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Accuracy of elastomeric impressions disinfected by immersion.

This study evaluates the accuracy and surface quality of stone dies made from impressions that had been placed in disinfectants. Results indicated that selection of the type of impression material is more important than selection of the disinfectant. Addition silicone and polysulfide impressions were disinfected without a loss in accuracy, whereas polyether impressions were adversely affected. The surface quality of dies was acceptable with disinfection and one disinfectant contributed to an improvement in surface quality compared with the control.

Chlorine↗

[Influence of different methods of chemical disinfection on the physical properties of type IV and V gypsum dies].

Several instruments and materials frequently used in prosthodontics--such as stone casts, dental impressions, interocclusal records--are classified, by the dental literature, as vehicles of transmission of infectious diseases to those who handle them. The present study aims at comparing dimensional alteration, superficial texture and compression resistance of stone dies submitted to different disinfection methods: 30-minute immersion in 1% sodium hypochlorite or in 2.2% alkaline glutaraldehyde (with or without previous ultrasonic washing) and addition of 2.2% alkaline glutaraldehyde or 5% sodium hypochlorite to the gypsum during its preparation. It was possible to conclude that: (1) chemical disinfection did not cause significant dimensional alteration in stone dies; (2) superficial texture was altered according to the disinfection method utilized; (3) immersion in disinfectant solution during 30 min, as well as the addition of disinfectant to the gypsum during its preparation, reduced the compression resistance of dies.

Calcium Sulfate↗

Effect of disinfectants on microbial ecology in model distribution systems.

This research was conducted to assess the impact of various disinfectants on bacterial water quality within model distribution systems (i.e. annular reactors). After colonization with non-disinfected water, annular reactors were treated with relatively low doses of chlorine (0.4 mg/l), chlorine dioxide (0.15 mg/l), or chloramines (0.9 mg/l). Under the tested conditions, bacterial inactivation varied as a function of disinfectant type (ranking by efficiency per mg of oxidant: ClO2 > Cl2 > ClNH2) and sample type (bulk water vs. biofilm). Depending on the disinfectant, the log inactivation of suspended and attached bacteria were 0.7-1.2 and 0.5-1.0, respectively. The characterization of microbial communities in drinking water can be performed using biochemical and/or molecular methods. In this study, biochemical tests were used, showing that pseudomonad and pseudomonad-like bacteria, as in other studies, were the most predominant micro-organisms (e.g. Pseudomonas fluorescens, Brevundimonas vescularis). The ratio Gram-positive to Gram-negative organisms was 1 to 3. No drastic differences were observed between the non-treated and disinfected pipes. Based on the bacteriological data presented in these experiments, chlorine dioxide represents an alternative to chlorine for certain distribution systems.

Bacteria↗

Photoreactivation of Escherichia coli following medium-pressure ultraviolet disinfection and its control using chloramination.

Ultraviolet (UV) disinfection is becoming increasingly popular as an alternative disinfection technology to chlorination in recent years. In this study, we investigated the photoreactivation of Escherichia coli following medium-pressure (MP) UV disinfection of synthetic water by a bench-scale collimated beam apparatus. The UV doses ranged from 1.6 -19.7 mWs/cm2 and photoreactivation was investigated for 6 hours under fluorescent light. In addition, chloramination was applied after UV disinfection to investigate its ability to control photoreactivation. It was found that photoreactivation occurred for all UV doses tested and the increase in bacteria numbers ranged from 0.04 to 1.35 log10. However, the degree of photoreactivation decreased with increased UV doses. Chloramination experiments revealed that the addition of 0.5 mg/l of monochloramine resulted in suppression of photoreactivation for 1 hour only. An increased monochloramine dose of 1 mg/l was found to prevent photoreactivation for the entire duration of the experiment. The results of this study have shown that photoreactivation occurs even after MP UV disinfection, although it is of a lesser extent at higher UV doses. This study has also established that secondary chloramination can effectively suppress and eliminate photoreactivation with a chloramine dose of 1 mg/l.

Atmospheric Pressure↗

Computational fluid dynamics analysis of the effects of reactor configuration on disinfection efficiency.

