SARS-CoV-2 Infection among the Dental Staff from Lombardy Region, Italy

Gallus, Silvano; Paroni, Luca; Re, Dino; Aiuto, Riccardo; Battaglia, D.; Crippa, Rolando; Carugo, N; Beretta, Matteo; Balsano, Lorenzo; Paglia, L

doi:10.3390/ijerph18073711

Cited by 15 publications

(20 citation statements)

References 34 publications

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“…We did not observe any signi cant relationship between sex and SARS-CoV-2 infection, although our data seem to suggest a marginally higher prevalence of infection in males. This is partly in line with a recent systematic review 15 , that found men having a slightly higher frequency of infection 16,17 .…”

Section: Resultssupporting

confidence: 89%

“…It is also likely that older people, aware of the higher risks to which they were exposed, were more careful to comply with preventive measures 19 Participants residing in the neighboring provinces of Bergamo and Brescia showed a higher infection rate than participants from the Milan province. These results re ect data from seroprevalence studies in Lombardy 17,20 . In line with other studies 21,22 , compared to married or cohabiting subjects, divorced and separated ones more frequently reported SARS-CoV-2 infection.…”

Section: Resultssupporting

confidence: 77%

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Determinants of SARS-CoV-2 Infection in the Older Adult Population: Data From the LOST in Lombardia Study

Mosconi

Stival

Lugo

et al. 2022

Preprint

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Most COVID-19-related fatalities occurred among older adults, however to date, evidence on determinants of SARS-CoV-2 infection in this population is limited and mostly based on case series without a comparison group. A telephone-based cross-sectional study was conducted in November 2020 on a representative sample of 4,400 Italians aged ≥65 years residing in the Lombardy region. We determined the prevalence of a history of SARS-CoV-2 infection in the period between the beginning of the pandemic and the time of the interview. Thorough unconditional multiple logistic regression models, we estimated odds ratios (OR) of SARS-CoV-2 infection and the corresponding 95% confidence intervals (CI). We also evaluated if the infection was a determinant of a worsening in mental health wellbeing. Overall, 4.9% of participants reported a history of SARS-CoV-2 infection. No significant relationship between sex and SARS-CoV-2 infection was observed. SARS-CoV-2 infection was less frequently reported in subjects aged ≥70 (OR=0.55; 95% 0.41-0.74) compared to 65-69 years. No trend was observed after 70 years of age. Those with at least one chronic condition reported a lower infection rate compared to healthy subjects (OR=0.68 95% CI: 0.49-0.93). Separated/divorced participants less frequently reported infection than married/cohabiting ones (OR=2.33 95% CI: 1.29-4.20). Self-reported history of SARS-CoV-2 infection resulted being a determinant of an increase in depressive symptoms (OR=1.57; 95% CI: 1.17-2.10). This first large representative study of people aged 65 years or over suggests that in Italy the oldest subjects and those having chronic conditions less frequently expose themselves to SARS-CoV-2 infection during the pandemic.

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Section: Resultssupporting

confidence: 89%

Section: Resultssupporting

confidence: 77%

Determinants of SARS-CoV-2 Infection in the Older Adult Population: Data From the LOST in Lombardia Study

Mosconi

Stival

Lugo

et al. 2022

Preprint

Self Cite

View full text Add to dashboard Cite

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“…Furthermore, there is no information on sources of infection. A study among 499 DHW in Lombardy, Italy, conducted from May to September 2020, and aimed at quantifying SARS-CoV-2 antibody prevalence, found 10.8% of DHW to be positive [ 62 ]. Compared with a meta-analysis by Gómez-Ochoa et al, in which the pooled prevalence of SARS-CoV-2 antibodies in HCW was reported to be 7%, this rate is higher [ 63 ].…”

Section: Discussionmentioning

confidence: 99%

Occupational Infections among Dental Health Workers in Germany—14-Year Time Trends

