Jain Manish, Mathur Aditi, Mathur Anmol, Mukhi Pravin U, Ahire Mahesh, Pingal Chadrashekhar
Department of Public Health Dentistry, SMBT Institute of Dental Sciences, Damangaon, Nasik, India.
Department of Pedodontics and Preventive Dentistry, Dr. D. Y Patil Vidyapeeth, Pune, India.
J Family Med Prim Care. 2020 Feb 28;9(2):1003-1008. doi: 10.4103/jfmpc.jfmpc_863_19. eCollection 2020 Feb.
Cross-infection or contamination are the major threats related to any medical profession. Microorganisms present in the dental clinic can cause cross-infection to the dentist, auxiliary staff and even towards the patients.
The study was conducted to assess the level of atmospheric microbial contamination and composition of aerosols before, during and after dental treatment procedures in four clinical settings.
The present study was conducted over a two-week period in a private dental college setting. An equal number of culture medium plates (blood agar) were placed 30 min prior to the initiation of work sessions in the selected area and 1 h after the working session began and after 2 h of cessation of the working period. After the collection of samples, the culture medium plates were incubated aerobically at 37°C in an incubator for 48 h. The number of colonies was expressed as colonies per media plate. After counting the colonies bacterial cell morphology was determined by a microscopic examination using a Reichert-Jung Series 150 light microscope.
Statistical analysis such as ANOVA test for mean values and post hock was done using statistical package for social sciences (SPSS).
It shows that colony count increased after the working session and which reduced by itself once the working session was concluded which was significant ( < 0.001). The highest increase in the mean colony count was found in the department of periodontology during the treatment sessions. In the blood agar plates, the was found maximum 62%, micrococcus was 22%, diphtheroid was 10%, fungi 4% and the least 2%.
This study demonstrates that aerosols increase during and after work sessions and, therefore, increases the chance for infectious agent transmission in clinical settings.
交叉感染或污染是任何医疗行业面临的主要威胁。牙科诊所中存在的微生物可导致对牙医、辅助人员甚至患者的交叉感染。
本研究旨在评估四种临床环境中牙科治疗程序前、治疗期间和治疗后大气微生物污染水平和气溶胶成分。
本研究在一所私立牙科学院环境中进行了为期两周的时间。在选定区域工作开始前30分钟、工作开始1小时后以及工作结束2小时后,放置数量相等的培养基平板(血琼脂)。采集样本后,将培养基平板在37°C的培养箱中需氧培养48小时。菌落数表示为每平板培养基上的菌落数。计数菌落后,使用Reichert-Jung系列150光学显微镜通过显微镜检查确定细菌细胞形态。
使用社会科学统计软件包(SPSS)进行统计分析,如对平均值进行方差分析和事后检验。
结果显示,工作结束后菌落数增加,工作结束后菌落数自行减少,差异具有统计学意义(<0.001)。在治疗期间,牙周病科的平均菌落数增加最多。在血琼脂平板中,发现[具体细菌名称未明确]最多,占62%,微球菌占22%,类白喉杆菌占1