scholarly journals Pivoting Dental Practice Management during the COVID-19 Pandemic—A Systematic Review

Medicina ◽  
2020 ◽  
Vol 56 (12) ◽  
pp. 644
Author(s):  
Syed Sarosh Mahdi ◽  
Zohaib Ahmed ◽  
Raheel Allana ◽  
Alessandro Peretti ◽  
Francesco Amenta ◽  
...  
Keyword(s):  
Systematic Review ◽  
Infection Control ◽  
Practice Management ◽  
Main Theme ◽  
Dental Practice ◽  
Substantial Impact ◽  
Corona Virus ◽  
Number Of Patients ◽  
Novel Coronavirus ◽  
Dental Professionals

Background and Objectives: The aims of this systematic review were to identify additional infection control measures implemented in dental practice globally to prevent cross-infection and evaluate the psychological impacts of the pandemic among dental professionals. Materials and Methods: A sequential systematic literature search was conducted from December 2019 to 30 April 2020 through PubMed, CINAHL, Scopus, Google Scholar, Embase, and Web of Science databases. The search yielded the following results: “COVID-19” (n = 12,137), “Novel corona virus” (n = 63), “COVID-19 and dentistry” (n = 46), “COVID-19 and oral health” (n = 41), “Novel Corona virus and Dentistry” (n = 0), “dental health and Novel Coronavirus” (n = 26), and “dental practice and Novel Coronavirus” (n = 6). Results: After a careful review and eliminating articles based on inclusion and exclusion criteria, the final review included 13 articles. Management of infection control is discussed extensively in the literature and remains the main theme of many Coronavirus Disease 2019 (COVID-19) articles on dentistry. Telephone triage using a questionnaire, hand hygiene, personal protective equipment (PPE) for clinical and nonclinical staff, a preprocedural mouth rinse, and aerosol management have been discussed and implemented in few countries. Three studies recommended that elective treatments for patients with a temperature of >100.4 F or 38 °C should be postponed or performed in an airborne infection isolation room (AIIR) or negative-pressure room. Limiting the number of patients in the waiting area, the removal of shared objects, proper ventilation, and physical distancing were highly recommended. Psychological distress among dental professionals in relation to existing medical conditions and self-efficacy has been discussed. Conclusions: Although the COVID-19 pandemic has had a substantial impact on the dental profession worldwide, our review highlights many practice management approaches to adopt the new norm. More research highlighting evidence-based safety practices and multisectoral collaboration is required to help dental professionals make informed decisions and make the profession safe, both for the patient and dental professionals.

scholarly journals INFECTION CONTROL IN DENTAL CLINICS DURING COVID 19 –Original Review

2020 ◽  
Author(s):  
Raunak Manjeet ◽  
KULDEEP D’MELLO ◽  
ATUL SINGH ◽  
SWATI SRIVASTAVA
Keyword(s):  
Severe Acute Respiratory Syndrome ◽  
Infection Control ◽  
Virus Disease ◽  
Control Strategies ◽  
Dental Practice ◽  
Corona Virus ◽  
Management Protocol ◽  
Spread Pattern ◽  
Spread Of Infection ◽  
Aerosol Infection

The outbreak of severe acute respiratory syndrome corona virus 2 (SARS COV 2) and its linked corona virus disease has troubled the entire world community led to a serious public health concerns. Despite the various efforts to stop the spread of this disease globally, the outbreak is still on the rise because of the community spread pattern of this disease. This is believed to have originated in bats pangolins initially later it got transmitted to humans. Once it comes in the human body , this corona virus remains abundantly present in nasopharyngeal and salivary secretions of affected patients. Its spreading nature is mainly through the respiratory droplet spread / aerosol infection. Dental professionals, including Orthodontists , Oral Surgeons , Periodontists, Endodontists and Prosthodontists are all at high risk, since they may encounter patients with suspected or confirmed SARS COV 2 infection will have to act accordingly not only to provide care but at the same time prevent nosocomial spread of infection. Thus, the aim of this article is to provide a brief detailing of the cause, sign symptoms and different routes of transmission of this infection. In addition specific recommendations for dental practice are suggested for patient screening, infection control strategies and patient management protocol . KEY WORDS Coronavirus ,COVID 19, SARS COV 2 ,Dental practice ,Orthodontics ,OMFS, severe acute respiratory syndrome .

