RESPIRATORY VIRAL OUTBREAK IN DENTAL CLINICS - A REVIEW
DOI:
https://doi.org/10.61841/q6q4g835Keywords:
Respiratory disease, outbreak, viruses, Dental clinics, Preventive measures, VaccinesAbstract
A respiratory viral outbreak is the outbreak of a viral disease related to respiration and the respiratory system. Respiratory viral diseases are classified into two types. They are upper respiratory viral diseases and lower respiratory viral diseases. Some of the common respiratory viruses include influenza virus, respiratory syncytial virus, parainfluenza virus, adenovirus, rhinovirus, and human metapneumovirus. The route of entry of the virus is from the outer environment; the microbe gets inside the host body and reaches the target cells and starts multiplying inside the target cells and then bursts open; the newly formed viruses are released into the bloodstream of the host, and those new viruses get new target cells in the host body till it reaches the particular amount of virus; there will be no symptoms seen. And the dental clinics are considered the high-risk zones for the outbreak of viruses. The aim of the review was to create awareness among the dentists about the respiratory viruses and to be safe and prevent outbreaks in dental clinics. This is a review study setting, evaluating the respiratory viral outbreaks in dental clinics. Data for the study were collected from search engines like PUBMED, GOOGLE SCHOLAR, MeSH, Cochrane, and Semantic Scholar. A total of 70 articles were selected. In this review, the viral disease outbreaks are limited to the respiratory system. With this we can conclude that the data obtained from the present study may be useful for practitioners to be safe, prevent outbreaks, and ease diagnosis of diseases and give treatment after precautions and preventive measures for the viral disease are taken.
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References
[1] Detection of respiratory viruses [Internet]. AccessScience. Available from: http://dx.doi.org/10.1036/1097-8542.yb100013
[2] Ashwin KS, Muralidharan NP. Vancomycin-resistant enterococcus (VRE) vs Methicillin-resistant
Staphylococcus Aureus (MRSA). Indian J Med Microbiol. 2015 Feb;33 Suppl:166–7.
[3] Harrison M. Respiratory viruses [Internet]. Oxford Medicine Online. 2017. Available from:
http://dx.doi.org/10.1093/med/9780198765875.003.0027
[4] Fox JD. Respiratory virus surveillance and outbreak investigation [Internet]. Vol. 40, Journal of Clinical
Virology. 2007. p. S24–30. Available from: http://dx.doi.org/10.1016/s1386-6532(07)70006-9
[5] Girija ASS, Smiline Girija AS, Vijayashree Priyadharsini J, Paramasivam A. Plasmid-encoded resistance to
trimethoprim/sulfamethoxazole mediated by dfrA1, dfrA5, sul1 and sul2 among Acinetobacter baumannii
isolated from urine samples of patients with severe urinary tract infection [Internet]. Vol. 17, Journal of
Global Antimicrobial Resistance. 2019. p. 145–6. Available from:
http://dx.doi.org/10.1016/j.jgar.2019.04.001
[6] Schmidt TM. Encyclopedia of Microbiology. Academic Press; 2019. 3199 p.
[7] Selvakumar R, Np M. COMPARISON IN BENEFITS OF HERBAL MOUTHWASHES WITH
CHLORHEXIDINE MOUTHWASH: A REVIEW. Asian J Pharm Clin Res. 2017 Feb 1;10(2):3.
[8] Lee SH. Tuberculosis Infection and Latent Tuberculosis [Internet]. Vol. 79, Tuberculosis and Respiratory
Diseases. 2016. p. 201. Available from: http://dx.doi.org/10.4046/trd.2016.79.4.201
[9] Jolles S. Subclinical infection and dosing in primary immunodeficiencies [Internet]. Vol. 178, Clinical &
Experimental Immunology. 2014. p. 67–9. Available from: http://dx.doi.org/10.1111/cei.12516
[10] WHO | India. 2018 Aug 7 [cited 2020 Jun 16]; Available from:
http://www.who.int/csr/don/archive/country/ind/en/
[11] Shahana RY, Muralidharan NP. Efficacy of mouth rinse in maintaining oral health of patients attending
orthodontic clinics [Internet]. Vol. 9, Research Journal of Pharmacy and Technology. 2016. p. 1991.
Available from: http://dx.doi.org/10.5958/0974-360x.2016.00406.6
[12] Szefler SJ, Bonilla FA, Akdis CA, Sampson H. Pediatric Allergy: Principles and Practice E-Book. Elsevier
Health Sciences; 2015. 584 p.
