RESUMO
Com o surgimento da pandemia causada pelo SARS-Cov-2, houve a necessidade de reestruturação dos serviços de saúde no Brasil, incluindo a clínica odontológica. O objetivo do presente estudo é descrever as medidas de biossegurança realizadas ou modificadas na prática de saúde bucal no estado do Paraná, em nível público e privado, envolvendo três categorias profissionais: cirurgiões-dentistas (CD), técnicos em saúde bucal (TSB) e auxiliares de saúde bucal (ASB). Esta pesquisa transversal descritiva foi realizada nos meses de agosto a outubro de 2020, com o envio de questionários on-linepor e-maile divulgação em redes sociais. Foram envolvidos 1072 profissionais, sendo 75,6% CD, 16,3% ASB e 8,1% TSB. O gênero feminino foi predominante entre os participantes (81,1%), com 46,1% apresentando idade entre 40 e 59 anos. Gorro, máscara cirúrgica, óculos de proteção e protetor facial são referidos como sempre utilizados, respectivamente, por 92,3%, 81,0%, 80,0% e 79,1% dos participantes. A máscara N95/PFF2 (67,5%) e o avental impermeável (20,3%) tiverem os maiores percentuais de "nunca disponíveis ou utilizados". Cerca de 50% afirmaram que tiveram acesso à Nota Técnica GVIMS/GGTES/ANVISA Nº 04/2020. Os profissionais avaliados, em geral, realizaram mudanças em suas práticas de biossegurança, mas precisam ser acompanhados durante toda a extensão da pandemia.
With the emergence of the SARS-Cov-2 pandemic, there was a need to restructure health services in Brazil, including the dental clinic. The aim of the present study was to describe the biosafety measures performed or modified in oral health practice at public and private levels, involving the three professional categories: dental surgeons (DDS), oral health technicians(OHT), and health assistants (HA) in the state of Paraná. This escriptive cross-sectional survey was carried out from August to October 2020, with an online questionnaire being sent by email and published on social networks. There were 1072 professionalsinvolved, of which 75.6% were DDS, 16.3% were OHT, and 8.1% were HA. The female gender was predominant among the participants (81.1%), and 46.1% were aged between 40 and 59 years. 92.3%, 81.0%, 80.0%, and 79.1% of the articipants, respectively, said theyalways used a cap, surgical mask, protective glasses, and face shield. The N95/PFF2 mask (67.5%) and the waterproof apron (20.3%) are two of the most frequently mentioned items as never being available or used. About 51% said they had access to Technical Note GVIMS/GGTES/ANVISA No. 04/2020. In general, the professionals evaluated have been making changes in their biosafety practices, but they still need to be monitored throughout the pandemic.
Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto , Pessoa de Meia-Idade , Adulto Jovem , Equipamentos de Proteção , Contenção de Riscos Biológicos/métodos , Consultórios Odontológicos/normas , COVID-19/prevenção & controle , Inquéritos e QuestionáriosRESUMO
La enfermedad de COVID-19 es causada por el nuevo coronavirus SARS-CoV-2 (síndrome respiratorio agudo severo), convertida hoy en día en una pandemia, emergencia sanitaria y crisis de salud pública. El propósito de este estudio fue evaluar el conocimiento, la percepción y actitudes frente a dicha pandemia de en los estudiantes y pasantes de odontología. Material y métodos: Investigación cuantitativa con diseño transversal, descriptivo y exploratorio. El tamaño de la muestra fue de 167 participantes a través de encuestas en línea, donde se describieron sus actitudes, conocimiento y percepción, por medio de un cuestionario de autorreporte el cual consistió de 24 ítems relacionados con la comprensión de la COVID-19. Resultados: La mayoría de los discípulos tiene un entendimiento moderado en relación con la normatividad, y su competencia, en su entorno con dicho trastorno viral, es adecuada. La mayoría (89.5%) respondieron tener actitudes adecuadas con el manejo del control de infecciones y prevenciones. En cuestión a la percepción, la mayoría (82.4%) sí tenía medidas de prevención a fin de evitar la transmisión y medicación adecuadas. Conclusión: Estos estudiantes están conscientes de la COVID-19 y sus medidas de prevención y precaución, requieren adquirir mayores saberes de normas sanitarias, así como llevar estrictos protocolos de control de infecciones para garantizar el ambiente seguro a los alumnos y pacientes que acuden a las clínicas odontológicas (AU)
