COVID-19 challenges to dentistry in the new pandemic epicenter: Brazil.
COVID-19 challenges to dentistry in the new pandemic epicenter: Brazil.
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DOI：
10.1371/journal.pone.0242251
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发表时间：
2020
期刊：
影响因子：
3.7
通讯作者：
Demarco FF
中科院分区：
文献类型：
--
作者：
Moraes RR;Correa MB;Queiroz AB;Daneris Â;Lopes JP;Pereira-Cenci T;D'Avila OP;Cenci MS;Lima GS;Demarco FF
在新的大流行震中巴西进行了一项全国范围内的牙医调查，以分析公共与私人网络中牙科护理覆盖范围受到的影响、日常工作和负担的变化，以及当地流行的 COVID-19 对牙科专业人员的影响。牙医是通过电子邮件和 Instagram® 招募的。收集了 2020 年 5 月 15 日至 24 日对预测试问卷的答复。受访者工作所在州的 COVID-19 病例/死亡计数用于测试情境状态与每周预约减少、对工作中感染 COVID-19 的恐惧以及当前工作状态之间的关联 (α = 0.05)。 10 天内，我们收到了来自巴西各州的 3,122 份回复（回复率约为 2.1%）。 94%的人工作状况受到影响，欠发达地区受影响更大。 84% 的人表示，大流行病对临床常规的影响很大/非常高，导致诊所基础设施、个人防护设备的使用和患者筛查发生了各种变化，并导致成本增加。 5.3% 的受访者曾就诊过 COVID-19 患者； 90% 的人表示担心在工作中感染 COVID-19。多级模型显示，一个州的病例和死亡率（按每百万居民 1000 例和 100 例死亡计算）越高，担心感染该疾病的可能性就会增加（18% 和 25%）。每增加 1000 例病例/100 例死亡，目前无法工作或仅治疗紧急情况的几率就会增加 36% 和 58%。公共诊所每周就诊的患者数量减少幅度 (38.7±18.6) 显着高于私人诊所 (22.5±17.8)。这项研究提供了这一流行病对牙科的三大影响的早期证据：由于公共和私人网络之间的覆盖范围差异而加剧的不平等；采用新的临床常规，这会给牙医带来经济负担；以及区域 COVID-19 发病率/死亡率与担心在工作中感染该疾病的关联。
A nationwide survey of dentists was carried out in Brazil, a new pandemic epicenter, to analyze how dental care coverage has been affected in public versus private networks, changes in routine and burdens, and how local prevalence of COVID-19 affects dental professionals. Dentists were recruited via email and Instagram®. Responses to a pre-tested questionnaire were collected May 15–24, 2020. COVID-19 case/death counts in the state where respondents work was used to test associations between contextual status and decreases in weekly appointments, fear of contracting COVID-19 at work, and current work status (α = 0.05). Over 10 days, 3,122 responses were received (response rate ~2.1%) from all Brazilian states. Work status was affected for 94%, with less developed regions being more impacted. The pandemic impact on clinical routine was high/very high for 84%, leading to varied changes to clinic infrastructure, personal protective equipment use, and patient screening, as well as increased costs. COVID-19 patients had been seen by 5.3% of respondents; 90% reported fearing contracting COVID-19 at work. Multilevel models showed that greater case and death rates (counted as 1000 cases and 100 deaths per million inhabitants) in one’s state increased the odds of being fearful of contracting the disease (18% and 25%). For each additional 1000 cases/100 deaths, the odds of currently not working or treating only emergencies increased by 36% and 58%. The reduction in patients seen weekly was significantly greater in public (38.7±18.6) than in private clinics (22.5±17.8). This study provides early evidence of three major impacts of the pandemic on dentistry: increasing inequalities due to coverage differences between public and private networks; the adoption of new clinical routines, which are associated with an economic burden for dentists; and associations of regional COVID-19 incidence/mortality with fear of contracting the disease at work.
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影响因子：
56.9
作者：
Kissler, Stephen M.;Tedijanto, Christine;Lipsitch, Marc
通讯作者：
Lipsitch, Marc
影响因子：
2.5
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Almomen, Zainab, I
DOI：
10.3390/ijerph17103459
发表时间：
2020-05-01
影响因子：
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作者：
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通讯作者：
Checchi, Vittorio
DOI：
10.3390/ijerph17145139
发表时间：
2020-07-01
影响因子：
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作者：
Chamorro-Petronacci, Cintia;Martin Carreras-Presas, Carmen;Perez-Sayans, Mario
通讯作者：
Perez-Sayans, Mario