Bagg J, Roy K, Hopps L, Black I, Croser D, O'Halloran C, Ncube F
University of Glasgow, Dental School, School of Medicine, Dentistry &Nursing, College of Medical, Veterinary &Life Sciences, Glasgow.
NHS National Services Scotland, Health Protection Scotland, Glasgow.
Br Dent J. 2017 Jan 13;222(1):47-52. doi: 10.1038/sj.bdj.2017.36.
There is a recognised potential risk of transmission of blood-borne viruses (BBVs) from infected healthcare workers to patients during exposure prone procedures (EPPs). The restrictions placed on performance of EPPs by infected clinicians in the UK have had a particularly significant impact on dentists because of the exposure-prone nature of most dental procedures and the difficulties in identifying alternative career pathways in the profession that do not involve EPPs. More recently, the significant positive impact of antiviral drugs on viral load, together with a re-categorisation of EPPs in dentistry have resulted in evolution of the guidance with a consequent significant improvement to the career prospects of dentists infected with BBVs. This paper provides an update for practitioners on the progress that has been made and outlines the current position with respect to practice restrictions.
在易发生暴露的操作(EPPs)过程中,已确认存在感染的医护人员将血源性病原体(BBVs)传播给患者的潜在风险。在英国,由于大多数牙科操作具有易发生暴露的性质,且难以在该行业中找到不涉及EPPs的替代职业途径,因此受感染的临床医生对EPPs实施的限制对牙医产生了尤为重大的影响。最近,抗病毒药物对病毒载量产生了显著的积极影响,同时牙科EPPs的重新分类导致了指导意见的演变,从而显著改善了感染BBVs的牙医的职业前景。本文为从业者提供了所取得进展的最新情况,并概述了目前关于操作限制的立场。