scholarly journals Dental Unit Waterlines: A Survey of Practices in Eastern France

2019 ◽  
Vol 16 (21) ◽  
pp. 4242 ◽  
Author(s):  
Alexandre Baudet ◽  
Julie Lizon ◽  
Jean-Marc Martrette ◽  
Frédéric Camelot ◽  
Arnaud Florentin ◽  
...  
Keyword(s):  
Water Quality ◽  
Dental Care ◽  
Microbiological Quality ◽  
Physical Technique ◽  
Dental Practitioners ◽  
Dental Staff ◽  
Dental Unit Waterlines ◽  
Dental Offices ◽  
Physical And Chemical

Water is essential during dental care. Physical and chemical techniques should be used to maintain a good water quality with respect to bacteria, and to ensure the safety of exposed patients and dental staff. The aim of this survey was to assess the modalities used by dental practitioners in Eastern France to maintain the water quality of their dental unit waterlines (DUWLs). A questionnaire about water quality maintenance practices was sent to 870 dental offices in 2016. The questionnaires were completed by 153 dental offices, covering about 223 dental care units. The majority of units were fed by mains water (91.0%), which is generally unfiltered (71.3%). One-third (33.6%) of the units had an independent water bottle reservoir. Flushing, a basic physical technique to improve the quality of units’ outflow water, was practiced in 65.4% of dental offices. Concerning the chemical treatment of water, it was used for 62.1% of the units. An analysis of the microbiological quality of the DUWL water was only carried out in 2.6% of the offices. In conclusion, providing better training to dental staff seems necessary to improve their practices and to generalize procedures that improve the microbiological quality of the water used.

scholarly journals Mobile Dental Delivery System: An Effective Protocol for Hygiene and Disinfection

2020 ◽  
Vol 17 (5) ◽  
pp. 1603 ◽  
Author(s):  
Damien Offner ◽  
Gabriel Fernandez De Grado ◽  
Marion Strub ◽  
Laure Belotti ◽  
Stéphanie Deboscker ◽  
...  
Keyword(s):  
Dental Care ◽  
Care Delivery ◽  
Microbiological Quality ◽  
Plate Count ◽  
Heterotrophic Plate Count ◽  
Dental Procedures ◽  
Dental Care Delivery ◽  
Dental Unit Waterlines ◽  
Over Time

Mobile dental delivery systems (MDDSs) are receiving growing interest for reaching isolated patients, as well as in dental care for fragile and hospitalized patients, with the advantage of being able to be used from room to room or during general anesthesia (GA) in an operating room. Therefore, ensuring the care safety is crucial. The aim of this study was to elaborate and assess an MDDS maintenance protocol, containing the management of dental unit waterlines and adapted to specific conditions such as dental care under GA. A step-by-step protocol was established and implemented for an MDDS used during dental care under GA in children. Samples of the output water were collected at J0, J+1, 3, 6, 12, and 24 months, and cultured to observe the microbiological quality of the water. All the results (heterotrophic plate count at 22 °C, at 37 °C, and specific pathogenic germs sought) showed an absence of contamination. The protocol presented was effective over time and allowed ensuring the safety of care to be ensured when using MDDS, even during dental procedures under GA. As a result, it could be implemented by any dental care delivery structure wanting to reinforce the safety of its practice.

scholarly journals Evaluation of Microbiological and Free-Living Protozoa Contamination in Dental Unit Waterlines

2019 ◽  
Vol 16 (15) ◽  
pp. 2648 ◽  
Author(s):  
Anna Maria Spagnolo ◽  
Marina Sartini ◽  
David Di Cave ◽  
Beatrice Casini ◽  
Benedetta Tuvo ◽  
...  
Keyword(s):  
Legionella Pneumophila ◽  
Tap Water ◽  
Microbiological Quality ◽  
Coliform Bacteria ◽  
Dental Staff ◽  
Plate Counts ◽  
Dental Unit Waterlines ◽  
Heterotrophic Plate Counts