The efficacy of disinfection processes in water purification systems is governed by several key factors, including reactor hydraulics, disinfectant chemistry, and microbial inactivation kinetics. The objective of this work was to develop a computational fluid dynamics (CFD) model to predict velocity fields, mass transport, chlorine decay, and microbial inactivation in a continuous flow reactor. The CFD model was also used to evaluate disinfection efficiency in alternative reactor designs. The CFD reactor analysis demonstrates that disinfection efficiency is affected by both kinetics and mixing state (i.e., degree of micromixing or segregation). Residence time distributions (RTDs) derived from tracer analysis do not describe intrinsic mixing conditions. The CFD-based disinfection models account for reactor mixing patterns by resolution of the reactor velocity field and thus provide a better prediction of microbial inactivation than models that use an RTD.

Computer Simulation↗

Ultraviolet disinfection of fecal coliform in municipal wastewater: effects of particle size.

Suspended solids interfere with the efficiency of disinfection using UV radiation by decreasing the rate of disinfection and inducing tailing. However, conventional measures of solids (total suspended solids, turbidity, and UV transmittance) do not adequately predict the presence or degree of these effects. Bacteria and viruses can become associated with particles in wastewater. A fractionation technique was developed to separate particle-associated bacteria into three fractions, based on particle size. The results show that the degree to which particles interfere with UV disinfection efficiency is dependent on particle size. The small size fraction (< 5 microm) consistently produced a statistically significant faster disinfection rate than the large fraction (> 20 microm), with the unfiltered sample and the medium fraction (particles > 5 microm, but < 20 microm) between the two extremes. Tailing also was observed only in the large fraction. Correlations between the disinfection rate constant and the percentage of large fraction bacteria of a sample were good.

Cities↗

Reducing diarrhoea in Guatemalan children: randomized controlled trial of flocculant-disinfectant for drinking-water.

OBJECTIVE: To examine the effect of a new point-of-use treatment for drinking-water, a commercially developed flocculant-disinfectant, on the prevalence of diarrhoea in children. METHODS: We conducted a randomized controlled trial among 514 rural Guatemalan households, divided into 42 neighbourhood clusters, for 13 weeks, from 4 November 2002 through 31 January 2003. Clusters assigned to water treatment with the flocculant-disinfectant were compared with those using their usual water-handling practices. The longitudinal prevalence of diarrhoea was calculated as the proportion of total days with diarrhoea divided by the total number of days of observation. The prevalence of diarrhoea was compared using the Wilcoxon rank-sum test. FINDINGS: The 1702 people in households receiving the disinfectant had a prevalence of diarrhoea that was 40% lower than that among the 1699 people using standard water-handling practices (0.9% versus 1.5%; P = 0.001). In households using the flocculant-disinfectant, children < 1 year of age had a 39% lower prevalence of diarrhoea than those in households using their standard practices (3.7% versus 6.0%; P = 0.005). CONCLUSION: In settings where families rarely treat drinking-water, we introduced a novel flocculant-disinfectant that reduced the longitudinal prevalence of diarrhoea, especially among children aged < 1 year, among whom diarrhoea has been strongly associated with mortality. Successful introduction and use of this product could contribute to preventing diarrhoeal disease globally.

Adolescent↗

Mathematical modeling to estimate efficacy of postmilking teat disinfection in split-udder trials of dairy cows.

A mathematical model was used to estimate the efficacy of postmilking teat disinfection from observations in split-udder trials with natural exposure. Data were studied from an outbreak of Staphylococcus aureus IMI during a split-udder trial in a commercial herd with low SCC. The efficacy of postmilking teat disinfection was similar when calculated based on incidence density rates or on transmission rates of IMI in dipped and control quarters. If, however, first and subsequent S. aureus IMI in a cow were not assumed to be independent and were therefore treated separately in the models, the efficacy of post-milking teat disinfection was calculated as being higher with the modeling procedure. The analysis using mathematical modeling, which includes the effect of the number of existing IMI on the number of new IMI, is presented and discussed. This analysis also allows estimation of the basic reproduction ratio. The impact of postmilking teat disinfection on transmission of pathogens is quantified, and proposals for additional preventive measures can be generated. We concluded that efficacy estimations from split-udder trials, assuming quarters to be independent observations, might underestimate the effect of postmilking teat disinfectants on udder pathogens.