The COVID-19 disease is caused by the new coronavirus SARS-CoV-2, which today has become a pandemic, health emergency, and public health crisis. The purpose of this study was to evaluate the knowledge, perception and attitudes towards such pandemic in dental students and interns. Material and methods: Quantitative research with a crosssectional, descriptive and exploratory design. The sample size was 167 participants through online surveys, where attitudes, knowledge and perception were described, through a self-report questionnaire which consisted of 24 items related to their knowledge of this malaise. Results: The majority of study participants have a moderate knowledge in relation to the normativity, and the knowledge of the disease in their environment is adequate. The majority (89.5%) responded having adequate attitudes with the management of infection control and prevention. Regarding perception, the majority (82.4%) did have adequate medication and preventive measures to avoid transmission. Conclusion: These students are aware of the COVID-19 sickness and its prevention and precaution measures and they require acquiring greater knowledge of health regulations as well as carrying out strict infection control protocols to guarantee a safe environment for students and patients who attend dental clinics (AU)
Assuntos
Humanos , Masculino , Feminino , Estudantes de Odontologia/psicologia , Conhecimentos, Atitudes e Prática em Saúde , Infecções por Coronavirus , Faculdades de Odontologia , Apoio ao Desenvolvimento de Recursos Humanos , Controle de Doenças Transmissíveis , Odontologia em Saúde Pública , Epidemiologia Descritiva , Estudos Transversais , Inquéritos e Questionários , Controle de Infecções Dentárias , Consultórios Odontológicos/normas , SARS-CoV-2 , MéxicoRESUMO
La enfermedad COVID-19 fue declarada pandemia por la Organización Mundial de la Salud el 11 de marzo de 2020. El síndrome respiratorio agudo severo coronavirus-2 (SARS-CoV-2) es un virus transmitido de animales a seres humanos, altamente contagioso, cuyo periodo de incubación es de uno a 14 días. Los momentos por los que atraviesan la mayoría de los países debido a la pandemia declarada del COVID-19 han llevado a la proclamación de órdenes gubernamentales y/o recomendaciones en relación a la atención dental que debe dispensarse. En el momento actual, no se dispone de protocolos específicos oficiales, ni nacionales ni internacionales, que aborden de manera clara cómo debe proceder el odontólogo en su práctica diaria en la etapa posterior al confinamiento para trabajar con las mejores garantías de protección para los pacientes y el equipo humano de la consulta odontológica. Este estudio tuvo como objetivo analizar consideraciones para la atención de tratamientos endodóncicos en el contexto de la pandemia de COVID-19. Para lograr este objetivo se realizó una revisión bibliográfica en diferentes bases de datos, como: Google Scholar, Springer Link, Scopus, PubMed, para ello se emplearon estrategias de búsqueda, utilizando descriptores como: «endodontic¼, «recomendations¼, «odontology¼, «COVID-19¼, «pandemic¼ y operadores booleanos, con la finalidad de obtener información relevante y precisa. Contribuyendo a la práctica de la endodoncia con un protocolo general para el manejo de emergencias que muestre el fundamento del diagnóstico, los procedimientos clínicos y el uso de equipos de protección personal y barreras en el consultorio odontológico durante el brote de COVID-19 (AU)
The COVID-19 disease was declared a pandemic by the World Health Organization on March 11, 2020. The severe acute respiratory syndrome coronavirus (SARS-CoV-2) is a virus transmitted from animals to humans, highly contagious, whose incubation period is one to 14 days. The times that most countries are going through due to the declared COVID-19 pandemic have led to the proclamation of government orders and/or recommendations regarding the dental care that should be provided. At the present time, there are no specific official national or international protocols that clearly address how the dentist should proceed, in their daily practice, in the post-confinement stage, to work with the best guarantees of protection for the patients and the human team of the dental practice. The objective of this study was to analyze considerations for the care of endodontic treatments in the context of the COVID-19 pandemic. To achieve this objective, a bibliographic review was carried out in different databases, such as: Google Scholar, Springer Link, Scopus, PubMed, for this, search strategies were used, using descriptors such as: «endodontic¼, «recommendations¼, «odontology¼, «COVID-19¼, «pandemic¼ and Boolean operators, in order to obtain relevant and accurate information. Contributing to the practice of endodontics a general protocol for emergency management that shows the rationale for diagnosis, clinical procedures and the use of personal protective equipment and barriers in the dental office during the COVID-19 outbreak (AU)
Assuntos
Humanos , Tratamento do Canal Radicular/normas , COVID-19 , Esterilização , Controle de Doenças Transmissíveis , Protocolos Clínicos , Desinfecção , Bases de Dados Bibliográficas , Controle de Infecções Dentárias/métodos , Consultórios Odontológicos/normasAssuntos
