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  1. Article ; Online: Summary of European guidelines on infection control and prevention during COVID-19 pandemic.

    Becker, Kathrin / Gurzawska-Comis, Katarzyna / Brunello, Giulia / Klinge, Björn

    Clinical oral implants research

    2021  Volume 32 Suppl 21, Page(s) 353–381

    Abstract: ... All included countries (30/30) published COVID-19 guidelines in 2020. All countries recommended triage and ... on infection control and prevention to ensure safe delivery of dental care. However, it is not clear to what extent ... the rapidly published European guidelines reflect the current evidence and thus provide homogeneous ...

    Abstract Objectives: The current COVID-19 pandemic highlighted the need for a review of guidelines on infection control and prevention to ensure safe delivery of dental care. However, it is not clear to what extent the rapidly published European guidelines reflect the current evidence and thus provide homogeneous recommendations.
    Material & methods: Guidelines from all European Union countries, Scotland, Switzerland and United Kingdom were retrieved. Information on triage, mouth rinse, personal protective equipment (PPE) for aerosol free/ generating procedures (non-AGP/AGP) and treatment of potentially infectious patients were summarized and compared with recommendations from international organizations (WHO, ECDC, CDC).
    Results: All included countries (30/30) published COVID-19 guidelines in 2020. All countries recommended triage and to postpone non-urgent treatment of potentially infectious patients. Hydrogen peroxide (1%-1.5%) was the most frequently recommended antiseptic mouth rinse to reduce viral load (24/30). PPE for non-AGP treatments included mainly surgical masks (21/30) or FFP2/FFP3/N95 masks (16/30), whereas FFP2/FFP3 masks (25/30) and face shields (24/30) were recommended for AGP by the vast majority of guidelines. For high-risk/COVID positive patients, most countries recommended maximum protection and treatment in specialized dental clinics (22/30).
    Conclusion: There was general agreement among recommendations for triage, mouth rinse, and PPE during AGP and treatment of potentially infectious patients. In contrast, recommendations on PPE for non-AGP treatment varied considerably among the European countries possibly due to limited scientific evidence regarding transmission risk during non-AGP treatments.
    MeSH term(s) COVID-19 ; Humans ; Infection Control ; Infectious Disease Transmission, Patient-to-Professional ; Pandemics/prevention & control ; SARS-CoV-2
    Language English
    Publishing date 2021-07-01
    Publishing country Denmark
    Document type Journal Article ; Review
    ZDB-ID 1067626-0
    ISSN 1600-0501 ; 0905-7161
    ISSN (online) 1600-0501
    ISSN 0905-7161
    DOI 10.1111/clr.13784
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: COVID-19: Review of European recommendations and experts' opinion on dental care. Summary and consensus statements of group 5. The 6th EAO Consensus Conference 2021.

    Gurzawska-Comis, Katarzyna / Becker, Kathrin / Brunello, Giulia / Klinge, Björn

    Clinical oral implants research

    2021  Volume 32 Suppl 21, Page(s) 382–388

    Abstract: ... on infection control and prevention (ICP) in dentistry during the pandemic.: Material: Two manuscripts were ... and statements based on two reviews summarising European guidelines and experts' opinion ... The dynamic of the pandemic had an impact on rapidly published and frequently updated national guidelines ...

    Abstract Objectives: The present work reports the EAO workshop group 5 and consensus plenary discussions and statements based on two reviews summarising European guidelines and experts' opinion on infection control and prevention (ICP) in dentistry during the pandemic.
    Material: Two manuscripts were presented at the 6th EAO Consensus Conference. The first study compared the most recent national guidelines/recommendations of European countries. The second paper was an experts' opinion-based survey on application of ICP regulation during the second wave. The outcome of COVID-19 group discussion was presented to all participants of the consensus to come to an agreement about the consensus statements and clinical recommendation.
    Results: The dynamic of the pandemic had an impact on rapidly published and frequently updated national guidelines in Europe. As guidelines were not based on solid evidence, they were supplemented by experts' opinion on ICP in dentistry. The dental care should be guaranteed during the pandemic; however, in case of suspected or confirmed COVID-19 disease, the treatment should be postponed if possible. Remote triage and patient-related measures (i.e., social distancing, hand hygiene and mask wearing) were recommended to be the most efficient to reduce SARS-CoV-2 transmission. The type of personal protective equipment for dental staff should be adequate to the procedure and infection risk.
    Conclusions: Adequate infection control protocols have to be followed by healthcare professionals and patients to minimise the spreading of COVID-19. We foresee the importance of continuously updating the national dental guidelines, considering the evolution of the pandemic and new scientific evidence becoming available.
    MeSH term(s) COVID-19 ; Consensus ; Dental Care ; Humans ; Pandemics ; SARS-CoV-2
    Language English
    Publishing date 2021-07-01
    Publishing country Denmark
    Document type Journal Article
    ZDB-ID 1067626-0
    ISSN 1600-0501 ; 0905-7161
    ISSN (online) 1600-0501
    ISSN 0905-7161
    DOI 10.1111/clr.13780
    Database MEDical Literature Analysis and Retrieval System OnLINE

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