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01.07.2020 | COVID-19 | Discussion Paper Zur Zeit gratis

A detailed report on the measures taken in the Department of Conservative Dentistry and Periodontology in Munich at the beginning of the COVID-19 outbreak

verfasst von: Christian Diegritz, Jürgen Manhart, Katharina Bücher, Béatrice Grabein, Günther Schuierer, Jan Kühnisch, Karl-Heinz Kunzelmann, Reinhard Hickel, Christina Fotiadou

Erschienen in: Clinical Oral Investigations | Ausgabe 8/2020

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Abstract

Objectives

The corona disease (COVID-19) is developing into one of the greatest challenges for healthcare professionals around the world. In this article, we report the detailed actions taken in the Department of Conservative Dentistry and Periodontology, University Hospital, Ludwig-Maximilians-University (LMU), Munich, Germany, during the early phase of the COVID-19 pandemic.

Material and methods

After a joint on-site inspection of the dental clinic with the Department of Clinical Microbiology and Hospital Hygiene, existing clinical and hygiene protocols were adapted for COVID-19 patients.

Results

A comprehensive summary of the preparation of the facilities as well as pre- treatment, treatment and posttreatment protocols are described and arising problems are being discussed.

Conclusions

The importance of rigorous hygiene and treatment protocols as well as a sufficient supply of PPE for dental offices and hospitals is highlighted. The measures reported may be subject to change due to the dynamics of the pandemic.

Clinical relevance

The modes of transmission of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (e.g., droplets, aerosols, and fomites) can pose a risk for dental healthcare professionals and patients alike. The presented measures may guide dental faculties and dental practices during the early stage of the COVID-19 crisis.

Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, Zhao X, Huang B, Shi W, Lu R (2020) A novel coronavirus from patients with pneumonia in China, 2019. N Engl J Med 382:727–733CrossRef

Li Q, Guan X, Wu P, Wang X, Zhou L, Tong Y, Ren R, Leung KS, Lau EH, Wong JY (2020) Early transmission dynamics in Wuhan, China, of novel coronavirus–infected pneumonia. N Engl J Med 382:1199–1207CrossRef

Coronaviridae Study Group of the International Committee on Taxonomy of Viruses (2020) The species severe acute respiratory syndrome-related coronavirus: classifying 2019-nCoV and naming it SARS-CoV-2. Nature Microbiology:1

World Health Organization (WHO) (2020) Novel coronavirus (2019-nCoV): situation report −11. https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reports. Accessed 05.04.2020

Rothe C, Schunk M, Sothmann P, Bretzel G, Froeschl G, Wallrauch C, Zimmer T, Thiel V, Janke C, Guggemos W (2020) Transmission of 2019-nCoV infection from an asymptomatic contact in Germany. N Engl J Med 382:970–971CrossRef

Bundesgesundheitsministerium. (2020) Chronik coronavirus. https://www.bundesgesundheitsministerium.de/coronavirus/chronik-coronavirus.html. Accessed 05.04.2020

Peng X, Xu X, Li Y, Cheng L, Zhou X, Ren B (2020) Transmission routes of 2019-nCoV and controls in dental practice. Int J Oral Sci 12(1):1–6CrossRef

de Wit E, van Doremalen N, Falzarano D, Munster VJ (2016) SARS and MERS: recent insights into emerging coronaviruses. Nat Rev Microbiol 14(8):523–534CrossRef

Fehr AR, Perlman S (2015) Coronaviruses: an overview of their replication and pathogenesis. In: Coronaviruses. Springer, pp 1–23

10.

Zhou P, Yang X-L, Wang X-G, Hu B, Zhang L, Zhang W, Si H-R, Zhu Y, Li B, Huang C-L (2020) Discovery of a novel coronavirus associated with the recent pneumonia outbreak in humans and its potential bat origin. BioRxiv

11.

Zou L, Ruan F, Huang M, Liang L, Huang H, Hong Z, Yu J, Kang M, Song Y, Xia J (2020) SARS-CoV-2 viral load in upper respiratory specimens of infected patients. N Engl J Med 382(12):1177–1179CrossRef

12.

