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牙科与 COVID-19 疫情。

Dentistry and the COVID-19 Outbreak.

机构信息

MyDentist, 540 Barking Road, London E13 8QE, UK.

King's College London, London, UK.

出版信息

Int Dent J. 2021 Oct;71(5):358-368. doi: 10.1016/j.identj.2020.12.010. Epub 2020 Dec 19.

DOI:10.1016/j.identj.2020.12.010
PMID:33743993
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7834430/
Abstract

INTRODUCTION

Infection prevention in dental practice is a principle of utmost importance aiming to protect patients, the dental team, and ultimately, public health. The recent pandemic of coronavirus disease 2019 (COVID-19), caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has instigated worldwide public concern. This highly contagious disease has called for profound changes in patient care around the world. The goal of this article is to review the current literature and introduce essential knowledge about COVID-19, recommend management protocols and adequate protection for dental professionals during the outbreak.

MATERIAL AND METHODS

The literature search was conducted from April to June 2020. After full-text screening a total of 85 studies were included.

RESULTS

Given the novelty of SARS-CoV-2, some characteristics of the virus remain yet unknown. The virus is aerosol-transmissible and, because of the nature of dental procedures, this puts dental professionals and patients at a high risk of contamination by this pathogen. Adequate management protocols and specific protective approaches are essential to minimise the spread of COVID-19 in dental settings during the outbreak.

DISCUSSION

The overall impact of COVID-19 in health care worldwide is yet to be determined. This constitutes a significant limitation to this review because the information obtained risks being outdated as the pandemic progresses. The prudent practitioner will use this review as a starting point and continue to proactively update themselves as the outbreak continues. Further studies are required to investigate the potential impact of infections with SARS-CoV-2 within dental settings.

摘要

简介

口腔临床感染预防是一项至关重要的原则,旨在保护患者、牙科团队,最终保护公众健康。由严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)引起的 2019 年冠状病毒病(COVID-19)大流行引起了全球公众的关注。这种高度传染性疾病要求全球范围内对患者护理进行深刻变革。本文旨在综述目前的文献,并介绍 COVID-19 的相关知识,为口腔专业人员在疫情期间的管理方案和适当防护提供建议。

材料与方法

文献检索时间为 2020 年 4 月至 6 月。经过全文筛选,共纳入 85 项研究。

结果

鉴于 SARS-CoV-2 的新颖性,该病毒的一些特征仍不为人知。该病毒可通过气溶胶传播,而且由于牙科操作的性质,这使牙科专业人员和患者面临被该病原体污染的高风险。在疫情期间,为了尽量减少 COVID-19 在牙科环境中的传播,必须制定充分的管理方案和采取具体的防护措施。

讨论

COVID-19 对全球医疗保健的总体影响尚未确定。这构成了对本综述的重大限制,因为随着大流行的进展,获得的信息有过时的风险。谨慎的从业者将使用本综述作为起点,并在疫情继续时继续积极更新自己。需要进一步研究来调查 SARS-CoV-2 在口腔环境中感染的潜在影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/245d/9275353/e0e572e87ba8/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/245d/9275353/db3aa369fcc2/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/245d/9275353/8b61a39f0862/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/245d/9275353/e0e572e87ba8/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/245d/9275353/db3aa369fcc2/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/245d/9275353/8b61a39f0862/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/245d/9275353/e0e572e87ba8/gr3.jpg

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