scholarly journals COVID-19 is a New Challenge for Dental Practitioners: Advice on Patients’ Management from Prevention of Cross Infections to Telemedicine

2020 ◽  
Vol 14 (1) ◽  
pp. 298-304 ◽  
Author(s):  
Amerigo Giudice ◽  
Francesco Bennardo ◽  
Alessandro Antonelli ◽  
Selene Barone ◽  
Leonzio Fortunato

Background: The COVID-19, originated in China in December 2019, has spread worldwide pandemically. Infection control measures are especially needed for healthcare professionals who meet potentially infected patients. Objective: The authors aimed to provide general knowledge about COVID-19 disease and indications for the management of emergency dental procedures based on recent literature and experience gained. Methods: A literature search was performed to identify scientific information on COVID-19 and prevention of cross infection appropriate for the practice of dentistry. Results: The authors provided relevant information about SARS-CoV-2 virus, COVID-19 disease, and prevention of cross infections in the dental office. Furthermore, the authors described their experience and highlighted the potential of telemedicine. Conclusion: This article, based on relevant researches, guidelines and Authors’ experience in a COVID-19 Hospital, introduces essential knowledge about COVID-19 and transmission routes and provides recommended management protocols for dental practitioners.

2020 ◽  
Vol 99 (5) ◽  
pp. 481-487 ◽  
Author(s):  
L. Meng ◽  
F. Hua ◽  
Z. Bian

The epidemic of coronavirus disease 2019 (COVID-19), originating in Wuhan, China, has become a major public health challenge for not only China but also countries around the world. The World Health Organization announced that the outbreaks of the novel coronavirus have constituted a public health emergency of international concern. As of February 26, 2020, COVID-19 has been recognized in 34 countries, with a total of 80,239 laboratory-confirmed cases and 2,700 deaths. Infection control measures are necessary to prevent the virus from further spreading and to help control the epidemic situation. Due to the characteristics of dental settings, the risk of cross infection can be high between patients and dental practitioners. For dental practices and hospitals in areas that are (potentially) affected with COVID-19, strict and effective infection control protocols are urgently needed. This article, based on our experience and relevant guidelines and research, introduces essential knowledge about COVID-19 and nosocomial infection in dental settings and provides recommended management protocols for dental practitioners and students in (potentially) affected areas.


2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Sodaif Darvish Moghaddam ◽  
Mohammad Javad Zahedi ◽  
Mahdieh Dalili ◽  
Mostafa Shokoohi

Introduction. Noncompliance with the recommended infection control measures by the healthcare professionals (HCPs) plays a major role in transmission of hepatitis B (HBV) and hepatitis C (HCV) viruses in hemodialysis (HD) wards. This study aimed to determine the compliance rate of the HCP with safety measures in the HD wards in southeast Iran. Patients and Methods. A total of 208 patients were enrolled. Adherence of HCPs with standard infection control measures was assessed. Results. Sixty-one HCPs with a mean age of 32.4 ± 11.2 years old were responsible for healthcare services. Compliance with the following items was weak: not sharing medications trolley (29.8%), disinfecting the shared instruments (46.2%), using single use materials for many patients (52.4%), carrying used materials in disposable containers (51.9%), not returning of unused materials to the clean room (55.3%), and adherence to hand washing (58.7%). Periodic monitoring for HBV and HCV was performed on 100% and 69.7% of the patients, respectively. Less than 2/3 of HCPs participated in the retraining courses. Conclusion. Compliance of HCPs with safety measures for viral hepatitis prevention was partly inadequate in HD wards. Emphasis on retraining of HCPs and official supervision would be effective steps in the reduction of viral dissemination.


2020 ◽  
Vol 8 (T1) ◽  
pp. 618-621
Author(s):  
Fareedi Mukram Ali ◽  
Kishor Patil ◽  
Elnur Ibrahim Albashir ◽  
Abdulhamid Aidarous Alamir

Novel coronavirus (nCoV) is a novel form of virus with a new strain identified recently in humans. Common clinical signs and symptoms primarily consist of fever, cough, and breathing difficulties. In severe cases, it can results in pneumonia, severe acute respiratory syndrome, kidney failure, and even death. It is important to follow all infection control measures in prevention of the nCoV from spreading and controlling the epidemic situation. The risk of cross infection can be high between dental practitioners and patients due to the features of dental clinical settings. Here, we are summarizing the nCoV related information and infection control measures to be followed in dental practice.


