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牙科实践中接触生物流体——关于适当风险评估以指导暴露后管理的叙述性综述

Exposure to Biological Fluids in Dental Practice-Narrative Review on Appropriate Risk Assessment to Guide Post-Exposure Management.

作者信息

Săndulescu Mihai, Nicolescu Mihnea Ioan, Funieru Cristian, Şahin Gülşen Özkaya, Săndulescu Oana

机构信息

Faculty of Dentistry, Carol Davila University of Medicine and Pharmacy, 020021 Bucharest, Romania.

Department of Translational Medicine, Faculty of Medicine, Lund University, 22362 Malmö, Sweden.

出版信息

Pathogens. 2023 Jul 24;12(7):968. doi: 10.3390/pathogens12070968.

Abstract

Accidental exposure to blood or other biological fluids is a common occurrence in dentistry, and its post-exposure management is a key component of infection prevention and control programs designed to prevent the transmission of blood-borne pathogens such as hepatitis B and C viruses (HBV, HCV) and human immunodeficiency virus (HIV). This narrative review aims to comprehensively review the risk assessment process for each of these pathogens at all steps of the epidemiological process, i.e., source-exposure route-receptive person, in order to provide a better understanding of the delicate differences that influence the transmission risk and that drive the individualized post-exposure management.

摘要

在牙科领域,意外接触血液或其他生物体液是常见现象,其暴露后管理是旨在预防血源性病原体(如乙型和丙型肝炎病毒(HBV、HCV)及人类免疫缺陷病毒(HIV))传播的感染预防与控制计划的关键组成部分。本叙述性综述旨在全面回顾在流行病学过程的所有步骤中,即源 - 暴露途径 - 易感者,对每种此类病原体的风险评估过程,以便更好地理解影响传播风险并推动个体化暴露后管理的细微差异。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b64/10383678/5678c5faca9c/pathogens-12-00968-g001.jpg

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