A Risk-Based Approach to the COVID-19 Pandemic: The Experience in National Dental Centre Singapore.
Identifieur interne : 000713 ( Main/Corpus ); précédent : 000712; suivant : 000714A Risk-Based Approach to the COVID-19 Pandemic: The Experience in National Dental Centre Singapore.
Auteurs : John Rong Hao Tay ; Ethan Ng ; Marianne Meng Ann Ong ; Chelsia Sim ; Ken Tan ; Chaminda Jayampath SeneviratneSource :
- Frontiers in medicine [ 2296-858X ] ; 2020.
Abstract
The emergence of a highly infectious coronavirus strain, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has led to a major global public health emergency. The increasing number of infected cases and fatalities worldwide forced several countries into lockdown in a bid to control virus transmission. The practice of dentistry is considered high-risk due to the generation of aerosols associated with most dental procedures, and healthcare professionals must take appropriate precautions whilst working in this challenging environment. This review aims to provide an overview on transmission routes and shares a risk-based approach to coronavirus disease 2019 (COVID-19) in a specialty tertiary center. Risk assessment and mitigation focussed on staff and patient safety, adopting a wide safety margin, and responding dynamically to the level of risk at the workplace. As the severity of the pandemic depends on many still-unknown factors and shows little sign of abating, the routine practice of dentistry will continue to be disrupted in the near future. We describe a color-coded framework to maximize safety and to minimize disease spread. Areas covered include healthcare team management, personal protective equipment, clinical work, and dental education. Guidelines in each category change with the corresponding severity of the situation, and we believe it will be useful for the safer practice of dentistry in this current climate and can be modified for future similar disease outbreaks.
DOI: 10.3389/fmed.2020.562728
PubMed: 33330524
PubMed Central: PMC7714928
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">A Risk-Based Approach to the COVID-19 Pandemic: The Experience in National Dental Centre Singapore.</title><author><name sortKey="Tay, John Rong Hao" sort="Tay, John Rong Hao" uniqKey="Tay J" first="John Rong Hao" last="Tay">John Rong Hao Tay</name><affiliation><nlm:affiliation>Department of Restorative Dentistry, National Dental Centre Singapore, Singapore, Singapore.</nlm:affiliation></affiliation></author><author><name sortKey="Ng, Ethan" sort="Ng, Ethan" uniqKey="Ng E" first="Ethan" last="Ng">Ethan Ng</name><affiliation><nlm:affiliation>Department of Restorative Dentistry, National Dental Centre Singapore, Singapore, Singapore.</nlm:affiliation></affiliation></author><author><name sortKey="Ong, Marianne Meng Ann" sort="Ong, Marianne Meng Ann" uniqKey="Ong M" first="Marianne Meng Ann" last="Ong">Marianne Meng Ann Ong</name><affiliation><nlm:affiliation>Department of Restorative Dentistry, National Dental Centre Singapore, Singapore, Singapore.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Oral Health Academic Clinical Programme, Duke-NUS Medical School, Singapore, Singapore.</nlm:affiliation></affiliation></author><author><name sortKey="Sim, Chelsia" sort="Sim, Chelsia" uniqKey="Sim C" first="Chelsia" last="Sim">Chelsia Sim</name><affiliation><nlm:affiliation>Department of Oral and Maxillofacial Surgery, National Dental Centre Singapore, Singapore, Singapore.</nlm:affiliation></affiliation></author><author><name sortKey="Tan, Ken" sort="Tan, Ken" uniqKey="Tan K" first="Ken" last="Tan">Ken Tan</name><affiliation><nlm:affiliation>Oral Health Academic Clinical Programme, Duke-NUS Medical School, Singapore, Singapore.</nlm:affiliation></affiliation></author><author><name sortKey="Seneviratne, Chaminda Jayampath" sort="Seneviratne, Chaminda Jayampath" uniqKey="Seneviratne C" first="Chaminda Jayampath" last="Seneviratne">Chaminda Jayampath Seneviratne</name><affiliation><nlm:affiliation>Oral Health Academic Clinical Programme, Duke-NUS Medical School, Singapore, Singapore.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>National Dental Centre Singapore, National Dental Research Institute Singapore, Singapore, Singapore.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:33330524</idno><idno type="pmid">33330524</idno><idno type="doi">10.3389/fmed.2020.562728</idno><idno type="pmc">PMC7714928</idno><idno type="wicri:Area/Main/Corpus">000713</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000713</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">A Risk-Based Approach to the COVID-19 Pandemic: The Experience in National Dental Centre Singapore.