Humanos , Riscos Ocupacionais , Infecções por Coronavirus/prevenção & controle , Odontologia , COVID-19 , Argentina , Isolamento Social , Organizações de Normalização Profissional/normas , Controle de Doenças Transmissíveis/métodos , Consultórios Odontológicos/normas , Legislação OdontológicaRESUMO
Existe una creciente preocupación sobre el tema de la infección cruzada en clínicas y laboratorios dentales. El laboratorio odontológico debe seguir normas de bioseguridad que garanticen a todo el equipo de salud la prevención de estas infecciones. Los técnicos que allí laboran corren el riesgo de exponer su cara a salpicaduras, así como a rocíos de sangre y saliva. Este estudio fue diseñado para saber si los laboratorios a los que recurrimos cumplen con estas normas de bioseguridad, y qué tan confiados podemos estar de la desinfección por parte de ellos, ya que las prótesis deberían estar desinfectadas correctamente antes de colocarlas en boca (AU)
There is growing concern about the issue of cross infection in dental clinics and laboratories. The dental laboratory must follow biosafety standards that guarantee the prevention of these infections to the entire health team. The technicians who work there run the risk of exposing their face to splashes and spray of blood and saliva. This study was designed to find out if the laboratories we use comply with these biosafety standards, and how confident we can be of their disinfection by them, since the prostheses should be properly disinfected before placing them in the mouth (AU)
Assuntos
Desinfecção , Infecções por Bactérias Gram-Positivas , Infecções por Bactérias Gram-Negativas , Prótese Dentária/efeitos adversos , Controle de Infecções Dentárias/métodos , Laboratórios Odontológicos , Contagem de Colônia Microbiana , Estudos Transversais , Análise de Variância , Consultórios Odontológicos/normas , Técnicas de CulturaRESUMO
RESUMEN: El 11 de marzo del 2020, la OMS reconoció al COVID-19 como pandemia mundial. El coronavirus (COVID-19) ha desafiado a los sistemas de salud y demanda una rápida reacción de respuesta, ante el aumento de infectados. El ámbito del trabajo odontológico, está sujeto a un riesgo significativo de contaminación cruzada y difusión de esta enfermedad, siendo muy importante las estrictas medidas de protección. El objetivo de esta revisión es informar sobre las medidas que se deben realizar durante los tratamientos dentro del consultorio dental para prevenir la propagación del COVID-19.
ABSTRACT: On March 11, 2020, the WHO recognized COVID-19 as a global pandemic. The coronavirus (COVID-19) has challenged health systems and demands a quick response reaction, due to the increase in infected people. The field of dental work is subject to a significant risk of cross contamination and spread of this disease, with strict protection measures being very important. The aim of this review is to inform about the measures that must be carried out during treatments in the dental office to prevent the spread of COVID-19.
Assuntos
Humanos , Pneumonia Viral/prevenção & controle , Assistência Odontológica , Controle de Infecções/métodos , Infecções por Coronavirus/prevenção & controle , Pandemias , Betacoronavirus , Pneumonia Viral/transmissão , Infecções por Coronavirus/transmissão , Consultórios Odontológicos/normasRESUMO
SARS-CoV-2, and several other microorganisms, may be present in nasopharyngeal and salivary secretions in patients treated in dental practices, so an appropriate clinical behavior is required in order to avoid the dangerous spread of infections. COVID-19 could also be spread when patients touches a contaminated surface with infected droplets and then touch their nose, mouth, or eyes. It is time to consider a dental practice quite similar to a hospital surgery room, where particular attention should be addressed to problems related to the spreading of infections due to air and surface contamination. The effectiveness of conventional cleaning and disinfection procedures may be limited by several factors; first of all, human operator dependence seems to be the weak aspect of all procedures. The improvement of these conventional methods requires the modification of human behavior, which is difficult to achieve and sustain. As alternative sterilization methods, there are some that do not depend on the operator, because they are based on devices that perform the entire procedure on their own, with minimal human intervention. In conclusion, continued efforts to improve the traditional manual disinfection of surfaces are needed, so dentists should consider combining the use of proper disinfectants and no-touch decontamination technologies to improve sterilization procedures.
