口腔科门诊疫情常态化防控与流程再造

Routine Epidemic Prevention and Control and Treatment Process Reengineering of Outpatient Dental Care

新型冠状病毒肺炎(简称新冠肺炎)大流行是一百多年来全球范围内最大的突发公共卫生事件,作者收集整理了国内外重要的防控资料,为口腔科门诊疫情常态化防控与流程再造提供重要参考,主要包括:以医务人员开展情景风险评估为基础,对所有患者施行"标准防护";在接触已知或疑似传染病患者时,应辅以"基于传染特征的特殊防护";临床上应完善患者分诊流程、重新设计临床分区、保持安全距离、优先考虑使用微创牙科治疗或建议推迟治疗;定期更新感染防护指南并为医务人员提供培训;记录和评估与口腔诊疗相关的新冠肺炎事件,并保持和国内外同行进行交流,同时加强人才培养和科学研究。

The coronavirus disease 2019(COVID-19)pandemic is the most severe global public health emergency in over a hundred years.We have collected and organized prevention and control information from China and other counties and used it as an important reference for designing routine epidemic prevention and control measures and treatment process reengineering of outpatient dental services.Suggestions are made in the following aspects:standard precaution is adopted for all patients based on situational risk assessment conducted by the medical staffs;transmissionbased precautions are adopted in addition while caring for patients who are suspected of or have been confirmed of having infectious diseases,in which scenario,standard precautions may not be enough;regarding clinical services,the triage process should be further improved,clinical service delivery areas should be redesigned to maximize safe distances,minimally invasive dentistry procedures should be prioritized for treatment,and postponement of treatment should be recommended appropriately;infection prevention and control guidelines should be regularly updated and relevant trainings provided to the medical staffs accordingly;COVID-19 incidents associated with delivery of dental care should be documented and evaluated;it is also important to communicate with Chinese and international colleagues and stress research and professional training.