Sakai Hironori, Kondo Eiji, Tanaka Hirokazu, Shimane Tetsu, Yamada Shinichi, Kurita Hiroshi
Department of Dentistry and Oral Surgery, Shinshu University School of Medicine, Matsumoto, Japan.
Department of Oral and Maxillofacial Surgery, Graduate School of Medicine and Pharmaceutical Sciences, University of Toyama, Toyama, Japan.
J Dent Sci. 2023 Apr;18(2):497-502. doi: 10.1016/j.jds.2022.09.013. Epub 2022 Oct 1.
BACKGROUND/PURPOSE: The global coronavirus disease 2019 (COVID-19) pandemic continues to cause a significant impact on patient care due to its considerable transmissibility, morbidity, and mortality. The aim of this study was to investigate whether dental procedures performed at private dental clinics were associated with the occurrence of COVID-19 clusters and measures taken to prevent nosocomial infection of COVID-19.
An online questionnaire-based survey on clinical activities, infection control measures, and confirmed or probable COVID-19 cases among patients and clinical staff during the pandemic (February 2020 to September 2021) was administered to dentists at private dental clinics in Nagano prefecture, Japan. Almost all dentists engaged in dental treatment were actively implementing standard precautions.
Twenty-seven dental clinics provided dental care to infected patients (nine confirmed and eighteen probable), but there was no transmission from patients to staff. Ten clinics had staff who were infected, but none exhibited disease transmission from staff to patients.
The results of this survey suggest that COVID-19 clusters might not occur in dental settings where appropriate protective measures are implemented.
背景/目的:2019年全球冠状病毒病(COVID-19)大流行因其相当高的传播性、发病率和死亡率,继续对患者护理造成重大影响。本研究的目的是调查在私人牙科诊所进行的牙科手术是否与COVID-19聚集性病例的发生有关,以及为预防COVID-19医院感染所采取的措施。
对日本长野县私人牙科诊所的牙医进行了一项基于在线问卷的调查,内容涉及大流行期间(2020年2月至2021年9月)患者和临床工作人员的临床活动、感染控制措施以及确诊或疑似COVID-19病例。几乎所有从事牙科治疗的牙医都积极实施标准预防措施。
27家牙科诊所为感染患者提供了牙科护理(9例确诊和18例疑似),但没有患者传染给工作人员的情况。10家诊所有工作人员被感染,但没有出现工作人员传染给患者的疾病传播情况。
这项调查结果表明,在实施适当防护措施的牙科环境中,可能不会出现COVID-19聚集性病例。