Animals↗

Efficacy of disinfectants against fungi isolated from skin and nail infections.

Commercial disinfectants classified as fungicides may not be effective against commonly encountered fungi within reasonable periods. Cell suspensions of clinical fungal isolates were exposed to use-dilutions of various disinfectants. Quaternary ammonium compounds, iodophors, and phenolics were not fungicidal against all test fungi within 60 min of exposure. Trichophyton mentagrophytes, Epidermophyton floccosum, and Aspergillus fumigatus were among the more resistant fungi. Disinfectants that possess low-level activity should not be used for disinfection of medical instruments that come in contact with the patient. The only reliable and safe measure is to use high-level disinfectants such as the glutaraldehydes, which are fungicidal in 15 to 30 min.

Disinfectants↗

Evaluation of disinfectants with the addition of antifreezing compounds against nonpathogenic H7N2 avian influenza virus.

In the winter of 1997 and 1998, in the midst of the H7N2 avian influenza outbreak in Pennsylvania, producers added antifreeze or windshield washer fluid to disinfectant solutions in wash stations to prevent freezing. The purpose of this study was to determine if the addition of these products to the disinfectant solutions would have deleterious effects. Four disinfectants (two phenols, one quarternary ammonium, and one combination product: quarternary ammonium and formaldehyde) and one sodium hypochlorite detergent product currently used in the poultry industry were studied. Each product was diluted according to the manufacturer's recommendation in sterile distilled water and compared with dilutions of the disinfectants with the addition of antifreeze products (ethylene glycol or propylene glycol) or windshield washer fluid for their effectiveness in killing nonpathogenic H7N2 avian influenza virus. All products diluted according to the manufacturer's recommendation killed the nonpathogenic H7N2 avian influenza virus in this test system. The phenol products and the quaternary ammonium product were still efficacious with the addition of the antifreeze containing ethylene glycol. Both the combination product and the sodium hypochlorite detergent had decreased efficacy when the ethylene glycol product was added. When the propylene glycol product was added, the efficacy of all disinfectants remained unaffected, whereas the efficacy of the sodium hypochlorite detergent decreased. With the addition of the windshield washer fluid (methyl alcohol), all products remained efficacious except for the combination product.

Animals↗

Broad spectrum antimicrobial activity of a new multi-purpose disinfecting solution.

PURPOSE: There has been increasing awareness of the need for more powerful contact lens disinfectants, ideally having low toxicity and allergenicity to ocular tissue. Opti-Free Express with ALDOX Multi-Purpose Disinfecting Solution (MPDS) was recently marketed as a new multi-purpose disinfecting solution for soft contact lenses. MPDS contains two antimicrobial agents, polyquaternium-1 and myristamidopropyl dimethylamine, to broaden the range of antimicrobial activity. The purpose of this study was to evaluate the antimicrobial activity of MPDS against microorganisms that have been reported as contact lens and lens case contaminants and causative agents of microbial keratitis. METHODS: MPDS was challenged with high numbers of gram-positive and gram-negative bacteria, yeast, mold, and Acanthamoeba. Several lots of product were challenged with at least three separate inocula of each isolate. After exposure to the disinfecting solution, a sample was removed from the product and plated for survivors by suitable recovery methods. The plates were incubated and the number of survivors was enumerated. RESULTS: The results showed that MPDS was bactericidal, fungicidal and amoebicidal against an extensive variety of environmental contaminants of lens care accessories and ocular pathogens. MPDS was capable of killing a broad spectrum of microorganisms. The log reduction exceeded the primary criteria for disinfecting products and produced a notable reduction of other clinical and environmental isolates as well. CONCLUSIONS: Opti-Free Express MPDS contains antimicrobial agents that can kill an extensive spectrum of many different types of microorganisms that may contaminate contact lenses and solutions.