Studies conducted over the last 40 years have demonstrated that the water output from dental unit waterlines (DUWLs) is often contaminated with high densities of microorganisms. It has been monitored the microbiological quality of the water in 30 public dental facilities in northern Italy in order to assess the health risk for patients and dental staff. In each facility, samples of water both from taps and from DUWLs were analyzed in order to evaluate heterotrophic plate counts (HPCs) at 22 °C and 36 °C, and to detect coliform bacteria, Pseudomonas aeruginosa, Legionella pneumophila and amoebae. In 100% of the samples taken from the DUWLs, the concentration of HPCs was above the threshold as determined by the Ministère de la Santé et des Solidarités (2007). The concentration of P. aeruginosa was greater than the indicated threshold in 16.67% of the hand-pieces analyzed. A total of 78.33% of samples were contaminated by L. pneumophila, while in the samples taken from the DUWLs alone, this percentage rose to 86.67%. Amoebae were detected in 60% of the samples taken from hand-pieces; all belonging to the species V. vermiformis. This study documented the presence of various microorganisms, including Legionella spp., at considerably higher concentrations in water samples from DUWLs than in samples of tap water in the same facilities, confirming the role of the internal DUWLs in increasing microbial contamination, especially in the absence of proper management of waterborne health risks.

scholarly journals Dental Unit Waterlines in Quito and Caracas Contaminated with Nontuberculous Mycobacteria: A Potential Health Risk in Dental Practice

2020 ◽  
Vol 17 (7) ◽  
pp. 2348 ◽  
Author(s):  
Orlando J. Castellano Realpe ◽  
Johanna C. Gutiérrez ◽  
Deisy A. Sierra ◽  
Lourdes A. Pazmiño Martínez ◽  
Yrneh Y. Prado Palacios ◽  
...  
Keyword(s):  
Water Quality ◽  
Heterotrophic Bacteria ◽  
Nontuberculous Mycobacteria ◽  
Free Water ◽  
Coliform Bacteria ◽  
Potential Health ◽  
Odontogenic Infections ◽  
Dental Unit Waterlines ◽  
Dental Offices

Three cases of severe odontogenic infections due to nontuberculous mycobacteria (NTM) in Venezuela that were directly associated with dental procedures and the finding of dental unit waterlines (DUWLs) in dental offices that were colonized with mycobacteria species was the reason for assessing the water quality of DUWLs in dental offices in two capital cities in South America, namely, Quito and Caracas. The main water supplies and the water from 143 DUWLs in both cities were sampled and especially checked for contamination with NTM. To measure the overall bacteriological quality of the water also the presence of heterotrophic bacteria, coliform bacteria, and Pseudomonas was determined. Results showed that respectively 3% and 56% of the DUWLs in Quito and Caracas yielded NTM species (up to 1000 colony-forming units (CFU)/mL). Furthermore, high and unacceptable total viable counts of heterotrophic bacteria and/or coliform bacteria and Pseudomonas were detected in 73% of the samples. We conclude that, in both cities, the water in the majority of DUWLs was contaminated with NTM and other potential pathogens, presenting a risk to human health. The detection of NTM in DUWL water with acceptable heterotrophic bacteria counts shows the need to include NTM in water quality testing. Mycobacteria are more resistant to disinfection procedures than other types of vegetative bacteria, and most testing protocols for DUWLs do not assess mycobacteria and thus do not guarantee risk-free water.

scholarly journals Efficacy of BRS® and Alpron®/Bilpron® Disinfectants for Dental Unit Waterlines: A Six-Year Study

2020 ◽  
Vol 17 (8) ◽  
pp. 2634 ◽  
Author(s):  
Alexandre Baudet ◽  
Julie Lizon ◽  
Jean-Marc Martrette ◽  
Frédéric Camelot ◽  
Arnaud Florentin ◽  
...  
Keyword(s):  
Microbiological Quality ◽  
University Hospital ◽  
Aerobic Bacteria ◽  
Quality Of Water ◽  
Colony Forming Units ◽  
Dental Staff ◽  
Dental Unit Waterlines ◽  
Significant Health