scholarly journals Prevalence and risks of severe events for cancer patients with COVID-19 infection: a systematic review and meta-analysis

2020 ◽  
Author(s):  
Qiang Su ◽  
Jie-xuan Hu ◽  
Hai-shan Lin ◽  
Zheng Zhang ◽  
Emily C. Zhu ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Virus Disease ◽  
Meta Analysis ◽  
Corona Virus ◽  
Total Prevalence ◽  
Number Of Patients ◽  
Foundation Program ◽  
Novel Coronavirus ◽  
Epidemiological Characteristics ◽  
Prevalence Of Cancer

SummaryBackgroundThe corona virus disease 2019 (COVID-19) pandemic poses a severe challenge to public health, especially to those patients with underlying diseases. In this meta-analysis, we studied the prevalence of cancer among patients with COVID-19 infection and their risks of severe events.MethodsWe searched the Pubmed, Embase and MedRxiv databases for studies between December 2019 and May 3, 2020 using the following key words and terms: sars-cov-2, covid-19, 2019-ncov, 2019 novel coronavirus, corona virus disease-2019, clinical, clinical characteristics, clinical course, epidemiologic features, epidemiology, and epidemiological characteristics. We extracted data following PICO (patient, intervention, comparison and outcome) chart. Statistical analyses were performed with R Studio (version 3.5.1) on the group-level data. We assessed the studies’ risk of bias in accordance to the adjusted Joanna Briggs Institute. We estimated the prevalence or risks for severe events including admission into intensive care unit or death using meta-analysis with random effects.FindingsOut of the 2,551 studies identified, 32 studies comprising 21,248 participants have confirmed COVID-19. The total prevalence of cancer in COVID-19 patients was 3.97% (95% CI, 3.08% to 5.12%), higher than that of the total cancer rate (0.29%) in China. Stratification analysis showed that the overall cancer prevalence of COVID-19 patients in China was 2.59% (95% CI, 1.72% to 3.90%), and the prevalence reached 3.79% in Wuhan (95% CI, 2.51% to 5.70%) and 2.31% (95% CI, 1.16% to 4.57%) in other areas outside Wuhan in China. The incidence of ICU admission in cancer patients with COVID-19 was 26.80% (95% CI, 21.65% to 32.67%) and the mortality was 24.32% (95% CI, 13.95% to 38.91%), much higher than the overall rates of COVID-19 patients in China. The fatality in COVID patients with cancer was lower than those with cardiovascular disease (OR 0.49; 95% CI, 0.34 to 0.71; p=0.39), but comparable with other comorbidities such as diabetes (OR 1.32; 95% CI, 0.42 to 4.11; p=0.19), hypertension (OR 1.27; 95% CI, 0.35 to 4.62; p=0.13), and respiratory diseases (OR 0.79; 95% CI, 0.47 to 1.33; p=0.45).InterpretationThis comprehensive meta-analysis on the largest number of patients to date provides solid evidence that COVID-19 infection significantly and negatively affected the disease course and prognosis of cancer patients. Awareness of this could help guide clinicians and health policy makers in combating cancer in the context of COVID-19 pandemic.FundingBeijing Natural Science Foundation Program and Scientific Research Key Program of Beijing Municipal Commission of Education (KZ202010025047).

scholarly journals Safe dental practice during the COVID-19 pandemic

2020 ◽  
Vol 1 (2) ◽  
pp. 106-120
Author(s):  
Joo Ming Cheong
Keyword(s):  
Public Health ◽  
Infection Control ◽  
Daily Life ◽  
Dental Practice ◽  
Health Concerns ◽  
Dental Office ◽  
Technical Report ◽  
Dental Professionals

 Coronavirus disease 2019 (COVID-19) has caused widespread public health concerns and many disruptions in our daily life. Dental professionals may encounter patients with COVID-19 infections in their practice. This technical report provides suggestions andrecommendations for implementing infection control in the dental office during COVID-19 pandemic.

