交互感染是影響牙科團隊與病人健康的重要危險因子,在防範牙科交互感染中,醫護人員居重要關鍵,第一線的牙科助理,更扮演重要角色,台灣牙科感染控制雖逾十年歷史,但牙科助理人員對於執行感染控制SOP仍不足。回顧文獻,影響牙科助理實行感染控制因素主要有:1.經濟因素2.時間因素3.缺乏足夠教育訓練與工作經驗4.執照有無5.對疾病認知。對牙科助理來說,正規教育訓練與專業執照是必須的,如此可以掌握感染控制完整知識,消除因缺乏經驗所導致的工作壓力;另外,牙醫師必須給牙科助理安排詳細工作時間表,讓助理避免過重工作負擔,有足夠時間執行感染控制。如此可使牙科助理能正確執行感染控制的步驟,避免交互感染,保護病人、醫師與自己本身的安全。
An important risk to health in dental practice is cross-infection, affecting both the dental team and patients. The dental assistants has been identified as the member of dental team who undertakes most practical measures to prevent cross-infection. The role of dental assistant is central to infection control. However, the rate of compliance to those guidelines within this particular group is inadequate, even though the development of infection control in Taiwan has been over ten years. From the literature review, the factor affecting the role of dental assistants in cross-infection control in dental practice includes economy, time, formal training, work experience, certification, and knowledge toward infection disease. Formal training, education, and certification are equally essential for dental assistants, to ensure a sound knowledge and understanding of all aspects of infection control, and to allay the stress due to lack of experience. And dentists need to arrange work schedules carefully so as to avoid overburdening dental assistants, to supervise their cross-infection control. In conclusion, for purpose of prevention of cross infection and keeping the safety of dental patients and health dental workers during dental practice, adequate and correct compliance on infection control need to be essential.