Prevalence of E. coli and Coliform bacteria in the Dental Unit Waterlines of Private Clinics of Islamabad and Rawalpindi
E. coli and Coliform bacteria in the Dental Unit Waterlines
DOI:
https://doi.org/10.54393/pbmj.v5i6.585Keywords:
Dental unit water line (DUWL), pathogenic bacteria, water samplesAbstract
Bacteria colonizing surfaces and forming biofilm in dental unit waterlines is a well-documented phenomenon. Pathogenic bacteria from contaminated dental unit water lines are transmitted with aerosols and splatter generated during dental procedures. Objective: To identify the presence of coliform bacteria and E. Coli in dental unit waterlines of private dental clinics in Islamabad and Rawalpindi to see whether they meet the criteria for drinking water. Methods: This is a quantitative study carried out on 30 active dental units. Triple syringe and handpiece outlet water samples were taken. Samples were evaluated by National Institute of Health (NIH) through Polymerase Chain Reaction (PCR). The cultures were incubated twice at 24 and 48 hours. The presence of coliform bacteria and E. coli in the samples was evaluated. Results: Approximately 20% of the samples were found to have coliform bacteria and E. coli. Some private dental clinics in Islamabad and Rawalpindi use dental unit waterlines that do not meet the criteria for drinking water. Conclusions: Dental unit water lines (DUWLs) must meet the set criteria for drinking water to reduce the risk of infections. Contamination with coliform bacteria and E. Coli were evident in some of the dental clinics. This contamination can be reduced by following Center for Disease Control (CDC) guidelines and using chemical treatment protocols for cleaning dental unit waterlines.
References
Von Fraunhofer JA, Siegel SC, Feldman S. Handpiece coolant flow rates and dental cutting. Operative dentistry. 2000 Nov; 25(6):544-8.
Siegel SC, von Fraunhofer JA. Irrigation rates and handpieces used in prosthodontic and operative dentistry: results of a survey of North American dental school teaching. Journal of Prosthodont. 2000 Jun; 9(2):82-6. doi: 10.1111/j.1532-849x.2000.00082.x.
Spagnolo AM, Sartini M, Cristina ML. Microbial contamination of dental unit waterlines and potential risk of infection: a narrative review. Pathogens. 2020 Aug; 9(8):651. doi.10.3390/pathogens9080651
Jolanta S, Jolanta S. Bacterial hazards in a dental office: An update review. African Journal of Microbiology Research. 2012 Feb; 6(8):1642-50. doi.10.5897/AJMR11.1002
Shearer BG. Biofilm and the dental office. The Journal of the American Dental Association. 1996 Feb; 127(2):181-9. doi.10.14219/jada.archive.1996.0166
Kumar S, Atray D, Paiwal D, Balasubramanyam G, Duraiswamy P, Kulkarni S. Retracted: Dental unit waterlines: source of contamination and cross-infection. Journal of Hospital Infection. 2010 Feb; 74(2):99-111. doi.10.1016/j.jhin.2009.03.027
Tuvo B, Totaro M, Cristina ML, Spagnolo AM, Di Cave D, Profeti S et al. Prevention and control of Legionella and Pseudomonas spp. colonization in dental units. Pathogens. 2020 Apr; 9(4):305. doi.10.3390/pathogens9040305
Zemouri C, Awad SF, Volgenant CM, Crielaard W, Laheij AM, De Soet JJ. Modeling of the transmission of coronaviruses, measles virus, influenza virus, Mycobacterium tuberculosis, and Legionella pneumophila in dental clinics. Journal of dental research. 2020 Sep; 99(10):1192-8. doi10.1177/0022034520940288
Porteous NB, Redding SW, Jorgensen JH. Isolation of non-tuberculosis mycobacteria in treated dental unit waterlines. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 2004 Jul; 98(1):40-4. doi./10.1016/j.tripleo.2004.02.006
Fan C, Gu H, Liu L, Zhu H, Yan J, Huo Y. Distinct Microbial Community of Accumulated Biofilm in Dental Unit Waterlines of Different Specialties. Front Cell Infect Microbiol. 2021 Jun; 11:670211. doi: 10.3389/fcimb.2021.670211.
Vestby B. Biofilm and its Role in the Pathogenesis of Disease. Antibiotics (Basel).(9). doi.10.3390/antibiotics9020059
Lal B, Ravindra K, Biswal M. Appraisal of microbial contamination of dental unit water systems and practices of general dental practitioners for risk reduction. Environmental Science and Pollution Research. 2018 Nov; 25(33):33566-72. doi.10.1007/s11356-018-3298-y
Karpay RI, Plamondon TJ, Mills SE, Dove SB. Combining periodic and continuous sodium hypochlorite treatment to control biofilms in dental unit water systems. The Journal of the American Dental Association. 1999 Jul; 130(7):957-65. doi.10.14219/jada.archive.1999.0336
Percival RS, Devine DA, Nattress B, Kite P, Marsh PD. Control of microbial contamination in dental unit water systems using tetra‐sodium EDTA. Journal of applied Microbiology. 2009 Oct; 107(4):1081-8. doi.10.1111/j.1365-2672.2009.04299.x
Lisboa GM, Lisboa YR, Pinheiro TM, Stegun RC, da Silva-Filho EA. Microbial diversity in dental unit waterlines. Acta Odontológica Latinoamericana. 2014 Dec; 27(3):110-4.
Federman M, Garner TI, Short K, Cutter IV WB. What does it mean to be poor in America. Monthly Lab. Rev.. 1996;119:3. doi.10.1146/annurev.publhealth.23.112001.112349
de Biofilm EM. Microbiological water evaluation from biofilm adhered to dental unit waterlines. International Journal of Odontostomat. 2019; 13(3):357-62. doi.10.4067/S0718-381X2019000300357
Castellano Realpe OJ, Gutiérrez JC, Sierra DA, Pazmino Martinez LA, Prado Palacios YY, Echeverría G, de Waard JH. Dental Unit Waterlines in Quito and Caracas contaminated with Nontuberculous Mycobacteria: A potential health risk in dental practice. International Journal of Environmental Research and Public Health. 2020 Apr; 17(7):2348. doi.10.3390/ijerph17072348
Dobaradaran S, Nabipour I, Ramavandi B, Zazouli MA, Tahmasebi R, Ghaedi H et al. Microbial contamination of dental unit waterlines in Bushehr, Iran. Fresenius Environmental Bulletin. 2014 Jan; 23(4):1000-5.
Chate RA. An audit improves the quality of water within the dental unit water lines of general dental practices across the East of England. British dental journal. 2010 Oct; 209(7):E11-./. doi.10.1038/sj.bdj.2010.885
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