Risks of Aerosol Contamination in Dental Procedures during the Second Wave of COVID-19-Experience and Proposals of Innovative IPC in Dental Practice

被引:23
作者
Gandolfi, Maria Giovanna [1 ]
Zamparini, Fausto [1 ]
Spinelli, Andrea [2 ]
Sambri, Vittorio [3 ,4 ]
Prati, Carlo [2 ]
机构
[1] Univ Bologna, DIBINEM, Sch Dent, Lab Green Biomat & Oral Pathol, I-40126 Bologna, Italy
[2] Univ Bologna, DIBINEM, Sch Dent, Endodont Clin Sect, I-40125 Bologna, Italy
[3] Univ Bologna, Microbiol Unit, DIMES, I-40125 Bologna, Italy
[4] Greater Romagna Hub Lab, Microbiol Unit, I-47822 Pievesestina, Italy
关键词
SARS-CoV-2; infection; severe acute respiratory syndrome coronavirus 2; Coronavirus disease 2019 (Covid-19) diffusion; aerosol; droplets; dental offices; dental chair unit; COVID-19;
D O I
10.3390/ijerph17238954
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
Dental-care workers operate very close to the patient's mouth and are at high risk of contamination by SARS-CoV-2. Droplets may be contaminated by patient's saliva and exhaled breath particles. All asymptomatic patients should be considered as Coronavirus positive. All dental procedures must be revised after positive identification of SARS-Cov-2. Novel recommendations as the use of novel suction cannula designed for fast spray/saliva aspiration, use of Tyvek suits and innovative sprayhoods designed for dental-care worker protections are proposed to prevent virus transmission. New tailored operative and clinical procedures are being currently developed by university dental clinics and hospitals in attempt to reduce risk for dental workers and patients.
引用
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页码:1 / 12
页数:12
相关论文
共 32 条
  • [1] Rapid Salivary Test suitable for a mass screening program to detect SARS-CoV-2: A diagnostic accuracy study
    Azzi, Lorenzo
    Baj, Andreina
    Alberio, Tiziana
    Lualdi, Marta
    Veronesi, Giovanni
    Carcano, Giulio
    Ageno, Walter
    Gambarini, Cinzia
    Maffioli, Lorenzo
    Di Saverio, Salomone
    Gasperina, Daniela Dalla
    Genoni, Angelo Paolo
    Premi, Elias
    Donati, Simone
    Azzolini, Claudio
    Grandi, Anna Maria
    Dentali, Francesco
    Tangianu, Flavio
    Sessa, Fausto
    Maurino, Vittorio
    Tettamanti, Lucia
    Siracusa, Claudia
    Vigezzi, Andrea
    Monti, Elisa
    Iori, Valentina
    Iovino, Domenico
    Ietto, Giuseppe
    Grossi, Paolo Antonio
    Tagliabue, Angelo
    Fasano, Mauro
    [J]. JOURNAL OF INFECTION, 2020, 81 (03) : E75 - E78
  • [2] Two cases of COVID-19 with positive salivary and negative pharyngeal or respiratory swabs at hospital discharge: A rising concern
    Azzi, Lorenzo
    Carcano, Giulio
    Dalla Gasperina, Daniella
    Sessa, Fausto
    Maurino, Vittorio
    Baj, Andreina
    [J]. ORAL DISEASES, 2021, 27 : 707 - 709
  • [3] Saliva is a reliable tool to detect SARS-CoV-2
    Azzi, Lorenzo
    Carcano, Giulio
    Gianfagna, Francesco
    Grossi, Paolo
    Dalla Gasperina, Daniela
    Genoni, Angelo
    Fasano, Mauro
    Sessa, Fausto
    Tettamanti, Lucia
    Carinci, Francesco
    Maurino, Vittorio
    Rossi, Agostino
    Tagliabue, Angelo
    Baj, Andreina
    [J]. JOURNAL OF INFECTION, 2020, 81 (01) : E45 - E50
  • [4] Microbial aerosols in general dental practice
    Bennett, AM
    Fulford, MR
    Walker, JT
    Bradshaw, DJ
    Martin, MV
    Marsh, PD
    [J]. BRITISH DENTAL JOURNAL, 2000, 189 (12) : 664 - 667
  • [5] Barrier Enclosure during Endotracheal Intubation
    Canelli, Robert
    Connor, Christopher W.
    Gonzalez, Mauricio
    Nozari, Ala
    Ortega, Rafael
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 2020, 382 (20) : 1957 - 1958
  • [6] A multipurpose portable negative air flow isolation chamber for aerosol-generating procedures during the COVID-19 pandemic
    Cubillos, Javier
    Querney, Jill
    Rankin, Adam
    Moore, John
    Armstrong, Kevin
    [J]. BRITISH JOURNAL OF ANAESTHESIA, 2020, 125 (01) : E179 - E181
  • [7] In Vitro Bactericidal and Virucidal Efficacy of Povidone-Iodine Gargle/Mouthwash Against Respiratory and Oral Tract Pathogens
    Eggers, Maren
    Koburger-Janssen, Torsten
    Eickmann, Markus
    Zorn, Juergen
    [J]. INFECTIOUS DISEASES AND THERAPY, 2018, 7 (02) : 249 - 259
  • [8] Variability of Infectious Aerosols Produced during Coughing by Patients with Pulmonary Tuberculosis
    Fennelly, Kevin P.
    Jones-Lopez, Edward C.
    Ayakaka, Irene
    Kims, Soyeon
    Menyha, Harriet
    Kirenga, Bruce
    Muchwa, Christopher
    Joloba, Moses
    Dryden-Peterson, Scott
    Reilly, Nancy
    Okwera, Alphonse
    Elliott, Alison M.
    Smith, Peter G.
    Mugerwa, Roy D.
    Eisenach, Kathleen D.
    Ellner, Jerrold J.
    [J]. AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2012, 186 (05) : 450 - 457
  • [9] Fogarty A., 2020, LANCET RESP MED, V22
  • [10] Generic aspects of the airborne spread of human pathogens indoors and emerging air decontamination technologies
    Ijaz, M. Khalid
    Zargar, Bahram
    Wright, Kathryn E.
    Rubino, Joseph R.
    Sattar, Syed A.
    [J]. AMERICAN JOURNAL OF INFECTION CONTROL, 2016, 44 (09) : S109 - S120