Knowledge and practices of dentists regarding MERS-CoV. A cross-sectional survey in Saudi Arabia
Objectives: To assess virus knowledge among dentists in Saudi Arabia and to identify factors associated with recommended management practices of patients.
Method: A structured questionnaire was distributed to dentists in major Saudi cities between September 2016 and December 2017. The questionnaire investigated participants’ knowledge about Middle East Respiratory Syndrome Coronavirus (MERS-CoV) transmission, consequences, patient identification and history taking practices. Data was collected using paper-based questionnaires or an online link sent to dentists registered with Saudi Dental Society nationwide. The analysis was carried using Statistical Package for Social Sciences for Windows, version 22.0 (IBM Corp., Armonk, NY, USA) logistic regression, odds ratio and confidence intervals to identify the relationship between variables.
Results: A total of 423 dentists responded the paper-based questionnaire. Overall the knowledge was good with gaps in history taking practices. Best management practices of MERS-CoV patients were significantly higher among dentists with better knowledge of virus transmission (odd ration [OR]=1.16, p less than 0.0001), patients’ identification (OR=1.40, p less than 0.0001) and those knowing that corona infection can be fatal (OR= 2.44, p=0.02).
Conclusion: Best management practices depends on correct patient identification. Educational campaigns should target dentists, given the unique nature of dental practice.
Saudi Med J 2019; Vol. 40 (7): 714-720
How to cite this article:
Gaffar BO, El Tantawi M, al-Ansari AA, AlAgl AS, Faroowi FA, Almas KM. Knowledge and practices of dentists regarding MERS-CoV: A cross-sectional survey in Saudi Arabia. Saudi Med J 2019; 40 (7): 714-720. doi: 10.15537/smj.2019.7.24304.
van Boheemen S, de Graaf M, Lauber C, Bestebroer TM, Raj VS, Zaki AM, et al. Genomic characterization of a newly discovered coronavirus associated with acute respiratory distress syndrome in humans. MBio 2012; 3: e00473-e00412.
Aleanizy FS, Mohmed N, Alqahtani FY, Mohamed RA. Outbreak of Middle East respiratory syndrome coronavirus in Saudi Arabia: a retrospective study. BMC Infect Dis 2017; 17: 23.
Alsolamy S. Middle East respiratory syndrome: knowledge to date. Crit Care Med 2015; 43: 1283-1290.
Mohd HA, Al-Tawfiq JA, Memish ZA. Middle East respiratory syndrome coronavirus (MERS-CoV) origin and animal reservoir. Virol J 2016; 13: 87.
Oboho IK, Tomczyk SM, Al-Asmari AM, Banjar AA, Al-Mugti H, Aloraini MS, et al. 2014 MERS-CoV outbreak in Jeddah-a link to health care facilities. N Engl J Med 2015; 372: 846-854.
Liu S, Chan TC, Chu YT, Wu JT, Geng X, Zhao N, et al. Comparative epidemiology of human infections with Middle East respiratory syndrome and severe acute respiratory syndrome coronaviruses among healthcare personnel. PLoS One 2016; 11: e0149988.
Kasem S, Qasim I, Al-Doweriej A, Hashim O, Alkarar A, Abu-Obeida A, Saleh M, et al. The prevalence of Middle East respiratory Syndrome coronavirus (MERS-CoV) infection in livestock and temporal relation to locations and seasons. J Infect Public Health 2018; 11: 884-888.
World Health Organization. Middle East respiratory syndrome coronavirus (MERS-CoV): summary of current situation, literature update and risk assessment-as of 5 February 2015. [Updated 2015, February 2019]. Available from: http://apps.who.int/iris/bitstream/handle/10665/179184/WHO_MERS_RA_15.1_eng.pdf?sequence=2
Monaghan NP. Emerging infections-implications for dental care. Br Dent J 2016; 221: 13-15.
Saeed AA, Abedi GR, Alzahrani AG, Salameh I, Abdirizak F, Alhakeem R, et al. Surveillance and Testing for Middle East Respiratory Syndrome Coronavirus, Saudi Arabia, April 20150-February 2016. Emerg Infect Dis 2017; 23: 682-685.
