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新冠疫情与牙科——疫苗供应时期医患状况的安全问题。

COVID-19 and dentistry - safety issues regarding doctor and patient situation in time of vaccine availability.

机构信息

Medical University of Lodz, Łódź, Poland (Department of Orthodontics).

Nofer Institute of Occupational Medicine, Łódź, Poland (Department of Environmental Epidemiology).

出版信息

Med Pr. 2021 Dec 22;72(6):729-737. doi: 10.13075/mp.5893.01140. Epub 2021 Aug 26.

Abstract

Since one of the main mode of the COVID-19 transmission is through close contact with the infected person (<1.5 m distance) and body fluids (saliva, blood, aerosol particles), the dentists have become one of the groups being at most risk of being infected. The aim of this article is to present, based on the research search (publications from the last year 2020 and from the beginning of the current year 2021), the general overview of the situation during the COVID-19 pandemic with regard to patients and dentist as well as supporting personal protection. Authors identified 7 questions related to this topic. They address among others such issues as identification of the COVID-19 patients coming to the dental practice; protection of both the dentist and the patient from infection and a need for guidelines on the scope of emergency dental services during the pandemic. Opinions on the subject, expressed by the experts in the field, including general guidelines were also taken into consideration. In general, based on the literature overview, the COVID-19 pandemic has completely transformed the healthcare system, including dentistry. The identification of the COVID-19 patients coming to the dental practice has become a necessity (including taking epidemiological survey, temperature measurement). Currently, since "the group zero" in significant part has completed the full vaccination process, the health personnel (including dentists) might feel safer. The efficacy of the vaccines is high and provides a certain sense of security. Med Pr. 2021;72(6):729-37.

摘要

由于 COVID-19 的主要传播途径之一是与感染者(<1.5 米距离)和体液(唾液、血液、气溶胶颗粒)密切接触,牙医已成为感染风险最高的人群之一。本文旨在根据研究搜索(来自去年 2020 年和今年年初 2021 年的出版物),介绍 COVID-19 大流行期间与患者和牙医有关的一般情况以及支持个人防护。作者确定了 7 个与该主题相关的问题。他们解决了其他问题,如识别到牙科诊所就诊的 COVID-19 患者;保护牙医和患者免受感染的问题,以及在大流行期间对紧急牙科服务范围制定指南的需求。该领域专家的意见,包括一般准则,也被考虑在内。总的来说,根据文献综述,COVID-19 大流行已经彻底改变了医疗保健系统,包括牙科。识别到牙科诊所就诊的 COVID-19 患者已成为必要(包括进行流行病学调查、测量体温)。目前,由于“零号组”在很大程度上已经完成了全面疫苗接种过程,卫生人员(包括牙医)可能会感到更安全。疫苗的功效很高,提供了一定的安全感。医学实践。2021 年;72(6):729-37.

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