He X, Lau EH, Wu P, Deng X, Wang J, Hao X, Lau YC, Wong JY, Guan Y, Tan X (2020) Temporal dynamics in viral shedding and transmissibility of COVID-19. medRxiv

13.

Bai Y, Yao L, Wei T, Tian F, Jin D-Y, Chen L, Wang M (2020) Presumed asymptomatic carrier transmission of COVID-19. Jama

14.

Tindale L, Coombe M, Stockdale JE, Garlock E, Lau WYV, Saraswat M, Lee Y-HB, Zhang L, Chen D, Wallinga J (2020) Transmission interval estimates suggest pre-symptomatic spread of COVID-19. medRxiv

15.

Bai Y, Nie X, Wen C (2020) Epidemic prediction of 2019-nCoV in Hubei province and comparison with SARS in Guangdong province. Available at SSRN 3531427

16.

Lu C-w, X-f L, Z-f J (2020) 2019-nCoV transmission through the ocular surface must not be ignored. Lancet 395(10224):e39CrossRef

17.

Wu Y-C, Chen C-S, Chan Y-J (2020) Overview of the 2019 novel coronavirus (2019-nCoV): the pathogen of severe specific contagious pneumonia (SSCP). J Chin Med Assoc

18.

Robert Koch Institut (RKI) (2020 ) SARS-CoV-2 Steckbrief zur Coronavirus-Krankheit-2019 (COVID-19). https://www.rki.de/DE/Content/InfAZ/N/Neuartiges_Coronavirus/Steckbrief.html#doc13776792bodyText1

19.

World Health Organization (WHO) (2020) Modes of transmission of virus causing COVID-19: implications for IPC precaution recommendations: scientific brief, 27 march 2020. World Health Organization

20.

van Doremalen N, Bushmaker T, Morris DH, Holbrook MG, Gamble A, Williamson BN, Tamin A, Harcourt JL, Thornburg NJ, Gerber SI (2020) Aerosol and surface stability of SARS-CoV-2 as compared with SARS-CoV-1. N Engl J Med

21.

Kampf G, Todt D, Pfaender S, Steinmann E (2020) Persistence of coronaviruses on inanimate surfaces and its inactivation with biocidal agents. J Hosp Infect

22.

Otter J, Donskey C, Yezli S, Douthwaite S, Goldenberg S, Weber D (2016) Transmission of SARS and MERS coronaviruses and influenza virus in healthcare settings: the possible role of dry surface contamination. J Hosp Infect 92(3):235–250CrossRef

23.

Ong SWX, Tan YK, Chia PY, Lee TH, Ng OT, Wong MSY, Marimuthu K (2020) Air, surface environmental, and personal protective equipment contamination by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) from a symptomatic patient. Jama

24.

Guan W-J, Ni Z-Y, Hu Y, Liang W-h, Ou C-Q, He J-x, Liu L, Shan H, Lei C-L, Hui DS (2020) Clinical characteristics of 2019 novel coronavirus infection in China. MedRxiv

25.

Zhang W, Du R-H, Li B, Zheng X-S, Yang X-L, Hu B, Wang Y-Y, Xiao G-F, Yan B, Shi Z-L (2020) Molecular and serological investigation of 2019-nCoV infected patients: implication of multiple shedding routes. Emerging Microbes Infect 9(1):386–389CrossRef

26.

Xiao F, Tang M, Zheng X, Li C, He J, Hong Z, Huang S, Zhang Z, Lin X, Fang Z (2020) Evidence for gastrointestinal infection of SARS-CoV-2. medRxiv

27.

Linton NM, Kobayashi T, Yang Y, Hayashi K, Akhmetzhanov AR, S-m J, Yuan B, Kinoshita R, Nishiura H (2020) Incubation period and other epidemiological characteristics of 2019 novel coronavirus infections with right truncation: a statistical analysis of publicly available case data. J Clin Med 9(2):538CrossRef

28.

Robert Koch Institut (RKI) (2020 ) SARS-CoV-2 Steckbrief zur Coronavirus-Krankheit-2019 (COVID-19). https://www.rki.de/DE/Content/InfAZ/N/Neuartiges_Coronavirus/Steckbrief.html. Accessed 11.04.2020

29.