Malsam

Nienhaus

2021

IJERPH

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Dental health workers (DHW) are at increased risk of acquiring occupational infections. Due to various protective measures, it can be assumed that infections have decreased over the past 14 years. Secondary data from a German accident insurance company was analyzed in terms of reported and confirmed occupational diseases (OD) in DHW from 2006 to 2019. A total of 271 claims were reported, of which 112 were confirmed as OD, representing an average of eight per year. However, the number of claims and confirmed ODs has decreased by 65.6% and 85.7%, respectively. The decrease was most evident for hepatitis B (HBV) and C (HCV) infections, while tuberculosis (TB) infections were stable. A total of 44 HCV, 33 HBV, 6 TB and 24 latent TB infections were confirmed as ODs. For DHW, 0.05, and for hospital workers, 0.48 claims per 1000 full-time equivalents (FTE) were registered in 2019. In a separate documentation system, between March 2020 and February 2021, 155 COVID-19 claims were registered, and 47 cases were confirmed as ODs. For DHW, 0.7, and for hospital workers, 47.3 COVID-19 claims per 1000 FTE were registered since 2020. Occupational infectious diseases rarely occur among DHW. Nevertheless, new infectious diseases such as COVID-19 pose a major challenge for DHW. Continued attention should be paid to infectious disease prevention.

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“…In our study, the frequency of COVID-19-positive tests among dentists and pediatric dentists was 1.9% and 3.0%. Other dental surveys showed that despite the potential high risk for the infection, dentists showed amazingly low rates of COVID-19 in 2020: 0.8% in China [25], 0.9% in USA [26], 10% in Spain [27], and 10.8% in Lombardy in Italy [28]. Despite potential risks, dentists' long tradition in using PPE and infection prevention was rewarded.…”

Section: Discussionmentioning

confidence: 99%

Pediatric Dentists’ Service Provisions in South-East Europe during the First Wave of COVID-19 Epidemic: Lessons Learned about Preventive Measures and Personal Protective Equipment Use

Vuković

Mandić‐Rajčević

Sava-Rosianu

et al. 2021

IJERPH

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Introduction: Having in mind the importance of providing continuous pediatric dental services during the COVID-19 pandemic and the fact that children have similar viral loads to adults, the potential to spread the virus to others, and with variable clinical presentation of COVID-19 infection, this study aimed to analyze the impact of COVID-19 outbreak on pediatric dentistry service provision, risks, and preventive measures before and during dental treatment. Method: Structured and closed epidemiological cross-sectional survey involved seven Southeastern European countries. The questionnaire was developed using the modified Delphi method, pretested, and tested in North Italy during April 2020. The sample consisted of licensed dental professionals reached via national dental chambers and social media using the best strategies according to the national setting. Results: A total of 3227 dentists participated in the survey, and we included 643 specialists in this study—among them, 164 were pediatric dentists. Most pediatric dentists worked in the public sector (61.0%) and provided emergency (64.6%) and routine dental treatment (18.3%) during the outbreak. One-third of pediatric dentists were COVID-19 tested, statistically significantly more than other specialties, and 3.0% tested COVID-19 positive. In addition, significantly more pediatric dentists (13.4%) reported the presence of at least one symptom related to COVID-19 compared to other specialists (6.1%). None of the pediatric dentists reported PPE shortage. However, 26.2% of all specialists stated that they lacked clear step by step professional guidance in a national language. Similarly, in both groups, around 10% of specialists attended education on coronavirus. Conclusions: Considering that most pediatric dentists provided dental treatment during lockdown in their countries in public health centers and that they will continue to work during pandemic, our results suggest that pediatric dentists might be at higher risk of COVID-19 infection. Further research should focus on finding better ways to promote and adapt preventive, protective measures and PPE in the pediatric dental setting to be behaviorally acceptable. Moreover, additional efforts should be invested in dental education regarding COVID-19 in the mother tongue.

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SARS-CoV-2 Infection among the Dental Staff from Lombardy Region, Italy

Cited by 15 publications

References 34 publications

Determinants of SARS-CoV-2 Infection in the Older Adult Population: Data From the LOST in Lombardia Study

Determinants of SARS-CoV-2 Infection in the Older Adult Population: Data From the LOST in Lombardia Study

Occupational Infections among Dental Health Workers in Germany—14-Year Time Trends

Pediatric Dentists’ Service Provisions in South-East Europe during the First Wave of COVID-19 Epidemic: Lessons Learned about Preventive Measures and Personal Protective Equipment Use

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