Use of mouthwashes in the management of COVID-19 patients in intensive care units: recommendations and current evidence

Depression, Anxiety, and Stress in Health Professionals Working During the COVID-19 Pandemic in Peru: An Analytical Cross-Sectional Study

“…Recently, a guide on care of mental health of health professionals during the COVID-19 pandemic was elaborated ("Technical guide for care of mental health of health professionals in the context of the COVID-19 pandemic ["Guía técnica para el cuidado de la salud mental del personal de la salud en el contexto del COVID-19"]), whose main purpose is to ensure the care and self-care of the mental health of these professionals [12]. Therefore, it is also of fundamental importance to carry out studies on the state of mental health of professionals in the health sector working during the COVID-19 pandemic [13], in order to provide adequate emotional support for them, grant the required rest period, and mitigate the triggering factors of related mental disorders; which should contribute to the wellbeing of them, with positive impacts on the provision of services to patients [14,15] and their families [16], in addition to avoiding early retirements and leave.…”

Underreporting of Cases During the COVID-19 Pandemic: A Worrying Warning for Africa

“…Moreover, given the potential severity of the disease [5][6][7], the circulation of SARS-CoV-2 variants, and the low vaccination rates against COVID-19 across the African territory [8], it is imminent that governments and health authorities strengthen local surveillance actions [9]. Increased funding towards COVID-19 screening centers may further guarantee access to appropriate treatment and preventative health services in response to the high-cost supplies for the management of severe cases [10,11]. Further research is warranted in understanding the socio-geographical factors and the role of public hesitancy to accessing healthcare, which may negatively influence COVID-19 detection and vaccination rates in the region.…”

Is hydrogen peroxide an effective mouthwash for reducing the viral load of SARS-CoV-2 in dental clinics?

“…Mouthwashes are widely used before oral surgery due to their ability to reduce the number of microorganisms in the oral cavity ( Dominiak et al, 2020 , Kosutic et al, 2009 ) and colony forming units in dental aerosols ( Marui et al, 2019 ). Moreover, based on the existing evidence, the use of mouthwashes in COVID-19 patients admitted to ICU (intensive care units) is currently suggested before performing daily routine procedures with a potential risk of generating aerosols, and/or droplet emission (e.g., Tovani-Palone and Shamsoddin, 2021 ). Recent studies have found that rinsing solutions successfully inactivate infectious SARS-CoV-2 particles (e.g., Koch-Heier et al, 2021 ), and reduce salivary viral load ( Meister et al, 2020 , Moosavi et al, 2020 ).…”

“…In this study we assessed the potential efficacy of rinsing with H 2 O 2 as a virucidal mouthwash in reducing the risk of coronavirus transmission. We used a relatively low concentration of 1% (lower concentration than indicated in previous studies 1.5-3%) (e.g., Bidra et al, 2020 , Tovani-Palone and Shamsoddin, 2021 ), for 1 minute to reduce its potential toxicity. This could be considered as the main preventive option to control the viral load in the saliva and the aerosol during any dental procedure.…”