at all, that there was an inadequate supply of water, and that there was no autoclave in their clinic. Nearly 50% of the clinicians had not had hepatitis B vaccination in the last 3 years. Fifteen respondents (5.4%) were not willing to treat HIV-positive patients. Only 48% had access to a written post-exposure management protocol and post-exposure medication was available to only 36.6%. The vast majority of the respondents clearly expressed a need for additional education on HIV/AIDS. The study demonstrated a need to add knowledge, enhance personal skills and improve the application of universal precautions.

Authors+Show Affiliations

Rudolph MJ
Division of Community Dentistry, Medical School, University of the Witwatersrand, Johannesburg.
Ogunbodede EO
No affiliation info available

MeSH

AIDS SerodiagnosisAIDS-Related Opportunistic InfectionsAcquired Immunodeficiency SyndromeAdultAgedAttitude of Health PersonnelCandidiasis, OralDental AuxiliariesDental HygienistsDentistsEducation, Dental, ContinuingFemaleGingivitis, Necrotizing UlcerativeHIV InfectionsHepatitis B VaccinesHumansInfection Control, DentalLeukoplakia, HairyMaleMiddle AgedMouth NeoplasmsNeedlestick InjuriesOccupational DiseasesPractice Patterns, Dentists'Sarcoma, KaposiSocial SupportSouth AfricaVaccination

Pub Type(s)

Journal Article

Language

eng

PubMed ID

16892566

Citation

Rudolph, M J., and E O. Ogunbodede. "HIV Infection and Oral Health Care in South Africa." SADJ : Journal of the South African Dental Association = Tydskrif Van Die Suid-Afrikaanse Tandheelkundige Vereniging, vol. 54, no. 12, 1999, pp. 594-601.
Rudolph MJ, Ogunbodede EO. HIV infection and oral health care in South Africa. SADJ. 1999;54(12):594-601.
Rudolph, M. J., & Ogunbodede, E. O. (1999). HIV infection and oral health care in South Africa. SADJ : Journal of the South African Dental Association = Tydskrif Van Die Suid-Afrikaanse Tandheelkundige Vereniging, 54(12), 594-601.
Rudolph MJ, Ogunbodede EO. HIV Infection and Oral Health Care in South Africa. SADJ. 1999;54(12):594-601. PubMed PMID: 16892566.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - HIV infection and oral health care in South Africa. AU - Rudolph,M J, AU - Ogunbodede,E O, PY - 2006/8/9/pubmed PY - 2006/9/13/medline PY - 2006/8/9/entrez SP - 594 EP - 601 JF - SADJ : journal of the South African Dental Association = tydskrif van die Suid-Afrikaanse Tandheelkundige Vereniging JO - SADJ VL - 54 IS - 12 N2 - This study determined the knowledge, attitude and practice of oral health care workers in public clinics in South Africa towards HIV/AIDS and investigated the implementation of infection control measures. A total of 727 questionnaires were distributed to dentists, dental therapists, oral hygienists and chairside assistants in the public dental clinics of 9 provinces, of which 276 were returned from 8 provinces, giving a response rate of 38%. The questionnaire covered demographic factors and assessed issues such as knowledge, infection control practices, continuing education, legal, ethical and psychosocial issues and available support for HIV/AIDS. The common oral manifestations seen by respondents were candidiasis, acute necrotising ulcerative gingivitis (ANUG), hairy leukoplakia and Kaposi's sarcoma. Of the 174 who had a previous HIV test, 48% were for insurance purposes and 21% for post-needle-stick injury. Over 10% of the respondents indicated that gloves were not available at all, that there was an inadequate supply of water, and that there was no autoclave in their clinic. Nearly 50% of the clinicians had not had hepatitis B vaccination in the last 3 years. Fifteen respondents (5.4%) were not willing to treat HIV-positive patients. Only 48% had access to a written post-exposure management protocol and post-exposure medication was available to only 36.6%. The vast majority of the respondents clearly expressed a need for additional education on HIV/AIDS. The study demonstrated a need to add knowledge, enhance personal skills and improve the application of universal precautions. SN - 1029-4864 UR - https://www.unboundmedicine.com/medline/citation/16892566/HIV_infection_and_oral_health_care_in_South_Africa_ L2 - http://www.diseaseinfosearch.org/result/5397 DB - PRIME DP - Unbound Medicine ER -