A Review of Aerosol Generation Mitigation in International Dental Guidance.
A Review of Aerosol Generation Mitigation in International Dental Guidance.
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在国际牙科指南中对气溶胶生成缓解的综述。
DOI：
10.1016/j.identj.2021.04.002
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发表时间：
2022-04
影响因子：
3.3
通讯作者：
CoDER Working Group
中科院分区：
文献类型：
--
作者：
Robertson C;Clarkson JE;Aceves-Martins M;Ramsay CR;Richards D;Colloc T;CoDER Working Group
2019冠状病毒病（COVID-19）导致全球关闭牙科诊所或减少牙科服务。截至2020年4月底，政府和专业组织已就重新开放/重组牙科服务发布建议或指引。本研究的目的是评估国际牙科指南中如何定义牙科气溶胶生成程序（AGP），建议采取哪些缓解过程，以及它们是否与COVID-19流行病学有关。截至2020年7月13日，对广泛的数据库进行了电子检索，沿着灰色文献检索，无语言限制。使用Pearson卡方统计，根据纳入国家每百万人口的死亡率和国家收入水平，评估了对非COVID-19患者使用口罩和休息时间的建议。其中包括63份指导文件。大多数人（98%）表示，可以对没有COVID-19的患者进行AGP，但要注意，包括建议在可能的情况下限制AGP，21%的人只建议在牙科紧急情况下使用AGP。大多数文件（94%）都建议佩戴口罩，其中91%还指定使用护目镜或面罩。48%的文件中提到了非COVID-19患者的休息时间，从2到180分钟不等。不同国家的死亡率（P = .463和P = .901）或世界银行的状况（P = .504和P = .835）对非COVID-19患者的口罩或休闲时间的建议没有显著差异。大多数文件建议采取手术或环境缓解措施，如术前漱口水（82%）和全身通气（52%）。几乎没有文件为他们的建议提供了基本证据。虽然与牙科和COVID-19相关的高质量直接证据数量仍然有限，但重要的是要明确对建议的考虑判断，并产生新的证据来应对这一挑战。
The coronavirus disease 2019 (COVID-19) led to the worldwide closure of dental practices or reduction of dental services. By the end of April 2020, governments and professional organisations were publishing recommendations or guidance for the reopening/restructuring of dental services. The aim of this study was to assess how dental aerosol-generating procedures (AGPs) were defined in international dental guidelines, what mitigation processes were advised, and whether they were linked to COVID-19 epidemiology. Electronic searches of a broad range of databases, along with grey literature searches, without language restriction were conducted up to 13 July 2020. Recommendations for the use of face masks and fallow times with patients without COVID-19 were assessed against the deaths per 1 million population in the included countries and country income level using Pearson Chi-squared statistics. Sixty-three guidance documents were included. Most (98%) indicated that AGPs can be performed with patients without COVID-19 with caveats, including advice to restrict AGPs where possible, with 21% only recommending AGPs for dental emergencies. Face masks were recommended by most documents (94%), with 91% also specifying the use of goggles or face shields. Fallow periods for patients without COVID-19 were mentioned in 48% of documents, ranging from 2 to 180 minutes. There were no significant differences in recommendations for face masks or fallow time in patients without COVID-19 by country death rate (P = .463 and P = .901) or World Bank status (P = .504 and P = .835). Most documents recommended procedural or environmental mitigations such as preprocedural mouthwash (82%) and general ventilation (52%). Few documents provided underpinning evidence for their recommendations. While the amount of high-quality direct evidence related to dentistry and COVID-19 remains limited, it is important to be explicit about the considered judgements for recommendations as well as generate new evidence to face this challenge.
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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：
7.2
作者：
Garritty CM;Norris SL;Moher D
通讯作者：
Moher D
严重的急性呼吸综合征（SARS）和GDP。第二部分：对GDP的影响。
影响因子：
2.6
作者：
Li RW;Leung KW;Sun FC;Samaranayake LP
通讯作者：
Samaranayake LP
影响因子：
3.4
作者：
Shiraishi, T;Nakagawa, Y
通讯作者：
Nakagawa, Y
DOI：
10.14219/jada.archive.2004.0019
发表时间：
2004-01-01
影响因子：
3.9
作者：
Kohn, WG;Harte, JA;Eklund, KJ
通讯作者：
Eklund, KJ