Analysis of awareness of infection control in dental practice during the COVID-19 outbreak among dental practitioners in Tamil Nadu

2020 ◽  
Vol 11 (SPL1) ◽  
pp. 653-658
Author(s):  
Roshan A ◽  
Jeevitha M ◽  
Sridevi G
Keyword(s):  
Infection Control ◽  
Tamil Nadu ◽  
Dental Health ◽  
Health Staff ◽  
Dental Practice ◽  
Department Of Health ◽  
Dental Practitioners ◽  
Study Population ◽  
Self Administered Questionnaire ◽  
Dental Professionals

Given the existence of a standardized tool and infection control recommendations for COVID-19, many dental professionals lack the minimum infection control requirements. As the disease outbreak continues to evolve and health centres respond to unique situations in their communities, the Department of Health recognizes that dental settings may also be necessary to provide non-emergency dental care. The dental environment will balance the need to include the resources available whilst reducing the harm to patients and dental health staff. The aim of the study is to assess the awareness of infection control in dental practice in the COVID-19 outbreak among dental practitioners. A Self-administered questionnaire was designed based on awareness of infection control for a dental practice in the COVID-19 outbreak. The questionnaire was distributed through an online google form link. The study population included dental professionals in Tamil Nadu. The data was collected and statistically analysed. 81% use PPE (personal protective equipment) during the procedure, 82.7% of patients are made to rinse their mouth with an antimicrobial mouth rinse before the dental procedure. Based on the findings, awareness level and infection control in dental practice can be improved.

scholarly journals Covid-19 outbreak and Oral Health Concerns – A Systematic Review

2020 ◽  
Author(s):  
Syed Sarosh Mahdi ◽  
Zohaib Ahmed ◽  
Raheel Allana ◽  
Alessandro Peretti ◽  
Mohammed Nadeem Bijle ◽  
...  
Keyword(s):  
Systematic Review ◽  
Oral Health ◽  
Case Reports ◽  
Dental Health ◽  
Case Series ◽  
Existential Crisis ◽  
Corona Virus ◽  
Bias Risk ◽  
Newcastle Ottawa Scale ◽  
Novel Coronavirus

Abstract Background:The aim of this systematic review is to shed light on practical implications of Covid-19 pandemic for the profession of dentistry. It examines the current literature and dental guidelines on Covid-19 in a systematic manner.Methods:A sequential systematic literature search was conducted on Pubmed, Medline, CINAHL, Scopus, Google scholar, Embase of Web of Science. The search results yielded the following results-Covid-19 (n=5171), Novel corona virus (n=63), Covid- 19 and dentistry (n=46), Covid-19 and oral health (n=41) Novel Corona virus and Dentistry (n=0), dental health and Novel Coronavirus (n=26), and dental practice and Novel Coronavirus (n=6)Results:The final review included 13 articles after elimination of other articles based on inclusion and exclusion criteria. Original articles and systematic reviews addressing 2019-nCoV and dentistry were entitled for inclusion, case reports, case series, correspondences, editorials were not included. Bias risk assessment was assessed using the Newcastle-Ottawa Scale (NOS)Conclusion:Covid-19 pandemic is an existential crisis for the profession of dentistry and requires a complete rethink about many aspects of the profession due to the nature of dental work. Evidence based research and multi-sectorial collaboration is required to make the profession safe again, both for the patient and dental team.

scholarly journals Impact of novel coronavirus disease (COVID-19) on Egyptian dentists’ fear and dental practice (a cross-sectional survey)

BDJ Open ◽  
2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Mariam Mohsen Aly ◽  
Marwa Aly Elchaghaby
Keyword(s):  
Online Survey ◽  
World Health ◽  
Dental Practice ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Validated Questionnaire ◽  
Control And Prevention ◽  
Novel Coronavirus ◽  
Health Organization ◽  
Dental Professionals

