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《肝炎——牙科诊疗中的预防与管理》

"Hepatitis" - Prevention and management in dental practice.

作者信息

Dahiya Parveen, Kamal Reet, Sharma Varun, Kaur Saravpreet

机构信息

Department of Periodontics, Himachal Institute of Dental Sciences, Paonta Sahib, India.

Department of Oral and Maxillofacial Pathology, HP Government Dental College, Shimla, India.

出版信息

J Educ Health Promot. 2015 May 19;4:33. doi: 10.4103/2277-9531.157188. eCollection 2015.

Abstract

Today, viral hepatitis has become a silent epidemic worldwide. It is the major cause of liver cirrhosis and liver carcinoma. In a dental office, infections can be expedited through several routes, including direct or indirect contact with blood, oral fluids, droplet splatter, aerosols, etc. The aim of the present review is to increase the awareness among dental practitioners, so as to reduce the burden of hepatitis in their community. Electronic databases like PubMed, Medline, ProQuest, etc. were searched using the keywords hepatitis, dentist, liver disease, and infection control. Manual search of various journals and books was also carried out. Only highly relevant articles from English literature were considered for the present review. The results revealed that the dentists were among the high-risk groups for hepatitis, and they have little information on the factors associated with adherence to hepatitis B vaccination. A dentist can play a major role in the prevention of hepatitis by considering each and every patient as a potential carrier of hepatitis. Proper infection control, sterilization, and prophylactic vaccination protocols should be followed in order to reduce the risk of hepatitis.

摘要

如今,病毒性肝炎已成为全球范围内的一种隐性流行病。它是肝硬化和肝癌的主要病因。在牙科诊所,感染可通过多种途径加速传播,包括直接或间接接触血液、口腔液体、飞沫飞溅、气溶胶等。本综述的目的是提高牙科从业者的认识,以减轻其所在社区的肝炎负担。使用关键词肝炎、牙医、肝病和感染控制对PubMed、Medline、ProQuest等电子数据库进行了检索。还对手册中的各种期刊和书籍进行了检索。本综述仅考虑了英文文献中高度相关的文章。结果显示,牙医属于肝炎高危群体,他们对与坚持接种乙肝疫苗相关的因素了解甚少。通过将每一位患者都视为肝炎的潜在携带者,牙医在预防肝炎方面可以发挥重要作用。应遵循适当的感染控制、消毒和预防性疫苗接种方案,以降低肝炎风险。

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