Assuntos
Infecções por Coronavirus/epidemiologia , Consultórios Odontológicos/métodos , Pneumonia Viral/epidemiologia , Esterilização/métodos , Betacoronavirus , COVID-19 , Consultórios Odontológicos/normas , Desinfecção/métodos , Desinfecção/normas , Fidelidade a Diretrizes , Humanos , Pandemias , Guias de Prática Clínica como Assunto , SARS-CoV-2 , Esterilização/normasRESUMO
La pandemia de enfermedad por coronavirus de 2019 (Covid-19) se ha convertido en un importante desafío de salud pública para todos los países. Las medidas de control de infecciones son necesarias para disminuir la circulación del virus y evitar que se siga propagando mundialmente. Debido a las características de los entornos odontológicos, el riesgo de infección cruzada entre los pacientes y los odontólogos es alto. Es por esto que se requieren protocolos de control de infecciones estrictos y efectivos. Elaborar estrategias de gestión del riesgo en salud en odontología permitirá brindar un entorno de seguridad para el paciente, el profesional y su equipo (AU)
The Covid-19 pandemic has become a major public health challenge all over the world. Infection control measures are necessary to prevent the virus from spreading further and to help to control the situation worldwide. Due to the characteristics of the dental environment, the risk of cross infection is high between patients and dentists. It is important to develop strict infection control protocols to provide a safety environment for the patient and the dental staff (AU)
Assuntos
Humanos , Infecções por Coronavirus/prevenção & controle , Controle de Infecções Dentárias/métodos , Recursos Humanos em Odontologia , Pandemias , Segurança do Paciente , Gestão de Riscos , Controle de Doenças Transmissíveis/métodos , Protocolos Clínicos , Consultórios Odontológicos/normasRESUMO
BACKGROUND: The Centers for Disease Control and Prevention estimates that 1.1 million people in the United States are living with HIV and 1 in 8 are estimated to be unaware of their serostatus. Little is known about whether individuals would consider being tested for HIV in nontraditional health care settings such as a dentist's office. Studies in selected US cities have indicated high acceptability of receiving an HIV test among people attending dental clinics. However, we are not aware of studies that have assessed willingness to receive HIV testing in dental care settings at a national level. OBJECTIVE: Using a web-based sample of adult residents of the United States, we sought to assess the self-reported willingness to receive any type of HIV testing (ie, oral fluid rapid testing, finger-stick blood rapid testing, or venipuncture blood testing) in a dental care setting and evaluate independent associations of willingness with the extent to which dental care providers were perceived as knowledgeable about HIV and how comfortable participants felt discussing HIV with their dental care providers. METHODS: Participants were recruited using banner advertisements featured on social networking platforms (Facebook and Instagram) from December 2018 to February 2019. Demographic and behavioral data including information on sexual behaviors in the past 6 months, HIV testing history, and dental/health care-seeking history were collected using an anonymous web-based survey. Willingness to receive any type of HIV testing in a dental care setting was assessed on 4-point scale from very willing to very unwilling. Factors independently associated with participants' willingness were identified using a multivariable logistic regression model. RESULTS: Of the 421 participants in our study aged 18 to 73 years, 271 (64.4%) reported having oral sex, 197 (46.8%) reported having vaginal sex, and 136 (32.3%) reported having anal sex in the past 6 months. Approximately one-third had never been tested for HIV (137/421, 32.5%), and the same proportion had not been tested in the past year (137/421, 32.5%). Most participants had dental insurance coverage (356/421, 84.6%), and more than three-fourths reported being very or somewhat willing (326/421, 77.4%) to receive any type of HIV testing in a dental care setting. Higher levels of willingness were associated with being 18 to 24 years versus ≥35 years (aOR 3.22, 95% CI 1.48-6.98), 25 to 34 years versus ≥35 years (aOR 5.26, 95% CI 2.52-10.98), believing that one's dental care provider is knowledgeable about HIV (aOR 2.04, 95% CI 1.06-3.92), and feeling comfortable discussing HIV with one's dental care provider (aOR 9.84, 95% CI 3.99-24.27). CONCLUSIONS: Our data indicate high acceptability of receiving HIV testing in a dental care setting, especially among those who report having a positive patient-provider relationship. Future research should focus on assessing dental care providers' attitudes, self-efficacy, and beliefs about whether HIV testing fits into the scope of dentistry.
