Negative pressure protective barrier device used in dental emergencies during the COVID-19 pandemic
DOI:
https://doi.org/10.17533/udea.iatreia.106Keywords:
infection control, coronavirus, COVID-19, personal protective equipment, dental health servicesAbstract
Introduction: Health personnel involved in dental care are at high risk of contagion from constant exposure to aerosols during emergency care. It is necessary to increase its protection measures during the SARS-CoV-2 pandemic.
Objective: Describe the experience of dentists, assistants and patients regarding the use of a barrier device to contain aerosols in dental emergency care.
Materials and methods: A descriptive cross-sectional study with 21 adult patients attended by dental emergencies in a private institution during June in the city of Bogotá. The 21 patients, five treating dentists and five dental assistants filled out a structured questionnaire about the experience with the device, the biosafety measures implemented and the perception of safety regarding the possible contagion of the virus.
Results: The mean age of the patients was 41 years (SD ± 14). The duration of the procedures was 45 minutes (SD ± 12) on average. There were no adverse events during the procedures with the use of the device. 95% of patients felt safer during care with the use of the barrier device.
Conclusions: Despite the limited sample, the high perception of safety regarding the use of the device in dental emergency care reported here suggests that they may complement the biosecurity measures and personal protective equipment established by health authorities during the pandemic.
Downloads
References
(1) Johns Hopkins University. Coronavirus COVID-19 (2019-nCoV). [internet]. Maryland: Johns Hopkins University; 2015.[Cited 2020 Nov 3]. Available from: https://cutt.ly/mlEIg77
(2) Colombia. Ministerio de Salud y Protección Social. Orientaciones para la restauración gradual de los servicios de salud en las fases de mitigación y control de la emergencia sanitaria por Covid-19 en Colombia [internet]. [Cited 2020 Jun 20]. Available from: https://cutt.ly/hlEOfNP
(3) Colombia. Ministerio de Salud y Protección Social. Plan de acción para la prestación de servicios de salud durante las etapas de contención y mitigación de la pandemia por sars-cov-2 (covid-19) [internet]. [Cited 2020 Jun 20]. Available from: https://cutt.ly/glEO0T9
(4) Chia PY, Coleman KK, Tan YK, Ong SWX, Gum M, Lau SK, et al. Detection of air and surface contamination by SARS-CoV-2 in hospital rooms of infected patients. Nat Commun. 2020 May;11(1):1-7. DOI 10.1038/s41467-020-16670-2.
(5) Van Doremalen N, Bushmaker T, Morris DH, Holbrook MG, Gamble A, Williamson BN, et al. Aerosol and Surface Stability of SARS-CoV-2 as Compared with SARS-CoV-1. N Engl J Med. 2020 Apr 16;382(16):1564-1567. DOI 10.1056/NEJMc2004973.
(6) Baghizadeh Fini M. What dentists need to know about COVID-19. Oral Oncol. 2020 Jun;105:104741. DOI 10.1016/j.oraloncology.2020.104741.
(7) Peng X, Xu X, Li Y, Cheng L, Zhou X, Ren B. Transmission routes of 2019-nCoV and controls in dental practice. Int J Oral Sci. 2020 Mar;12(1):1-9. DOI 10.1038/s41368-020-0075–9.
(8) Sabino-Silva R, Jardim ACG, Siqueira WL. Coronavirus COVID-19 impacts to dentistry and potential salivary diagnosis. Clin Oral Investig. 2020 Apr;24(4):1619-1621. DOI 10.1007/s00784-020-03248-x.
(9) Spagnuolo G, De Vito D, Rengo S, Tatullo M. COVID-19 Outbreak: An Overview on Dentistry. Int J Environ Res Public Health. 2020 Mar 22;17(6):2094. DOI 10.3390/ijerph17062094.
(10) Chu DK, Akl EA, Duda S, Solo K, Yaacoub S, Schünemann HJ. Physical distancing, face masks, and eye protection to prevent person-to-person transmission of SARS-CoV-2 and COVID-19: a systematic review and meta-analysis. Lancet. 2020 Jun;395(10242):1973-87. DOI 10.1016/S0140-6736(20)31142-9.
(11) Carrer FC de A, Galante ML, Gabriel M, Pischel N, Giraldes AI, Neumann A, et al. A COVID-19 na América Latina e suas repercussões para a odontologia. Rev Panam Salud Publica. 2020;44E66. DOI 10.26633/RPSP.2020.66.
