Sains Malaysiana 50(5)(2021): 1485-1496

http://doi.org/10.17576/jsm-2021-5005-27

Malaysian Dentists’ Self-Reported Experience towards Continuing Clinical Activity during the COVID-19 Pandemic

(Pegawai Pergigian di Malaysia Melaporkan Pengalaman Sendiri Meneruskan Aktiviti Klinikal semasa Pandemik COVID-19)

SHANI ANN MANI¹*, NOR AZLIDA MOHD NOR², JACOB JOHN³ & SABRI MUSA¹

¹Department of Paediatric Dentistry and Orthodontics, Faculty of Dentistry, University of Malaya, 50603 Kuala Lumpur, Federal Territory, Malaysia

²Department of Community Oral Health & Clinical Prevention, Faculty of Dentistry, University of Malaya, 50603 Kuala Lumpur, Federal Territory, Malaysia

³Department of Restorative Dentistry, Faculty of Dentistry, University of Malaya, 50603 Kuala Lumpur, Federal Territory, Malaysia

Diserahkan: 29 Januari 2021/Diterima: 15 April 2021

ABSTRACT

This study assessed the self-reported symptoms/signs and precautionary measures towards continuing clinical practice during the second wave of the COVID-19 pandemic among Malaysian dentists. An online questionnaire was administered using Google Form distributed via social networks, email lists and social media pages to Malaysian dentists in both private and government sectors. Respondents were required to report their clinical activity during the three phases of the various Movement Control Order (MCO) imposed by the Malaysian government: namely the MCO, Conditional-MCO and the Recovery-MCO. Data was analysed with SPSS using descriptive and Chi-square tests. A total of 1548 dentists completed the survey. Five dentists reported being tested positive for COVID-19 test while 48 had one/more symptoms related to the disease. The majority perceived a real risk of COVID-19 transmission to dentists and more than 80% limited their clinical services to emergency/selective care during the MCO and C-MCO. About 17% of the dentists suspended face-to-face clinical activities during the MCO period but this figure dropped to 3.4% during the R-MCO. Clinical activities were limited mainly due to closure of workplaces (88.6%). Precautionary measures adopted at dental clinics included recording body temperature (54.2%), physical distancing in waiting rooms (84.6%) and hand washing prior to and after dental procedures (77.5%). The findings demonstrate that most dentists limited their clinical services during the MCO and resumed work once restrictions were lifted during the C-MCO and R-MCO. Many reported adopting appropriate precautionary measures to mitigate the spread of COVID-19. 

Keywords: Clinical practice; COVID-19; dentists; pandemic; MCO

ABSTRAK

Kajian ini bertujuan untuk menilai gejala/tanda COVID-19 dan langkah pencegahan terhadap kesinambungan amalan klinikal semasa gelombang kedua penularan wabak COVID-19 di kalangan pegawai pergigian di Malaysia. Soal selidik ini diberikan secara dalam talian menggunakan borang Google yang diedarkan melalui rangkaian sosial, e-mel dan media sosial kepada pegawai pergigian di Malaysia yang berkhidmat di sektor awam dan swasta. Responden diminta melaporkan aktiviti klinikal mereka selama tiga fasa Perintah Kawalan Pergerakan (PKP) yang dilaksanakan oleh kerajaan Malaysia, iaitu PKP, PKP-Bersyarat (PKPB) dan PKP-Pemulihan (PKPP). Data dianalisa dengan SPSS menggunakan ujian deskriptif dan khi kuasa dua. Seramai 1,548 pegawai pergigian menjawab kaji selidik ini. Seramai 5 orang pegawai pergigian dilaporkan sebagai positif COVID-19 dan 48 orang didapati mempunyai satu/lebih gejala yang berkaitan dengan COVID-19. Kebanyakan daripada  mereka merasakan penularan COVID-19 berisiko kepada pegawai pergigian dan lebih daripada 80% telah mengehadkan perkhidmatan klinikal kepada rawatan kecemasan/selektif semasa PKP dan PKPB. Sekitar 17% pegawai pergigian menangguhkan aktiviti klinikal secara bersemuka dalam tempoh PKP dan peratusan tersebut menurun kepada 3.4% semasa PKPP. Faktor utama kegiatan klinikal yang terhad adalah kerana penutupan tempat kerja (88.6%). Langkah pencegahan yang dilakukan di klinik pergigian termasuk mencatat suhu badan (54.2%), penjarakan fizikal di ruang menunggu (84.6%) dan mencuci tangan sebelum dan selepas prosedur pergigian (77.5%). Hasil kajian menunjukkan bahawa kebanyakan pegawai pergigian mengehadkan perkhidmatan klinikal mereka semasa PKP dan menyambung semula aktiviti klinikal setelah kelonggaran diberikan semasa tempoh PKPB dan PKPP. Kebanyakan responden melaporkan mengamalkan langkah pencegahan untuk mengekang penularan COVID-19.

