Komine Akihiko, Yamaguchi Erika, Okamoto Nako, Yamamoto Kazushi
R&D, Sunstar Inc., 1-35-10, Kawanishi-cho, Takatsuki, Osaka, 569-1133, Japan.
J Oral Maxillofac Surg Med Pathol. 2021 Jul;33(4):475-477. doi: 10.1016/j.ajoms.2021.02.002. Epub 2021 Feb 22.
Coronavirus disease 2019 (COVID-19) caused by infection by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has spread worldwide. Since reducing the amount of virus in saliva is considered to prevent broader infection, the Center for Disease Control (CDC) and American Dental Hygienists' Association (ADHA) have recommended use of CPC- or CHX-containing oral care products before the dental procedure. However, there is no certified evidence. So, we examined inactivation of SARS-CoV-2 by oral care products in several countries .
0.05 % Cetylpyridinium chloride (CPC) mouthwash, 0.05 % CPC toothpaste and 0.30 % CPC spray in Japan; 0.06 % chlorhexidine gluconate (CHX) + 0.05 % CPC mouthwash and 0.12 % CHX + 0.05 % CPC mouthwash in Europe; 0.075 % CPC mouthwash, 0.12 % CHX mouthwash, and 0.20 % delmopinol hydrochloride mouthwash in the USA; and 0.04 % CPC mouthwash in China were assessed for their virucidal activity with ASTM E1052.
The virus was inactivated by the contact time in directions for use of all oral care products containing CPC or delmopinol hydrochloride as anticeptics.
These results suggest that these oral care products in each country may reduce the viral load in the mouth.
由严重急性呼吸综合征冠状病毒2(SARS-CoV-2)感染引起的2019冠状病毒病(COVID-19)已在全球范围内传播。由于减少唾液中的病毒量被认为可以预防更广泛的感染,疾病控制中心(CDC)和美国牙科保健员协会(ADHA)建议在牙科手术前使用含西吡氯铵(CPC)或氯己定(CHX)的口腔护理产品。然而,尚无经认证的证据。因此,我们在几个国家研究了口腔护理产品对SARS-CoV-2的灭活作用。
采用美国材料与试验协会(ASTM)E1052方法,对日本的0.05%西吡氯铵漱口水、0.05%西吡氯铵牙膏和0.30%西吡氯铵喷雾剂;欧洲的0.06%葡萄糖酸氯己定(CHX)+0.05%西吡氯铵漱口水和0.12%CHX +0.05%西吡氯铵漱口水;美国的0.075%西吡氯铵漱口水、0.12%CHX漱口水和0.20%盐酸地莫匹醇漱口水;以及中国的0.04%西吡氯铵漱口水的杀病毒活性进行评估。
所有含有CPC或盐酸地莫匹醇作为防腐剂的口腔护理产品,在按照使用说明规定的接触时间后,病毒均被灭活。
这些结果表明,各国的这些口腔护理产品可能会降低口腔中的病毒载量。