[13] Pattemore PK, Jennings LC. Epidemiology of Respiratory Infections [Internet]. Pediatric Respiratory
Medicine. 2008. p. 435–52. Available from: http://dx.doi.org/10.1016/b978-032304048-8.50035-9
[14] Marickar RF, Geetha RV, Neelakantan P. Efficacy of contemporary and novel Intracanal medicaments
against enterococcus faecalis. J Clin Pediatr Dent. 2014 Autumn;39(1):47–50.
[15] Schmid DS, Scott Schmid D, Rouse BT. Respiratory Viral Vaccines [Internet]. Mucosal Immunology.
2005. p. 923–36. Available from: http://dx.doi.org/10.1016/b978-012491543-5/50055-3
[16] Pratha AA, Geetha RV. Awareness on Hepatitis-B vaccination among dental students-A Questionnaire
Survey. J Adv Pharm Technol Res. 2017;10(5):1360.
[17] Pichon M, Lina B, Josset L. Impact of the Respiratory Microbiome on Host Responses to Respiratory Viral
Infection [Internet]. Vol. 5, Vaccines. 2017. p. 40. Available from:
http://dx.doi.org/10.3390/vaccines5040040
[18] Vaishali M, Geetha RV. Antibacterial activity of Orange peel oil on Streptococcus mutans and
Enterococcus-An In-vitro study [Internet]. Vol. 11, Research Journal of Pharmacy and Technology. 2018.
p. 513. Available from: http://dx.doi.org/10.5958/0974-360x.2018.00094.x
[19] McIntosh ED, Malinoski FJ, Randolph VB. Vaccines for neonatal viral infections: Towards a live
respiratory syncytial virus vaccine: a study in risk [Internet]. Vol. 3, Expert Review of Vaccines. 2004. p.
353–7. Available from: http://dx.doi.org/10.1586/14760584.3.4.353
[20] Zhu Z, Zhang Y, Xu S, Yu P, Tian X, Wang L, et al. Outbreak of acute respiratory disease in China caused
by B2 species of adenovirus type 11. J Clin Microbiol. 2009 Mar;47(3):697–703.
[21] Guo Z, Xu S, Tong L, Dai B, Liu Y, Xiao D. An artificially simulated outbreak of a respiratory infectious
disease. BMC Public Health. 2020 Jan 30;20(1):135.
[22] M MA, Geetha RV, Thangavelu L. Evaluation oEvaluation of anti-inflammatory action of Laurus nobilisan in vitro studyf anti-inflammatory action of Laurus nobilis-an in vitro study [Internet]. Vol. 10,
International Journal of Research in Pharmaceutical Sciences. 2019. p. 1209–13. Available from:
http://dx.doi.org/10.26452/ijrps.v10i2.408
[23] Parainfluenza virus [Internet]. AccessScience. Available from: http://dx.doi.org/10.1036/1097-
8542.486900
[24] Institute NC, National Cancer Institute. Parainfluenza Virus [Internet]. Definitions. 2020. Available from:
http://dx.doi.org/10.32388/l6zjfk
[25] GirijaAs S, Priyadharsini J V. CLSI based antibiogram profile and the detection of MDR and XDR strains
of isolated from urine samples. Med J Islam Repub Iran. 2019 Feb 8;33:3.
[26] Smiline A, Vijayashree JP, Paramasivam A. Molecular characterization of plasmid-encoded blaTEM,
blaSHV and blaCTX-M among extended spectrum β-lactamases [ESBLs] producing Acinetobacter
baumannii. Br J Biomed Sci. 2018 Oct;75(4):200–2.
[27] Adenovirus [Internet]. SpringerReference. Available from:
http://dx.doi.org/10.1007/springerreference_90687
[28] Girija SA, Jayaseelan VP, Arumugam P. Prevalence of VIM- and GIM-producing Acinetobacter baumannii
from patients with severe urinary tract infection. Acta Microbiol Immunol Hung. 2018 Dec 1;65(4):539–
50.
[29] Institute NC, National Cancer Institute. Rhinovirus Infection [Internet]. Definitions. 2020. Available from:
http://dx.doi.org/10.32388/gz25hi
[30] Institute NC, National Cancer Institute. Rhinovirus C [Internet]. Definitions. 2020. Available from:
http://dx.doi.org/10.32388/36aac4
[31] Institute NC, National Cancer Institute. Rhinovirus B [Internet]. Definitions. 2020. Available from:
http://dx.doi.org/10.32388/57nmw6
[32] Institute NC, National Cancer Institute. Rhinovirus A [Internet]. Definitions. 2020. Available from:
http://dx.doi.org/10.32388/9ysh9e
[33] Tripp RA. Pneumovirus and Metapneumovirus: Respiratory Syncytial Virus and Human Metapneumovirus
[Internet]. Topley & Wilson’s Microbiology and Microbial Infections. 2010. Available from:
http://dx.doi.org/10.1002/9780470688618.taw0243
[34] Paramasivam A, VijayashreePriyadharsini J, Raghunandhakumar S. N6-adenosine methylation (m6A): a
promising new molecular target in hypertension and cardiovascular diseases. Hypertens Res. 2020
Feb;43(2):153–4.
