Breaking the Chain of Infection: Dental Unit Water Quality Control

Pawar, Amrita; Garg, Sandeep; Mehta, Sonia; Dang, Rajat

doi:10.7860/jcdr/2016/19070.8196

Cited by 24 publications

(35 citation statements)

References 12 publications

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“…In the last 10 years, different DUWL disinfectants were tested in experimental conditions [20][21][22][23][24][25] or under real conditions of dental care during a few weeks [26,27] or months [28][29][30][31][32][33] but seldom after long-term application [34]. Up to now, the effectiveness of Alpron ® disinfectant was only evaluated during a few weeks of use in laboratory models [35] and in real working conditions, continuously [31,36,37] and intermittently [38], but never in the long term or with a large number of dental units.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of BRS® and Alpron®/Bilpron® Disinfectants for Dental Unit Waterlines: A Six-Year Study

Baudet

Lizon²,

Martrette

et al. 2020

IJERPH

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Biofilms in dental unit waterlines (DUWL) are a potentially significant source of contamination posing a significant health risk as these may come into contact with patients and dental staff during treatment. The aim of this study was to evaluate the microbiological quality of DUWL water treated by Biofilm-Removing-System® (BRS®) and Alpron®/Bilpron® disinfectant solutions for six years in a French university hospital. The microbiological quality of water supplied by 68 dental units—initially shock treated with BRS®, then continuously treated by Alpron® with sterile water during working days and Bilpron® during inactivity period, and combined with purging every morning and after each patient—was assessed biannually during six years for total culturable aerobic bacteria at 22 °C and 36 °C, Legionella sp., Pseudomonas aeruginosa, and total coliforms. A total of 628 samples were analyzed, 99.8% were compliant with extended microbiological levels, and we never detected pathogen bacteria like Legionella sp. and P. aeruginosa. Only one sample (0.2%) was noncompliant with the level of total culturable aerobic bacteria at 36 °C, which exceeded 140 colony forming units per mL. The protocol implemented in our university hospital gives excellent results and enables control of the microbiological quality of DUWL water in the long term.

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Section: Introductionmentioning

confidence: 99%

Efficacy of BRS® and Alpron®/Bilpron® Disinfectants for Dental Unit Waterlines: A Six-Year Study

Baudet

Lizon²,

Martrette

et al. 2020

IJERPH

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“…Many cases of DUWL contamination are reported in the literature [27,30,40,[42][43][44][45], and represent a concern for hygienists and dentists worldwide [45]. If previous studies showed good results of maintenance protocols applied to fixed dental units and dental chairs [29,44,46], the challenge was here to adapt a protocol to MDDSs for which water disinfectants are not used during dental procedures. Indeed, the MDDS was used under specific conditions such as GA environment and especially the presence of packing, and during procedures in vulnerable patients (children, impaired patients, etc.).…”

Section: Discussionmentioning

confidence: 99%

Mobile Dental Delivery System: An Effective Protocol for Hygiene and Disinfection

Offner

Grado

Strub

et al. 2020

IJERPH

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Mobile dental delivery systems (MDDSs) are receiving growing interest for reaching isolated patients, as well as in dental care for fragile and hospitalized patients, with the advantage of being able to be used from room to room or during general anesthesia (GA) in an operating room. Therefore, ensuring the care safety is crucial. The aim of this study was to elaborate and assess an MDDS maintenance protocol, containing the management of dental unit waterlines and adapted to specific conditions such as dental care under GA. A step-by-step protocol was established and implemented for an MDDS used during dental care under GA in children. Samples of the output water were collected at J0, J+1, 3, 6, 12, and 24 months, and cultured to observe the microbiological quality of the water. All the results (heterotrophic plate count at 22 °C, at 37 °C, and specific pathogenic germs sought) showed an absence of contamination. The protocol presented was effective over time and allowed ensuring the safety of care to be ensured when using MDDS, even during dental procedures under GA. As a result, it could be implemented by any dental care delivery structure wanting to reinforce the safety of its practice.

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“…Devido a essa problemática, autores mencionaram diferentes protocolos para desinfecção das linhas d'água dos equipos com substâncias e produtos comerciais, visando o controle da formação do biofilme (GAWANDE et al, 2008;PERCIVAL et al, 2009;ORRÙ et al, 2010;ABDALLAH e KHALIL 2011;BANSAL et al, 2011;LIN et al, 2011;O'DONNELL et al, 2011;SPEARS, 2011;ROSSI-FEDELE et al, 2011;KRAMER et al, 2012;PAREEK et al, 2013;AGAHI et al, 2014;BARBOT et al, 2014;DALLOLIO et al, 2014;BOWEN et al, 2015;HIKAL, ZAKI, SABRY, 2015;LAL et al, 2015;PETTI;POLIMENI;ALLEN, 2015;COSTA et al, 2016a;DITOMMASO et al, 2016;LIZON et al, 2016;PAWAR et al, 2016;FUJITA, MASHIMA, NAKAZAWA, 2017;SHAJAHAN et al, 2017).…”

