558 © 2019 Annals of Medical and Health Sciences Research
Original Article Original Article
How to Cite this Article: Al-Qahtani SM, et al. Evaluation of Knowledge,
Attitude and Risk Perception about Human Immunodefciency Virus
Infection among Dental Students in Saudi Arabia. Ann Med Health Sci Res.
2019;9: 558- 563
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Introduction
Human immune defciency virus (HIV) was discovered in 1981
since then an epidemic infection has been spread all over the
world. Globally, about 36.9 million people were living with
HIV at the end of 2017, although the burden of the epidemic
continues to vary considerably between countries and regions.
[1]
In Saudi Arabia, the total number of HIV-positive Saudi
population in early 2010 was 4019 persons, with an annual
incidence rate of 342 cases /year between 2001 and 2009.
[2]
The HIV is the virus that causes AIDS. HIV attacks the CD4
positive (CD4+) T cells, destroying the immune system. The
acquired immunodefciency syndrome (AIDS) is the end stage
of HIV infection. The management is based on monitoring
of disease progression and involves the administration of
antiretroviral therapy (ART). The health care workers are
considered being at high risk for diseases transmitted through
body fuids. Adding to that some infectious diseases have
extended incubation periods or ‘‘window period’’ during which
antibodies can’t be detected.
[3]
It may take 10 to 15 years for
an HIV positive person to develop AIDS.
[4]
According to the
CDC guidelines each patient is considered to be infected with
a blood-borne pathogen irrespective of the known serostatus of
the same.
[5]
Currently, the survival rate of AIDS patients is much higher than
previously, due to the improvement of health care facilities.
[6]
Accordingly, more AIDS patients are expecting to seek dental
treatment, due to the fact that oral manifestations of HIV
infection are an ultimate component of disease progression. Oral
lesions are common (30–80%) in patients infected by the HIV
[7]
The oral lesion can be, oral candidiasis, hairy leukoplakia,
Kaposis sarcoma, linear gingival erythema, necrotizing
ulcerative gingivitis, necrotizing ulcerative periodontitis, and
non-Hodgkin lymphoma, which are tremendously associated
with HIV infection.
[8]
Oral manifestations appeared when CD4
count decreases below 500 cells/mm
[3]
. Moreover, oral lesions
found at different stages showed a very strong correlation to
their respective CD4 count.
[9]
Infection can occur during exposure to the blood of an
infected patient via needle stick or a splash to exposed mucous
Evaluaton of Knowledge, A ttude and Risk Percep ton
about Human Immunodefciency Virus In fecton among
Dental Students in Saudi Arabia
Saad M. Al-Qahtani
1
, Shahabe A. Saquib
1
*, Weam Ibrahim
1
, Ali Othman
2
, Mohammed Assiri
2
,
Hamoud Al-Shari
2
and Ali Al-Qarni
2
1
Department of Periodontics and Community Dental Sciences, College of Dentistry, King Khalid University, Abha, Saudi Arabia;
2
Intern,
College of Dentistry, King Khalid University, Abha, Saudi Arabia
Corresponding author:
Shahabe A. Saquib,
Department of Periodontics and Community
Dental Sciences,
College of Dentistry,
King Khalid University,
Abha, Saudi Arabia,
Tel: 00966583053343;
E-mail: sshahabe@kku.edu.sa;
drsaquib24@gmail.com
Abstract
Introduction: Globally the HIV/AIDS consider being the most serious infection/ disease
in the recent decades. The health care workers are considered as a high risk group for
diseases transmited through body fuids. The present study was conducted to evaluate the
knowledge and atitude of the dental students and inters regarding dental management
of HIV infected patients. Material and methods: A cross-sectional survey was conducted
among 722 (324 males, 398 females) dental students and interns at southern and central
region of Saudi Arabia. The questionnaire comprised of 16 questions consists of three
main domains. Chi-square test was executed to compare the descriptive data by using
SPSS (version 20.0, IBM Corporation, USA) to assess the level of knowledge atitude and
risk perception towards HIV positive patients. Results: The overall response rate was
91.6%. The overall knowledge and atitude of the participants was acknowledged as poor.
The diference in knowledge between the academic levels was signifcant (p-value<0.05).
Female shows more positive atitude and a good level of risk perception as compared
to male participants (p-value<0.00). Gradual shift in risk perception was observed
among the academic levels, and the diference was statistically signifcant (p-value<0.00).
Conclusion: Over all this study showed a lack in the knowledge and atitude of dental
students and interns about HIV infected patients. Extensive courses and training program
should be implemented in the curriculum of dental collage to improve their knowledge
and atitude.
Keywords: AIDS; Dental students; Knowledge; HIV; Risk perception