@article{e2e1e6903c4345b89ddaf58e899b225b,
title = "Personal protective equipment use among dental healthcare personnel during the coronavirus disease 2019 (COVID-19) pandemic and the impact of an educational video in clinical practice",
abstract = "Objective: Dental healthcare personnel (DHCP) are at high risk of exposure to coronavirus disease 2019 (COVID-19). We sought to identify how DHCP changed their use of personal protective equipment (PPE) as a result of the COVID-19 pandemic, and to pilot an educational video designed to improve knowledge of proper PPE use. Design: The study comprised 2 sets of semistructured qualitative interviews. Setting: The study was conducted in 8 dental clinics in a Midwestern metropolitan area. Participants: In total, 70 DHCP participated in the first set of interviews; 63 DHCP participated in the second set of interviews. Methods: In September-November 2020 and March-October 2021, we conducted 2 sets of semistructured interviews: (1) PPE use in the dental community during COVID-19, and (2) feedback on the utility of an educational donning and doffing video. Results: Overall, 86% of DHCP reported having prior training. DHCP increased the use of PPE during COVID-19, specifically N95 respirators and face shields. DHCP reported real-world challenges to applying infection control methods, often resulting in PPE modification and reuse. DHCP reported double masking and sterilization methods to extend N95 respirator use. Additional challenges to PPE included shortages, comfort or discomfort, and compatibility with specialty dental equipment. DHCP found the educational video helpful and relevant to clinical practice. Fewer than half of DHCP reported exposure to a similar video. Conclusions: DHCP experienced significant challenges related to PPE access and routine use in dental clinics during the COVID-19 pandemic. An educational video improved awareness and uptake of appropriate PPE use among DHCP.",
author = "Vogt, {Lucy C.} and Reske, {Kimberly A.} and Daniel Park and {Habrock Bach}, Tracey and Stewart, {Henry B.} and Arter, {Olivia G.} and Daniel Stoeckel and Steinkamp, {Heidi M.} and Liang, {Stephen Y.} and Durkin, {Michael J.} and Kwon, {Jennie H.}",
note = "Funding Information: This study was supported by the National Institute of Dental and Craniofacial Research (NIDCR grant nos. X01 DE 031119, X01 DE030403, and X01 DE 030402). These grants were subawards of National Dental Practice-Based Research Network (grant nos. U19-DE-028717 and U01-DE-028727). This funding source did not have a role in the design of this study and did not have a role during its execution, analyses, interpretation of the data, or decision to submit results. REDCap at WUSM is supported by the Clinical and Translational Science Award (grant no. UL1 TR000448) and the Siteman Comprehensive Cancer Center and NCI Cancer Center (grant no. P30 CA091842). J.H.K. is supported by the National Institute 320 of Allergy and Infectious Diseases (grant no. 1K23AI137321-01A1). M.J.D. is supported by the National Institutes of Dental and Craniofacial Research (grant no. K23DE029514). S.Y.L. is supported by The Foundation for Barnes-Jewish Hospital and the Washington University Institute of Clinical and Translational Sciences which is, in part, supported by the NIH/National Center for Advancing Translational Sciences (NCATS, CTSA grant no. UL1TR002345). Funding Information: This study was supported by the National Institute of Dental and Craniofacial Research (NIDCR grant nos. X01 DE 031119, X01 DE030403, and X01 DE 030402). These grants were subawards of National Dental Practice-Based Research Network (grant nos. U19-DE-028717 and U01-DE-028727). This funding source did not have a role in the design of this study and did not have a role during its execution, analyses, interpretation of the data, or decision to submit results. REDCap at WUSM is supported by the Clinical and Translational Science Award (grant no. UL1 TR000448) and the Siteman Comprehensive Cancer Center and NCI Cancer Center (grant no. P30 CA091842). J.H.K. is supported by the National Institute 320 of Allergy and Infectious Diseases (grant no. 1K23AI137321-01A1). M.J.D. is supported by the National Institutes of Dental and Craniofacial Research (grant no. K23DE029514). S.Y.L. is supported by The Foundation for Barnes-Jewish Hospital and the Washington University Institute of Clinical and Translational Sciences which is, in part, supported by the NIH/National Center for Advancing Translational Sciences (NCATS, CTSA grant no. UL1TR002345) Publisher Copyright: {\textcopyright} The Author(s), 2023. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America.",
year = "2023",
month = mar,
day = "16",
doi = "10.1017/ice.2023.6",
language = "English",
volume = "32",
journal = "Infection Control and Hospital Epidemiology",
issn = "0899-823X",
}