Abstract Objectives This study aimed to evaluate the fear of infection among Egyptian dentists practicing during the current coronavirus disease 2019 (COVID-19) pandemic and to explore the dentist’s knowledge about guidelines to fight the virus and to assess various modifications in dental practice. Methods An online survey was submitted to dental professionals. Data were collected through a validated questionnaire consisting of 23 closed-ended questions. The gathered data were statistically analyzed. Results An overall 216 dentists completed the survey. A total of 200 (92.6%) dental professionals were afraid of becoming infected with COVID-19 while 196 (90.7%) became anxious to treat patients showing suspicious symptoms. The majority of the participants were aware of the mode of transmission of COVID-19 and a lot of them were updated with the current Disease Control and Prevention (CDC) or World Health Organization (WHO) guidelines for cross-infection control. Conclusions COVID-19 pandemic has a significant impact on dental professionals.

scholarly journals Corona Virus – The Dental Outlook

2020 ◽  
Vol 8 (04) ◽  
pp. 47-52
Author(s):  
Dr. Thorikonda Sai Pravallika ◽  
Dr. Sheetal Akula ◽  
Dr. Kurnool Balaji ◽  
Dr. Maddela Jyothi ◽  
Dr. Jaidupally Ramvilas Reddy
Keyword(s):  
Infection Control ◽  
Dental Care ◽  
Preventive Measures ◽  
Control Measures ◽  
Risk Of Infection ◽  
Huge Number ◽  
Infection Control Measures ◽  
Corona Virus ◽  
High Infection ◽  
Dental Professionals

AIM: This review provides an overview of the corona virus and to determine the precautionary recommendations to be taken by the Dental Professionals. BACKGROUND: Corona virus (COVID-19) in no time has captured the world’s attention and is declared as a pandemic by WHO. REVIEW RESULTS: Dental care settings inevitably carry the risk of infection due to the specificity of the procedures and effective preventive measures can help the spread of the infection. CONCLUSION: The outbreak of corona virus had already lead to huge number of deaths and its risk continues to remain high. Infection control measures are necessary to help control the situation. KEYWORDS: Corona virus, Pandemic, Dental considerations

scholarly journals COVID-19 and Dental Practice: A Review

2020 ◽  
Vol 4 (5) ◽  
pp. 113-115
Author(s):  
Sana Bashir
Keyword(s):  
Infection Control ◽  
Healthcare Professionals ◽  
Specific Treatment ◽  
Viral Disease ◽  
Control Measures ◽  
Dental Practice ◽  
Infection Control Measures ◽  
Dental Clinics ◽  
Novel Coronavirus ◽  
Close Contacts

Novel coronavirus outbreak which started in Wuhan in December 2019 has spread across the globe at a high pace. This infection can be transmitted through droplets, close contacts, aerosols and other forms. Both uninfected patients and healthcare professionals are hesitating in seeing each other being scared of catching this viral disease. To overcome this upcoming gap between healthcare professionals and patients, there is a need to find out a way to answer their concerns and reinforce their confidence. As no specific treatment for this pandemic exists, one can only rely on infection control measures to prevent further spread of this disease. The aim  of  this  review  is to focus on  specific guidelines in order to reduce the risk of COVID-19 transmission in dental clinics and hospitals.

scholarly journals Detection of three pandemic causing coronaviruses from non-respiratory samples: systematic review and meta-analysis

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Chandan Mishra ◽  
Suneeta Meena ◽  
Jitendra Kumar Meena ◽  
Suman Tiwari ◽  
Purva Mathur
Keyword(s):  
Systematic Review ◽  
Detection Rate ◽  
Meta Analysis ◽  
Total Sample ◽  
Urine Samples ◽  
Pathogenic Potential ◽  
Clinical Specimens ◽  
Qrt Pcr ◽  
Corona Virus ◽  
Positive Rate