Kata kunci: Amalan klinikal; COVID-19; pandemik; pegawai pergigian; PKP

RUJUKAN

Ahmed, M.A., Jouhar, R., Ahmed, N., Adnan, S., Aftab, M., Zafar, M.S. & Khurshid, Z. 2020. Fear and practice modifications among dentists to combat novel coronavirus disease (COVID-19) outbreak. Int. J. Environ. Res. Public Health 17(8): 2821.

Apuke, O.D. & Omar, B. 2020. Modelling the antecedent factors that affect online fake news sharing on COVID-19: The moderating role of fake news knowledge. Health Educ. Res. 35(5): 490-503.

Arifin, W.N. 2013. Introduction to sample size calculation. Education in Medicine Journal 5(2): e89-e96.

Aziz, N.A., Othman, J., Lugova, H. & Suleiman, A. 2020. Malaysia's approach in handling COVID-19 onslaught: Report on the Movement Control Order (MCO) and targeted screening to reduce community infection rate and impact on public health and economy. J. Infect. Public Health 13(12): 1823-1829.

Cagetti, M.G., Cairoli, J.L., Senna, A. & Campus, G. 2020. COVID-19 outbreak in North Italy: An overview on dentistry. A questionnaire survey. Int. J. Environ. Res. Public Health 17(11): 3835.

Campus, G., Diaz-Betancourt, M., Cagetti, M.G., Carvalho, J.C., Carvalho, T.S., Cortés-Martinicorena, J.F., Deschner, J., Douglas, G.V.A., Giacaman, R., Machiulskiene, V., Manton, D.J., Raggio, D.P., Ramos-Gomez, F., Sava-Rosianu, R., Morozova, N.S., Spagnuolo, G., Vukovic, A., Wolf, T.G. & On Behalf of the, C.C.G. 2020. Study protocol for an online questionnaire survey on symptoms/signs, protective measures, level of awareness and perception regarding COVID-19 outbreak among dentists. A global survey. Int. J. Environ. Res. Public Health 17(15): 5598.

Chowdhury, M.T.H., Apu, E.H., Nath, S.K., Noor, A.E., Podder, C.P., Mahmud, I. & Kabir, R. 2020. Exploring the knowledge, awareness and practices of COVID-19 among dentists in Bangladesh: A cross-sectional investigation. https://www.researchsquare.com/article/rs-56753/v1.

Consolo, U., Bellini, P., Bencivenni, D., Iani, C. & Checchi, V. 2020. Epidemiological aspects and psychological reactions to COVID-19 of dental practitioners in the Northern Italy districts of Modena and Reggio Emilia. Int. J. Environ. Res. Public Health 17(10): 3459.

Duruk, G., Gumusboga, Z.S. & Colak, C. 2020. Investigation of Turkish dentists' clinical attitudes and behaviors towards the COVID-19 pandemic: A survey study. Braz. Oral Res. 34: e054.

Ebert, J.F., Huibers, L., Christensen, B. & Christensen, M.B. 2018. Paper- or web-based questionnaire invitations as a method for data collection: Cross-sectional comparative study of differences in response rate, completeness of data, and financial cost. J. Med. Internet Res. 20(1): e24.

Elengoe, A. 2020. COVID-19 outbreak in Malaysia. Osong Public Health Res. Perspect 11(3): 93-100.

Fallahi, H.R., Keyhan, S.O., Zandian, D., Kim, S.G. & Cheshmi, B. 2020. Being a front-line dentist during the Covid-19 pandemic: A literature review. Maxillofac. Plast. Reconstr. Surg. 42(1): 12.

Froum, S.H. & Froum, S.J. 2020. Incidence of COVID-19 virus transmission in three dental offices: A 6-month retrospective study. Int. J. Periodontics Restorative Dent. 40(6): 853-859.

Jamal, M., Shah, M., Almarzooqi, S.H., Aber, H., Khawaja, S., El Abed, R., Alkhatib, Z. & Samaranayake, L.P. 2020. Overview of transnational recommendations for COVID-19 transmission control in dental care settings. Oral Dis. 27(S3): 655-664.                          

Joint Statement by ILO, FAO, IFAD and WHO. 2020. Impact of COVID-19 on people's livelihoods, their health and our food systems. https://www.who.int/news/item/13-10-2020-impact-of-covid-19-on-people's-livelihoods-their-health-and-our-food-systems.

Khader, Y., Al Nsour, M., Al-Batayneh, O.B., Saadeh, R., Bashier, H., Alfaqih, M., Al-Azzam, S. & AlShurman, B.A. 2020. Dentists' awareness, perception, and attitude regarding COVID-19 and infection control: Cross-sectional study among Jordanian dentists. JMIR Public Health Surveill 6(2): e18798.

