口腔环境中的微生物空气污染物和牙周健康受试者的超声洁牙:一项观察性研究。
Microbial Air Contamination in a Dental Setting Environment and Ultrasonic Scaling in Periodontally Healthy Subjects: An Observational Study.
机构信息
Dai Dipartimento Di Igiene Sanitaria e Medicina Valutativa U.O.C. Igiene Ospedaliera, A.O.U. San Giovanni di Dio e Ruggi D'Aragona Largo Città di Ippocrate, 84131 Salerno, Italy.
Department of Medicine, Surgery and Dentistry, University of Salerno, 84081 Salerno, Italy.
出版信息
Int J Environ Res Public Health. 2023 Feb 3;20(3):2710. doi: 10.3390/ijerph20032710.
The risk of microbial air contamination in a dental setting, especially during aerosol-generating dental procedures (AGDPs), has long been recognized, becoming even more relevant during the COVID-19 pandemic. However, individual pathogens were rarely studied, and microbial loads were measured heterogeneously, often using low-sensitivity methods. Therefore, the present study aimed to assess microbial air contamination in the dental environment, identify the microorganisms involved, and determine their count by active air sampling at the beginning (T0), during (T1), and at the end (T2) of ultrasonic scaling in systemically and periodontally healthy subjects. Air microbial contamination was detected at T0 in all samples, regardless of whether the sample was collected from patients treated first or later; predominantly Gram-positive bacteria, including and spp. and a minority of fungi, were identified. The number of bacterial colonies at T1 was higher, although the species found were similar to that found during the T0 sampling, whereby Gram-positive bacteria, mainly spp., were identified. Air samples collected at T2 showed a decrease in bacterial load compared to the previous sampling. Further research should investigate the levels and patterns of the microbial contamination of air, people, and the environment in dental settings via ultrasonic scaling and other AGDPs and identify the microorganisms involved to perform the procedure- and patient-related risk assessment and provide appropriate recommendations for aerosol infection control.
在牙科环境中,微生物空气污染的风险,特别是在产生气溶胶的牙科操作(AGDPs)期间,早已被认识到,在 COVID-19 大流行期间,这一风险变得更加相关。然而,很少有研究个别病原体,并且微生物负荷的测量方法存在差异,通常使用低灵敏度的方法。因此,本研究旨在评估牙科环境中的微生物空气污染,确定涉及的微生物,并通过在系统和牙周健康受试者的超声洁治开始时(T0)、期间(T1)和结束时(T2)进行主动空气采样来确定其计数。在所有样本中,无论样本是从先治疗的患者还是后治疗的患者中采集的,T0 时均检测到空气微生物污染;鉴定出主要为革兰氏阳性菌,包括 和 spp. 和少数真菌。尽管在 T0 采样时发现的物种相似,但 T1 时的细菌菌落数量更高,其中鉴定出革兰氏阳性菌,主要是 spp.。与前一次采样相比,T2 时采集的空气样本中的细菌负荷下降。进一步的研究应该通过超声洁治和其他 AGDPs 调查牙科环境中空气、人员和环境的微生物污染水平和模式,并确定涉及的微生物,以进行与程序和患者相关的风险评估,并提供适当的气溶胶感染控制建议。