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新冠疫情期间的口腔护理——治疗还是不治疗?

Dental care during the Covid-19 pandemic - To treat or not to treat?

作者信息

Dacic Stefan Danilo, Miljkovic Milan Nebojsa, Jovanovic Milica Caslav

机构信息

Department of Restorative Dentistry, Faculty of Medicine, University of Nis, Nis, Serbia.

Research Center for Biomedicine, Faculty of Medicine, University of Nis, Nis, Serbia.

出版信息

J Infect Dev Ctries. 2020 Oct 31;14(10):1111-1116. doi: 10.3855/jidc.13147.

Abstract

The recent spread of COVID-19 presents a huge public health concern. Clinical presentations of COVID-19 range from asymptomatic cases to severe pneumonia that can lead to death. Drastic measures were necessary to prevent the disease from spreading and protect the most vulnerable groups in the general population. The rapid reorganization of the healthcare system and great efforts made by medical staff were needed to admit to hospitals and then treat a progressively growing number of patients. The predominant route of virus transmission is through direct contact with an infected individual or respiratory droplets, therefore, all dental procedures with aerosol-formation pose an extremely high risk for the spread of infection. The aim of this article is to provide an overview of the current epidemiological situation, routes of transmission, and specific recommendations for dental practices including patient screening and triage, infection control, and treatment protocols. In this situation, it is essential that all dental healthcare workers make wise clinical decisions and educate themselves and their patients on how to prevent the spread of infection.

摘要

新型冠状病毒肺炎(COVID-19)近期的传播引发了巨大的公共卫生担忧。COVID-19的临床表现从无症状病例到可导致死亡的重症肺炎不等。为防止疾病传播并保护普通人群中最脆弱的群体,采取严厉措施是必要的。需要迅速重组医疗系统,并让医护人员付出巨大努力,以便收治并治疗越来越多的患者。病毒的主要传播途径是通过与感染者直接接触或呼吸道飞沫,因此,所有会形成气溶胶的牙科操作都对感染传播构成极高风险。本文旨在概述当前的流行病学情况、传播途径,以及针对牙科诊疗的具体建议,包括患者筛查与分流、感染控制和治疗方案。在这种情况下,所有牙科医护人员务必做出明智的临床决策,并就如何预防感染传播对自己和患者进行教育。

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