国际口腔医学杂志 ›› 2020, Vol. 47 ›› Issue (3): 362-365.doi: 10.7518/gjkq.2020060

• 综述 • 上一篇    下一篇

新型冠状病毒肺炎流行期降低口腔诊疗中气溶胶传播风险的策略

易俭如1,罗梦奇1,尹一佳1,刘治清1,柳茜1,石永乐1,杨征1,刘帆1,2(),韩向龙1   

  1. 1.口腔疾病研究国家重点实验室 国家口腔疾病临床医学研究中心四川大学华西口腔医院 成都 610041;
    2.四川大学华西护理学院 成都 610041
  • 收稿日期:2020-02-23 修回日期:2020-03-04 出版日期:2020-05-01 发布日期:2020-05-08
  • 通讯作者: 刘帆 E-mail:438172005@qq.com
  • 作者简介:易俭如,主治医师,博士,Email:jianruyi@scu.edu.cn
  • 基金资助:
    四川大学华西口腔医院新型冠状病毒应急项目(YJXM-nCov-2020-1)

The strategy to reduce the risk of novel coronavirus pneumonia transmission via aerosol in dental practice

Yi Jianru1,Luo Mengqi1,Yin Yijia1,Liu Zhiqing1,Liu Qian1,Shi Yongle1,Yang Zheng1,Liu Fan1,2(),Han Xianglong1   

  1. 1.State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China;
    2.West China School of Nursing, Sichuan University, Chengdu 610041, China
  • Received:2020-02-23 Revised:2020-03-04 Online:2020-05-01 Published:2020-05-08
  • Contact: Fan Liu E-mail:438172005@qq.com
  • Supported by:
    SARS-CoV-2 Emergency Project of West China Hospital of Stomatology, Sichuan University(YJXM-nCov-2020-1)

摘要:

新型冠状病毒肺炎(COVID-19)自2019年12月爆发以来,迅速在全国蔓延。《新型冠状病毒肺炎诊疗方案(试行第六版)》明确了在相对封闭环境长时间暴露于高浓度气溶胶的情况下存在气溶胶传播COVID-19的可能。口腔诊疗操作中可产生大量气溶胶,是交叉感染的重要风险因素之一。本文根据现有国内外公开发表的相关资料,分析并总结口腔诊疗中应注意的防控措施,为口腔诊疗工作的安全开展提供参考。

关键词: 新型冠状病毒肺炎, 气溶胶, 口腔诊疗, 感染控制

Abstract:

The novel coronavirus pneumonia (COVID-19) has spread nation wide since its outbreak in December 2019. The long exposure to high concentration of aerosols in enclosed environment could increase the risk of COVID-19 infection. The aerosol generated by dental procedures is a risk factor of cross-infection. Managing the aerosol in dental office according to its properties would be beneficial for the prevention and control of cross-infection. Based on the currently available literatures, we summarized the methods to decrease the risks of aerosol transmission. This study could provide information and recommendations for the management of aerosols in dental practice.

Key words: novel coronavirus pneumonia, aerosol, dental treatment, infection control

中图分类号: 