Baseer MA, Ansari SH, AlShamrani SS, Alakras AR, Mahrous R, Alenazi AM. Awareness of droplet and airborne isolation precautions among dental health professionals during the outbreak of corona virus infection in Riyadh city, Saudi Arabia. J Clin Exp Dent 2016; 8: 379-387.
Kharma, MY, Alalwani MS, Amer MF, Tarakji, B, Aws G. Assessment of the awareness level of dental students toward middle east respiratory syndrome-coronavirus. J Int Soc Prev Community Dent 2015; 5: 163-169.
Alqahtani AS. Knowledge and attitude toward Middle East respiratory syndrome coronavirus among heath colleges’ students in Najran, Saudi Arabia. Int J Community Med Public Health 2017; 4: 2641-2647.
Nour MO, Babilghith AO, Natto HA, Al-Amin FO, Alawneh SM. Knowledge, attitude and practices of healthcare providers towards MERS-CoV infection at Makkah hospitals, KSA. Int Res J Med Med Sci 2015; 3: 103.
Abolfotouh MA, AlQarni AA, Al-Ghamdi SM, Salam M, Al-Assiri MH, Balkhy HH. An assessment of the level of concern among hospital-based health-care workers regarding MERS outbreaks in Saudi Arabia. BMC Infect Dis2017; 17: 4.
Almutairi MA. Awareness About Middle East Respiratory Syndrome-Corona Virus (Mers-Cov) Among Dental Students in Riyadh, Saudi Arabia. PODJ 2016; 36: 426-429.
Zemouri C, de Soet H, Crielaard W, Laheij A. A scoping review on bio-aerosols in healthcare and the dental environment. PloS one 2017; 12: e0178007.
Zingg W, Holmes A, Dettenkofer M, Goetting T, Secci F, Clack L, et al. Hospital organisation, management, and structure for prevention of health-care-associated infection: a systematic review and expert consensus. Lancet Infect Dis 2015; 15: 212-224.
Alagaili AN, Briese T, Mishra N, Kapoor V, Sameroff SC, de Wit E, et al. Middle East respiratory syndrome coronavirus infection in dromedary camels in Saudi Arabia. MBio 2014; 5: e00884-14.
Memish ZA, Cotten M, Meyer B, Watson SJ, Alsahafi AJ, Al Rabeeah AA, et al. Human infection with MERS coronavirus after exposure to infected camels, Saudi Arabia, 2013. Emerg Infect Dis 2014; 20: 1012-1015.
Hemida MG, Alnaeem A, Chu DK, Perera RA, Chan SM, Almathen F, et al. Longitudinal study of Middle East Respiratory Syndrome coronavirus infection in dromedary camel herds in Saudi Arabia, 2014-2015. Emerg Microbes Infect 2017; 6: e56.
Anthony SJ, Gilardi K, Menachery VD, Goldstein T, Ssebide B, Mbabazi R, et al. Further evidence for bats as the evolutionary source of Middle East respiratory syndrome coronavirus. MBio 2017; 8: e00373-17.
Woo PC, Lau SK, Chen Y, Wong EY, Chan KH, Chen H, et al. Rapid detection of MERS coronavirus-like viruses in bats: potential for tracking MERS coronavirus transmission and animal origin. Emerg Microbes Infect 2018; 7: 18.
Mirza MB, Bhagat TV, Inderjit MG, Aljeaidi ZA. Middle East respiratory syndrome and precautions to be taken by dental surgeons. J Health Spec 2016; 4: 105-109.
Offner D, Munch LA, Musset AM. Dental Students and Patients with a Communicable Infectious Disease: Any Alteration in the Relationship? Divers Equal Health Care 2017; 14: 249-253.
- There are currently no refbacks.
Saudi Medical Journal is copyright under the Berne Convention and the International Copyright Convention. Saudi Medical Journal is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3175. Print ISSN 0379-5284.