{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T22:37:40Z","timestamp":1788302260765,"version":"build-2803163510"},"reference-count":24,"publisher":"Cambridge University Press (CUP)","issue":"9","license":[{"start":{"date-parts":[[2023,3,16]],"date-time":"2023-03-16T00:00:00Z","timestamp":1678924800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Infect. Control Hosp. Epidemiol."],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0899823X23000065_as1\"><jats:title>Objective:<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X23000065_as2\"><jats:title>Design:<\/jats:title><jats:p>The study comprised 2 sets of semistructured qualitative interviews.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X23000065_as3\"><jats:title>Setting:<\/jats:title><jats:p>The study was conducted in 8 dental clinics in a Midwestern metropolitan area.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X23000065_as4\"><jats:title>Participants:<\/jats:title><jats:p>In total, 70 DHCP participated in the first set of interviews; 63 DHCP participated in the second set of interviews.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X23000065_as5\"><jats:title>Methods:<\/jats:title><jats:p>In September\u2013November 2020 and March\u2013October 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.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X23000065_as6\"><jats:title>Results:<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X23000065_as7\"><jats:title>Conclusions:<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec>","DOI":"10.1017\/ice.2023.6","type":"journal-article","created":{"date-parts":[[2023,3,16]],"date-time":"2023-03-16T08:47:58Z","timestamp":1678956478000},"page":"1472-1480","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":8,"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"],"prefix":"10.1017","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8221-260X","authenticated-orcid":false,"given":"Lucy C.","family":"Vogt","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4752-8796","authenticated-orcid":false,"given":"Kimberly A.","family":"Reske","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Park","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tracey","family":"Habrock Bach","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henry B.","family":"Stewart","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivia G.","family":"Arter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Stoeckel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heidi M.","family":"Steinkamp","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4652-2272","authenticated-orcid":false,"given":"Stephen Y.","family":"Liang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4652-7089","authenticated-orcid":false,"given":"Michael J.","family":"Durkin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7824-6276","authenticated-orcid":false,"given":"Jennie H.","family":"Kwon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2023,3,16]]},"reference":[{"key":"S0899823X23000065_ref5","doi-asserted-by":"publisher","DOI":"10.3233\/WOR-205319"},{"key":"S0899823X23000065_ref19","unstructured":"19. Temporary enforcement guidance\u2014healthcare respiratory protection annual fit-testing for N95 filtering facepieces during the COVID-19 outbreak. Occupational Safety and Health Administration website. https:\/\/www.osha.gov\/laws-regs\/standardinterpretations\/2020-03-14. Accessed September 2, 2022."},{"key":"S0899823X23000065_ref4","doi-asserted-by":"publisher","DOI":"10.1186\/s13643-020-01574-5"},{"key":"S0899823X23000065_ref21","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2018.09.015"},{"key":"S0899823X23000065_ref2","unstructured":"2. Personal protective equipment. Occupational Safety & Health Administration website. https:\/\/www.osha.gov\/personal-protective-equipment. Accessed May 28, 2022."},{"key":"S0899823X23000065_ref9","doi-asserted-by":"publisher","DOI":"10.17219\/dmp\/142357"},{"key":"S0899823X23000065_ref3","doi-asserted-by":"publisher","DOI":"10.1038\/s41368-020-0075-9"},{"key":"S0899823X23000065_ref1","doi-asserted-by":"publisher","DOI":"10.1111\/clr.13783"},{"key":"S0899823X23000065_ref6","first-page":"6","article-title":"COVID-19 prevalence and related practices among dental hygienists in the United States","volume":"95","author":"Estrich","year":"2021","journal-title":"J Dent Hyg."},{"key":"S0899823X23000065_ref10","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2021.644515"},{"key":"S0899823X23000065_ref14","unstructured":"14. Using personal protective equipment (PPE). Centers for Disease Control and Prevention website. https:\/\/www.cdc.gov\/coronavirus\/2019-ncov\/hcp\/using-ppe.html. Updated August 19, 2020. Accessed May 28, 2022."},{"key":"S0899823X23000065_ref15","unstructured":"15. Eklund, KJ. If saliva were red: a visual lesson on infection control [videorecording]. Annapolis, MD: Organization for Safety & Asepsis Procedures; 2006."},{"key":"S0899823X23000065_ref18","unstructured":"18. 1910.134 App A\u2014fit testing procedures (mandatory). Occupational Safety and Health Administration website. https:\/\/www.osha.gov\/laws-regs\/regulations\/standardnumber\/1910\/1910.134AppA. Accessed September 2, 2022."},{"key":"S0899823X23000065_ref11","first-page":"17","article-title":"Infection prevention and control practices of dental hygienists in the United States during the COVID-19 pandemic: a longitudinal study","volume":"96","author":"Estrich","year":"2022","journal-title":"J Dent Hyg"},{"key":"S0899823X23000065_ref17","unstructured":"17. Implementing filtering facepiece respirator (FFR) reuse, including reuse after decontamination, when there are known shortages of N95 respirators. Centers for Disease Control and Prevention website. https:\/\/www.cdc.gov\/coronavirus\/2019-ncov\/hcp\/ppe-strategy\/decontamination-reuse-respirators.html. Updated October 19, 2020. Accessed June 1, 2022."},{"key":"S0899823X23000065_ref16","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrc.2020.06.005"},{"key":"S0899823X23000065_ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.adaj.2020.09.005"},{"key":"S0899823X23000065_ref23","doi-asserted-by":"publisher","DOI":"10.1016\/j.nedt.2016.04.010"},{"key":"S0899823X23000065_ref22","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsurg.2011.04.006"},{"key":"S0899823X23000065_ref13","unstructured":"13. Personal protective equipment donning and doffing for dental healthcare personnel. Washington University School of Medicine in St. Louis website. https:\/\/sites.wustl.edu\/kwon\/research-videos\/. Published August 24, 2022. Accessed August 24, 2022."},{"key":"S0899823X23000065_ref24","doi-asserted-by":"publisher","DOI":"10.4300\/JGME-05-01-32"},{"key":"S0899823X23000065_ref7","unstructured":"7. COVID safety and clinical resources. American Dental Association website. https:\/\/www.ada.org\/resources\/coronavirus\/covid-19-safety-and-clinical-resources. Accessed May 29, 2022."},{"key":"S0899823X23000065_ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.adaj.2022.08.004"},{"key":"S0899823X23000065_ref20","doi-asserted-by":"publisher","DOI":"10.1177\/11206721211028037"}],"container-title":["Infection Control &amp; Hospital Epidemiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0899823X23000065","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,4,1]],"date-time":"2024-04-01T07:37:12Z","timestamp":1711957032000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0899823X23000065\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3,16]]},"references-count":24,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2023,9]]}},"alternative-id":["S0899823X23000065"],"URL":"https:\/\/doi.org\/10.1017\/ice.2023.6","relation":{},"ISSN":["0899-823X","1559-6834"],"issn-type":[{"value":"0899-823X","type":"print"},{"value":"1559-6834","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,3,16]]},"assertion":[{"value":"\u00a9 The Author(s), 2023. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}