›› 2020, Vol. 40 ›› Issue (7): 589-592.

• 新型冠状病毒肺炎专栏 • 上一篇    下一篇

联合干预减少感染性气溶胶及2019-nCoV在口腔诊室传播风险的探讨

季琦1,吴红梅2,吴姗姗3,袁苗1   

  1. 1. 南京医科大学附属口腔医院
    2. 江苏省口腔医院
    3. 南京医科大学附属口腔医院检验科
  • 收稿日期:2020-04-07 修回日期:2020-04-21 出版日期:2020-07-28 发布日期:2020-07-20
  • 通讯作者: 吴红梅 E-mail:953444517@qq.com
  • 基金资助:
    南京医科大学科技发展基金-一般项目.

Study on reducing infective aerosols by combined intervention and the risk of 2019-nCoV transmission in dental clinics

  • Received:2020-04-07 Revised:2020-04-21 Online:2020-07-28 Published:2020-07-20

摘要: 目的 探讨采用联合干预手段减少口腔诊室内感染性气溶胶的效果。并据此探讨2019-nCoV在口腔诊室的传播风险。方法 2018年1月起江苏省口腔医院综合科制定了联合干预策略控制诊室内的感染性气溶胶。采用平板沉降法对在不同时间、不同位点对诊室空气进行采样和检测。分别监测联合干预策略实施前后1个月内口腔诊室空气菌落数的水平。结果开机后2 h诊室空气菌落数最高,联合干预前/后空气菌落数分别为(6.45±1.23)CFU/m3、(1.31±0.42)CFU/m3,差异有统计学意义(P<0.01);随采样距离增加,诊室空气中菌落数明显减少;不同采样距离联合干预前/后口腔诊室空气中菌落数差异有统计学意义(P<0.01)。虽然联合干预后的诊室空气质量符合国家标准,但菌落数未达到零。2019-nCoV通过呼吸道飞沫、接触传播,有感染口腔医务人员风险。结论 采用联合干预策略能够有效地减少口腔诊室内感染性气溶胶的产生,减少交叉感染的风险,值得在口腔诊室推广和应用。

关键词: 联合干预, 口腔诊室, 感染性气溶胶, 新型冠状病毒

Abstract: Objective To explore the effect of combined intervention on reducing the infective aerosols in the dental clinics, and to discuss the transmission risk of 2019-nCoV in dental clinics on the basis of it. Methods The General Department of Jiangsu Stomatology Hospital has developed a joint intervention strategy to control the infectious aerosol in the clinic since January 2018. The air samples were collected and detected at different time points and locations by plate sedimentation method. The levels of air bacterial colony in the dental clinics were monitored one month before and after the implementation of the combined intervention strategy. Results The number of air colonies in the consulting room was the highest 2 hours after oral treatment. The numbers of air colonies before and after combined intervention were (6.45±1.23) CFU/m3 and (1.31±0.42) CFU/m3, respectively, with statistical significance (P<0.01). With the increase of sampling distance, the number of air colonies in the consulting room decreased significantly and the number of air colonies with different sampling distances before and after combined intervention was statistically significant (P<0.01). Although the air quality of the clinic after combined intervention met the national standard, the number of colonies did not reach zero. 2019-nCoV is transmitted through respiratory droplets and contact, which has the risk of contaminating the air in the clinic and infecting the medical staff. Conclusion The combined intervention strategy can effectively reduce the production of infectious aerosols and the risk of cross infection in the dental clinics, which is worthy of promotion and application in the dental clinics.

Key words: combined intervention, dental clinic, infectious aerosol, Novel Coronavirus pneumonia

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