Biofilms in dental unit waterlines (DUWL) are a potentially significant source of contamination posing a significant health risk as these may come into contact with patients and dental staff during treatment. The aim of this study was to evaluate the microbiological quality of DUWL water treated by Biofilm-Removing-System® (BRS®) and Alpron®/Bilpron® disinfectant solutions for six years in a French university hospital. The microbiological quality of water supplied by 68 dental units—initially shock treated with BRS®, then continuously treated by Alpron® with sterile water during working days and Bilpron® during inactivity period, and combined with purging every morning and after each patient—was assessed biannually during six years for total culturable aerobic bacteria at 22 °C and 36 °C, Legionella sp., Pseudomonas aeruginosa, and total coliforms. A total of 628 samples were analyzed, 99.8% were compliant with extended microbiological levels, and we never detected pathogen bacteria like Legionella sp. and P. aeruginosa. Only one sample (0.2%) was noncompliant with the level of total culturable aerobic bacteria at 36 °C, which exceeded 140 colony forming units per mL. The protocol implemented in our university hospital gives excellent results and enables control of the microbiological quality of DUWL water in the long term.

scholarly journals ANALISIS KESESUAIAN PERAIRAN UNTUK BUDIDAYA IKAN KERAPU MACAN (Epinephelus fuscoguttatu) DI PERAIRAN PULAU TEGAL KECAMATAN TELUK PANDAN KABUPATEN PESAWARAN

2018 ◽  
Vol 6 (2) ◽  
pp. 705 ◽  
Author(s):  
Glenn Valentino ◽  
Abdullah Aman Damai ◽  
Herman Yulianto
Keyword(s):  
Water Quality ◽  
Secondary Data ◽  
Fish Farming ◽  
Primary Data ◽  
Marine Aquaculture ◽  
Quality Of Waters ◽  
Epinephelus Fuscoguttatus ◽  
Tiger Grouper ◽  
Physical And Chemical

Tiger grouper is a marine aquaculture commodities that has good prospects to be developed. One of the areas that could potentially be used as a place of tiger grouper fish farming is the Tegal Island, Pesawaran. The purpose of this research was to analyze the level of water quality for fish farming tiger grouper (Epinephelus fuscoguttatus). This research was carried out in March-May 2017 descriptive analytic nature by doing the observations on the quality of waters which include physical and chemical parameters. The data that used in this research sourced from primary data about the suitability waters of the island while the secondary data is form in research location maps. There were 4 sampling stations which determined with global positioning system (GPS). The results showed that the water quality which is owned by the island's waters on station 1, 2, 3 and 4 were in the quite appropriate category for the cultivation of tiger grouper.

scholarly journals CALIDAD MICROBIOLÓGICA DE Ulva lactuca Y Ulva clathrata (CHLOROPHYTA) DE LA COSTA DE LA PAZ, B.C.S., MÉXICO

2008 ◽  
Vol 23 (1-2) ◽  
pp. 35
Author(s):  
R. N. Águila-Ramírez ◽  
C. J. Hernández-Guerrero ◽  
S. Rodríguez-Astudillo ◽  
R. Guerrero-Caballero
Keyword(s):  
Water Quality ◽  
Microbiological Quality ◽  
Marine Organisms ◽  
Ulva Lactuca ◽  
Fecal Coliforms ◽  
Human Consumption ◽  
La Paz ◽  
Ecological Criteria ◽  
Ulva Clathrata

Microbiological quality of Ulva lactuca and Ulva clathrata (Chlorophyta) along the coastline of La Paz, B.C.S., México Total, fecal coliforms and the enterococcus group in Ulva lactuca and U. clathrata were measured in four localities of the coastline of La Paz, B.C.S, Mexico. Levels of fecal coliforms in water were below the standard of the Ecological Criteria of Water Quality (EC-WQ) which indicates a healthy La Paz inlet (below 200 MPN/100ml). Values of fecal coliforms in algae were below the NOM-031-SSA1-1993 levels determined for marine organisms destined for human consumption. These values were high only in few months. No enterococci were detected in the samples.

scholarly journals Variations in selected water quality variables and metal concentrations in the sediment of the lower Olifants and Selati rivers, South Africa