Acanthamoeba↗

Resistance of Pseudomonas aeruginosa to liquid disinfectants on contaminated surfaces before formation of biofilms.

A comparison was made of the effectiveness of popular disinfectants (Cavicide, Cidexplus, Clorox, Exspor, Lysol, Renalin, and Wavicide) under conditions prescribed for disinfection in the respective product labels on Pseudomonas aeruginosa either in suspension or deposited onto surfaces of metallic or polymeric plastic devices. The testing also included 7 nonformulated germicidal agents (glutaraldehyde, formaldehyde, peracetic acid, hydrogen peroxide, sodium hypochlorite, phenol, and cupric ascorbate) commonly used in disinfection and decontamination. Results showed that P. aeruginosa is on average 300-fold more resistant when present on contaminated surfaces than in suspension. This increase in resistance agrees with results reported in studies of biofilms, but unexpectedly, it precedes biofilm formation. The surface to which bacteria are attached can influence the effectiveness of disinfectants. Viable bacteria attached to devices may require dislodging through more than a one-step method for detection. The data, obtained with a sensitive and quantitative test, suggest that disinfectants are less effective on contaminated surfaces than generally acknowledged.

Biofilms↗

UV disinfection for reuse applications in North America.

In an effort to conserve and protect limited water resources, the States of Florida and California have actively promoted wastewater reclamation and have implemented comprehensive regulations covering a range of reuse applications. Florida has a semi-tropical climate with heavy summer rains that are lost due to run off and evaporation. Much of California is arid and suffers periodic droughts, low annual rainfall and depleted ground water supplies. The high population density combined with heavy irrigation demands has depleted ground water supplies resulting in salt-water intrusion. During the past decade, Florida reuse sites have increased dramatically from 118 to 444 plants representing a total flow capacity of 826 MGD. California presently has over 250 plants producing 1 BGD with a projected increase of 160 sites over the next 20 years. To prevent the transmission of waterborne diseases, disinfection of reclaimed water is controlled by stringent regulations. Many states regulate wastewater treatment processes, nutrient removal, final effluent quality and disinfection criteria based upon the specific reuse application. As a rule, the resulting effluents have low turbidity and suspended solids. For such effluents, UV technology can economically achieve the most stringent disinfection targets that are required by the States of California and Florida for restricted and unrestricted reuse. This paper compares UV disinfection for wastewater reuse sites in California and Florida and discusses the effect of effluent quality on UV disinfection.

California↗

[Disinfection of the skin prior to injections does not influence the incidence of infections; a literature study].

OBJECTIVE: To assess the incidence of infections after subcutaneous, intramuscular or intravenous injections--using sterile needles--with or without prior disinfection of the skin. METHOD: Literature searches were made in the database Medline from 1966-June 2001, in the databases Picarta, Embase and the Cochrane Library, as well as manually in the reference lists of the collected articles. Original papers in English, Dutch or German were selected. RESULTS: Four relevant studies were found, generally of poor quality. In these two infections were reported after disinfecting the skin prior to over 2300 injections in 156 patients, and none were reported after not disinfecting the skin prior to over 7000 injections in more than 700 patients. CONCLUSION: Both disinfection prior to skin injections and omission of disinfection were followed by (almost) no infections.

Disinfectants↗

Some effects of disinfecting solutions on the properties of alginate impression material and dental stone.

The study investigated the effect of two disinfecting solutions on one brand of alginate impression material and dental stone. Control impressions were immersed in water for equivalent periods and the effect of storage of impressions after disinfection or control immersion in water was also investigated. There were no significant dimensional changes in impressions poured after one hour. All impressions stored for 16 hours before pouring showed significant dimensional changes. Mixing dental stone with one disinfectant caused a significant softening of the cast. It is strongly recommended that all impressions are thoroughly rinsed with water after disinfection to prevent incorporation of disinfectant in the cast.

Alginates↗

The effect of disinfectants on the properties of dental gypsum: 1. Mechanical properties.

