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口腔内成像过程中放射设备和材料的微生物污染评估。

Assessment of microbial contamination of radiographic equipment and materials during intraoral imaging procedures.

作者信息

Pinheiro S L, Martoni S C, Ogera R R

机构信息

Restorative Dentistry, PUC-Campinas Dental School, Vinhedo, Campinas, São Paulo, Brazil.

出版信息

Minerva Stomatol. 2012 May;61(5):197-203.

Abstract

AIM

Aim of the present study was to assess microbial contamination of radiology procedures.

METHODS

Patients who needed radiographic exams were selected and the bisecting technique was used: G1 - (control): absence of plastic barrier and overgloving or disinfectant solutions; G2 - alcohol spraying; G3 - protection of the film with a plastic barrier and alcohol spray; G4 - protection of film with plastic barrier, use of overgloving and alcohol spray. The following regions were assessed: trigger switch, X-ray tube, sleeve of the portable dark chamber, water, developer and fixer. The areas for microbiological sample collection were standardized with a label cut internally so that the hollow area was 5 cm long and 2 cm wide. One mL of the developer, water and fixer were also collected before and after developing the films. The samples were incubated under anaerobiosis and aerobiosis. The results were submitted to the Cochran's Q and Mann-Whitney tests.

RESULTS

The sleeve of the developing chamber showed greater anaerobic contamination followed by the X-ray tube and only the use of alcohol associated with mechanical barriers was efficient to control this microbiota. The trigger showed higher aerobic microbial contamination and the use of alcohol or alcohol associated with mechanical barriers was efficient to control this microbiota. The developing solutions presented no significant growth of anaerobic and aerobic bacteria.

CONCLUSION

The characteristic of an aerobic or anaerobic microbial strain influences microbial contamination while radiographic projections are being taken and the use of alcohol associated with a plastic barrier and overgloving is indicated to reduce this microbiota.

摘要

目的

本研究的目的是评估放射学操作中的微生物污染情况。

方法

选取需要进行放射检查的患者,采用平分技术:G1组(对照组):不使用塑料屏障、双层手套或消毒剂溶液;G2组:酒精喷雾;G3组:用塑料屏障保护胶片并酒精喷雾;G4组:用塑料屏障保护胶片、使用双层手套并酒精喷雾。评估以下区域:触发开关、X射线管、便携式暗盒套筒、水、显影剂和定影剂。微生物样本采集区域通过内部切割的标签进行标准化,使中空区域长5厘米、宽2厘米。在冲洗胶片前后还分别采集1毫升显影剂、水和定影剂。样本在厌氧和好氧条件下培养。结果采用 Cochr an's Q检验和Mann-Whitney检验。

结果

显影室套筒显示出更高的厌氧污染,其次是X射线管,只有将酒精与机械屏障结合使用才能有效控制这种微生物群。触发开关显示出更高的需氧微生物污染,使用酒精或酒精与机械屏障结合使用能有效控制这种微生物群。显影液中厌氧和需氧细菌均无显著生长。

结论

需氧或厌氧微生物菌株的特性会影响放射摄影时的微生物污染,建议使用酒精结合塑料屏障和双层手套来减少这种微生物群。

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