牙科麻醉学中的感染控制：是时候对当前做法进行初步重新审视了。
Infection Control in Dental Anesthesiology: A Time for Preliminary Reconsideration of Current Practices.
作者信息
Tom James
机构信息
Associate Clinical Professor, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles, California.
出版信息
Anesth Prog. 2020 Jun 1;67(2):109-120. doi: 10.2344/anpr-67-02-12.
Relegated to clinical afterthought, the topic of infection control has never taken center stage in our modern dental sedation and anesthesiology practices. Surgical and procedural masks, gloves, gowns, protective eyewear, and appropriate surgical attire have remained de rigueur in both fashion and custom for decades. However, the emergence of certain seminal events throughout health care history has driven mandated changes when practitioners, staff, patients, and the surrounding communities were exposed or put at risk of exposure to infectious disease. Hepatitis, human immunodeficiency virus, and now the global COVID-19 pandemic involving the novel coronavirus SARS-CoV-2, have forced us into rethinking our current practices. This review article will contextualize previous epidemics and their influence on infection control in dental settings, and it will explore the rapid evolution of current modifications to personal protective equipment and infection mitigation practices specific to sedation and anesthesia in dentistry.
感染控制这一话题在我们现代牙科镇静和麻醉实践中一直处于临床事后才考虑的地位，从未占据过核心位置。手术和操作时使用的口罩、手套、手术衣、防护眼镜以及合适的手术着装，几十年来在时尚和惯例中一直都是必备之物。然而，在整个医疗保健历史中，某些重大事件的出现促使了强制性的变革，这些变革发生在从业者、工作人员、患者以及周围社区面临或有接触传染病风险的时候。肝炎、人类免疫缺陷病毒，以及如今涉及新型冠状病毒SARS-CoV-2的全球新冠疫情，都迫使我们重新思考当前的做法。这篇综述文章将把以往的流行病及其对牙科环境中感染控制的影响置于背景之中，并探讨当前针对牙科镇静和麻醉中个人防护装备及感染缓解措施的快速演变。
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