Possible health care professional-to-patient HIV transmission. Dentists' reactions to a Centers for Disease Control report

• Published in: JAMA : the journal of the American Medical Association Vol. 265; no. 14; p. 1845
• Main Authors: Gerbert, B, Bleecker, T, Miyasaki, C, Maguire, B T
• Format: Journal Article
• Language: English
• Published: United States 10.04.1991
• Subjects: American Dental Association; Attitude of Health Personnel; Attitude to Health; Centers for Disease Control and Prevention (U.S.); Communicable Disease Control; Confidentiality; Dentists - statistics & numerical data; Disclosure; Health Policy; HIV Infections - transmission; Humans; Patients; Public Relations; Surveys and Questionnaires; United States; United States; Empirical Approach; Health Care and Public Health; American Medical Association; Centers for Disease Control; American Dental Association
• ISSN: 0098-7484
• DOI: 10.1001/jama.1991.03460140073029

On July 27, 1990, the Centers for Disease Control reported possible transmission of the human immunodeficiency virus (HIV) from a dentist to a patient as a result of patient care. We surveyed a random national probability sample of 300 dentists with a 26-item survey in August and September 1990 to assess reactions to the report (response rate, 59%). Respondents tended not to believe the report (mean was 3.2, median 3.0, where 1 indicated "do not believe" and 7 indicated "believe"). Our sample also tended to believe that transmission of HIV from dentists to patients was unlikely in the future (mean was 2.0, median 2.0, where 1 indicated "not at all likely" and 7 indicated "very likely"). Fifty-one percent of our sample recommended that dentists infected with HIV should discontinue practice, while 38% recommended continuing practice with changes in procedures. Seventy-four percent believed patients should be told if their dentist was infected with HIV. In summary, dentists doubted the possibility of dentist-to-patient transmission of HIV and did not believe the Centers for Disease Control case report, but they did believe infected dentists should refrain from clinical work or modify their practice.