Department of Oral Surgery, University of Birmingham, UK.
Oral Surgery Department, Birmingham Community Healthcare NHS Foundation Trust, Birmingham Dental Hospital, Birmingham, UK.
Clin Oral Implants Res. 2021 Oct;32 Suppl 21(Suppl 21):382-388. doi: 10.1111/clr.13780.
The present work reports the EAO workshop group 5 and consensus plenary discussions and statements based on two reviews summarising European guidelines and experts' opinion on infection control and prevention (ICP) in dentistry during the pandemic.
Two manuscripts were presented at the 6th EAO Consensus Conference. The first study compared the most recent national guidelines/recommendations of European countries. The second paper was an experts' opinion-based survey on application of ICP regulation during the second wave. The outcome of COVID-19 group discussion was presented to all participants of the consensus to come to an agreement about the consensus statements and clinical recommendation.
The dynamic of the pandemic had an impact on rapidly published and frequently updated national guidelines in Europe. As guidelines were not based on solid evidence, they were supplemented by experts' opinion on ICP in dentistry. The dental care should be guaranteed during the pandemic; however, in case of suspected or confirmed COVID-19 disease, the treatment should be postponed if possible. Remote triage and patient-related measures (i.e., social distancing, hand hygiene and mask wearing) were recommended to be the most efficient to reduce SARS-CoV-2 transmission. The type of personal protective equipment for dental staff should be adequate to the procedure and infection risk.
Adequate infection control protocols have to be followed by healthcare professionals and patients to minimise the spreading of COVID-19. We foresee the importance of continuously updating the national dental guidelines, considering the evolution of the pandemic and new scientific evidence becoming available.
本研究报告了 EAO 工作组 5 以及基于两项综述的共识全体会议讨论和声明,这两项综述总结了欧洲在大流行期间针对牙科感染控制和预防 (ICP) 的指南和专家意见。
第六届 EAO 共识会议上提出了两份手稿。第一项研究比较了欧洲国家最近的国家指南/建议。第二项论文是一项基于专家意见的关于在第二波疫情期间应用 ICP 规定的调查。COVID-19 小组讨论的结果提交给共识会议的所有参与者,以就共识声明和临床建议达成一致意见。
大流行的动态对欧洲迅速发布和频繁更新的国家指南产生了影响。由于指南不是基于确凿的证据,因此补充了专家对牙科 ICP 的意见。大流行期间应保证牙科护理;但是,如果怀疑或确诊 COVID-19 疾病,则应尽可能推迟治疗。建议远程分诊和与患者相关的措施(即社交距离、手部卫生和戴口罩)是减少 SARS-CoV-2 传播的最有效方法。牙科工作人员的个人防护设备的类型应适合程序和感染风险。
医疗保健专业人员和患者必须遵循充分的感染控制方案,以最大程度地减少 COVID-19 的传播。我们预见到必须不断更新国家牙科指南的重要性,同时考虑到大流行的演变和新的科学证据的出现。