Hassandarvish Pouya, Tiong Vunjia, Mohamed Nurul Azmawati, Arumugam Harsha, Ananthanarayanan Abhishek, Qasuri Murtaza, Hadjiat Yacine, Abubakar Sazaly
Tropical Infectious Diseases Research and Education Centre (TIDREC), University of Malaya, Malaysia.
Basic Medical Sciences 2 Department, Faculty of Medicine and Health Sciences, Universiti Sains Islam Malaysia, 55100 Pandan Indah, Kuala Lumpur, Malaysia.
Br Dent J. 2020 Dec 10:1-4. doi: 10.1038/s41415-020-2402-0.
Introduction Virus particles in respiratory droplets and aerosols generated during medical/dental procedures are a potential source of SARS-CoV-2 cross infection. In the dental setting, oral decontamination could be an important adjunct to personal protective equipment and is recommended by a number of national COVID-19 guidance documents for dental settings.Aim To assess the in vitrovirucidal activity of an oral povidone iodine (PVP-I) product against SARS-CoV-2.Material and methods BETADINE gargle and mouthwash (1% PVP-I) was tested against SARS-CoV-2 virus under both clean and dirty conditions using a suspension assay based on EN14476 methodology. Virucidal activity of the product, undiluted and at 1:2 dilution, was tested at contact times of 15, 30 and 60 seconds. Viral titres were calculated using the Spearman-Kärber method and reported as median tissue culture infectious dose (TCID/ml).Results The undiluted product achieved >5 log10 reduction in viral titres compared to the control at 15, 30 and 60 seconds under both clean and dirty conditions. At a twofold dilution (0.5% PVP-I), the test product demonstrated >4 log10 kill at 15 seconds and >5 log10 kill at 30 and 60 seconds in both clean and dirty conditions.Conclusion PVP-I gargle and mouthwash product, undiluted and at 1:2 dilution, demonstrated potent and rapid virucidal activity (≥4 log10 reduction of viral titre) in 15 seconds against SARS-CoV-2 in vitro. The PVP-I gargle and mouthwash product is widely available and could be readily integrated into infection control measures during dental treatment including pre-procedural oral decontamination.
引言 在医疗/牙科手术过程中产生的呼吸道飞沫和气溶胶中的病毒颗粒是严重急性呼吸综合征冠状病毒2(SARS-CoV-2)交叉感染的潜在来源。在牙科环境中,口腔去污可能是个人防护设备的重要辅助手段,许多国家针对牙科环境的2019冠状病毒病(COVID-19)指导文件都推荐了这一做法。
目的 评估一种口腔聚维酮碘(PVP-I)产品对SARS-CoV-2的体外杀病毒活性。
材料和方法 使用基于EN14476方法的悬浮试验,在清洁和污染条件下对贝他定漱口水(1% PVP-I)进行SARS-CoV-2病毒测试。测试了该产品未稀释和1:2稀释时在15、30和60秒接触时间下的杀病毒活性。使用Spearman-Kärber方法计算病毒滴度,并报告为中位数组织培养感染剂量(TCID/ml)。
结果 在清洁和污染条件下,未稀释的产品在15、30和60秒时与对照相比,病毒滴度降低了>5个对数10。在两倍稀释(0.5% PVP-I)时,测试产品在清洁和污染条件下15秒时显示>4个对数10的杀灭率,30和60秒时显示>5个对数10的杀灭率。
结论 未稀释和1:2稀释的PVP-I漱口水产品在体外15秒内对SARS-CoV-2表现出强效且快速的杀病毒活性(病毒滴度降低≥4个对数10)。PVP-I漱口水产品广泛可得,可轻松纳入牙科治疗期间的感染控制措施,包括术前口腔去污。