</title><author><name sortKey="Tay, John Rong Hao" sort="Tay, John Rong Hao" uniqKey="Tay J" first="John Rong Hao" last="Tay">John Rong Hao Tay</name><affiliation><nlm:affiliation>Department of Restorative Dentistry, National Dental Centre Singapore, Singapore, Singapore.</nlm:affiliation></affiliation></author><author><name sortKey="Ng, Ethan" sort="Ng, Ethan" uniqKey="Ng E" first="Ethan" last="Ng">Ethan Ng</name><affiliation><nlm:affiliation>Department of Restorative Dentistry, National Dental Centre Singapore, Singapore, Singapore.</nlm:affiliation></affiliation></author><author><name sortKey="Ong, Marianne Meng Ann" sort="Ong, Marianne Meng Ann" uniqKey="Ong M" first="Marianne Meng Ann" last="Ong">Marianne Meng Ann Ong</name><affiliation><nlm:affiliation>Department of Restorative Dentistry, National Dental Centre Singapore, Singapore, Singapore.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Oral Health Academic Clinical Programme, Duke-NUS Medical School, Singapore, Singapore.</nlm:affiliation></affiliation></author><author><name sortKey="Sim, Chelsia" sort="Sim, Chelsia" uniqKey="Sim C" first="Chelsia" last="Sim">Chelsia Sim</name><affiliation><nlm:affiliation>Department of Oral and Maxillofacial Surgery, National Dental Centre Singapore, Singapore, Singapore.</nlm:affiliation></affiliation></author><author><name sortKey="Tan, Ken" sort="Tan, Ken" uniqKey="Tan K" first="Ken" last="Tan">Ken Tan</name><affiliation><nlm:affiliation>Oral Health Academic Clinical Programme, Duke-NUS Medical School, Singapore, Singapore.</nlm:affiliation></affiliation></author><author><name sortKey="Seneviratne, Chaminda Jayampath" sort="Seneviratne, Chaminda Jayampath" uniqKey="Seneviratne C" first="Chaminda Jayampath" last="Seneviratne">Chaminda Jayampath Seneviratne</name><affiliation><nlm:affiliation>Oral Health Academic Clinical Programme, Duke-NUS Medical School, Singapore, Singapore.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>National Dental Centre Singapore, National Dental Research Institute Singapore, Singapore, Singapore.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Frontiers in medicine</title><idno type="ISSN">2296-858X</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The emergence of a highly infectious coronavirus strain, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has led to a major global public health emergency. The increasing number of infected cases and fatalities worldwide forced several countries into lockdown in a bid to control virus transmission. The practice of dentistry is considered high-risk due to the generation of aerosols associated with most dental procedures, and healthcare professionals must take appropriate precautions whilst working in this challenging environment. This review aims to provide an overview on transmission routes and shares a risk-based approach to coronavirus disease 2019 (COVID-19) in a specialty tertiary center. Risk assessment and mitigation focussed on staff and patient safety, adopting a wide safety margin, and responding dynamically to the level of risk at the workplace. As the severity of the pandemic depends on many still-unknown factors and shows little sign of abating, the routine practice of dentistry will continue to be disrupted in the near future. We describe a color-coded framework to maximize safety and to minimize disease spread. Areas covered include healthcare team management, personal protective equipment, clinical work, and dental education. Guidelines in each category change with the corresponding severity of the situation, and we believe it will be useful for the safer practice of dentistry in this current climate and can be modified for future similar disease outbreaks.</div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">33330524</PMID><DateRevised><Year>2020</Year><Month>12</Month><Day>18</Day></DateRevised><Article PubModel="Electronic-eCollection"><Journal><ISSN IssnType="Print">2296-858X</ISSN><JournalIssue CitedMedium="Print"><Volume>7</Volume><PubDate><Year>2020</Year></PubDate></JournalIssue><Title>Frontiers in medicine</Title><ISOAbbreviation>Front Med (Lausanne)</ISOAbbreviation></Journal><ArticleTitle>A Risk-Based Approach to the COVID-19 Pandemic: The Experience in National Dental Centre Singapore.