2014 ◽  
Vol 8 (3) ◽  
pp. 128-130
Author(s):  
R Gupta ◽  
NA Ingle ◽  
N Kaur ◽  
HV Dubey ◽  
E Ingle

ABSTRACT Introduction CDC (Center for Disease Control & prevention), who proposed Universal Precautions, states that “Treat each patient as potentially risk”. Therefore, it is our basic responsibility to control the spread of such devastating diseases by following infection control measures. Aims & Objectives To assess the various personal protective measures adapted by dental practitioners in Agra city and to know how many dentists are vaccinated against Hepatitis B for prevention of the spread of this disease. Materials and Methods The study included response using questionnaire from 150 dental practitioners from Agra city, chosen by random sampling. Questions were related to their personal protective measures employed by the dental practitioners and information about their prophylaxis against Hepatitis B was also obtained. Results Among the dental practitioners, 80% were males. Approximately 82% of the dental practitioners were vaccinated against HBV. Only 6% followed the CDC recommendations for hand washing practices, and about 64% dental practitioners gave wrong answers related to droplet infection. Conclusion Lack of awareness regarding universal precautions proposed by CDC is observed among dental practitioners. There is a great need for creating awareness among dental practitioners.


2021 ◽  
Vol 13 (1) ◽  
pp. 1-18
Author(s):  
Lidushka Vasilevska ◽  
Elena Kjosevska ◽  
Tanja Lekovska-Stoicovska

The COVID-19 pandemic is an unprecedented global crisis in public health. Professionals in dental institutions, dental associations and regulatory bodies face various challenges in providing dental care and prevention of oral health of the population, as well as protection of patients and practitioners from the health threat of SARS-CoV-2 virus. The aim of this paper is to present the current findings and views regarding the information on the epidemiological and clinical characteristics of the SARS-CoV-2 virus and the need to implement protocols to protect patients and dental practitioners from the health threat posed by the virus, in compliance with medically relevant regulations.Material and methods: References from WHO, FDI and published papers in international scientific journals in this relatively short period were consulted and they presented: updated epidemiological and seroepidemiological information, review of response measures implemented in EU countries / EEA, UK and countries around the world and response options to minimize the risk of recurrence of COVID-19. Results: Viral pneumonia that appeared on February 11, 2020, was named "Coronavirus (COVID 19)" by the WHO, while the International Committee on Taxonomy of Viruses (ICTV) proposed the name "SARS-CoV-2" for phylogenetic and taxonomic analysis of this corona virus. Dentists/doctors of dental medicine should be familiar with transmission of SARS-CoV-2, how to identify patients with SARS-CoV-2 infection and what measures should be taken for protection during the intervention in order to prevent its transmission. There are recommendations for infection control measures that should be followed by the dentists/doctors of dental medicine. The fact that aerosols and drops have been considered for major SARS-CoV-2 propagation routes has been emphasized. If these measures are not undertaken, then the dental office can potentially expose patients to cross-infection. Conclusion: The epidemiological situation around the world is changing dynamically, but patients should not be left without urgent medical help. Oral health team members are required to update their knowledge and skills regarding the prevention, diagnosis and management of communicable diseases that can be transmitted in a clinical setting and to stick to the standard precautions to protect patients from infections as well as protect themselves.


2020 ◽  
Vol 3 (1) ◽  
pp. 21-28
Author(s):  
S Dixit ◽  
P B Dixit ◽  
D Pradhan ◽  
S Gupta

Introduction: Dental professionals frequently encounter infectious agents. Those not practicing proper infection control measures are at serious risk of infections. This study was conducted to assess knowledge, attitude, practice, and satisfaction of dental professionals regarding infection control guidelines to be followed in Prosthodontics. Materials and Methods: This cross-sectional descriptive study was conducted from August to October 2020 in department of Prosthodontics, Kathmandu Medical College after obtaining ethical clearance and informed consent. Participants comprised of dental surgeons, interns, students, and faculties who were recruited by convenience sampling. The data on the questionnaire were collected via Google forms and analysed with Microsoft Excel. Descriptive statistics have been presented as frequency and percentages. Results: A total of 154 questionnaires filled by 39 (25.32%) males and 115 (74.68%) females of mean age of 25.02±4.85 years were analysed. Of all, 25 (16.23%) had never had a lecture and 118 (76.62%) had never had attended clinical demonstration or hands-on workshop on infection control. Only 129 (83.77%) had received immunisation for hepatitis B. Most (144, 93.51%) preferred mouth rinse before any procedure; 145 (94.16%) agreed that disinfection is required between patients; and only 77 (50%) of the participants washed their hands prior to wearing gloves. Majority (123, 79.97%) were not satisfied with their knowledge and performance. Conclusions: Knowledge and attitude of participants regarding infection control was found adequate and positive, though lacking in practice. It is recommended that the infection control lectures and clinical demonstrations be increased in curriculum so that no future dentists are deprived of essential knowledge.  