PURPOSE: This study was conducted to evaluate the effect of selected disinfectants incorporated in the liquid of dental stones on material strength properties with the aim of developing a material with acceptable mechanical properties. MATERIALS AND METHODS: Two types of dental stone (types III and V) were mixed with aqueous solutions of 0.525% sodium hypochlorite, 0.1% and 10% povidone-iodine, and 2% glutaraldehyde, and with water as a control. The liquid/powder ratios recommended by the manufacturer were used. These materials were subjected to further modification by adding a mixture of 1.0% gum arabic and 0.132% calcium hydroxide to the hemihydrate powders before mixing with the disinfectant solutions at 2 different liquid/powder ratios for each. Both the regular and the modified materials were tested for compressive and diametral tensile strength after 1 hour and 1 week from the start of the mix. The structure of set materials was determined by scanning electron microscopy examination of fracture surfaces. RESULTS: The disinfectants often reduced the strength of both types of dental stone. However, using either 0.1% povidone-iodine or 0.525% sodium hypochlorite resulted in strength values comparable with that of the control. The addition of gum arabic and calcium hydroxide helped reduce the mixing liquid/powder ratios, improving the strength properties of the disinfected materials. CONCLUSIONS: Chemical disinfectants reduce the strength of dental gypsum when used as mixing water substitutes. Gum arabic and calcium hydroxide additives permit a lower liquid/powder ratio and can help offset this weakening.

Analysis of Variance↗

Radiofrequency gas plasma (glow discharge) disinfection of dental operative instruments, including handpieces.

The radiofrequency-stimulated argon gas plasma (glow discharge) technique, already well-known for surface cleaning and activation of adhesion, was investigated for determination of its separate potential for rapid disinfection of dental operative instruments. Disinfection effectiveness was judged from diminished post-treatment recovery of viable organisms from the instruments agitated in saline. Streptococcus salivarius, Bacillus stearothermophilus, and Escherichia coli were used as primary contaminant organisms, dried from gelatin-thickened laboratory cultures onto the instruments and not subjected to any preliminary cleaning steps. Significant disinfection was obtained, with no sensible temperature increases, in under 10 minutes in laboratory apparatus consuming fewer than 5 Watts of power per cycle. Also, clinically used and deliberately-saliva-contaminated high-speed handpieces were gas-discharge-treated, with their resultant rapid disinfection noted by complete suppression of the viability of any transferred natural contaminant organisms within two minutes. With regard to preservation of instrument quality, it was also shown that this low-temperature gas-discharge method provides the noted substantial disinfection without deterioration of sharp edges. Work now in progress suggests that the method can provide cool, rapid, and complete sterilization when hydrogen peroxide vapors are present in the gas plasma used for treatment of instruments first given the normally recommended thorough pre-cleaning.

Argon↗

[Disinfection of caliciviruses at 20 and 10 degrees C].

Five disinfectants, Venno FF super, Venno Vet 1 super, Venno Oxygen, M&Enno-Veterinär B neu und Neopredisan 135-1, were tested to evaluate their efficacy against caliciviruses at 20 and 10 degrees C. As model test virus served feline calicivirus type F9 (FCV F9). All disinfectants were tested according to Guidelines of the German Veterinary Association (DVG). The investigations were performed in suspension tests and germ carrier tests. The suspension tests were carried out without and with protein load. As protein was used foetal calf serum at the concentration of 40%. Venno FF super showed less protein dependence, however a considerable temperature dependence. This matter can be corrected by increase of concentration on 2%. Venno Vet 1 super was without protein especially effective. The losses on the effectiveness through low temperature and protein load can be annulled also here by increase of concentration. Venno Oxygen was more effective in the comparison to that here named both preparations. The effects of temperature can be corrected by extension of reaction time. The most effective preparation was M&Enno Veterinär B neu. The disinfection occurred at 20 degrees C with 0.5% solution within 120 min and at 10 degrees C with 1.0% solution within 60 min. The fifth disinfectant Neopredisan was in suspension tests without protein load and carrier tests with gauze at 20 and 10 degrees C relative convincing but in germ carrier tests with poplar wood, no complete disinfection could be achieved within tested concentrations and reaction times.

Animals↗