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치과 병원의 COVID-19 예방:문헌 검토에 따른 대응 전략

Prevention of COVID-19 in Dental Hospitals: Literature Review and Countermeasures

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주제분류치의학

초록

SARS-CoV-2 감염으로 인한 COVID-19의 발생은 전 세계로 퍼져 보건의료 체계에 있어 대유행을 일으켰다. 이 질병은 호흡기 혹은 에어로졸을 통하여 전염되는 것으로 알려져 있다. 치과 치료의 특성상 체액, 혈액 및 타액을 포함한 에어로졸의 생성은 피할 수 없다. 본 연구는 여러 문헌 조사를 통하여 COVID-19의 치과 병원 내 잠재적 감염 위험을 조사하고, 병원 내 감염을 최소화하기 위한 방안을 모색하였다. 서울대학교치과병원은 질병관리본부의 가이드라인 및 이용가능한 문헌조사를 바탕으로 임상 상황에 대응하기 위한 대책을 마련했다. 감염 관리를 포함하여 환자 예약 및 일정 관리를 통한 병원 내 시공간적 분리에 대한 고려도 함께 이루어졌다. 치과 병원에서의 여러 대책들은 전염성 호흡기 질환에 직면한 여러 치과병원들이 참조할 수 있도록 하였다.

Abstract

The outbreak of COVID-19, caused by SARS-CoV-2 infection, has spread worldwide and resulted in a pandemic for health systems. The disease is transmitted via respiration as droplets or aerosol. Due to the nature of dental treatment, aerosols, including body fluid, blood, and saliva, are frequently produced in dental hospitals. The present study investigated the potential risk of nosocomial infection of COVID-19 in dental hospitals to provide recommendations in clinical situations. The Seoul National University Dental Hospital in Korea established a countermeasure to cope with the clinical situation based on The Guidelines of Korean Centers for Disease Control & Prevention (KCDC) for dental practitioners and the available literature. Notably, numerous considerations for patient reservation and schedule management are required for space separation in the hospital, including infection control. Experiences in dental hospitals in Korea would be referable for other dental hospitals facing this infectious respiratory disease.

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