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比较过氧化氢雾化与常规消毒产品在牙科手术中的应用。

Comparison of Aerosolized Hydrogen Peroxide Fogging with a Conventional Disinfection Product for a Dental Surgery.

机构信息

MarcSher Dental, Department of Dentistry, Sea Point Medical Centre, Cape Town, South Africa.

Restorative Dentistry, Department of Prosthetics, University of the Western Cape, Cape Town, South Africa, Phone: +27 (0) 219373156, e-mail:

出版信息

J Contemp Dent Pract. 2020 Dec 1;21(12):1307-1311.

Abstract

AIM AND OBJECTIVE

The study aimed to determine the efficacy of adding a 12% hydrogen peroxide dry hydrogen peroxide vapor fogger system as an additional layer of infection control in a dental surgery.

MATERIALS AND METHODS

A total number of agar plates from the five locations were used during the treatment of the 22 patients ( = 440). During the treatment of each patient, four agar plates ( = 4) were used per location [location 1: X-ray, location 2: the dental arm, location 3: left side desk, location 4: under the foot of the dental chair, location 5: ri ght side desk and ( = 20 for the five locations per patient)]. The control agar plates were incubated after the treatment of the patient was completed period. The test agar plate groups were sprayed with a 70% isopropanol surface disinfectant, or received exposure to an automated 12% hydrogen peroxide fog, or a 70% isopropanol surface disinfectant spray immediately followed by exposure to the automated 12% hydrogen peroxide.

RESULTS

One-way ANOVA and Scheffé's method identified significant differences ( < 0.01). Between the control agar plates and the three disinfection methods used a significantly lower colony count was established for colonies recorded in the surgery assessed as a whole, the X-ray unit, and the ri ght side desk.

CONCLUSION

The disinfection of dental surgery r equires sufficient time as it not only includes the working surfaces but also various inanimate objects. Surface disinfectant spray followed by hydrogen peroxide decontamination has potential for dental surgery, as the colony-forming units have been r educed further compared to spray alone and even just fog alone for all the various areas of the dental surgery that was assessed.

CLINICAL SIGNIFICANCE

The infection control protocols with hydrogen peroxide vapor would ensure the maximum efficacy of the disinfection protocols.

摘要

目的和目标

本研究旨在确定在牙科手术中添加 12%过氧化氢干过氧化氢蒸汽雾化器系统作为感染控制的附加层的效果。

材料和方法

在治疗 22 名患者(=440)期间,使用了来自五个位置的总共琼脂平板。在治疗每位患者时,每个位置使用了四个琼脂平板(=4)[位置 1:X 射线,位置 2:牙科手臂,位置 3:左侧桌子,位置 4:牙科椅脚下,位置 5:右侧桌子(=20 个平板用于每位患者的五个位置)]。在治疗完成后,对对照琼脂平板进行孵育。试验琼脂平板组用 70%异丙醇表面消毒剂喷洒,或暴露于自动化 12%过氧化氢雾中,或 70%异丙醇表面消毒剂喷洒后立即暴露于自动化 12%过氧化氢中。

结果

单向方差分析和谢弗法确定了显著差异(<0.01)。与对照琼脂平板和三种使用的消毒方法相比,整个手术、X 射线单元和右侧桌子中记录的菌落数明显较低。

结论

牙科手术的消毒需要足够的时间,因为它不仅包括工作表面,还包括各种无生命物体。表面消毒剂喷雾后再用过氧化氢消毒对牙科手术具有潜力,因为与单独喷雾相比,与单独喷雾甚至单独雾相比,所有牙科手术的各个区域的形成单位都进一步减少。

临床意义

过氧化氢蒸汽感染控制方案将确保消毒方案的最大效果。

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