2019年冠状病毒病大流行期间牙科保健工作者的死亡率：一项公共领域数据库研究
Mortality Among Dental Healthcare Workers During the Coronavirus Disease 2019 Pandemic: A Public Domain Database Study.
作者信息
van Capelleveen Marlotte C, Elkerbout Thérèse A, van der Sluijs Eveline, Jaquet Nadine, Slot Dagmar Else
机构信息
Department of Periodontology, Academic Centre for Dentistry Amsterdam (ACTA), A Joint Venture Between the Faculty of Dentistry and University of Amsterdam and the Faculty of Dentistry of the Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Department of Periodontology, Academic Centre for Dentistry Amsterdam (ACTA), A Joint Venture Between the Faculty of Dentistry and University of Amsterdam and the Faculty of Dentistry of the Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
出版信息
Int Dent J. 2025 Apr;75(2):692-699. doi: 10.1016/j.identj.2024.10.012. Epub 2024 Dec 18.
BACKGROUND
This study was conducted to assess the effects of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on dental healthcare workers (DHCWs) during the pandemic. Due to frequent exposure to aerosol-generating procedures, DHCWs are at an increased risk of a SARS-CoV-2 infection, increasing their mortality risk. Therefore, this retrospective study aimed to ascertain the mortality of DHCWs attributable to SARS-CoV-2 infection from databases in the public domain during the pandemic.
METHODS
The data were obtained from three public-domain online databases: Medscape, FNOMCeO, and X. All collected data from March 2020 to May 2024 were merged into a tabulated format. An analysis was conducted on the data collectively and through a subgroup analysis based on the country, detailed profession, age, gender, and date of death.
RESULTS
During the SARS-CoV-2 pandemic, 100 DHCWs were deceased. The DHCWs in the study were employed in 14 countries, with the United States (40%) and Italy (34%) listing the highest percentages of deaths of these workers. Dentists constituted 79% of the total DHCWs. The gender distribution among the deceased was 85 (85%) men and 15 (15%) women. The age of 57 deceased DHCWs was known, resulting in a mean age of 58 years (ranging from 28 to 88). The DHCWs at ages 60 to 70 years (49%) exhibited the highest mortality rate from SARS-CoV-2. The date of death was known for 73 DHCWs, who were deceased between March 2020 and February 2023.
CONCLUSION AND CLINICAL RELEVANCE
During the global pandemic, DHCWs worked in the context of general practice. The DHCWs adhered to infection prevention protocols according to standard guidelines and incorporated new adjunctive measures, especially for the pandemic, including adopting coronavirus disease 2019 guidelines for oral healthcare. These measures provided satisfactory protection, with less than 0.006% mortality of the estimated DHCWs worldwide.
背景
本研究旨在评估严重急性呼吸综合征冠状病毒2（SARS-CoV-2）在大流行期间对牙科医护人员（DHCWs）的影响。由于频繁接触产生气溶胶的操作，牙科医护人员感染SARS-CoV-2的风险增加，进而增加了他们的死亡风险。因此，这项回顾性研究旨在通过大流行期间公共领域的数据库确定因SARS-CoV-2感染导致的牙科医护人员死亡率。
方法
数据来自三个公共领域的在线数据库：Medscape、FNOMCeO和X。将2020年3月至2024年5月收集的所有数据合并成表格形式。对数据进行了综合分析，并根据国家、详细职业、年龄、性别和死亡日期进行了亚组分析。
结果
在SARS-CoV-2大流行期间，有100名牙科医护人员死亡。参与研究的牙科医护人员分布在14个国家，其中美国（40%）和意大利（34%）的这些工作人员死亡比例最高。牙医占牙科医护人员总数的79%。死亡人员的性别分布为85名男性（85%）和15名女性（15%）。已知57名死亡牙科医护人员的年龄，平均年龄为58岁（范围为28至88岁）。60至70岁的牙科医护人员（49%）SARS-CoV-2死亡率最高。已知73名牙科医护人员的死亡日期，他们于2020年3月至2023年2月期间死亡。
结论及临床意义
在全球大流行期间，牙科医护人员在一般诊疗环境中工作。牙科医护人员按照标准指南遵守感染预防协议，并采用了新的辅助措施，特别是针对大流行的措施，包括采用2019冠状病毒病口腔保健指南。这些措施提供了令人满意的保护，全球估计的牙科医护人员死亡率低于0.006%。
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