Assessment of Knowledge in Adherence to Infection Control During Radiographic Procedures Among Dental Students and Dental Practitioners

Authors

  • Prasanth Rajesh Vinayaka Mission’s Sankarachariyar Dental College,Vinayaka Mission’s Research Foundation (Deemed to be University), Salem, Tamil Nadu, India. Author https://orcid.org/0009-0001-4687-6759
  • Sabitha Gokulraj Associate Professor, Department of Oral Medicine and Radiology,Vinayaka Mission’s Sankarachariyar Dental College, Vinayaka Mission’s Research Foundation (Deemed to be University), Salem, Tamil Nadu, India. Author https://orcid.org/0000-0001-5839-1233
  • Kumar Appusamy Assistant Professor, Department of Oral Medicine and Radiology, Vinayaka Mission’s Sankarachariyar Dental College, Vinayaka Mission’s Research Foundation (Deemed to be University), Salem, Tamil Nadu, India. Author https://orcid.org/0000-0003-1977-9125
  • Venkataraman Subhalakshmi Research Associate, Central Research Laboratory, Vinayaka Mission’s Sankarachariyar Dental College, Vinayaka Mission’s Research Foundation (Deemed to be University), Salem, Tamil Nadu, India. Author https://orcid.org/0009-0001-4264-1063

DOI:

https://doi.org/10.15517/eg35ef88

Keywords:

Infection control; Oral radiology; Dental students; Dentists; Hand hygiene; Personal protective equipment; Sterilization.

Abstract

Infection control in oral radiology is essential for preventing cross-contamination, but compliance differs among dental professionals. This study assessed knowledge and adherence to infection-control measures during radiographic procedures among dental students and practitioners. A cross-sectional questionnaire survey was conducted among 392 participants (students and practitioners). The validated tool covered domains of hand hygiene, personal protective equipment (PPE), protective over gloves, sterilization, and use of plastic barriers. Descriptive statistics summarized practices. Pearsons χ2 tested between-group differences, and binary logistic regression was performed to identify predictors of adherence. Statistical significance was set at p<0.05. Only 39.0% of participants demonstrated adequate adherence (≥70% of practices followed). Adequacy was slightly higher among students (39.8%) than among practitioners (36.6%). Logistic regression showed that students had significantly higher odds of PPE use (OR 1.72, 95% CI 1.40-2.11), sterilization of devices (OR 1.61, 95% CI 1.32-1.98), and plastic barrier use (OR 1.65, 95% CI 1.34-2.02). No significant differences were found between hand hygiene and over-glove use. Both students and practitioners demonstrated only moderate adherence to infection-control practices in radiology, with notable gaps in pre-glove hand hygiene and protective over-glove use. To strengthen consistent infection-control measures, targeted training for practitioners and curriculum reinforcement for students are recommended.

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References

Deo P.N., Deshmukh R. Oral microbiome: Unveiling the fundamentals. J Oral Maxillofac Pathol. 2019; 23 (1): 122-8.

Ruan X., Luo J., Zhang P., Howell K. The salivary microbiome shows a high prevalence of core bacterial members yet variability across human populations. NPJ Biofilms Microbiomes. 2022; 8 (1): 85.

Forder A.A. A brief history of infection control-past and present. S Afr Med J. 2007; 97 (11): 1161-4.

Santos R.C., Araújo L.S., Junqueira R.B., Costa E.D., Pigatti F.M., Kamburoğlu K., et al. Assessment of infection control in oral radiology during the COVID-19 outbreak: An international collaborative study. Imaging Sci Dent. 2023; 53 (4): 365-73.

Gumru B., Tarcin B., Idman E. Cross-contamination and infection control in intraoral digital imaging: A comprehensive review. Oral Radiol. 2021; 37 (2): 180-8.

Centers for Disease Control and Prevention (CDC). Guidelines for infection control in dental health-care settings. Atlanta: CDC; 2024.

American Dental Association (ADA). Infection control recommendations for dental radiography. Chicago: ADA; 2023.

World Health Organization (WHO). Hand hygiene and infection prevention in clinical settings. Geneva: WHO; 2022.

da Costa E.D., da Costa A.D., Lima CAS, Possobon RF, Ambrosano GMB. The assessment of adherence to infection control in oral radiology using a newly developed and validated questionnaire (QICOR). Dentomaxillofac Radiol. 2018; 47 (7): 20170437.

Cheng HC, Peng BY, Lin ML, Chen SL. Hand hygiene compliance and accuracy in a university dental teaching hospital. J Int Med Res. 2019; 47 (3): 1195-201.

Vega O.G., Janus C., Laskin D.M. Hand-washing knowledge and practices among dentists and dental specialists. Quintessence Int. 2012; 43 (5): 429-34.

Vogt L.C., Reske K.A., Park D., Bach T.H., Stewart H.B., Arter O., et al. Personal protective equipment use among dental healthcare personnel during the COVID-19 pandemic and the impact of an educational video in clinical practice. Infect Control Hosp Epidemiol. 2023; 44 (9): 1472-80.

Casanova L.M., Teal L.J., Sickbert-Bennett E.E., Anderson D.J., Sexton D.J., Rutala W.A., et al. CDC Prevention Epicenters Program. Assessment of self-contamination during removal of personal protective equipment for Ebola patient care. Infect Control Hosp Epidemiol. 2016;37(10):1156-61.

Nikkerdar N., Akya A., Khavid A., Karimi A., Emadi S. Effectiveness of two types of photostimulable phosphor plate plastic barrier envelopes for prevention of microbiological contamination. Pesqui Bras Odontopediatria Clín Integr. 2020; 20: e5378.

MacDonald D.S., Waterfield J.D. Infection control in digital intraoral radiography: Evaluation of microbiological contamination of photostimulable phosphor plates in barrier envelopes. J Can Dent Assoc. 2011; 77: b93.

Das A., Garg R., Kumar E.S., Singh D., Ojha B., Kharchandy H.L., et al. Implementation of infection prevention and control practices in an upcoming COVID-19 hospital in India: An opportunity not missed. PLoS One. 2022; 17 (5): e0268071.

Nyirenda D., ten Ham-Baloyi W., Williams R., Venter D. Knowledge and practices of radiographers regarding infection control in radiology departments in Malawi. Radiography. 2018; 24 (3): e56-60.

Fernandes L.M., Zapata R.O., Rubira-Bullen I.R., Capelozza A.L. Microbiologic cross-contamination and infection control in intraoral conventional and digital radiology. RGO Rev Gaúcha Odontol. 2013; 61 (4): 609-14.

da Costa E.D., Pinelli C., da Silva Tagliaferro E.P., Corrente J.E., Ambrosano G.M.B. Development and validation of a questionnaire to evaluate infection control in oral radiology. Dentomaxillofac Radiol. 2017; 46 (4): 20160338.

Published

2026-01-14