Department of Oral and Maxillofacial Surgery/Plastic Surgery, University Medicine Greifswald, Walther-Rathenau-Str. 42a, 17475, Greifswald, Germany.
Institute for Community Medicine, University Medicine Greifswald, Greifswald, Germany.
Clin Oral Investig. 2022 May;26(5):3965-3974. doi: 10.1007/s00784-021-04363-z. Epub 2022 Jan 11.
During the corona pandemic, dental practices temporarily closed their doors to patients except for emergency treatments. Due to the daily occupational exposure, the risk of SARS-CoV-2 transmission among dentists and their team is presumed to be higher than that in the general population. This study examined this issue among dental teams across Germany.
In total, 2784 participants provided usable questionnaires and dry blood samples. Dry blood samples were used to detect IgG antibodies against SARS-CoV-2. The questionnaires were analyzed to investigate demographic data and working conditions during the pandemic. Multivariable logistic mixed-effects models were applied.
We observed 146 participants with positive SARS-CoV-2 IgG antibodies (5.2%) and 30 subjects with a borderline finding (1.1%). Seventy-four out of the 146 participants with SARS-CoV-2 IgG antibodies did not report a positive SARS-CoV-2 PCR test (50.7%), while 27 participants without SARS-CoV-2 IgG antibodies reported a positive SARS-CoV-2 PCR test (1.1%). Combining the laboratory and self-reported information, the number of participants with a SARS-CoV-2 infection was 179 (6.5%). Though after adjustment for region, mixed-effects models indicated associations of use of rubber dams (OR 1.65; 95% CI: 1.01-2.72) and the number of protective measures (OR 1.16; 95% CI: 1.01-1.34) with increased risk for positive SARS-CoV-2 status, none of those variables was significantly associated with a SARS-CoV-2 status in fully adjusted models.
The risk of SARS-CoV-2 transmission was not higher among the dental team compared to the general population.
Following hygienic regulations and infection control measures ensures the safety of the dental team and their patients.
在新冠疫情期间,牙医诊所暂时停止为患者提供服务,仅保留急诊治疗。由于日常职业接触,牙医及其团队感染 SARS-CoV-2 的风险被认为高于一般人群。本研究调查了德国各地牙医团队的情况。
共有 2784 名参与者提供了可用的问卷和干血样。干血样用于检测针对 SARS-CoV-2 的 IgG 抗体。对问卷进行分析,以调查疫情期间的人口统计学数据和工作条件。应用多变量逻辑混合效应模型。
我们观察到 146 名参与者的 SARS-CoV-2 IgG 抗体呈阳性(5.2%),30 名参与者的结果为临界值(1.1%)。在 146 名 SARS-CoV-2 IgG 抗体阳性的参与者中,有 74 名未报告 SARS-CoV-2 PCR 检测阳性(50.7%),而 27 名 SARS-CoV-2 IgG 抗体阴性的参与者报告 SARS-CoV-2 PCR 检测阳性(1.1%)。结合实验室和自我报告的信息,有 179 名参与者感染了 SARS-CoV-2(6.5%)。尽管在调整了地区因素后,混合效应模型表明使用橡皮障(OR 1.65;95%CI:1.01-2.72)和防护措施数量(OR 1.16;95%CI:1.01-1.34)与 SARS-CoV-2 阳性状态的风险增加相关,但在完全调整模型中,这些变量均与 SARS-CoV-2 状态无显著关联。
与一般人群相比,牙医团队感染 SARS-CoV-2 的风险并不更高。
遵循卫生规范和感染控制措施可确保牙医团队及其患者的安全。