Willingness of Dentists in the United Arab Emirates to Perform Restorative and Surgical Treatments for Patients Infected with Hepatitis C

Overview

Journal Arch Public Health

Publisher Biomed Central

Date 2021 Dec 22

PMID 34933688

Authors

Suhail H Al-Amad

Affiliations

Soon will be listed here.

Abstract

Background: Dentists' refusal to treat patients infected with hepatitis C (HCV) continues to raise ethical concerns, particularly in countries where HCV is prevalent. The aim of this cross-sectional study was to assess dentists' willingness to treat patients infected with HCV and the socio-demographic variables that influence their decision.

Methods: An online questionnaire was disseminated to dentists practicing in the United Arab Emirates (UAE) and enquired about their willingness to perform two dental treatments: restorative and surgical, to patients infected with HCV, while hypothetically being equipped with optimal personal protective equipment. Binary logistic regression test was used to assess socio-demographic factors that predict dentists' unwillingness decision.

Results: Two-hundred and forty-five dentists participated in this survey. Among those, 25.6 and 19.3% were unwilling to perform dental extractions and aerosol-generating restorative dental treatments for patients infected with HCV, respectively. Dentists' clinical experience was a significant predictor of their unwillingness decision, with those of shorter clinical experience expressing greater reluctance than their counterparts (OR:1.61; 95% CI: 1.02-2.54; p = 0.042).

Conclusion: Patients infected with HCV who need dental care could face rejection by early career dentists, particularly if that treatment is a surgical one. Fresh dental graduates should be made aware of their ethical and legal responsibilities towards patients with infectious diseases, particularly HCV.

References

Cady R . Refusal to care. JONAS Healthc Law Ethics Regul. 2008; 10(2):42-5. DOI: 10.1097/01.NHL.0000300778.19616.ab. View

Hermida M, Ferreiro M, Barral S, Laredo R, Castro A, Diz Dios P . Detection of HCV RNA in saliva of patients with hepatitis C virus infection by using a highly sensitive test. J Virol Methods. 2002; 101(1-2):29-35. DOI: 10.1016/s0166-0934(01)00417-7. View

Ozer B, Seydaoglu G, Ozsahin A, Demirhindi H . Risk factors for higher anti-HCV positivity in a border city in southern Turkey with unique population characteristics. Turk J Gastroenterol. 2012; 23(5):574-9. DOI: 10.4318/tjg.2012.0554. View

Dhanya R, Hegde V, Anila S, Sam G, Khajuria R, Singh R . Knowledge, Attitude, and Practice towards HIV Patients among Dentists. J Int Soc Prev Community Dent. 2017; 7(2):148-153. PMC: 5390581. DOI: 10.4103/jispcd.JISPCD_57_17. View

Arheiam A, El Tantawi M, Al-Ansari A, Ingafou M, El Howati A, Gaballah K . Arab dentists' refusal to treat HIV positive patients: a survey of recently graduated dentists from three Arab dental schools. Acta Odontol Scand. 2017; 75(5):355-360. DOI: 10.1080/00016357.2017.1316867. View

Al-Amad S . Prevalence of hepatitis B, C, and HIV among patients attending a teaching dental hospital. A 7-year retrospective study from the United Arab Emirates. Saudi Med J. 2018; 39(5):500-505. PMC: 6118177. DOI: 10.15537/smj.2018.5.22116. View

Nuttall C . Conscientious objection: justified or just refusal to care?. J Perioper Pract. 2007; 17(5):210-2, 214-5. DOI: 10.1177/175045890701700503. View

Kateeb E, Amer R, Bajali M . Factors related to the willingness of Palestinian dentists to treat patients with blood-borne diseases. Int Dent J. 2014; 65(2):103-9. PMC: 9376542. DOI: 10.1111/idj.12138. View

El-Maaytah M, Jerjes W, Upile T, Patel B, Abu Hammad O, Odeh N . Willingness of Jordanian clinicians to treat a hepatitis B-infected patient. Quintessence Int. 2008; 39(4):e147-51. View

10.

Petruzziello A, Marigliano S, Loquercio G, Cozzolino A, Cacciapuoti C . Global epidemiology of hepatitis C virus infection: An up-date of the distribution and circulation of hepatitis C virus genotypes. World J Gastroenterol. 2016; 22(34):7824-40. PMC: 5016383. DOI: 10.3748/wjg.v22.i34.7824. View

11.

Mohd Hanafiah K, Groeger J, Flaxman A, Wiersma S . Global epidemiology of hepatitis C virus infection: new estimates of age-specific antibody to HCV seroprevalence. Hepatology. 2012; 57(4):1333-42. DOI: 10.1002/hep.26141. View

12.

DCruz L . PPE or not PPE - that is the question. Br Dent J. 2020; 228(10):753-754. PMC: 7243221. DOI: 10.1038/s41415-020-1639-y. View

13.

Carrozzo M, Quadri R, Latorre P, Pentenero M, Paganin S, Bertolusso G . Molecular evidence that the hepatitis C virus replicates in the oral mucosa. J Hepatol. 2002; 37(3):364-9. DOI: 10.1016/s0168-8278(02)00183-6. View

14.

Souza N, Villar L, Moimaz S, Garbin A, Garbin C . Knowledge, attitude and behaviour regarding hepatitis C virus infection amongst Brazilian dental students. Eur J Dent Educ. 2016; 21(4):e76-e82. DOI: 10.1111/eje.12224. View

15.

Lee C, Fan Y, Starr J, Dogon I . Dentists' and dental students' attitudes, knowledge, preparedness, and willingness related to treatment of people living with HIV/AIDS in China. J Public Health Dent. 2016; 77(1):30-38. DOI: 10.1111/jphd.12168. View

16.

McCarthy G, Koval J, MacDonald J . Factors associated with refusal to treat HIV-infected patients: the results of a national survey of dentists in Canada. Am J Public Health. 1999; 89(4):541-5. PMC: 1508900. DOI: 10.2105/ajph.89.4.541. View

17.

Aldhaleei W, Bhagavathula A . HIV/AIDS-knowledge and attitudes in the Arabian Peninsula: A systematic review and meta-analysis. J Infect Public Health. 2020; 13(7):939-948. DOI: 10.1016/j.jiph.2020.04.002. View

18.

Brailo V, Pelivan I, Skaricic J, Vuletic M, Dulcic N, Cerjan-Letica G . Treating patients with HIV and Hepatitis B and C infections: Croatian dental students' knowledge, attitudes, and risk perceptions. J Dent Educ. 2011; 75(8):1115-26. View

19.

Wada K, Smith D, Ishimaru T . Reluctance to care for patients with HIV or hepatitis B / C in Japan. BMC Pregnancy Childbirth. 2016; 16:31. PMC: 4744415. DOI: 10.1186/s12884-016-0822-2. View

20.

Mohamoud Y, Riome S, Abu-Raddad L . Epidemiology of hepatitis C virus in the Arabian Gulf countries: Systematic review and meta-analysis of prevalence. Int J Infect Dis. 2016; 46:116-25. DOI: 10.1016/j.ijid.2016.03.012. View