Kinariwala, N., Samaranayake, L.P., Perera, I. & Patel, Z. 2020. Concerns and fears of Indian dentists on professional practice during the coronavirus disease 2019 (COVID-19) pandemic. Oral Dis. 27(S3): 730-732.

Koh, B.Y.E., Pang, T.P.N., Shoesmith, W.D., James, S., Nor Hadi, N.M. & Loo, J.L. 2020. The behaviour changes in response to COVID-19 pandemic within Malaysia. Malays J. Med. Sci. 27(2): 45-50.

Lu, M. 2020. The front line: Visualizing the occupation with the highest COVID-19 risk. https://www.visualcapitalist.com/the-front-line-visualizing-the-occupations-with-the-highest-covid-19-risk/. Accessed on 18th January 2021.

Malaysian Communications and Multimedia Commission (Producer). (2020). Internet Users survey 2020: Infographic. https://www.mcmc.gov.my/skmmgovmy/media/General/pdf/IUS-2020-Infographic.pdf.

Malaysian Dental Council. 2019. Annual Statistics 2019.  http://mdc.moh.gov.my/uploads/mdc_statistic.pdf.

Naing, L., Winn, T. & Rusli, B. 2006. Practical issues in calculating the sample size for prevalence studies. Arch. Orofac. Sci. 1: 9-14.

Nguyen, L.H., Drew, D.A., Graham, M.S., Joshi, A.D., Guo, C.G., Ma, W., Mehta, R.S., Warner, E.T., Sikavi, D.R. & Lo, C.H. 2020. Risk of COVID-19 among front-line health-care workers and the general community: A prospective cohort study. The Lancet Public Health 5(9): e475-e483.

Oral Health Program, Ministry of Health Malaysia 2020. Garis Panduan Pengendalian Isu-Isu Berhubung Penularan Jangkitan Wabak COVID-19 di Perkhidmatan Kesihatan Pergigian Bil. 3/2020. http://ohd.moh.gov.my/images/pdf/GP_COVID19_DENTAL_BIL3_2020.pdf

Pantea Stoian, A., Pricop-Jeckstadt, M., Pana, A., Ileanu, B.V., Schitea, R., Geanta, M., Catrinoiu, D., Suceveanu, A.I., Serafinceanu, C., Pituru, S., Poiana, C., Timar, B., Nitipir, C., Parvu, S., Arsene, A., Mazilu, L., Toma, A., Hainarosie, R., Ceriello, A., Rizzo, M. & Jinga, V. 2020. Death by SARS-CoV 2: A Romanian COVID-19 multi-centre comorbidity study. Sci. Rep. 10(1): 21613.

Pfordten, D. & Ahmad, R. 2020a. 'COVID-19: Total cases worldwide'. The Star. https://www.thestar.com.my/news/nation/2020/01/26/the-rapid-global-spread-of-the-novel-coronavirus---total-cases-so-far.

Pfordten, D. & Ahmad, R. 2020b. COVID-19: Cases up by 1, 371, bringing total to 84, 846 (updated daily). The Star. https://www.thestar.com.my/news/nation/2020/03/23/covid-19-current-situation-in-malaysia-updated-daily.

Ren, Y., Feng, C., Rasubala, L., Malmstrom, H. & Eliav, E. 2020. Risk for dental healthcare professionals during the COVID-19 global pandemic: An evidence-based assessment. J. Dent. 101: 103434.

Shah, A.U.M., Safri, S.N.A., Thevadas, R., Noordin, N.K., Rahman, A.A., Sekawi, Z., Ideris, A. & Sultan, M.T.H. 2020. COVID-19 outbreak in Malaysia: Actions taken by the Malaysian government. Int. J. Infect. Dis. 97: 108-116.

Tysiac-Mista, M. & Dziedzic, A. 2020. The attitudes and professional approaches of dental practitioners during the COVID-19 outbreak in Poland: A cross-sectional survey. Int. J. Environ. Res. Public Health 17(13): 4703. 

WHO. 2020a. Timeline of WHO's Response to COVID-19. https://www.who.int/news/item/29-06-2020-covidtimeline.

WHO. 2020b. Coronovirus Disease (COVID-19). https://www.who.int/docs/default-source/coronaviruse/situation-reports/20201005-weekly-epi-update-8.pdf.

WHO. 2020c. Considerations for the Provision of Essential Oral Health Services in the Context of COVID-19: Interim Guidance. https://apps.who.int/iris/handle/10665/333625. Accessed on 3 August 2020.

WHO. 2020d. COVID-19 Situation Overview in Malaysia (23rd July 2020). https://www.who.int/malaysia/internal-publications-detail/covid-19-in-malaysia-situation-report-09.

Zhou, W., Wang, A., Xia, F., Xiao, Y. & Tang, S. 2020. Effects of media reporting on mitigating spread of COVID-19 in the early phase of the outbreak. Math. Biosci. Eng. 17(3): 2693-2707.

*Pengarang untuk surat-menyurat; email: shani@um.edu.my