Koedoe ◽  
1994 ◽  
Vol 37 (2) ◽  
Author(s):  
T. Seymore ◽  
H.H. Du Preez ◽  
J.H.J. Van Vuren ◽  
A. Deacon ◽  
G. Strydom
Keyword(s):  
Water Quality ◽  
Sediment Quality ◽  
Metal Concentrations ◽  
Water And Sediment ◽  
Water And Sediment Quality ◽  
Special Concern ◽  
Olifants River ◽  
Western Side ◽  
Physical And Chemical

A survey of the water and sediment quality of the lower Olifants River and lower Selati River was carried out. Metal concentrations (Cr, Cu, Fe, Mn, Ni, Pb, Sr and Zn) in the water and sediment, as well as the physical and chemical characteristics of the water were determined over a two-year period (April 1990 - February 1992). The water quality of the lower Selati River, which flows through the Phalaborwa area, was found to be influenced by the mining and industrial activities in the area. It was also the case with the lower Olifants River after the Selati-Olifants confluence, although the concentrations of most variables did decrease from the western side of the Kruger National Park to the eastern side due to dilution of the water by tributaries of the Olifants River. Variables of special concern were sodium, fluoride. chloride, sulphate, potassium, the total dissolved salts and the metal concentrations (except strontium). The water quality of the Selati River in the study area is a great cause of concern and a further degradation thereof cannot be afforded.

Evaluation of the Potential Risk of Occupational Asthma in Dentists Exposed to Contaminated Dental Unit Waterlines

2005 ◽  
Vol os12 (2) ◽  
pp. 53-60 ◽  
Author(s):  
Caroline L Pankhurst ◽  
Wilson Coulter ◽  
John N Philpott-Howard ◽  
Susanne Surman-Lee ◽  
Fiona Warburton ◽  
...  
Keyword(s):  
Northern Ireland ◽  
Microbiological Quality ◽  
Multivariable Model ◽  
Endotoxin Exposure ◽  
Final Multivariable Model ◽  
History Of ◽  
Dental Unit Waterlines ◽  
Standard Techniques ◽  
Mycobacterium Spp

Introduction Most of the organisms isolated from dental unit waterlines (DUWL) are Gram-negative bacteria, which contain cell wall endotoxin. A consequence of endotoxin exposure is the exacerbation of asthma. Objectives This study examined the prevalence and onset of asthma among dentists and determined whether or not these were associated with the microbiological quality of DUWL in their practices. Methods 266 randomly selected dentists (100 from rural Northern Ireland, 166 from London) completed a health questionnaire, which included questions on prevalence and time of onset of asthma. Water samples taken from the dental hand-pieces and surgery washbasin cold taps in all the practices were analysed using standard techniques. The questionnaire data were evaluated using both single and multivariable logistic regression. The variables considered were: smoking; surgery location; time treating patients per week; DUWL counts of Pseudomonas aeruginosa, total Pseudomonas spp., fungi, Mycobacterium spp., total aerobic colony counts (ACC) at 22°C and 37°C. Results There was no significant association between any of the variables tested in dentists and a history of asthma. A subgroup analysis was performed on dentists (n=33) who reported developing asthma since they started dental training. The final multivariable model indicated that passive smoking (OR 0.08, 95% CI 0.01 0.87, P=0.038) and total aerobic counts of >200 cfu/ml at 37°C (OR 6.72, 95% CI 1.15–39.24, P=0.034) were significant variables for developing asthma since starting training as a dentist. ACC were significantly higher in London (P<0.0001) and London dentists were more likely to have developed asthma since they started training than their Northern Ireland counterparts (OR 4.4, 95% CI 1.09–17.72, P=0.033). Conclusions This study suggests that the temporal onset of asthma may be associated with occupational exposure to contaminated DUWL among dentists in London and Northern Ireland.