</ArticleTitle><Pagination><MedlinePgn>562728</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.3389/fmed.2020.562728</ELocationID><Abstract><AbstractText>The emergence of a highly infectious coronavirus strain, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has led to a major global public health emergency. The increasing number of infected cases and fatalities worldwide forced several countries into lockdown in a bid to control virus transmission. The practice of dentistry is considered high-risk due to the generation of aerosols associated with most dental procedures, and healthcare professionals must take appropriate precautions whilst working in this challenging environment. This review aims to provide an overview on transmission routes and shares a risk-based approach to coronavirus disease 2019 (COVID-19) in a specialty tertiary center. Risk assessment and mitigation focussed on staff and patient safety, adopting a wide safety margin, and responding dynamically to the level of risk at the workplace. As the severity of the pandemic depends on many still-unknown factors and shows little sign of abating, the routine practice of dentistry will continue to be disrupted in the near future. We describe a color-coded framework to maximize safety and to minimize disease spread. Areas covered include healthcare team management, personal protective equipment, clinical work, and dental education. Guidelines in each category change with the corresponding severity of the situation, and we believe it will be useful for the safer practice of dentistry in this current climate and can be modified for future similar disease outbreaks.</AbstractText><CopyrightInformation>Copyright © 2020 Tay, Ng, Ong, Sim, Tan and Seneviratne.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Tay</LastName><ForeName>John Rong Hao</ForeName><Initials>JRH</Initials><AffiliationInfo><Affiliation>Department of Restorative Dentistry, National Dental Centre Singapore, Singapore, Singapore.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ng</LastName><ForeName>Ethan</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Department of Restorative Dentistry, National Dental Centre Singapore, Singapore, Singapore.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ong</LastName><ForeName>Marianne Meng Ann</ForeName><Initials>MMA</Initials><AffiliationInfo><Affiliation>Department of Restorative Dentistry, National Dental Centre Singapore, Singapore, Singapore.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Oral Health Academic Clinical Programme, Duke-NUS Medical School, Singapore, Singapore.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sim</LastName><ForeName>Chelsia</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Department of Oral and Maxillofacial Surgery, National Dental Centre Singapore, Singapore, Singapore.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tan</LastName><ForeName>Ken</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Oral Health Academic Clinical Programme, Duke-NUS Medical School, Singapore, Singapore.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Seneviratne</LastName><ForeName>Chaminda Jayampath</ForeName><Initials>CJ</Initials><AffiliationInfo><Affiliation>Oral Health Academic Clinical Programme, Duke-NUS Medical School, Singapore, Singapore.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>National Dental Centre Singapore, National Dental Research Institute Singapore, Singapore, Singapore.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016454">Review</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>11</Month><Day>20</Day></ArticleDate></Article><MedlineJournalInfo><Country>Switzerland</Country><MedlineTA>Front Med (Lausanne)</MedlineTA><NlmUniqueID>101648047</NlmUniqueID><ISSNLinking>2296-858X</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">COVID-19</Keyword><Keyword MajorTopicYN="N">communicable diseases</Keyword><Keyword MajorTopicYN="N">coronavirus infections/epidemiology/prevention & control/transmission</Keyword><Keyword MajorTopicYN="N">dental</Keyword><Keyword MajorTopicYN="N">dental care/standards</Keyword><Keyword MajorTopicYN="N">disease outbreaks</Keyword><Keyword MajorTopicYN="N">emerging/epidemiology/therapy/virology</Keyword><Keyword MajorTopicYN="N">infection control</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>05</Month><Day>16</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>10</Month><Day>26</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>12</Month><Day>17</Day><Hour>5</Hour><Minute>54</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>12</Month><Day>18</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate 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