[35] Permpalung N, Bazemore K, Avery RK, Mathew J, Shah PD. Human Metapneumovirus Infections in Lung
Transplant Recipients: The Effects on Lung Allograft and Clinical Outcomes. J Heart Lung Transplant.
2020 Apr;39(4S):S203.
[36] Priyadharsini JV, Vijayashree Priyadharsini J, Smiline Girija AS, Paramasivam A. In silico analysis of
virulence genes in an emerging dental pathogen A. baumannii and related species [Internet]. Vol. 94,
Archives of Oral Biology. 2018. p. 93–8. Available from:
http://dx.doi.org/10.1016/j.archoralbio.2018.07.001
[37] DePaola LG, Grant LE. Infection Control in the Dental Office: A Global Perspective. Springer Nature;
2019. 216 p.
[38] Miller CH, Palenik CJ. Infection Control and Management of Hazardous Materials for the Dental Team-EBook. Elsevier Health Sciences; 2014. 384 p.
[39] Gayer M. Communicable Disease Control in Humanitarian Emergencies [Internet]. Control of
Communicable Diseases Manual. 2015. Available from: http://dx.doi.org/10.2105/ccdm.2745.015
[40] Barbeschi M. Communicable Disease Alert and Response During Mass Gatherings [Internet]. Control of
Communicable Diseases Manual. 2015. Available from: http://dx.doi.org/10.2105/ccdm.2745.010
[41] Gamage B, Moore D, Copes R, Yassi A, Bryce E. Protecting health care workers from SARS and other
respiratory pathogens: A review of the infection control literature [Internet]. Vol. 33, American Journal of
Infection Control. 2005. p. 114–21. Available from: http://dx.doi.org/10.1016/j.ajic.2004.12.002
[42] Aerosols [Internet]. SpringerReference. Available from:
http://dx.doi.org/10.1007/springerreference_222624
[43] Hidy GM. ATMOSPHERIC AEROSOLS [Internet]. Aerosols. 1984. p. 354–476. Available from:
http://dx.doi.org/10.1016/b978-0-12-347260-1.50013-1
[44] Hidy GM. HEALTH EFFECTS OF INHALED AEROSOLS [Internet]. Aerosols. 1984. p. 578–644.
Available from: http://dx.doi.org/10.1016/b978-0-12-347260-1.50015-5
[45] Hidy GM. REGULATION AND CONTROL OF AEROSOLS [Internet]. Aerosols. 1984. p. 645–745.
Available from: http://dx.doi.org/10.1016/b978-0-12-347260-1.50016-7
[46] Gras JL. AEROSOLS | Climatology of Tropospheric Aerosols [Internet]. Encyclopedia of Atmospheric
Sciences. 2003. p. 13–20. Available from: http://dx.doi.org/10.1016/b0-12-227090-8/00051-8
[47] Mohr AJ. Aerosol (Aerobiology, Aerosols, Bioaerosols, Microbial Aerosols) [Internet]. Encyclopedia of
Bioterrorism Defense. 2005. Available from: http://dx.doi.org/10.1002/0471686786.ebd0002
[48] Greeson NM, Mixon W, Huslage K, Stiegel MA, Thomann WR. Quality Control: Hand and Glove
Sanitizing in Sterile Compounding, Part 2. Int J Pharm Compd. 2019 Nov;23(6):467–71.
[49] Halton K, Arora V, Singh V, Ghantoji SS, Shah DN, Garey KW. Bacterial colonization on writing pens
touched by healthcare professionals and hospitalized patients with and without cleaning the pen with
alcohol-based hand sanitizing agent. Clin Microbiol Infect. 2011 Jun;17(6):868–9.
[50] Lee M-S, Hong SJ, Kim Y-T. Handwashing with soap and national handwashing projects in Korea: focus
on the National Handwashing Survey, 2006-2014 [Internet]. Vol. 37, Epidemiology and Health. 2015. p.
e2015039. Available from: http://dx.doi.org/10.4178/epih/e2015039
[51] Weik MH. sanitizing [Internet]. Computer Science and Communications Dictionary. 2000. p. 1513–1513.
Available from: http://dx.doi.org/10.1007/1-4020-0613-6_16580
[52] Pal A, Gupta P, Parmar A, Sharma P. ―Masking‖ of the mental state: Unintended consequences of personal
protective equipment (PPE) on psychiatric clinical practice. Psychiatry Res. 2020 Jun 4;290:113178.
