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Immunocompromised patients and coronavirus disease 2019: a review and recommendations for dental health care
Martins-Chaves, Roberta Rayra; Gomes, Carolina Cavaliéri; Gomez, Ricardo Santiago.
Affiliation
  • Martins-Chaves, Roberta Rayra; Universidade Federal de Minas Gerais. School of Dentistry. Department of Oral Surgery and Pathology. Belo Horizonte. BR
  • Gomes, Carolina Cavaliéri; Universidade Federal de Minas Gerais. Biological Sciences Institute. Department of Pathology. Belo Horizonte. BR
  • Gomez, Ricardo Santiago; Universidade Federal de Minas Gerais. School of Dentistry. Department of Oral Surgery and Pathology. Belo Horizonte. BR
Braz. oral res. (Online) ; 34: e048, 2020.
Article in En | LILACS, BBO | ID: biblio-1132664
Responsible library: BR1.1
ABSTRACT
Abstract In less than four months, an unprecedented pandemic changed the world scenario, closing institutions and commerce, paralyzing sports championships, blocking frontiers, and putting almost all populations in a house quarantine regimen. Immunocompromised patients are within the high-risk group to severe outcomes from COVID-19. However, there is no clear evidence of the association between impaired immune host status and complications from SARS-CoV-2 infection so far. The virus is transmitted by inhalation or direct contact with infected secretions, and therefore the dental office is a highly susceptible environment for such transmission. Here, we review the literature and discuss immunological COVID-19 related issues. We also make suggestions for immunocompromised patients' support in this new emerging context of clinical dental practice. Until comprehensive findings are published, individuals with impaired immunity should be considered as high-risk. Cross infection control procedures for the clinical care of immunocompromised patients should follow the same guidelines that are being proposed for immunocompetent ones. However, during the active outbreak, people under immunosuppressive conditions should not receive elective procedures, even if they do not have symptoms or exposure history to COVID-19, and in case of emergence, care must be done in a separate airborne room. In the pos-pandemic phase, the dental care general recommendations should be the same for all subjects. Changes in the current guidelines have been proposed to SARS-CoV-2 infection control in order to provide the best and safe dental practice. However, they still need to be validated by future studies.
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Full text: 1 Index: LILACS Main subject: Pneumonia, Viral / Dental Care / Immunocompromised Host / Coronavirus Infections / Betacoronavirus Type of study: Guideline Limits: Humans Language: En Journal: Braz. oral res. (Online) Journal subject: ODONTOLOGIA Year: 2020 Type: Article

Full text: 1 Index: LILACS Main subject: Pneumonia, Viral / Dental Care / Immunocompromised Host / Coronavirus Infections / Betacoronavirus Type of study: Guideline Limits: Humans Language: En Journal: Braz. oral res. (Online) Journal subject: ODONTOLOGIA Year: 2020 Type: Article