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:25
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
收藏
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 [J].
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 .
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 [J].
Azzi, Lorenzo ;
Carcano, Giulio ;
Dalla Gasperina, Daniella ;
Sessa, Fausto ;
Maurino, Vittorio ;
Baj, Andreina .
ORAL DISEASES, 2021, 27 :707-709
[3]   Saliva is a reliable tool to detect SARS-CoV-2 [J].
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 .
JOURNAL OF INFECTION, 2020, 81 (01) :E45-E50
[4]   Microbial aerosols in general dental practice [J].
Bennett, AM ;
Fulford, MR ;
Walker, JT ;
Bradshaw, DJ ;
Martin, MV ;
Marsh, PD .
BRITISH DENTAL JOURNAL, 2000, 189 (12) :664-667
[5]   Barrier Enclosure during Endotracheal Intubation [J].
Canelli, Robert ;
Connor, Christopher W. ;
Gonzalez, Mauricio ;
Nozari, Ala ;
Ortega, Rafael .
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 [J].
Cubillos, Javier ;
Querney, Jill ;
Rankin, Adam ;
Moore, John ;
Armstrong, Kevin .
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 [J].
Eggers, Maren ;
Koburger-Janssen, Torsten ;
Eickmann, Markus ;
Zorn, Juergen .
INFECTIOUS DISEASES AND THERAPY, 2018, 7 (02) :249-259
[8]   Variability of Infectious Aerosols Produced during Coughing by Patients with Pulmonary Tuberculosis [J].
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. .
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 [J].
Ijaz, M. Khalid ;
Zargar, Bahram ;
Wright, Kathryn E. ;
Rubino, Joseph R. ;
Sattar, Syed A. .
AMERICAN JOURNAL OF INFECTION CONTROL, 2016, 44 (09) :S109-S120