[53] Hirschmann MT, Hart A, Henckel J, Sadoghi P, Seil R, Mouton C. Correction to: COVID-19 coronavirus:
recommended personal protective equipment for the orthopaedic and trauma surgeon. Knee Surg Sports
Traumatol Arthrosc [Internet]. 2020 Jun 12; Available from: http://dx.doi.org/10.1007/s00167-020-06093-
3
[54] Personal protective equipment. Protective footwear [Internet]. Available from:
http://dx.doi.org/10.3403/03096387u
[55] Institute of Medicine, Board on Health Sciences Policy, Committee on Personal Protective Equipment for
Healthcare Workers During an Influenza Pandemic. Preparing for an Influenza Pandemic: Personal
Protective Equipment for Healthcare Workers. National Academies Press; 2007. 206 p.
[56] Bescos R, Ashworth A, Cutler C, Brookes ZL, Belfield L, Rodiles A, et al. Effects of Chlorhexidine
mouthwash on the oral microbiome. Sci Rep. 2020 Mar 24;10(1):5254.
[57] Solís C, Santos A, Nart J, Violant D. 0.2% Chlorhexidine Mouthwash With an Antidiscoloration System
Versus 0.2% Chlorhexidine Mouthwash: A Prospective Clinical Comparative Study [Internet]. Vol. 82,
Journal of Periodontology. 2011. p. 80–5. Available from: http://dx.doi.org/10.1902/jop.2010.100289
[58] Penmetsa GS, B V, Bhupathi AP, Rani P S, B S V, M R V. Comparative Evaluation of Triphala, , and
Chlorhexidine Mouthwash on Gingivitis: A Randomized Controlled Clinical Trial. Contemp Clin Dent.
2019 Apr;10(2):333–7.
[59] What is a HEPA filter? [Internet]. Cowaymega. Cowaymega; [cited 2020 Jun 16]. Available from:
https://cowaymega.com/blogs/blog/what-is-a-hepa-filter
[60] WHO | India. 2018 Aug 7 [cited 2020 Jun 16]; Available from:
http://www.who.int/csr/don/archive/country/ind/en/
[61] WHO | India. 2018 Aug 7 [cited 2020 Jun 16]; Available from:
http://www.who.int/csr/don/archive/country/ind/en/
[62] Reluga TC. Social distancing [Internet]. Definitions. 2020. Available from:
http://dx.doi.org/10.32388/q7f4ke
[63] Lang W. Social Distancing [Internet]. Encyclopedia of Crisis Management. Available from:
http://dx.doi.org/10.4135/9781452275956.n307
[64] Bueno-Marí R, Paulo Gouveia Almeida A, Navarro JC. Emerging zoonoses: eco-epidemiology, involved
mechanisms and public health implications. Frontiers Media SA; 2015.
[65] Shahzan MS, Sohaib Shahzan M, Smiline Girija AS, Vijayashree Priyadharsini J. A computational study
targeting the mutated L321F of ERG11 gene in C. albicans, associated with fluconazole resistance with
bioactive compounds from Acacia nilotica [Internet]. Vol. 29, Journal de Mycologie Médicale. 2019. p.
303–9. Available from: http://dx.doi.org/10.1016/j.mycmed.2019.100899
[66] Hoffmann J, Paranhos-Baccalà G. Mixed Viral Respiratory Infections [Internet]. Human Respiratory Viral
Infections. 2014. p. 295–312. Available from: http://dx.doi.org/10.1201/b16778-17
[67] Walker E, Ison MG. Respiratory Viral Infections in Immunocompromised Patients [Internet]. Human
Respiratory Viral Infections. 2014. p. 313–24. Available from: http://dx.doi.org/10.1201/b16778-18
[68] Achonu C, Laporte A, Gardam MA. The Financial Impact of Controlling a Respiratory Virus Outbreak in a
Teaching Hospital [Internet]. Vol. 96, Canadian Journal of Public Health. 2005. p. 52–4. Available from:
http://dx.doi.org/10.1007/bf03404018
[69] Tavana A. Ten lessons learned from the recent outbreak of the Middle East respiratory syndrome [Internet].
Vol. 10, Annals of Tropical Medicine and Public Health. 2017. p. 231. Available from: http://dx.doi.org/10.4103/1755-6783.205574
[70] Priyadharsini JV, Vijayashree Priyadharsini J, Smiline Girija AS, Paramasivam A. An insight into the
emergence of Acinetobacter baumannii as an oro-dental pathogen and its drug resistance gene profile – An
in silico approach [Internet]. Vol. 4, Heliyon. 2018. p. e01051. Available from: http://dx.doi.org/10.1016/j.heliyon.2018.e01051
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