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挪威的牙科保健服务对 COVID-19 的应对措施。

Dental Health Services Response to COVID-19 in Norway.

机构信息

Oral Health Centre of Expertise in Eastern Norway, Sørkedalsveien 10A, 0369 Oslo, Norway.

Department of Clinical Dentistry, Faculty of Health Sciences, UiT the Arctic University of Norway, N-9037 Tromsø, Norway.

出版信息

Int J Environ Res Public Health. 2020 Aug 12;17(16):5843. doi: 10.3390/ijerph17165843.

Abstract

We aimed to investigate the management of urgent dental care, the perception of risk and workplace preparedness among dental staff in Norway during the COVID-19 pandemic. An electronic questionnaire regarding the strictest confinement period in Norway (13 March-17 April 2020) was distributed to dental staff. Among the 1237 respondents, 727 (59%) treated patients, of whom 170 (14%) worked in clinics designated to treat patients suspected or confirmed to have COVID-19. Out of them 88% (143) received training and 64% (103) simulation in additional infection prevention procedures, while 27 (24%) respondents reported deviation. In total, 1051 (85%) respondents perceived that dental staff had a high risk of being infected, 1039 (84%) that their workplace handled the current situation well, 767 (62%) that their workplace had adequate infection control equipment and 507 (41%) agreed that their workplace is well equipped to handle an escalation. Before an appointment, 1182 (96%) respondents always/often inquired per phone information if a patient experienced symptoms of COVID-19, and 1104 (89%) asked about a history of travel to affected areas. Twice as many patients on average per week were treated by phone than in a clinic. A lower proportion of dental staff in high incidence counties applied additional infection prevention measures compared to low and medium incidence counties. To conclude, urgent dental health care was managed relatively well in Norway. Additional training of the dental staff in adequate infection prevention and step-by-step procedures may be needed. These results may be used to improve the dental health service's response to future outbreaks.

摘要

我们旨在调查挪威牙科工作人员在 COVID-19 大流行期间对紧急牙科护理的管理、风险感知和工作场所准备情况。向牙科工作人员分发了一份关于挪威最严格禁闭期(2020 年 3 月 13 日至 4 月 17 日)的电子问卷。在 1237 名答复者中,有 727 名(59%)治疗了患者,其中 170 名(14%)在被指定治疗疑似或确诊 COVID-19 患者的诊所工作。其中 88%(143 名)接受了额外感染预防程序的培训,64%(103 名)进行了模拟,而 27 名(24%)答复者报告了偏差。共有 1051 名(85%)答复者认为牙科工作人员感染风险很高,1039 名(84%)认为其工作场所处理当前情况良好,767 名(62%)认为其工作场所具有足够的感染控制设备,507 名(41%)同意其工作场所具备处理升级的能力。在预约前,1182 名(96%)答复者总是/经常通过电话询问患者是否出现 COVID-19 症状,1104 名(89%)询问患者是否有前往疫区的旅行史。通过电话治疗的患者平均每周比在诊所治疗的患者多一倍。与低和中发病率县相比,高发病率县的牙科工作人员采用额外感染预防措施的比例较低。总之,挪威相对较好地管理了紧急牙科保健。牙科工作人员可能需要接受更多关于适当感染预防和逐步程序的培训。这些结果可用于改善牙科保健服务对未来疫情的应对。

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