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Published on: November 7, 2020
Chapare virus infection and current perspectives on dentistry
Marco Guevara-Vega1,2, Bruno Silva Andrade3, Lucas Sousa Palmeira4
1Innovation Center in Salivary Diagnostics and Nanobiotechnology, Department of Physiology, Institute of Biomedical Sciences, Federal University of Uberlandia, Uberlandia, Minas Gerais, Brazil.
Chapare virus (CHAV) can spread between people through saliva and aerosols, posing risks in dental settings. Preventive strategies and salivary diagnostics are crucial for dentists and healthcare workers to combat CHAV transmission.
Area of Science:
- Virology
- Infectious Diseases
- Public Health
Background:
- Chapare virus (CHAV) poses a significant risk in dental settings due to potential oral transmission.
- Gingival hemorrhage is a common symptom in CHAV-infected patients, increasing transmission concerns.
- Human-to-human transmission of CHAV is increasingly recognized, including through saliva, blood, urine, droplets, and aerosols.
Purpose of the Study:
- To review Chapare virus entry into oral cells, transmission routes, and preventive measures for dental professionals.
- To highlight the importance of infection control in dental settings for CHAV prevention.
- To explore the role of salivary diagnostics in managing CHAV outbreaks.
Main Methods:
- Comprehensive literature search of CHAV-related studies across major scientific databases (MEDLINE/PubMed, Scopus, EMBASE, Web-of-Science).
- In silico bioinformatics and molecular dynamic analysis to identify critical residues in the CHAV pre-glycoprotein (GP) complex interacting with human transferrin receptor 1 (TfR1).
- Review of existing evidence on CHAV detection in saliva and gingival bleeding in infected patients.
Main Results:
- CHAV transmission occurs via direct contact with bodily fluids (saliva, blood, urine) and through aerosols generated during healthcare procedures.
- CHAV has been detected in human saliva, and gingival bleeding is a consistent finding in hemorrhagic fever cases.
- Nosocomial transmission to healthcare workers has been documented, emphasizing workplace risks.
- Identification of specific interactions between CHAV GP complex and human TfR1 in oral tissues.
Conclusions:
- Dentists and healthcare workers require specific preventive strategies against CHAV, particularly concerning aerosol-generating procedures.
- Salivary diagnostic platforms are essential for rapid virus detection and implementing urgent plans to prevent human-to-human CHAV transmission.
- Multidisciplinary approaches are vital for effective CHAV control in clinical settings.
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