Zellmer Stephan, Bachmann Ella, Muzalyova Anna, Ebigbo Alanna, Kahn Maria, Traidl-Hoffmann Claudia, Frankenberger Roland, Eckstein Fabian M, Ziebart Thomas, Meisgeier Axel, Messmann Helmut, Römmele Christoph, Schlittenbauer Tilo
Department of Internal Medicine III-Gastroenterology and Infectious Diseases, University Hospital Augsburg, Stenglinstraße 2, 86156 Augsburg, Germany.
Department of Oral and Maxillofacial Surgery, University Hospital Augsburg, Sauerbruchstraße 6, 86179 Augsburg, Germany.
Int J Environ Res Public Health. 2021 Dec 24;19(1):175. doi: 10.3390/ijerph19010175.
(1) Background: The COVID-19 pandemic forced healthcare workers to adapt to challenges in both patient care and self-protection. Dental practitioners were confronted with a potentially high possibility of infection transmission due to aerosol-generating procedures. This study aims to present data on healthcare worker (HCW) screening, infection status of HCWs, pre-interventional testing, the use of personal protective equipment (PPE) and the economic impact of the pandemic in dental facilities. (2) Methods: Dental facilities were surveyed nationwide using an online questionnaire. The acquisition of participants took place in cooperation with the German Society for Dentistry, Oral and Maxillofacial Medicine. (3) Results: A total of 1094 private practices participated. Of these, 39.1% treated fewer than 600 patients per quarter and 59.9% treated over 600 patients per quarter. Pre-interventional testing was rarely performed in either small (6.6%) or large practices (6.0%). Large practices had a significantly higher incidence of at least one SARS-CoV-2-positive HCW than small practices (26.2% vs.14.4%, < 0.01). The main source of infection in small practices was the private environment, and this was even more significant in large practices (81.8% vs. 89.7%, < 0.01). The procedure count either remained stable (34.0% of small practices vs. 46.2% of large practices) or decreased by up to 50% (52.6% of small practices vs. 44.4% of large practices). Revenue remained stable (24.8% of small practices vs. 34.2% of large practices) or decreased by up to 50% (64.5% of small practices vs. 55.3% of large practices, = 0.03). Overall, employee numbers remained stable (75.5% of small practices vs. 76.8% of large practices). A vaccination readiness of 60-100% was shown in 60.5% ( = 405) of large practices and 59.9% ( = 251) of small practices. (4) Conclusion: Pre-interventional testing in dental practices should be increased further. Economic challenges affected small practices as well as large practices. Overall, a steady employee count could be maintained. Vaccination readiness is high in dental practices, although with some room for improvement.
(1)背景：新冠疫情迫使医护人员在患者护理和自我保护方面都要适应各种挑战。牙科医生由于进行产生气溶胶的操作，面临着较高的感染传播可能性。本研究旨在呈现关于医护人员筛查、医护人员感染状况、干预前检测、个人防护装备（PPE）的使用以及疫情对牙科机构经济影响的数据。(2)方法：通过在线问卷对全国范围内的牙科机构进行调查。参与者的招募是与德国牙科、口腔和颌面医学协会合作进行的。(3)结果：共有1094家私人诊所参与。其中，39.1%的诊所每季度治疗患者少于600人，59.9%的诊所每季度治疗患者超过600人。无论是小型诊所（6.6%）还是大型诊所（6.0%），干预前检测都很少进行。大型诊所中至少有一名新冠病毒检测呈阳性的医护人员的发生率显著高于小型诊所（26.2%对14.4%，P<0.01）。小型诊所的主要感染源是私人环境，在大型诊所中这一情况更为显著（81.8%对89.7%，P<0.01）。诊疗次数要么保持稳定（小型诊所的34.0%对大型诊所的46.2%），要么减少多达50%（小型诊所的52.6%对大型诊所的44.4%）。收入要么保持稳定（小型诊所的24.8%对大型诊所的34.2%），要么减少多达50%（小型诊所的64.5%对大型诊所的55.3%，P=0.03）。总体而言，员工数量保持稳定（小型诊所的75.5%对大型诊所的76.8%）。60.5%（n=405）的大型诊所和59.9%（n=251）的小型诊所显示疫苗接种准备率为60 - 100%。(4)结论：牙科诊所的干预前检测应进一步增加。经济挑战对小型诊所和大型诊所都有影响。总体而言，可以维持稳定的员工数量。牙科诊所的疫苗接种准备率较高，不过仍有一定的改进空间。