Assuntos
Assistência Odontológica/métodos , Consultórios Odontológicos/normas , Infecções por HIV/diagnóstico , Teste de HIV/normas , Aceitação pelo Paciente de Cuidados de Saúde/psicologia , Adolescente , Adulto , Idoso , Estudos Transversais , Assistência Odontológica/instrumentação , Consultórios Odontológicos/métodos , Consultórios Odontológicos/estatística & dados numéricos , Feminino , Infecções por HIV/epidemiologia , Infecções por HIV/psicologia , Teste de HIV/métodos , Teste de HIV/estatística & dados numéricos , Humanos , Masculino , Programas de Rastreamento/métodos , Programas de Rastreamento/normas , Programas de Rastreamento/estatística & dados numéricos , Pessoa de Meia-Idade , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Inquéritos e QuestionáriosRESUMO
Catalogada su labor como Servicios de Salud Indispensables, el profesional de la odontología se ha mantenido al pendiente de sus pacientes durante la pandemia de COVID-19, brindando atención de urgencia a quien lo solicita. A su regreso a la práctica típica, el odontólogo encontrará un entorno distinto o NUEVA NORMALIDAD, viéndose obligado a hacer modificaciones clínicas pertinentes y preparar a su equipo de trabajo para continuar brindando atención de calidad con un margen de seguridad amplificado, que de igual manera proteja a pacientes y al equipo de trabajo. Ante la falta de una vacuna que brinde protección y de tratamiento específico contra el SARS-CoV-2 (COVID-19), elevar el nivel de control de infecciones en el consultorio se vuelve ineludible y posiblemente irreversible en el quehacer odontológico cotidiano. En este artículo se propone un Protocolo de Control de Infecciones en la consulta odontológica que permita brindar seguridad en la atención bucal, considerando COVID-19, útil también para control infeccioso de otros patógenos virales o bacterianos (AU)
Considered dentistry as an Indispensable Health Services, during the COVID-19 pandemic the dental professional has been providing mostly emergency care. Upon return to typical dental practice, the dentist will find a different environment or NEW NORMALLY, being forced to make relevant clinical modifications and prepare his team to continue providing quality care with an amplified safety margin, which equally protects patients and dental team. In the absence of an available vaccine that provides protection or a specific treatment against SARSCoV- 2 (COVID-19), raising the level of infection control at the dental office will become unavoidable and possibly irreversible in the future quotidian dental work. This article proposes an Infection Control Protocol for the dental consultation that allows provide safety oral care, considering COVID-19, also useful for other viral or bacterial pathogens control (AU)
Assuntos
Humanos , Assistência Odontológica/normas , Infecções por Coronavirus/prevenção & controle , Controle de Infecções Dentárias/métodos , Pandemias , Medidas de Segurança , Controle de Doenças Transmissíveis/métodos , Equipamentos Odontológicos/normas , Consultórios Odontológicos/normas , Relações Dentista-PacienteRESUMO
A nota trata sobre a suspensão dos atendimentos odontológicos eletivos nos serviços da Atenção Primária à Saúde, Centros de Especialidades Odontológicas (CEOs), Laboratórios Regionais de Próteses Dentárias (LRPDs municipais e do Plano de Expansão do Estado), Policlínicas, Centros de Referência, e demais serviços públicos e privados, mantendo-se exclusivamente os atendimentos de urgência, que deverão ser executados seguindo rigorosos protocolos de biossegurança, revisados e atualizados com frequência pelas autoridades sanitárias, devido à pandemia do COVID-19 (Vide a Nota Técnica nº 04 GVIMS/GGTES/ANVISA)
Assuntos
Humanos , Criança , Adolescente , Pneumonia Viral/prevenção & controle , Assistência Odontológica/normas , Infecções por Coronavirus/prevenção & controle , Consultórios Odontológicos/normas , PandemiasRESUMO