Section: Introductionunclassified

“…Na literatura, diversas substâncias e produtos com aplicabilidade na melhoria e manutenção da qualidade microbiológica da água de equipos odontológicos foram relatados(GAWANDE et al, 2008;ORRÙ et al, 2010;BANSAL et al, 2011;LIN et al, 2011;PAREEK et al, 2013;BARBOT et al, 2014;DALLOLIO et al, 2014; LIZO et ________________________________________________________Material e Métodos 38 al., 2015;PETTI;POLIMENI;ALLEN, 2015;PAWAR et al, 2016), entretanto, no Brasil, ainda não há produto comercial aprovado pela Agência Nacional de Vigilância Sanitária (ANVISA) para essa finalidade.Neste projeto, utilizando-se de embasamento científico na revista da literatura e nos desafios existentes desta temática, a inovação tecnológica foi possível por meio do desenvolvimento de um produto passível de produção em larga escala e bem como comercialização. Formulações aquosas isoladas e/ou associadas com diferentes concentrações de substâncias como hipoclorito de sódio(PAREEK et al, 2013), ácido cítrico(FAOT et al, 2014), bicarbonato de sódio(GAWANDE et al, 2008), cloreto de sódio(CIRKOVIC et al, 2017), dodecil sulfato de sódio(GAWANDE et al, 2008), peróxido de hidrogênio(ORRÙ et al, 2010;LIN et al, 2011;PAREEK et al, 2013;BARBOT et al, 2014;DALLOLIO et al, 2014;PETTI;POLIMENI;ALLEN, 2015;LIZON et al, 2016;PAWAR et al, 2016), polissorbato 20 (SLOUP et al, 2016), quitosana (COBRADO et al, 2013 foram desenvolvidas e avaliadas quanto à possível aplicabilidade no controle do biofilme nas linha d'água de equipos odontológicos.…”

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“…KHALIL 2011); A-dec ICX(BOWEN et al, 2015); aloe vera(PAREEK et al, 2013);Alpron(LAL et al, 2015); bicarbonato de sódio(GAWANDE et al, 2008); Calbenium ©(COSTA et al, 2016a); clorexidina(AGAHI et al, 2014;PAWAR et al, 2016); Citrisil(BOWEN et al, 2015); CleanCert(SHAJAHAN et al, 2017); cloro(BARBOT et al, 2014); Dialox™(LIZON et al, 2016); dióxido de cloro(BANSAL et al, 2011;DALLOLIO et al, 2014); dodecil sulfato de sódio(GAWANDE et al, 2008); Ecasol(O'DONNELL et al, 2011); Ecasol com solução eletroquímica EDTA (PERCIVAL et al, 2009;PAWAR et al, 2016); etanol (PAWAR et al, 2016); hipoclorito de sódio(PAREEK et al, 2013); íons de prata(DALLOLIO et al, 2014); Listerina(PAWAR et al, 2016); metaperiodato de sódio(GAWANDE et al, 2008); Oxygenal 6,(GAWANDE et al, 2008;BARBOT et al, 2014; COSTA et al, 2016a); ozônio (HIKAL, ZAKI, SABRY, 2015); PeraSafe(GAWANDE et al, 2008); perborato de sódio(PAWAR et al, 2016); peróxido de hidrogênio(ORRÙ et al, 2010;LIN et al, 2011;PAREEK et al, 2013;BARBOT et al, 2014;DALLOLIO et al, 2014;LIZON et al, 2016;PAWAR et al, 2016); peróxido de hidrogênio e prata (PETTI; POLIMENI; ALLEN, 2015); Peroxy Ag+ (DITOMMASO et al, 2016); PotoClean (KRAMER et al, 2012); sistema Poseidon-S (FUJITA, MASHIMA, NAKAZAWA, 2017); Sterilex Liquid Ultra (BOWEN et al, 2015), Sterilex Ultra (GAWANDE et al, 2008); Sterilox (ROSSI-FEDELE et al, 2011); Sterispray © (COSTA et al, 2016a); tetra-acetil etilenodiamina perborato (PUTTAIAH; SEIBERT; SPEARS, 2011). Com relação à legislação brasileira (BRASIL, 2004), nenhuma das nossas amostras de água de torneira mostrou contaminação por bactérias aeróbias totais acima do limite permitido (Apêndice A).…”

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Qualidade da água em clínica odontológica na perspectiva microbiológica: uma proposta de intervenção

Monteiro¹

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A Deus, que sempre iluminou meu caminho e minhas decisões. Ao Prof. Dr. Evandro Watanabe, que desde início acreditou em mim. O meu reconhecimento pela oportunidade de realizar este trabalho ao lado de alguém que exala sabedoria; meu respeito e admiração pela sua serenidade e pelo seu dom no ensino da ciência. À Prof. Dra. Denise de Andrade, pela amizade, pelos ensinamentos transferidos e por me acolher na família do Núcleo

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Breaking the Chain of Infection: Dental Unit Water Quality Control

Cited by 24 publications

References 12 publications

Efficacy of BRS® and Alpron®/Bilpron® Disinfectants for Dental Unit Waterlines: A Six-Year Study

Efficacy of BRS® and Alpron®/Bilpron® Disinfectants for Dental Unit Waterlines: A Six-Year Study

Mobile Dental Delivery System: An Effective Protocol for Hygiene and Disinfection

Qualidade da água em clínica odontológica na perspectiva microbiológica: uma proposta de intervenção

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