Recommendations for Management and Mitigation of Aerosol Generated by the Use of High-Speed Rotary Instruments During the COVID-19 Epidemic: An Integrative Review

Adriane Batista Pires Maia, Vanessa Paiva Reis, Adriana Raymundo Bezerra, Danielle Castex Conde

Abstract


Objective: To systematize the bibliographic production on the recommendations for management and mitigation of aerosol generated by high-speed rotary instruments in times of COVID-19 epidemic. Material and Methods: A bibliographic search was carried out on Brazilian and international electronic bibliographic databases (Lilacs, SciELO, MEDLINE and PubMed). After applying criteria for inclusion and exclusion of articles, 21 studies were selected to carry out the review. Results: A proposal was designed with recommendations to reduce contamination during aerosol-generating procedures with high-speed rotary instruments. Conclusion: It is recommended to use complete personal protective equipment, including N95, FFP2, FFP3 or similar respirators, mechanical barriers, suction through high volume evacuator, constant renewal of the ambient air through exhaust systems or workroom pressurization, and careful cleaning and disinfection of the work environment after each patient

Keywords


Aerosols, Coronavirus infection, Oral surgery

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DOI: http://dx.doi.org/10.18363/rbo.v77.2020.e1852

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