Severe acute respiratory syndrome (SARS) and the GDP. Part II: implications for GDPs.
Severe acute respiratory syndrome (SARS) and the GDP. Part II: implications for GDPs.
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严重的急性呼吸综合征（SARS）和GDP。第二部分：对GDP的影响。
DOI：
10.1038/sj.bdj.4811522
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发表时间：
2004-08-14
影响因子：
2.6
通讯作者：
Samaranayake LP
中科院分区：
文献类型：
--
作者：
Li RW;Leung KW;Sun FC;Samaranayake LP
SARS 是一种传染性很强的疾病，牙科人员由于其职业性质，在与患者近距离工作，因此可能面临风险。可以修改管理协议以尽量减少公共卫生风险。这包括识别、隔离、管理和报告可能的病例和接触者。应遵循标准预防措施的原则。有效的感染控制和治疗计划应包括旨在尽量减少传染性飞沫和气溶胶的产生或接触的措施。根据不同的临床情况，提供了与 SARS 相关的修改后的通用感染控制建议（现称为标准预防措施）。 SARS冠状病毒的传播方式似乎是通过飞沫传播、密切接触和污染物传播，但尚未排除空气传播。这显然使牙科人员面临风险，因为他们在靠近患者的地方工作，采用液滴和气溶胶产生程序。尽管普遍预防措施的原则在整个牙科界得到广泛倡导和遵循，但可能需要额外的预防措施（称为标准预防措施）来帮助控制这种高度传染性疾病的传播。患者评估应包括近期前往 SARS 感染地区的旅行、患者的接触者、发烧和呼吸道感染症状的问题。必须引入特殊的管理方案和修改措施来调节牙科环境中的液滴和气溶胶污染，可能包括减少或避免液滴/气溶胶的产生、治疗区域的消毒、橡皮障的应用、手术前的抗菌漱口水以及稀释和有效去除受污染的环境空气。还应预防导致气溶胶产生的作呕、咳嗽或呕吐反射。
SARS is a highly infectious disease and dental personnel are likely to be at risk because of the nature of their profession, working in close proximity to the patient. Management protocol may be modified to minimise public health risks. This includes the identification, isolation, management and report of possible and probable cases and contacts. The principles of standard precautions should be followed. Effective infection control and treatment planning should include measures aimed at minimising the generation of, or contact with infectious droplets and aerosol. Modified universal infection control recommendations (now termed standard precautions) relevant to SARS is provided, based on different clinical scenarios. The transmission modes of SARS-coronavirus appear to be through droplet spread, close contact and fomites although air borne transmission has not been ruled out. This clearly places dental personnel at risks as they work in close proximity to their patients employing droplet and aerosol generating procedures. Although the principle of universal precautions is widely advocated and followed throughout the dental community, additional precautionary measures — termed standard precaution may be necessary to help control the spread of this highly contagious disease. Patient assessment should include questions on recent travel to SARS infected areas and, contacts of patients, fever and symptoms of respiratory infections. Special management protocols and modified measures that regulate droplet and aerosol contamination in a dental setting have to be introduced and may include the reduction or avoidance of droplet/aerosol generation, the disinfection of the treatment field, application of rubber dam, pre-procedural antiseptic mouthrinse and the dilution and efficient removal of contaminated ambient air. The gag, cough or vomiting reflexes that lead to the generation of aerosols should also be prevented.
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DOI：
10.14219/jada.archive.1989.0131
发表时间：
1989-07-01
影响因子：
3.9
作者：
COCHRAN, MA;MILLER, CH;SHELDRAKE, MA
通讯作者：
SHELDRAKE, MA
影响因子：
6.1
作者：
Holz, O;Mücke, M;Jörres, RA
通讯作者：
Jörres, RA
影响因子：
8.8
作者：
Hager, S;Bauer, R;Kudielka, G
通讯作者：
Kudielka, G
DOI：
10.14219/jada.archive.1995.0145
发表时间：
1995-02-01
影响因子：
3.9
作者：
CEISEL, RJ;OSETEK, EM;SPEAR, PG
通讯作者：
SPEAR, PG
影响因子：
3.3
作者：
Brickner, PW;Vincent, RL;Kaufman, W
通讯作者：
Kaufman, W