AbstractSARS-CoV-2 has posed an unprecedented challenge to the world. Pandemics have been caused previously by viruses of this family like Middle East Respiratory Corona Virus (MERS CoV), Severe Acute Respiratory Syndrome Corona Virus (SARS CoV). Although these viruses are primarily respiratory viruses, but they have been isolated from non-respiratory samples as well. Presently, the detection rate of SARS‐CoV‐2 RNA from different clinical specimens using Real Time Reverse Transcriptase Polymerized Chain Reaction (qRT‐PCR) after onset of symptoms is not yet well established. Therefore, the aim of this systematic review was to establish the profile of detecting SARS‐CoV‐2, MERS CoV, SARS CoV from different types of clinical specimens other than the respiratory using a standard diagnostic test (qRT‐PCR). A total of 3429 non-respiratory specimens were recorded: SARS CoV (total sample—802), MERS CoV (total sample—155), SARS CoV-2 (total sample—2347). Out of all the samples studied high positive rate was seen for saliva with 96.7% (14/14; 95% CI 87.6–100.0%) for SARS CoV and 57.5% (58/250; 95% CI − 1.2 to 116.2%) for SARS CoV-2, while low detection rate in urine samples for SARS CoV-2 with 2.2% (8/318; 95% CI 0.6–3.7%) and 9.6% (12/61; 95% CI − 0.9 to 20.1%) for SARS CoV but there was relatively higher positivity in urine samples for MERS CoV with detection rate of 32.4% (2/38; 95% CI − 37.3 to 102.1%). In Stool sample positivity was 54.9% (396/779; 95% CI 41.0–68.8%), 45.2% (180/430; 95% CI 28.1–62.3%) and 34.7% (4/38; 95% CI − 29.5 to 98.9%) for SARS CoV-2, MERS CoV, and SARS CoV, respectively. In blood sample the positivity was 33.3% (7/21; 95% CI 13.2–53.5%), 23.7% (42/277; 95% CI 10.5–36.9%) and 2.5% (2/81; 95% CI 0.00–5.8%) for MERS CoV, SARS CoV-2 and SARS CoV respectively. SARS‐CoV‐2 along with previous two pandemic causing viruses from this family, were highly detected stool and saliva. A low positive rate was recorded in blood samples. Viruses were also detected in fluids along with unusual samples like semen and vaginal secretions thus highlighting unique pathogenic potential of SARS‐CoV‐2.

scholarly journals Diagnostic Role of 18F-PSMA-1007 PET/CT in Prostate Cancer Staging: A Systematic Review

Diagnostics ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. 552
Author(s):  
Salam Awenat ◽  
Arnoldo Piccardo ◽  
Patricia Carvoeiras ◽  
Giovanni Signore ◽  
Luca Giovanella ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Systematic Review ◽  
Diagnostic Accuracy ◽  
Metastatic Disease ◽  
Cancer Staging ◽  
Relevant Information ◽  
Cochrane Library ◽  
Number Of Patients ◽  
Pet Ct

Background: The use of prostate-specific membrane antigen (PSMA)-targeted agents for staging prostate cancer (PCa) patients using positron emission tomography/computed tomography (PET/CT) is increasing worldwide. We performed a systematic review on the role of 18F-PSMA-1007 PET/CT in PCa staging to provide evidence-based data in this setting. Methods: A comprehensive computer literature search of PubMed/MEDLINE and Cochrane Library databases for studies using 18F-PSMA-1007 PET/CT in PCa staging was performed until 31 December 2020. Eligible articles were selected and relevant information was extracted from the original articles by two authors independently. Results: Eight articles (369 patients) evaluating the role of 18F-PSMA-1007 PET/CT in PCa staging were selected. These studies were quite heterogeneous, but, overall, they demonstrated a good diagnostic accuracy of 18F-PSMA-1007 PET/CT in detecting PCa lesions at staging. Overall, higher primary PCa aggressiveness was associated with higher 18F-PSMA-1007 uptake. When compared with other radiological and scintigraphic imaging methods, 18F-PSMA-1007 PET/CT had superior sensitivity in detecting metastatic disease and the highest inter-reader agreement. 18F-PSMA-1007 PET/CT showed similar results in terms of diagnostic accuracy for PCa staging compared with PET/CT with other PSMA-targeted tracers. Dual imaging with multi-parametric magnetic resonance imaging and 18F-PSMA-1007 PET/CT may improve staging of primary PCa. Notably, 18F-PSMA-1007-PET/CT may detect metastatic disease in a significant number of patients with negative standard imaging. Conclusions: 18F-PSMA-1007 PET/CT demonstrated a good accuracy in PCa staging, with similar results compared with other PSMA-targeted radiopharmaceuticals. This method could substitute bone scintigraphy and conventional abdominal imaging for PCa staging. Prospective multicentric studies are needed to confirm these findings.

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