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新冠疫情第二波期间牙科操作中气溶胶污染的风险——牙科操作中创新感染控制的经验和建议。

Risks of Aerosol Contamination in Dental Procedures during the Second Wave of COVID-19-Experience and Proposals of Innovative IPC in Dental Practice.

机构信息

Laboratory of Green Biomaterials and Oral Pathology, School of Dentistry, DIBINEM, University of Bologna, 40126 Bologna, Italy.

Endodontic Clinical Section, School of Dentistry, DIBINEM, University of Bologna, 40125 Bologna, Italy.

出版信息

Int J Environ Res Public Health. 2020 Dec 1;17(23):8954. doi: 10.3390/ijerph17238954.

Abstract

Dental-care workers operate very close to the patient's mouth and are at high risk of contamination by SARS-CoV-2. Droplets may be contaminated by patient's saliva and exhaled breath particles. All asymptomatic patients should be considered as Coronavirus positive. All dental procedures must be revised after positive identification of SARS-Cov-2. Novel recommendations as the use of novel suction cannula designed for fast spray/saliva aspiration, use of Tyvek suits and innovative sprayhoods designed for dental-care worker protections are proposed to prevent virus transmission. New tailored operative and clinical procedures are being currently developed by university dental clinics and hospitals in attempt to reduce risk for dental workers and patients.

摘要

牙科医护人员在非常接近患者口腔的地方工作,因此面临着 SARS-CoV-2 污染的高风险。飞沫可能会被患者的唾液和呼出的呼吸粒子污染。所有无症状患者都应被视为冠状病毒阳性。所有牙科程序都必须在 SARS-CoV-2 阳性鉴定后进行修改。新型建议包括使用专门设计用于快速抽吸喷雾/唾液的新型吸管、使用 Tyvek 套装和创新的喷雾罩以保护牙科医护人员,以防止病毒传播。目前,大学牙医诊所和医院正在制定新的定制手术和临床程序,以降低牙科医护人员和患者的风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d53/7729834/dfe6e04e70d8/ijerph-17-08954-g001.jpg

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