Characteristics of the Physical and Chemical Parameters of Water in Pools of Port in Świnoujściein 2009

2013 ◽  
Vol 6 ◽  
pp. 78-84
Author(s):  
Emil Cyraniak ◽  
Piotr Daniszewski ◽  
Beata Draszawka-Bołzan
Keyword(s):  
Water Quality ◽  
Surface Waters ◽  
Research Evaluation ◽  
Water Level Fluctuations ◽  
The Status ◽  
The Moment ◽  
The Baltic ◽  
General Cargo ◽  
Physical And Chemical

The aim of this work was to be traced during the summer and autumn of 2009 the level and dynamics of changes in the waters of the port the port Świnoujście general parameters pools water quality. In the work of the General indicators of water temperature, were numbered: pH, BOD5, COD-Cr, Cl-. All the markings and the calculation was performed according to the methods recommended by Polish Standards, applying analytical procedures described in. by Dojlido, Elbanowską, Hermanowicz. Port of Świnoujście is a sea port located on the Gulf of Pomorską, on the southern coast of the Baltic Sea, on the islands of Usedom and Wolin. The Port is located at the Świna, in Świnoujście, West Pomeranian Voivodeship. The port can be placed on ships with a maximum length of 42.0 m and width 260,0 m, draught 12.8 m. The tides in the Harbor, but the water level fluctuations are possible with sudden currents entering and outgoing, which depending on the direction of prevailing winds and reaching speeds of up to 1.5 knots. At the entrance to the port at the West breakwater, It is Western. The primary function of the port of Świnoujście is the transshipment of cereals, ores, oil, paper, cellulose, general cargo, coal, iron. Trying to test water were collected by PN/C-04632.03 with a depth of about. 2 m below the water surface. The temperature at the place of sampling were numbered, pH. Collected water samples were fixed in accordance with the recommendations in the Polish Standard-PN/C-04632.04. Other indicators for the quality of the waters have been tagged within 24 hours from the moment of download attempts. The quality objectives was evaluated according to the criteria recommended to evaluate inland surface waters referred to in regulation of the Minister of the environment of 11 February 2004 on the classification for the present status of surface water and groundwater, how to conduct monitoring and how to interpret the results and presentation of these waters. Due to the exposure of the docks the port Świnoujście on the pollution associated with cross-what are the cereals, ores, oil, cellulose, carbon, iron, general research evaluation of the water quality of these pools, you can assess the status of water in order to keep these waters.

Microbiological Water Quality Requirements for Salad Irrigation in the United Kingdom

2006 ◽  
Vol 69 (8) ◽  
pp. 2029-2035 ◽  
Author(s):  
S. F. TYRREL ◽  
J. W. KNOX ◽  
E. K. WEATHERHEAD
Keyword(s):  
Water Quality ◽  
United Kingdom ◽  
Irrigation Water ◽  
Disease Risk ◽  
Microbiological Quality ◽  
Water Quality Monitoring ◽  
Irrigation Water Quality ◽  
Water Quality Standards ◽  
The United Kingdom

The growth in United Kingdom salad production is dependent on irrigation to maintain product quality. There are concerns that irrigation with poor-quality water could pose a disease risk. This article examines the key issues in the emerging debate on the microbiological quality of water used for salad irrigation in the United Kingdom. The links between irrigation water quality and foodborne disease, and the current international guidance on irrigation water quality, are firstly reviewed. The findings indicate that a number of recent food-poisoning outbreaks have been linked to the consumption of fresh fruits and vegetables and that unhygienic product handling is implicated as the principal source of contamination. There is also credible evidence that salads contaminated in the field, including by irrigation water, can pose a small disease risk at the point of sale. Although irrigation water–quality standards exist in various forms internationally, there is no nationally agreed on standard used in the United Kingdom. This paper then describes the results of a survey conducted in 2003 of United Kingdom irrigation practices that might influence the microbiological quality of salads. The survey showed that surface water is the principal irrigation water source, that overhead irrigation predominates, that the gap between the last irrigation and harvest may be &lt;24 h in many cases, and that current water-quality monitoring practices are generally very limited in scope. This paper concludes with a discussion of the issues emerging from the review and survey, including the need for improved water-quality monitoring, and the problems associated with establishing water-quality standards that could be either too strict or too lax.

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