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紧急牙科环境中 SARS-CoV-2 传播的管理:当前知识和个人经验。

Management of SARS-CoV-2 Transmission in Emergency Dental Settings: Current Knowledge and Personal Experience.

机构信息

Department of Prosthodontics, Faculty of Dental Medicine, Iuliu Haţieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.

Emegency County Clinical Hospital, Cluj-Napoca, Romania.

出版信息

Disaster Med Public Health Prep. 2022 Aug;16(4):1604-1611. doi: 10.1017/dmp.2020.483. Epub 2020 Dec 22.

Abstract

The coronavirus disease 2019 (COVID-19) has seen a violent and fast spread worldwide. The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has a predominantly respiratory transmission through droplets and aerosol with serious implications for dental settings. This article is based on recent research, guidelines issued by relevant authorities, as well as on the authors' experience acquired through their involvement in setting up an emergency dental care hub in Cluj-Napoca, Romania, during the COVID-19 lockdown. The present article aims to provide a brief description of COVID-19 implications in dental office and to recommend preventive protocols for dental practitioners to ensure a safe and healthful workplace. The recommendations for infection control presented in this article address the specific risks of exposure to SARS-CoV-2. The article provides a special customized guideline covering patient triage and entrance into the dental practice, personnel protection, dental treatment, and after-treatment management. The implementation of strict preventive measures has been found to be efficient in the prevention of SARS-CoV-2 contamination because no infections have been reported among our staff or patients. COVID-19 is a major emergency worldwide marked by a rapid evolution and warranting a need for further assessment of the implications of COVID-19 outbreak in dental practice.

摘要

新型冠状病毒病 2019(COVID-19)在全球范围内迅速蔓延。严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)主要通过飞沫和气溶胶传播,对牙科环境有严重影响。本文基于最近的研究、相关当局发布的指南,以及作者在罗马尼亚克卢日-纳波卡设立应急牙科护理中心期间获得的经验,该中心在 COVID-19 封锁期间参与。本文旨在简要描述 COVID-19 对牙科办公室的影响,并为牙科医生推荐预防方案,以确保安全健康的工作场所。本文中提出的感染控制建议针对 SARS-CoV-2 的特定暴露风险。本文提供了一个特殊的定制指南,涵盖了患者分诊和进入牙科诊所、人员保护、牙科治疗和治疗后管理。实施严格的预防措施已被证明可有效预防 SARS-CoV-2 污染,因为我们的员工或患者均未报告感染。COVID-19 是全球范围内的重大紧急情况,其特点是迅速演变,因此需要进一步评估 COVID-19 爆发对牙科实践的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5b0/7985645/4a138f781acb/S1935789320004838_fig1.jpg

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