Journal of Prevention and Treatment for Stomatological Diseases ›› 2020, Vol. 28 ›› Issue (3): 178-183.doi: 10.12016/j.issn.2096-1456.2020.03.008

• Prevention and Treatment Practice • Previous Articles     Next Articles

Management strategy of oral mucosal diseases during the epidemic of Corona Virus Disease 2019

LIU Chuanxia1,2,FU Ji3,HAO Yilong1,2,HE Hong1,2,CHEN Qianming2,4()   

  1. 1. Oral Medicine, The Affiliated Stomatology Hospital, Zhejiang University School of Medical, Hangzhou 310006, China
    2. Key Laboratory of Oral Biomedical Research of Zhejiang Province, Zhejiang University School of Stomatology, Hangzhou 310006, China
    3. Special Need Clinic, Hangzhou Stomatology Hospital, Hangzhou 310006, China
    4. The Affiliated Stomatology Hospital, Zhejiang University School of Medical, Hangzhou 310006, China
  • Received:2020-02-24 Revised:2020-02-25 Online:2020-03-20 Published:2020-02-25
  • Contact: Qianming CHEN E-mail:qmchen@zju.edu.cn

Abstract:

Corona Virus Disease 2019 (COVID-19) has broke out in 29 countries and regions in the world in a short period since December 2019. Various measures of prevention and control have been taken all over China. At present, the epidemic situation shows a positive trend, however, there are still a few new comfirmed cases in some area of China. So the job and thinking of epidemic prevention still cannot be relaxed. As an important specialty of stomatology, the risk of cross infection is high in oral medicine. Establishing an effective system of pre-inspection and triage and adopting strict measures of prevention and control are essential. According to the prevention and control situation of COVID-19, the characteristics of hospital infection, pre examination, protective measures, the home management strategies of oral mucosal diseases during the epidemic period and the differential diagnosis between COVID-19 and common oral mucosal diseases with fever were summarized and recommended in this paper.

Key words: 2019 novel coronavirus, corona virus disease 2019, department of stomatology, oral mucosal diseases, hospital infection control, oral mucosal infectious diseases, three levelpre inspection, prevention and control measures, home management strategy

CLC Number: 

  • R78

Table 1

Main differentiation between COVID-19 and common oral mucosal diseases with fever"

COVID-19 Primary herpetic stomatitis Herpes zoster Hand -foot-mouth-disease Acquired immune deficiency syndrome Oral tuberculosis
Pathogeny

2019-nCoV

Herpes simplex virus Herpes varicella-zoster virus
Coxsackie virus, enterovirus71, et al Human immunodeficiency virus
Mycobacterium tuberculosis
Incubation period
1-14 days, mostly 3-7 days 4-7 days
Varies
3-4 days
6-8 years
2-3 weeks
Contact history of epidemic area Yes
None
None
Group diseases in children None
None
Fever history
Yes
Possible
Possible
Possible
Yes
Yes when with systemic damage
Susceptible group
All

Children under 6 years Adult and old People
Children

All

All

Oral lesions




No report




A cluster of vesicles or erosion in the oral mucosa
A cluster of vesicles on one side of the face not exceeding the midline
Scattered herpes or small erosion in oral mucosa


Candidosis, herpes simplex, herpes zoster, oral hairy leukoplakia, Kaposi sarcoma
Tuberculosis ulcer, lupus vulgaris


Systemic symptom




The mild ones may be asymptomatic, the heavy ones may develop into severe pneumonia or even life-threatening Mild




Mostly pain




Mild patients have no obvious symptom and a few may lead to serious complications All kinds of opportunistic infection and tumors


Signs of tuberculosis



Radiological features Imaging of lung lesions None
None
None
None
Imaging of lung lesions
Prognosis
A few is critical
Good
Good
Very few is critical Critical
A few is critical
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