(12) Meng L, Hua F, Bian Z. Coronavirus Disease 2019 (COVID-19): Emerging and Future Challenges for Dental and Oral Medicine. J Dent Res. 2020 May;99(5):481-87. DOI 10.1177/0022034520914246.
(13) Odeh ND, Babkair H, Abu-Hammad S, Borzangy S, Abu-Hammad A, Abu-Hammad O. COVID-19: Present and Future Challenges for Dental Practice. Int J Environ Res Public Health. 2020 Apr;17(9):1-10. DOI 10.3390/ijerph17093151.
(14) Ather A, Patel B, Ruparel NB, Diogenes A, Hargreaves KM. Coronavirus Disease 19 (COVID-19): Implications for Clinical Dental Care. J Endod. 2020 May;46(5):584-95. DOI 10.1016/j.joen.2020.03.008.
(15) Brurberg K, Fretheim A. Aerosol generating procedures in health care, and COVID-19 [internet]. [Cited 2020 Jun 25]. Available from: https://cutt.ly/elEJXBJ
(16) Givi B, Schiff BA, Chinn SB, Clayburgh D, Iyer NG, Jalisi S, et al. Safety Recommendations for Evaluation and Surgery of the Head and Neck During the COVID-19 Pandemic. JAMA Otolaryngol Head Neck Surg. 2020 Jun 1;146(6):579-584. DOI 10.1001/jamaoto.2020.0780.
(17) Ong SWX, Tan YK, Chia PY, Lee TH, Ng OT, Wong MSY, et al. Air, Surface Environmental, and Personal Protective Equipment Contamination by Severe Acute Respiratory Syndrome Coronavirus 2 (SARSCoV-2) From a Symptomatic Patient. JAMA. 2020 Mar;323(16):1610-12. DOI 10.1001/jama.2020.3227.
(18) Canelli R, Connor CW, Gonzalez M, Nozari A, Ortega R. Barrier Enclosure during Endotracheal Intubation. N Engl J Med. 2020 May 14;382(20):1957-58. DOI 10.1056/NEJMc2007589.
(19) Chen W, Huang Y. To Protect Health Care Workers Better, To Save More Lives With COVID-19. Anesth Analg. 2020 Jul;131(1):97-101. DOI 10.1213/ANE.0000000000004834.
(20) Greenland JR, Michelow MD, Wang L, London MJ. COVID-19 Infection: Implications for Perioperative and Critical Care Physicians. Anesthesiology. 2020 Jun;132(6):1346-1361. DOI 10.1097/ALN.0000000000003303.
(21) World Health Organization. Shortage of personal protective equipment endangering health workers worldwide [internet]. Ginebra: WHO; 1998. Available from: https://cutt.ly/xlEZBmZ
(22) Khader Y, Al Nsour M, Al-Batayneh OB, Saadeh R, Bashier H, Alfaqih M, et al. Dentists’ Awareness, Perception, and Attitude Regarding COVID-19 and Infection Control: Cross-Sectional Study Among Jordanian Dentists. JMIR public Heal Surveill. 2020 Apr;6(2):e18798. DOI 10.2196/18798.
(23) Casamassimo PS, Townsend JA, Litch CS. Pediatric Dentistry During and After COVID-19. Pediatr Dent. 2020 Mar 15;42(2):87-90. PMID: 32276673.
(24) Coulthard P. Dentistry and coronavirus (COVID-19) - moral decision-making. Br Dent J. 2020 Apr;228(7):503-5. DOI 10.1038/s41415-020-1482–1.
(25) Cochrane Oral Health. Recommendations for the re-opening of dental services: a rapid review of international sources [internet]. Londres: Cochorane; 2016. [Cited 2020 Jun 15]. Available from: https://cutt.ly/RlEVYM4
(26) Mendivelso F, Rodríguez M, Barrios A. Recommendations for reopening elective surgery services during the SARS-CoV-2 pandemic. Rev Panam Salud Publica. 2020;44:e114. DOI 10.26633/RPSP.2020.114.
(27) Rodríguez M, Mendivelso F. Diseño de investigación de Corte Transversal. Rev Médica Sanitas. 2018 Sep 30;21(3):141-6. DOI 10.26852/01234250.20.