2021 ◽  
Vol 5 (1) ◽  
pp. RV1-RV10
Author(s):  
Priyanka ◽  
Sonal Priya Bhansali ◽  
Sumit Bhansali ◽  
Yagyeshwar Malhotra

Coronavirus disease 2019 (COVID-19) caused by a single stranded RNA virus originating from Wuhan China has gripped the whole world and evolved rapidly into a public health crisis. SARSCoV-2 (severe acute respiratory syndrome coronavirus 2 is abundantly present in nasopharyngeal and salivary secretions of affected patients and is transmitted by droplets, surface contact, fecal-oral route and by aerosolization during procedures. The dental professionals are particularly at risk because of close contact with the patient and exposure to blood, saliva and droplets. Dental professionals must be fully aware of coronavirus spreading modalities, identification of patients with this infection, so present article introduces the essential knowledge about COVID-19 infection and provide recommended management protocols for dental practitioners based on relevant guidelines, research so that dental professional are better prepared to manage  asymptomatic, suspected, and confirmed COVID-19 patients.


Author(s):  
Gulnihal Reyhan Toptas ◽  
Eylem Unlubilgin ◽  
Tugba Kinay ◽  
Ali Riza Dogan ◽  
Mehmet Akif Akgul ◽  
...  

OBJECTIVE: The objective of this study was to determine the incidence of perioperative “severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2)” infection among women, operated during Coronavirus disease-2019 (COVID-19) era. STUDY DESIGN: All patients who were operated on between March 11, 2020, and December 31, 2020, in our gynecology clinic were included in this cross-sectional study. The clinical and demographic characteristics of the patients, preoperative and postoperative SARS-CoV-2 positivity, the progress of the infection, and the survival rates in positive cases were analyzed. COVID-19 cases were diagnosed by reverse transcription-polymerase chain reaction testing for SARS-CoV-2. RESULTS: Operations of 133 (33%) of 406 patients were canceled for various reasons. 275 patients were operated on. Preoperatively three patients were diagnosed with COVID-19. One of these patients died and two were operated on after treatment and self-isolation. Only one (0.4%) patient was diagnosed with COVID-19 30 days postoperatively and completely recovered. We calculated the perioperative SARS-CoV-2 positivity rate as 1.4% (276 surgeries were planned and 4 patients were diagnosed with COVID-19). During the study, 107 physicians worked in our clinic alternately. Two (1.8%) of these physicians were diagnosed with COVID-19 and completely recovered without the need for intensive care. In addition, nine patients who were previously diagnosed with COVID-19 were operated on. Postoperative respiratory and other system complications did not occur in nine patients, previously diagnosed with COVID-19. CONCLUSION: The results of our study show that gynecological surgical procedures do not increase the transmission and mortality rates of SARS-CoV-2 among patients and healthcare professionals as long as infection control measures are followed.


Gut ◽  
2020 ◽  
Vol 69 (6) ◽  
pp. 991-996 ◽  
Author(s):  
Philip Wai Yan Chiu ◽  
Siew C Ng ◽  
Haruhiro Inoue ◽  
D Nageshwar Reddy ◽  
Enqiang Ling Hu ◽  
...  

Coronavirus-19 (COVID-19) caused by SARS-CoV-2 has become a global pandemic. Risk of transmission may occur during endoscopy and the goal is to prevent infection among healthcare professionals while providing essential services to patients. Asia was the first continent to have a COVID-19 outbreak, and this position statement of the Asian Pacific Society for Digestive Endoscopy shares our successful experience in maintaining safe and high-quality endoscopy practice at a time when resources are limited. Sixteen experts from key societies of digestive endoscopy in Asia were invited to develop position statements, including patient triage and risk assessment before endoscopy, resource prioritisation and allocation, regular monitoring of personal protective equipment, infection control measures, protective device training and implementation of a strategy for stepwise resumption of endoscopy services after control of the COVID-19 outbreak.


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