减少牙科环境中气溶产生的干预措施的有效性:系统性审查
Rongkai Cao1, Piaopiao Qiu1, Borui Xu1
1School & Hospital of Stomatology, Tongji University, Shanghai Engineering Research Center of Tooth Restoration and Regeneration, No. 399, Middle Yanchang Rd, Shanghai 200072, PR China.
Preventive medicine reports
|September 8, 2023
概括
牙科气溶缓解策略有效降低感染风险. 高容量疏散器,冲洗和空气过器是关键干预措施,但对病毒和真菌污染需要更多的研究.
科学领域:
- 牙科公共卫生 牙科公共卫生
- 传染病控制和控制传染病
- 环境健康 环境健康
背景情况:
- 牙科手术产生含有病原体的气溶,在临床环境中增加感染传播风险.
- 有效的气溶缓解对于牙科患者和医护人员的安全至关重要.
研究的目的:
- 在临床牙科手术中系统评估各种气溶减少干预措施的有效性.
- 评估减轻微生物生物气溶策略的实际有效性.
主要方法:
- 控制临床试验 (CCT) 和随机对照试验 (RCT) 的系统性文献综述,截至2023年3月.
- 搜索了PubMed/MEDLINE,Scopus,Web of Science和Embase,包括42项在偏见风险评估后的研究.
- 专注于诸如高容量疏散器 (HVE),口水,水,空气清洁系统和HEPA过器等干预措施.
主要成果:
- 大多数研究集中在细菌气溶污染;病毒和真菌污染仅在三项研究中进行了评估.
- 多项干预措施,包括HVE,口水,水和HEPA过器,证明了减少气溶污染的潜力.
- 有证据表明,这些策略可以降低牙科环境中的交叉感染风险.
结论:
- 各种气溶缓解策略适用于减少牙科手术期间感染传播风险.
- 需要进行进一步的临床试验,以统计验证气溶测量和缓解效果的有效性.
- 需要更多的研究来评估对病毒和真菌污染传播的影响.
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