(28) Administration TUSF and D. Manufacturers of Protective Barrier Enclosures [internet]. [Cited 2020 Jun 1]. Available from: https://cutt.ly/JlEMVyp
(29) The U.S. Food and Drug Administration (FDA). Protective Barrier Enclosures Without Negative Pressure Used During the COVID-19 Pandemic May Increase Risk to Patients and Health Care Providers - Letter to Health Care Providers [internet]. [Cited 2020 Aug 28]. Available from: https://cutt.ly/flE1zjH
(30) American Dental. AD-IRIS Cápsula Aislante Odontológica [internet]. Bogotá: American Dental; 2013. [Cited 2020 Aug 10]. Available from: https://cutt.ly/HlE1Eph
(31) WMA. WMA Declaration of Helsinki. Ethical Principles for Medical Research Involving Human Subjects [internet]. Francia:WMA; 1998. [Cited 2020 May 20]. Available from: https://cutt.ly/dlE06ND
(32) Colombia. Ministerio de Salud. Resolución 8430 de 1993. Por la cual se establecen las normas científicas, técnicas y administrativas para la investigación en salud. Resolucion Número 8430 de 1993 (Octubre 4).
(33) Centers for Disease Control and Prevention. Guidance for Dental Settings. Interim Infection Prevention and Control Guidance for Dental Settings During the COVID-19 Response [internet]. [Cited 2020 Aug 17]. Available from: https://cutt.ly/DlE3aXG
(34) Plog J, Wu J, Dias YJ, Mashayek F, Cooper LF, Yarin AL. Reopening dentistry after COVID-19: Complete suppression of aerosolization in dental procedures by viscoelastic Medusa Gorgo. Phys Fluids (1994). 2020 Aug;32(8):83111. DOI 10.1063/5.0021476.
(35) Keyhan SO, Fallahi HR, Motamedi A, Khoshkam V, Mehryar P, Moghaddas O, et al. Reopening of dental clinics during SARS-CoV-2 pandemic: an evidencebased review of literature for clinical interventions. Maxillofac Plast Reconstr Surg. 2020 Dec;42(1):25. DOI 10.1186/s40902-020-00268-1.
(36) Verbeek JH, Rajamaki B, Ijaz S, Sauni R, Toomey E, Blackwood B, et al. Personal protective equipment for preventing highly infectious diseases due to exposure to contaminated body fluids in healthcare staff. Cochrane database Syst Rev. 2020 Apr;4(4):1-147. DOI 10.1002/14651858.CD011621.pub4.
(37) Kovatsis PG, Matava CT, Peyton JM. More on Barrier Enclosure during Endotracheal Intubation. N Engl J Med. 2020 May 21;382(21):e69. DOI 10.1056/NEJMc2012960.
(38) Sorbello M, Rosenblatt W, Hofmeyr R, Greif R, Urdaneta F. Aerosol boxes and barrier enclosures for airway management in COVID-19 patients: a scoping review and narrative synthesis. Br J Anaesth. 2020 Sep;1-15. DOI 10.1016/j.bja.2020.08.038.
(39) Ibrahim M, Khan E, Babazade R, Simon M, Vadhera R. Comparison of the Effectiveness of Different Barrier Enclosure Techniques in Protection of Healthcare Workers During Tracheal Intubation and Extubation. A A Pract. 2020 Jun;14(8):e01252. DOI 10.1213/XAA.0000000000001252.
(40) Nuzzolese E, Pandey H, Lupariello F. Dental autopsy recommendations in SARS-CoV-2 infected cases. Forensic Sci Int. 2020;2:154-56. DOI 10.1016/j.fsisyn.2020.04.004.
(41) Ge Z-Y, Yang L-M, Xia J-J, Fu X-H, Zhang Y-Z. Possible aerosol transmission of COVID-19 and special precautions in dentistry. J Zhejiang Univ Sci B. 2020 May;21(5):361-68. DOI 10.1631/jzus.B2010010.
(42) Becker K, Brunello G, Gurzawska-Comis K, Becker J, Sivolella S, Schwarz F, et al. Dental care during COVID-19 pandemic: Survey of experts’ opinion. Clin Oral Impl Res. 2020;31:1253-60. DOI 10.1111/clr.13676.
(43) Consolo U, Bellini P, Bencivenni D, Iani C, Checchi V. Epidemiological Aspects and Psychological Reactions to COVID-19 of Dental Practitioners in the Northern Italy Districts of Modena and Reggio Emilia. Int J Environ Res Public Health. 2020 May;17(10):3459. DOI 10.3390/ijerph17103459.
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Universidad de Antioquia
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Papers published in the journal are available for use under the Creative Commons license, specifically Attribution-NonCommercial-ShareAlike 4.0 International.
The papers must be unpublished and sent exclusively to the Journal Iatreia; the author uploading the contribution is required to submit two fully completed formats: article submission and authorship responsibility.
