Toward safe dental service: risk perception and practice modification among Egyptian dental students during the COVID-19 pandemic

Abstract Background COVID-19 was declared a major public health crisis and a challenge to healthcare systems especially dental services where dentists working close to patients face a greater risk of infection. This cross-sectional study aimed to assess the risk perception and practice modifications...

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Main Authors: Eman Ali Younis, Abdel Aziz farouk El deep, Safynaz El Saied Shalaby, Sanaa Abd El-Fatah Abdo
Format: Article
Language:English
Published: BMC 2023-11-01
Series:BMC Health Services Research
Subjects:
Online Access:https://doi.org/10.1186/s12913-023-10196-1
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author Eman Ali Younis
Abdel Aziz farouk El deep
Safynaz El Saied Shalaby
Sanaa Abd El-Fatah Abdo
author_facet Eman Ali Younis
Abdel Aziz farouk El deep
Safynaz El Saied Shalaby
Sanaa Abd El-Fatah Abdo
author_sort Eman Ali Younis
collection DOAJ
description Abstract Background COVID-19 was declared a major public health crisis and a challenge to healthcare systems especially dental services where dentists working close to patients face a greater risk of infection. This cross-sectional study aimed to assess the risk perception and practice modifications of undergraduate dental students at Tanta University to ensure safe dental practice during the COVID-19 pandemic. Methods A convenience sample of 450 dental students from practical academic years at Tanta University, Egypt responded to a self-administered pre-designed validated and pretested questionnaire from the 11th of February 2022 to the end of April 2022 to assess some sociodemographic data, risk perception, and their practice during the COVID-19 pandemic. Results Females reported significantly higher levels of fear than males concerning; contracting COVID-19 infection from patients (97.3% vs. 93%) (P = 0.028, 95% CI = 95.6(93.2–97.3), anxiety while treating symptomatic patients (95.1% vs. 90.3%) (P = 0.050, 95% CI = 93.1(90.4–95.3), and fear of infecting their families (94.7% vs. 89.8%) (P = 0.049, 95% CI = 92.7(89.9–94.9). More than half of the students (53.7%) had good practice scores, followed by 44% with average practice and 2.2% with poor practice. A good practice score was significantly associated with the age and academic year (P = 0.044, P = 0.044). Significant predictors of a good practice score in the logistic regression analysis were; updating knowledge with current guidelines for cross-infection regarding COVID-19 (P = 0.001, 95% CI = 53.20, 2.733), asking every patient’s travel history before performing treatment (P = 0.021, 95% CI = 21.149, 1.286), deferring patients showing suspicious symptoms (P = 0.042, 95% CI = 20.688, 1.054), following routine universal precautions of infection for every patient (P = 0.016, 95% CI = 36.469, 1.438), using high-volume suction for every patient (P = 0.025, 95% CI = 20.826, 1.226) and using safety glasses or visor (P = 0.036, 95% CI = 21.673, 1.106). Conclusion The dental students exhibited anxiety and fear while caring for patients during the COVID-19 pandemic. Additionally, considerable changes in dental practices based on the standard guidelines were observed among the students. It is strongly advised that all dental schools have student counselors who are accessible for in-person and online counseling sessions. Peer support is a great approach to spot problems with stress and anxiety in pupils and start solving them.
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spelling doaj.art-1cc69b6a08054e51b090a8fec80cc2612023-11-19T12:49:37ZengBMCBMC Health Services Research1472-69632023-11-0123111210.1186/s12913-023-10196-1Toward safe dental service: risk perception and practice modification among Egyptian dental students during the COVID-19 pandemicEman Ali Younis0Abdel Aziz farouk El deep1Safynaz El Saied Shalaby2Sanaa Abd El-Fatah Abdo3Public Health and Community Medicine Department, Faculty of Medicine, Tanta UniversityPublic Health and Community Medicine Department, Faculty of Medicine, Tanta UniversityPublic Health and Community Medicine Department, Faculty of Medicine, Tanta UniversityPublic Health and Community Medicine Department, Faculty of Medicine, Tanta UniversityAbstract Background COVID-19 was declared a major public health crisis and a challenge to healthcare systems especially dental services where dentists working close to patients face a greater risk of infection. This cross-sectional study aimed to assess the risk perception and practice modifications of undergraduate dental students at Tanta University to ensure safe dental practice during the COVID-19 pandemic. Methods A convenience sample of 450 dental students from practical academic years at Tanta University, Egypt responded to a self-administered pre-designed validated and pretested questionnaire from the 11th of February 2022 to the end of April 2022 to assess some sociodemographic data, risk perception, and their practice during the COVID-19 pandemic. Results Females reported significantly higher levels of fear than males concerning; contracting COVID-19 infection from patients (97.3% vs. 93%) (P = 0.028, 95% CI = 95.6(93.2–97.3), anxiety while treating symptomatic patients (95.1% vs. 90.3%) (P = 0.050, 95% CI = 93.1(90.4–95.3), and fear of infecting their families (94.7% vs. 89.8%) (P = 0.049, 95% CI = 92.7(89.9–94.9). More than half of the students (53.7%) had good practice scores, followed by 44% with average practice and 2.2% with poor practice. A good practice score was significantly associated with the age and academic year (P = 0.044, P = 0.044). Significant predictors of a good practice score in the logistic regression analysis were; updating knowledge with current guidelines for cross-infection regarding COVID-19 (P = 0.001, 95% CI = 53.20, 2.733), asking every patient’s travel history before performing treatment (P = 0.021, 95% CI = 21.149, 1.286), deferring patients showing suspicious symptoms (P = 0.042, 95% CI = 20.688, 1.054), following routine universal precautions of infection for every patient (P = 0.016, 95% CI = 36.469, 1.438), using high-volume suction for every patient (P = 0.025, 95% CI = 20.826, 1.226) and using safety glasses or visor (P = 0.036, 95% CI = 21.673, 1.106). Conclusion The dental students exhibited anxiety and fear while caring for patients during the COVID-19 pandemic. Additionally, considerable changes in dental practices based on the standard guidelines were observed among the students. It is strongly advised that all dental schools have student counselors who are accessible for in-person and online counseling sessions. Peer support is a great approach to spot problems with stress and anxiety in pupils and start solving them.https://doi.org/10.1186/s12913-023-10196-1COVID-19PracticeRisk perceptionDental studentsDentistry
spellingShingle Eman Ali Younis
Abdel Aziz farouk El deep
Safynaz El Saied Shalaby
Sanaa Abd El-Fatah Abdo
Toward safe dental service: risk perception and practice modification among Egyptian dental students during the COVID-19 pandemic
BMC Health Services Research
COVID-19
Practice
Risk perception
Dental students
Dentistry
title Toward safe dental service: risk perception and practice modification among Egyptian dental students during the COVID-19 pandemic
title_full Toward safe dental service: risk perception and practice modification among Egyptian dental students during the COVID-19 pandemic
title_fullStr Toward safe dental service: risk perception and practice modification among Egyptian dental students during the COVID-19 pandemic
title_full_unstemmed Toward safe dental service: risk perception and practice modification among Egyptian dental students during the COVID-19 pandemic
title_short Toward safe dental service: risk perception and practice modification among Egyptian dental students during the COVID-19 pandemic
title_sort toward safe dental service risk perception and practice modification among egyptian dental students during the covid 19 pandemic
topic COVID-19
Practice
Risk perception
Dental students
Dentistry
url https://doi.org/10.1186/s12913-023-10196-1
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