Wu Y, Guo C, Tang L, Hong Z, Zhou J, Dong X, Yin H, Xiao Q, Tang Y, Qu X (2020) Prolonged presence of SARS-CoV-2 viral RNA in faecal samples. Lancet Gastroenterol Hepatol 5(5):434–435CrossRef

30.

Lan L, Xu D, Ye G, Xia C, Wang S, Li Y, Xu H (2020) Positive RT-PCR test results in patients recovered from COVID-19. Jama

31.

Meng L, Hua F, Bian Z (2020) Coronavirus disease 2019 (COVID-19): emerging and future challenges for dental and oral medicine. Journal of Dental Research:0022034520914246

32.

Bagheri SHR, Asghari AM, Farhadi M, Shamshiri AR, Kabir A, Kamrava SK, Jalessi M, Mohebbi A, Alizadeh R, Honarmand AA (2020) Coincidence of COVID-19 epidemic and olfactory dysfunction outbreak. medRxiv

33.

Giacomelli A, Pezzati L, Conti F, Bernacchia D, Siano M, Oreni L, Rusconi S, Gervasoni C, Ridolfo AL, Rizzardini G (2020) Self-reported olfactory and taste disorders in SARS-CoV-2 patients: a cross-sectional study. Clin Infect Dis 70

34.

Harrel SK, Molinari J (2004) Aerosols and splatter in dentistry: a brief review of the literature and infection control implications. J Am Dent Assoc 135(4):429–437CrossRef

35.

Center of Disease Control (CDC) (2020) Interim infection prevention and control guidance for dental settings during the COVID-19 response. https://www.cdc.gov/coronavirus/2019-ncov/hcp/dental-settings.html. Accessed 12.04.2020

36.

Chan AO, Huak CY (2004) Psychological impact of the 2003 severe acute respiratory syndrome outbreak on health care workers in a medium size regional general hospital in Singapore. Occup Med 54(3):190–196CrossRef

37.

Lee N, Hui D, Wu A, Chan P, Cameron P, Joynt GM, Ahuja A, Yung MY, Leung C, To K (2003) A major outbreak of severe acute respiratory syndrome in Hong Kong. N Engl J Med 348(20):1986–1994CrossRef

38.

Varia M, Wilson S, Sarwal S, McGeer A, Gournis E, Galanis E (2003) Investigation of a nosocomial outbreak of severe acute respiratory syndrome (SARS) in Toronto, Canada. Cmaj 169(4):285–292PubMedPubMedCentral

39.

Li Y, Huang X, Yu I, Wong T, Qian H (2005) Role of air distribution in SARS transmission during the largest nosocomial outbreak in Hong Kong. Indoor Air 15(2):83–95CrossRef

40.

Liu Y, Ning Z, Chen Y, Guo M, Liu Y, Gali NK, Sun L, Duan Y, Cai J, Westerdahl D (2020) Aerodynamic characteristics and RNA concentration of SARS-CoV-2 aerosol in Wuhan hospitals during COVID-19 outbreak. bioRxiv

41.

Ding Z, Qian H, Xu B, Huang Y, Miao T, Yen H-L, Xiao S, Cui L, Wu X, Shao W (2020) Toilets dominate environmental detection of SARS-CoV-2 virus in a hospital. medRxiv

42.

Santarpia JL, Rivera DN, Herrera V, Morwitzer MJ, Creager H, Santarpia GW, Crown KK, Brett-Major D, Schnaubelt E, Broadhurst MJ (2020) Transmission potential of SARS-CoV-2 in viral shedding observed at the University of Nebraska Medical Center. medRxiv

43.

Chen G, Xie J, Dai G, Zheng P, Hu X, Lu H, Xu L, Chen X, Chen X (2020) Validity of wrist and forehead temperature in temperature screening in the general population during the outbreak of 2019 novel coronavirus: a prospective real-world study. medRxiv

44.

Erenberk U, Torun E, Ozkaya E, Uzuner S, Demir AD, Dundaroz R (2013) Skin temperature measurement using an infrared thermometer on patients who have been exposed to cold. Pediatr Int 55(6):767–770CrossRef

45.

Vesnovsky O, Li Y, Topoleski L, Zhu L Modeling of differences between body core and forehead temperatures measured by infrared thermometers. In: 2017 Design of Medical Devices Conference, 2017. American Society of Mechanical Engineers Digital Collection

46.

