口腔健康与covid - 19

C. Azevedo, E. Crosato, I. Henriques, Paulo S G Henriques
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引用次数: 0

摘要

自2019年12月以来,新发现的冠状病毒(2019nCov)在武汉和全国范围内引起了肺炎疫情,2019- ncov通过人细胞受体ACE2进入宿主细胞,与SARS-CoV相同,但结合亲和力更高。病例数量的迅速增加和人际传播的证据表明,该病毒比SARS-CoV和MERS-CoV更具传染性。截至2020年2月中旬,已有大量医务人员感染报告,防护失效的具体原因有待进一步调查。这种新的传染因子更有可能影响老年男性,并引起严重的呼吸道疾病,这表明一种新的人际传播传染因子引起了这次突发的病毒性肺炎暴发。虽然口腔科等诊所在疫情期间已经关闭,但仍有大量急诊患者前往牙科诊所和医院接受治疗。我们总结了2019-nCov在口腔可能的传播途径,包括空气传播、接触传播和污染表面传播。我们还详细介绍了几种阻断病毒传播的实用策略,包括患者评估、手部卫生、牙科专业人员的个人防护措施、牙科术前漱口、橡胶坝隔离、防缩回手机、诊所环境消毒、医疗废物管理等,为在牙科诊疗过程中预防新冠病毒传播提供参考[1]。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Oral health and covid19
Since December 2019, the newly discovered coronavirus (2019nCov) has caused an outbreak of pneumonia in Wuhan and throughout China. 2019-nCov enters host cells through human cell receptor ACE2, the same with SARS-CoV, but with higher binding affinity. The rapidly increasing number of cases and evidence of human-tohuman transmission suggested that the virus was more contagious than SARS-CoV and MERS-CoV. By mid-February 2020, a large number of infections of medical staff have been reported, and the specific reasons for protection failure needs to be further investigated. This new infectious agent is more likely to affect older males and causes severe respiratory diseases indicating that a new person-to-person transmission infectious agent has caused this emergent viral pneumonia outbreak. Although clinics such as stomatology have been closed during the epidemic, a large number of emergency patients still go to the dental clinics and hospitals for treatment. We have summarized the possible transmission routes of 2019-nCov in stomatology, such as the airborne spread, contact spread, and contaminated surface spread. We also reviewed several detailed practical strategies to block virus transmission to provide a reference for preventing the transmission of 2019-nCov during dental diagnosis and treatment, including patient evaluation, hand hygiene, personal protective measures for the dental professionals, mouthrinse before dental procedures, rubber dam isolation, anti-retraction handpiece, disinfection of the clinic settings, and management of medical waste [1].
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