Estimating COVID-19 prevalence and infection control practices among US dentists.
Estimating COVID-19 prevalence and infection control practices among US dentists.
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DOI：
10.1016/j.adaj.2020.09.005
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发表时间：
2020-11
期刊：
影响因子：
--
通讯作者：
Araujo MWB
中科院分区：
文献类型：
--
作者：
Estrich CG;Mikkelsen M;Morrissey R;Geisinger ML;Ioannidou E;Vujicic M;Araujo MWB
了解在口腔医疗服务过程中与严重急性呼吸综合征冠状病毒2（SARS-CoV - 2）传播相关的风险，并评估牙科诊所的缓解策略，对于提高患者安全和获得口腔医疗服务至关重要。
作者于2020年6月邀请主要在私人诊所或公共卫生领域执业的美国有执照的牙医参加一项网络调查。来自美国各个州的牙医（n = 2195）回答了有关新冠肺炎相关症状、SARS-CoV - 2感染、身心健康状况以及他们主要牙科诊所使用的感染控制程序的问题。
大多数牙医（82.2%）在接受调查前1个月无症状；16.6%的人报告接受了SARS-CoV - 2检测；分别有3.7%、2.7%和0%的人通过呼吸道、血液和唾液样本检测呈阳性。在未接受检测的人中，0.3%从医生那里得到了可能患有新冠肺炎的诊断。在2195名受访者中，共有20人感染了SARS-CoV - 2；根据年龄和地点加权以近似所有美国牙医，0.9%（95%置信区间，0.5 - 1.5）已确诊或可能患有新冠肺炎。牙医报告有抑郁症状（8.6%）和焦虑症状（19.5%）。99.7%的牙医主要诊所实施了强化感染控制程序，最常见的是消毒、新冠肺炎筛查、社交距离和佩戴口罩。大多数执业牙医（72.8%）根据美国疾病控制与预防中心的临时指南使用个人防护设备。
美国执业牙医中的新冠肺炎患病率和检测阳性率较低。这表明当前的感染控制建议可能足以预防牙科环境中的感染。
牙医针对新冠肺炎加强了他们的感染控制措施，并且可能会从个人防护设备的更充足供应中受益。ClinicalTrials.gov：NCT04423770
Understanding the risks associated with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) transmission during oral health care delivery and assessing mitigation strategies for dental offices are critical to improving patient safety and access to oral health care. The authors invited licensed US dentists practicing primarily in private practice or public health to participate in a web-based survey in June 2020. Dentists from every US state (n = 2,195) answered questions about COVID-19–associated symptoms, SARS-CoV-2 infection, mental and physical health conditions, and infection control procedures used in their primary dental practices. Most of the dentists (82.2%) were asymptomatic for 1 month before administration of the survey; 16.6% reported being tested for SARS-CoV-2; and 3.7%, 2.7%, and 0% tested positive via respiratory, blood, and salivary samples, respectively. Among those not tested, 0.3% received a probable COVID-19 diagnosis from a physician. In all, 20 of the 2,195 respondents had been infected with SARS-CoV-2; weighted according to age and location to approximate all US dentists, 0.9% (95% confidence interval, 0.5 to 1.5) had confirmed or probable COVID-19. Dentists reported symptoms of depression (8.6%) and anxiety (19.5%). Enhanced infection control procedures were implemented in 99.7% of dentists’ primary practices, most commonly disinfection, COVID-19 screening, social distancing, and wearing face masks. Most practicing dentists (72.8%) used personal protective equipment according to interim guidance from the Centers for Disease Control and Prevention. COVID-19 prevalence and testing positivity rates were low among practicing US dentists. This indicates that the current infection control recommendations may be sufficient to prevent infection in dental settings. Dentists have enhanced their infection control practices in response to COVID-19 and may benefit from greater availability of personal protective equipment. ClinicalTrials.gov: NCT04423770.
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