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Immunocompromised patients and coronavirus disease 2019: a review and recommendations for dental health care.

免疫功能低下患者与冠状病毒疾病 2019: 牙科保健综述和建议。

  • 影响因子:0
  • DOI:10.1590/1807-3107bor-2020.vol34.0048
  • 作者列表:"Martins-Chaves RR","Gomes CC","Gomez RS
  • 发表时间:2020-01-01
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.

摘要

: 在不到四个月的时间里,一场前所未有的大流行病改变世界的情况下,关闭机构和商业,麻痹体育锦标赛,封锁边境,把几乎所有的居民在一所房子里检疫方案.免疫功能低下的患者属于高危人群,可从新型冠状病毒肺炎获得严重结局。然而,目前尚无明确证据表明免疫受损宿主状态与SARS-CoV-2 感染并发症之间存在关联。病毒通过吸入或直接接触感染的分泌物传播,因此牙科诊所是这种传播的高度易感环境。在此,我们回顾文献并讨论免疫学新型冠状病毒肺炎相关问题。我们还为免疫功能低下患者在临床牙科实践这一新兴背景下的支持提出建议。在综合研究结果发表之前,免疫力受损的个体应被视为高风险。免疫功能低下患者临床护理的交叉感染控制程序应遵循与免疫功能正常患者相同的指南。然而,在活动性爆发期间,免疫抑制条件下的人不应接受选择性手术,即使他们没有症状或新型冠状病毒肺炎接触史,并且在出现的情况下,必须在单独的空降兵房间里小心。在pos大流行阶段,所有受试者的牙科护理一般建议应该相同。目前指南的变化被提出来SARS-CoV-2 感染控制,以提供最好和安全的牙科实践。然而,它们仍然需要通过未来的研究来验证。

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翻译标题与摘要 下载文献
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呼吸道感染方向

呼吸道感染分为上呼吸道感染与下呼吸道感染。上呼吸道感染是指自鼻腔至喉部之间的急性炎症的总称,是最常见的感染性疾病。下呼吸道感染是最常见的感染性疾患,治疗时必须明确引起感染的病原体以选择有效的抗生素。

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