BACKGROUND: Fatalities rarely occur in dental offices. Implications for clinicians may be deduced from scientific publications and internet reports about deaths in dental offices. OBJECTIVE: Data involving deaths in dental facilities were analyzed using Google as well as the PubMed database. By comparing both sources, we examined how internet data may enhance knowledge about deaths in dental offices obtained from scientific medical publications, which causes of death are published online, and how associated life-threatening emergencies may be prevented. METHODS: To retrieve relevant information, we searched Google for country-specific incidents of death in dental practices using the following keywords: "death at the dentist," "death in dental practice," and "dying at the dentist." For PubMed searches, the following keywords were used: "dentistry and mortality," "death and dental treatment," "dentistry and fatal outcome," and "death and dentistry." Deaths associated with dental treatment in a dental facility, attributable causes of death, and documented ages of the deceased were included in our analysis. Deaths occurring in maxillofacial surgery or pre-existing diseases involved in the death (eg, cancer and abscesses) were excluded. A total of 128 cases from online publications and 71 cases from PubMed publications that met the inclusion criteria were analyzed using chi-square statistics after exclusion of duplicates. RESULTS: The comparison between the fatalities from internet (n=117) and PubMed (n=71) publications revealed that more casualties affecting minors appeared online than in PubMed literature (online 68/117, 58.1%; PubMed 20/71, 28%; P<.001). In PubMed articles, 10 fatalities in patients older than 70 years of age were described, while online sources published 5 fatalities (P=.02). Most deaths, both from internet publications and PubMed literature, could be assigned to the category anesthesia, medication, or sedation (online 80/117, 68.4%; PubMed 25/71, 35%; P<.001). Deaths assigned to the categories infection and cardiovascular system appeared more often in the PubMed literature (infection: online 10/117, 8.5%; PubMed 15/71, 21%; P=.01; cardiovascular system: online 5/117, 4.3%; PubMed 15/71, 21%; P<.001). Furthermore, sedative drugs were involved in a larger proportion of fatal incidents listed online compared to in PubMed (online 41/117, 35.0%; PubMed: 14/71, 20%, P=.03). In the United States, more deaths occurred under sedation (44/96, 46%) compared to those in the other countries (Germany and Austria 1/17, 6%, P=.002; United Kingdom 1/14, 7%, P=.006). CONCLUSIONS: Online and PubMed databases may increase awareness of life-threatening risks for patients during dental treatment. Negative aspects of anesthesia and sedation, as well as the number of deaths of young patients, were underestimated when reviewing PubMed literature only. Medical history of patients, medication dosages, and vital function monitoring are significant issues for practitioners. A high-impact finding from online reports was the underestimation of risks when performing sedation and even general anesthesia. Detailed knowledge of the definition and understanding of deep sedation and general anesthesia by dentists is of major concern. By avoiding potentially hazardous procedures, such as sedation-aided treatments performed solely by dentists, the risk of treatment-induced life-threatening emergencies may be reduced.
Assuntos
Causas de Morte/tendências , Consultórios Odontológicos/normas , Publicações/estatística & dados numéricos , Ferramenta de Busca/métodos , Humanos , InternetRESUMO
Objectives: The aim of this study was to determine the appropriate height of a dental chair for the administration of effective chest compressions by female dentists. Materials and methods: We asked 19 female dentists to perform metronome-guided chest compressions at a rate of 100 compressions per minute for 2 min on the floor and on a dental chair. We set the height of the dental chair to 76, 73, 70, 67, and 64 cm. We measured the compression depth and proportion of compressions performed at an adequate depth. We then compared the quality of chest compressions between the tall and short (relative to the average body height) groups of participants. We also asked the participants to specify their preferred compression height or condition for chest compression administration. Results: The participants recorded their maximum chest compression depth (35.0 ± 8.8 mm) at a height of 67 cm. There was no significant difference in chest compression depth between the tall and short groups, irrespective of the compression height. The maximum depth of chest compressions was achieved at a height of 67 cm (from the floor to the compression surface) in both groups, with no significant difference. The participants most frequently identified 67 cm as the most suitable height for the administration of chest compressions. Conclusion: For female dentists, a height of 67 cm is considered suitable for the administration of chest compressions in the standing position, regardless of physique.
