Department of Endodontics, University of Texas Health Science Center at San Antonio, San Antonio, Texas.
Department of Endodontics, University of Texas Health Science Center at San Antonio, San Antonio, Texas.
J Endod. 2020 May;46(5):584-595. doi: 10.1016/j.joen.2020.03.008. Epub 2020 Apr 6.
The recent spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and its associated coronavirus disease has gripped the entire international community and caused widespread public health concerns. Despite global efforts to contain the disease spread, the outbreak is still on a rise because of the community spread pattern of this infection. This is a zoonotic infection, similar to other coronavirus infections, that is believed to have originated in bats and pangolins and later transmitted to humans. Once in the human body, this coronavirus (SARS-CoV-2) is abundantly present in nasopharyngeal and salivary secretions of affected patients, and its spread is predominantly thought to be respiratory droplet/contact in nature. Dental professionals, including endodontists, may encounter patients with suspected or confirmed SARS-CoV-2 infection and will have to act diligently not only to provide care but at the same time prevent nosocomial spread of infection. Thus, the aim of this article is to provide a brief overview of the epidemiology, symptoms, and routes of transmission of this novel infection. In addition, specific recommendations for dental practice are suggested for patient screening, infection control strategies, and patient management protocol.
最近严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)及其相关冠状病毒病的传播引起了整个国际社会的关注,并引发了广泛的公众健康担忧。尽管全球努力控制疾病传播,但由于这种感染的社区传播模式,疫情仍在上升。这是一种人畜共患感染,与其他冠状病毒感染类似,据信该感染源自蝙蝠和穿山甲,后来传播给人类。这种冠状病毒(SARS-CoV-2)一旦进入人体,在受感染患者的鼻咽和唾液分泌物中大量存在,其传播主要被认为是呼吸道飞沫/接触传播。包括牙髓病学家在内的牙科专业人员可能会遇到疑似或确诊 SARS-CoV-2 感染的患者,他们不仅必须勤奋地提供护理,而且同时必须防止医院感染的传播。因此,本文旨在简要概述这种新型感染的流行病学、症状和传播途径。此外,还针对患者筛查、感染控制策略和患者管理方案为牙科实践提出了具体建议。