  • R183
[1] 国家卫生健康委员会办公厅. 新型冠状病毒肺炎诊疗方案(试行第六版)[Z]. 北京: 国家卫生健康委员会办公厅, 2020.
General Office of the National Health Commission. The diagnosing and treatment protocol for COVID- 19 (the 6th trial edition)[Z]. Beijing: General Office of the National Health Commission, 2020.
[2] 中国疾病预防控制中心新型冠状病毒肺炎应急响应机制流行病学组. 新型冠状病毒肺炎流行病学特征分析[J]. 中华流行病学杂志, 2020,41(2):145-151.
The Novel Coronavirus Pneumonia Emergency Re-sponse Epidemiology Team, Chinsese Center for Disease Control and Prevention. The epidemiological characteristics of an outbreak of COVID-19 in China[J]. Chin J Epidemiol, 2020,41(2):145-151.
[3] Szymanska J . Dental bioaerosol as an occupational hazard in a dentisty’s workplace[J]. Ann Agric Environ Med, 2007,14(2):203-207.
pmid: 18247451
[4] Zemouri C, de Soet H, Crielaard W , et al. A scoping review on bio-aerosols in healthcare and the dental environment[J]. PLoS One, 2017,12(5):e0178007.
doi: 10.1371/journal.pone.0178007 pmid: 28531183
[5] Grenier D . Quantitative analysis of bacterial aerosols in two different dental clinic environments[J]. Appl Environ Microbiol, 1995,61(8):3165-3168.
pmid: 7487047
[6] Day CJ, Sandy JR, Ireland AJ . Aerosols and splatter in dentistry—a neglected menace[J]. Dent Update, 2006,33(10):601-602, 604-606.
doi: 10.12968/denu.2006.33.10.601 pmid: 17209534
[7] Sotiriou M, Ferguson SF, Davey M , et al. Measure-ment of particle concentrations in a dental office[J]. Environ Monit Assess, 2008,137(1/2/3):351-361.
[8] Marui VC, Souto MLS, Rovai ES , et al. Efficacy of preprocedural mouthrinses in the reduction of mic-roorganisms in aerosol: a systematic review[J]. J Am Dent Assoc, 2019,150(12): 1015.e1-1026.e1.
doi: 10.1016/j.adaj.2019.06.024 pmid: 31761015
[9] Harrel SK, Molinari J . Aerosols and splatter in den-tistry: a brief review of the literature and infection control implications[J]. J Am Dent Assoc, 2004,135(4):429-437.
doi: 10.14219/jada.archive.2004.0207 pmid: 15127864
[10] 李智勇, 孟柳燕 . 口腔诊疗中新型冠状病毒感染的控制[J]. 中华口腔医学杂志, 2020,55(4).
Li ZY, Meng LY . The prevention and control of a new coronavirus infection in department of stomatology[J]. Chin J Stomatol, 2020,55(4).
[11] Kariwa H, Fujii N, Takashima I . Inactivation of SARS coronavirus by means of povidone-iodine, physical conditions and chemical reagents[J]. Dermatology, 2006,212(Suppl 1):119-123.
doi: 10.1159/000089211 pmid: 16490989
[12] Veena HR, Mahantesha S, Joseph PA , et al. Disse-mination of aerosol and splatter during ultrasonic scaling: a pilot study[J]. J Infect Public Health, 2015,8(3):260-265.
doi: 10.1016/j.jiph.2014.11.004 pmid: 25564419
[13] Brickner PW, Vincent RL, First M , et al. The app-lication of ultraviolet germicidal irradiation to con-trol transmission of airborne disease: bioterrorism countermeasure[J]. Public Health Rep, 2003,118(2):99-114.
doi: 10.1093/phr/118.2.99 pmid: 12690064
[14] Leggat PA, Kedjarune U . Bacterial aerosols in the dental clinic: a review[J]. Int Dent J, 2001,51(1):39-44.
doi: 10.1002/j.1875-595x.2001.tb00816.x pmid: 11326448
[15] 张琪, 李子涵, 韩冰 , 等. 新型冠状病毒肺炎疫情期口腔医院防护标准(八)—喷溅治疗室的准备与处理[J/OL]. 实用口腔医学杂志, 2020. http://kns.cnki.net/kcms/detail/61.1062.R.20200304.1457.010.html.
Zhang Q, Li ZH, Han B , et al. Protection standard of stomatological hospitals during novel coronavirus infection epidemic stage: management for splash treatment clinic[J/OL]. J Pract Stomatol, 2020. http://kns.cnki.net/kcms/detail/61.1062.R.20200304.1457. 010.html.
[16] Wenzel RP, Edmond MB . Managing SARS amidst uncertainty[J]. N Engl J Med, 2003,348(20):1947-1948.
doi: 10.1056/NEJMp030072 pmid: 12748313
[1] 潘剑,曹昊天,刘济远,王了,刘显,廖学娟. 口腔医护人员传染病职业暴露危险因素及防护[J]. 国际口腔医学杂志, 2020, 47(3): 366-372.
[2] 毕小琴,熊茂婧,陈丽先,白沅艳,田莉,杨晖. 新型冠状病毒肺炎疫情下口腔颌面外科的护理防控[J]. 国际口腔医学杂志, 2020, 47(2): 244-248.
[3] 舒香云1 林东晓1 李莉莉2 陈丽璇1 蒋瑷1 周利文1 高永波1. 超声洁牙时气溶胶与飞沫的检测分析[J]. 国际口腔医学杂志, 2012, 39(4): 449-452.
[4] 曾淑蓉,张莉,王丽萍,刘治清. 加强口腔医院消毒供应中心管理控制医院感染[J]. 国际口腔医学杂志, 2008, 35(S1): -.
[5] 章小缓综述 凌均棨审校. 口腔综合治疗台水路中的生物膜与污染控制[J]. 国际口腔医学杂志, 2008, 35(5): 546-546~549.
[6] 张军,葛久禹. 牙科治疗中空气传播的传染性物质及其预防[J]. 国际口腔医学杂志, 2005, 32(05): 386-387.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
[1] 张京剧. 青年期至中年期颅面复合体变化的头影测量研究[J]. 国际口腔医学杂志, 1999, 26(06): .
[2] 王昆润. 修补颌骨缺损的新型生物学相容材料[J]. 国际口腔医学杂志, 1999, 26(06): .
[3] 陆加梅. 不可复性关节盘移位患者术前张口度与关节镜术后疗效的相关性[J]. 国际口腔医学杂志, 1999, 26(06): .
[4] 王昆润. 二甲亚砜和双氯芬酸并用治疗根尖周炎[J]. 国际口腔医学杂志, 1999, 26(06): .
[5] 王昆润. 咀嚼口香糖对牙周组织微循环的影响[J]. 国际口腔医学杂志, 1999, 26(06): .
[6] 宋红. 青少年牙周炎外周血分叶核粒细胞的趋化功能[J]. 国际口腔医学杂志, 1999, 26(06): .
[7] 张新春. 桩冠修复与无髓牙的保护[J]. 国际口腔医学杂志, 1999, 26(06): .
[8] 王昆润. 长期单侧鼻呼吸对头颅发育有不利影响[J]. 国际口腔医学杂志, 1999, 26(05): .
[9] 潘劲松. 颈总动脉指压和颈内动脉球囊阻断试验在大脑血液动力学中的不同影响[J]. 国际口腔医学杂志, 1999, 26(05): .
[10] 彭国光. 颈淋巴清扫术中颈交感神经干的解剖变异[J]. 国际口腔医学杂志, 1999, 26(05): .