Assuntos
Reanimação Cardiopulmonar/métodos , Equipamentos Odontológicos/normas , Odontólogas , Ergonomia/normas , Parada Cardíaca/terapia , Adulto , Estatura , Consultórios Odontológicos/normas , Feminino , Humanos , Japão , Manequins , Treinamento por Simulação , Adulto JovemRESUMO
In 2012, an elderly immunocompromised man died from legionellosis at a hospital in Uppsala, Sweden. The patient had visited a dental ward at the hospital during the incubation period. Legionella spp. at a concentration of 2000 colony-forming units/L were isolated from the cupfiller outlet providing water for oral rinsing. Isolates from the patient and the dental unit were Legionella pneumophila serogroup 1, subgroup Knoxville and ST9. Pulsed-field gel electrophoresis and whole-genome sequencing strongly suggested that the isolates were of common origin. This report presents one of few documented cases of legionellosis acquired through a dental unit.
Assuntos
Infecção Hospitalar/microbiologia , Consultórios Odontológicos/normas , Legionella pneumophila/crescimento & desenvolvimento , Legionelose/microbiologia , Doença dos Legionários/diagnóstico , Idoso , Contagem de Colônia Microbiana/métodos , Infecção Hospitalar/epidemiologia , Infecção Hospitalar/mortalidade , Eletroforese em Gel de Campo Pulsado/métodos , Evolução Fatal , Hospitalização , Humanos , Hospedeiro Imunocomprometido , Legionella pneumophila/classificação , Legionella pneumophila/genética , Legionella pneumophila/isolamento & purificação , Legionelose/diagnóstico , Legionelose/epidemiologia , Legionelose/mortalidade , Doença dos Legionários/microbiologia , Doença dos Legionários/urina , Masculino , Sorotipagem/métodos , Suécia/epidemiologia , Microbiologia da Água , Sequenciamento Completo do Genoma/métodosRESUMO
Las medidas de bioseguridad están predestinadas a reducir el riesgo de transmisión de microorganismos a partir de fuentes de infección reconocidas o no reconocidas en clínicas dentales vinculadas con lacontaminación de los materiales, aparatos y/o instrumentos. Un microorganismo reemergente es el Mycobacterium abscessus, que es unabacteria ambiental que puede ocasionar problemas de salud muy serios, por lo que debe ser controlada y prevenida su transmisión.
Biosafety measures are designed to reduce the risk of transmission ofmicroorganisms from recognized or unrecognized sources of infectionin dental procedures associated with the contamination of materials,apparatus, and/or instruments. One reemerging microorganism isMycobacterium abscessus, which is an environmental bacterium thatcan cause serious health problems and therefore needs to be controlledand prevented.
Assuntos
Humanos , Consultórios Odontológicos/normas , Controle de Infecções Dentárias/métodos , Infecções por Mycobacterium/classificação , Infecções por Mycobacterium/prevenção & controle , Infecções por Mycobacterium/transmissão , Desinfecção/métodos , Monitoramento Ambiental , Infecções Oportunistas Relacionadas com a AIDS/classificação , Infecções Oportunistas Relacionadas com a AIDS/transmissão , Mycobacterium/crescimento & desenvolvimento , Contagem de Colônia Microbiana/métodosAssuntos
Consultórios Odontológicos , Desinfecção/métodos , Fidelidade a Diretrizes , Transmissão de Doença Infecciosa do Paciente para o Profissional/prevenção & controle , Transmissão de Doença Infecciosa do Profissional para o Paciente/prevenção & controle , Esterilização/métodos , Consultórios Odontológicos/normas , Desinfecção/normas , Desinfecção das Mãos/métodos , Desinfecção das Mãos/normas , Humanos , Fatores de Risco , Esterilização/normas , Suíça , Vacinação/normasRESUMO
In the current economic situation statistical indicators suggest a decline in global and national dental services market under increased competition. Hence, a cost-effective and strengthening market position. Thus it is recommended the office management to focus on retention and follow active patients and to create a system of quality control maneuvers. In order to achieve these objectives we must monitor certain elements of medical control, economic, management and promotion.