American Dental Association (ADA) (2020) What constitutes a dental emergency. Available at: https://success.ada.org/~/media/CPS/Files/Open%20Files/ADA_COVID19_Dental_Emergency_DDS.pdf?_ga=2.253879752.110187285.1584496315-1622146531.1565271894. Accessed 08.04.2020

47.

Center of Disease Control (CDC) (2020 ) Facial hairstyles and filtering facepiece respirators. https://www.cdc.gov/niosh/npptl/pdfs/FacialHairWmask11282017-508.pdf. Accessed 12.04.2020

48.

Kwon JH, Burnham C-AD, Reske KA, Liang SY, Hink T, Wallace MA, Shupe A, Seiler S, Cass C, Fraser VJ (2017) Assessment of healthcare worker protocol deviations and self-contamination during personal protective equipment donning and doffing. Infection control & hospital epidemiology 38 (9):1077-1083

49.

Chughtai AA, Chen X, Macintyre CR (2018) Risk of self-contamination during doffing of personal protective equipment. Am J Infect Control 46(12):1329–1334CrossRef

50.

Casanova LM, Rutala WA, Weber DJ, Sobsey MD (2012) Effect of single-versus double-gloving on virus transfer to health care workers’ skin and clothing during removal of personal protective equipment. Am J Infect Control 40(4):369–374CrossRef

51.

Chen W-Q, Ling W-H, Lu C-Y, Hao Y-T, Lin Z-N, Ling L, Huang J, Li G, Yan G-M (2009) Which preventive measures might protect health care workers from SARS? BMC Public Health 9(1):81CrossRef

52.

Li R, Leung K, Sun F, Samaranayake L (2004) Severe acute respiratory syndrome (SARS) and the GDP. Part II: implications for GDPs. Br Dent J 197(3):130–134CrossRef

53.

Samaranayake L, Reid J, Evans D (1989) The efficacy of rubber dam isolation in reducing atmospheric bacterial contamination. ASDC J Dent Child 56(6):442–444PubMed

54.

Ahmad I (2009) Rubber dam usage for endodontic treatment: a review. Int Endod J 42(11):963–972CrossRef

55.

American Dental Association (ADA) (2020 ) ADA interim guidance for minimizing risk of COVID-19 transmission. https://success.ada.org/en/practice-management/patients/infectious-diseases-2019-novel-coronavirus. Accessed 10.04.2020

56.

Samaranayake LP, Peiris M (2004) Severe acute respiratory syndrome and dentistry: a retrospective view. J Am Dent Assoc 135(9):1292–1302CrossRef

57.

World Health Organization (WHO) (2020 ) Shortage of personal protective equipment endangering health workers worldwide. https://www.who.int/news-room/detail/03-03-2020-shortage-of-personal-protective-equipment-endangering-health-workers-worldwide. Accessed 10.04.2020

58.

European Centre for Disease Prevention and Control (ECDC) (2020) Rapid risk assessment: coronavirus disease (COVID-19) pandemic: increased transmission in the EU/EEA and the UK – seventh update. Accessed 12.04.2020

59.

The Occupational Safety and Health Administration (OSHA) (2020) Administration’s guidance on preparing workplaces for COVID-19. https://www.osha.gov/Publications/OSHA3990.pdf. Accessed 12.04.2020

Titel: A detailed report on the measures taken in the Department of Conservative Dentistry and Periodontology in Munich at the beginning of the COVID-19 outbreak
verfasst von: Christian Diegritz
Jürgen Manhart
Katharina Bücher
Béatrice Grabein
Günther Schuierer
Jan Kühnisch
Karl-Heinz Kunzelmann
Reinhard Hickel
Christina Fotiadou
Publikationsdatum: 01.07.2020
Verlag: Springer Berlin Heidelberg
Schlagwörter: COVID-19
SARS-CoV-2
Erschienen in: Clinical Oral Investigations / Ausgabe 8/2020
Print ISSN: 1432-6981
Elektronische ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-020-03440-z

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A detailed report on the measures taken in the Department of Conservative Dentistry and Periodontology in Munich at the beginning of the COVID-19 outbreak