Monitoring dental-unit-water-line output water by current in-office test kits

Current Microbiology

Volumn 69, Issue 2, 2014, Pages 135-142

  Lal, Sham ^a   Singhrao, Sim K ^a   Bricknell, Matt ^b   Pearce, Mark ^a,c   Morton, L H Glyn ^a   Ahmed, Waqar ^a   Crean, St John ^a  

^a UNIVERSITY OF CENTRAL LANCASHIRE   (United Kingdom)

^b 3M COMPANY   (United States)

^c UNIVERSITY OF CENTRAL LANCASHIRE   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

AGAR; DRINKING WATER; ENDOTOXIN; WATER;

AGAR MEDIUM; BACTERIAL COUNT; BACTERIAL LOAD; BACTERIUM CONTAMINATION; BIOFILM; COLONY FORMING UNIT; DENTAL PRACTICE; DENTAL PROCEDURE; DENTISTRY; DISEASE TRANSMISSION; HEALTH HAZARD; HETEROTROPHY; HUMAN; INCUBATION TIME; INFECTION CONTROL; LEGIONELLA; MESOPHILIC BACTERIUM; MICROBIOLOGICAL EXAMINATION; MONITORING; MYCOBACTERIUM; NONHUMAN; OCCUPATIONAL HEALTH; PLATE COUNT; PRACTICE GUIDELINE; PRIORITY JOURNAL; PSEUDOMONAS; QUORUM SENSING; RAPID TEST; REVIEW; SYRINGE; ULTRASONIC SCALER; WATER ANALYSIS; WATER CONTAMINATION; WATER FLOW; WATER SAMPLING; AEROBIC BACTERIUM; DENTAL FACILITY; HOSPITAL INFORMATION SYSTEM; ISOLATION AND PURIFICATION; MICROBIOLOGY; PROCEDURES; UNITED KINGDOM;

LEGIONELLA; PSEUDOMONAS;

BACTERIA, AEROBIC; BACTERIOLOGICAL TECHNIQUES; DENTAL OFFICES; GREAT BRITAIN; POINT-OF-CARE SYSTEMS; WATER MICROBIOLOGY;

EID: 84903986099     PISSN: 03438651     EISSN: 14320991     Source Type: Journal    
DOI: 10.1007/s00284-014-0569-9     Document Type: Review

References (72)

1. Al Shorman H, Nabaa LA, Coulter WA, Pankhurst CL, Lynch E (2002) Management of dental unit water lines. Dent Update 29:292-298
2. Anonymous (1993) Council Directive 93/42/EEC of 14 June 1993 concerning medical devices. OJEU L169:1-43
3. Anonymous (2012) The Microbiology of Drinking Water (2012) - Part 7 - methods for the enumeration of heterotrophic bacteria, Methods for the Examination of Waters and Associated Materials, Environment Agency. http://cdn.environment-agency.gov.uk/geho0812bwwk-e-e.pdf. Accessed 25 Oct 2013
4. Artini M, Scarughi GL, Papa R, Dolci M, De Luca G, Orsini S, Pappalardo S, Costerton JW, Serlan L (2008) Specific anti cross-infection measures may help to prevent viral contamination of dental unit waterlines. Infection 36:467-471
5. Atlas RM, Williams JF, Huntington MK (1995) Legionella contamination of dental-unit waters. Appl Environ Microbiol 61:1208-1213
6. Barbeau J (2007) Lawsuit against a dentist related to serious ocular infection possibly linked to water from a dental handpiece. J Can Dent Assoc 73:618-622
7. Barbeau J, Tanguay R, Faucher E, Avezard C, Trudel L, Cote L, Prevost AP (1996) Multiparametric analysis of waterline contamination in dental units. Appl Environ Microbiol 62:3954-3959 (Pubitemid 26371489)
8. Barbot V, Robert A, Rodier M, Imbert C (2012) Update on infectious risks associated with dental unit waterlines. FEMS Immunol Med Microbiol 65:196-204
9. Blake GC (1963) Incidence and control of bacterial infection in dental spray reservoirs. Br Dent J 115:413-416
10. Chate RA (2010) An audit improves the quality of water within the dental unit water lines of general dental practices across the East of England. Br Dent J 209(7):E11
11. Clark A (1974) Bacterial colonization of dental units and the nasal flora of dental personnel. Proc R Soc Med 67:1269-1270
12. Coleman DC, O'Donnell MJ, Shore AC, Swan J, Russell RJ (2007) The role of manufacturers in reducing biofilms in dental chair waterlines. J Dent 35:701-711
13. Coleman DC, O'Donnell MJ, Shore AC, Russell RJ (2009) Biofilm problems in dental unit water systems and its practical control. J Appl Microbiol 106:1424-1437
14. D'Ovidio C, Carnevale A, Pantaleone G, Piattelli A, Di Bonaventura G (2011) First report of an acute purulent maxillary sinusitis caused by Pseudomonas aeruginosa secondary to dental implant placement in an immunocompetent patient. Br Dent J 211:205-207
15. Decraene V, Ready D, Pratten J, Wilson M (2008) Air-borne microbial contamination of surfaces in a UK dental clinic. J Gen Appl Microbiol 54:195-203
16. Dillon A, Achilles-Day U, Singhrao SK, Pearce M, Morton LHG, Crean S (2014) Biocide sensitivity of Vermamoeba vermiformis isolated from dental-unit-water-line systems. Int Biodeterior Biodegrad 88:97-105
17. Donlan RM, Costerton JW (2002) Biofilms: survival mechanisms of clinically relevant microorganisms. Clin Microbiol Rev 15:167-193 (Pubitemid 34303762)
18. Dutil S, Veillette M, Meriaux A, Lazure L, Barbeau J, Duchaine C (2007) Aerosolization of Mycobacteria and Legionellae during dental treatment: low exposure despite dental unit contamination. Environ Microbiol 9:2836-2843 (Pubitemid 47547551)
19. Falkinham JO (2003) The changing pattern of nontuberous mycobacterial disease. Can J Infect Dis 14:281-286
20. Fitzgeorge RB, Baskerville A, Broster M, Hambleton P, Dennis PJ (1983) Aerosol infection of animals with strains of Legionella pneumophila of different virulence: comparison with intraperitoneal and intranasal routes of infection. J Hyg 90:81-90
21. Fotos PG, Westfall HN, Snyder IS, Miller RW, Mutchler BM (1985) Prevalence of Legionella-specific IgG and IgM antibody in a dental clinic population. J Dent Res 64:1382-1385
22. Fulford MR, Walker JT, Martin MV, Marsh PD (2004) Total viable counts, ATP, and endotoxin levels as potential markers of microbial contamination of dental unit water systems. Br Dent J 196:157-159 (Pubitemid 38328415)
23. Goksay D, Cotuk A, Zeybek Z (2008) Microbial contamination of dental unit waterlines in Istanbul, Turkey. Environ Monit Assess 147:265-269
24. Gross KB, Overman PR, Cobb C, Brockmann S (1992) Aerosol generation by two ultrasonic scalers and one sonic scaler: a comparative study. J Dent Hyg 66:314-318
25. Harrel SK, Molinari J (2004) Aerosols and splatter in dentistry: a brief review of the literature and infection control implications. J Am Dent Assoc 135:429-437 (Pubitemid 38591859)
26. Karpay RI, Plamondon TJ, Mills SE, Dove SB (1998) Validation of an in-office dental unit water monitoring technique. J Am Dent Assoc 129:207-211 (Pubitemid 128686461)
27. Karpay RI, Plamondon TJ, Mills SE, Dove SB (1999) Combining periodic and continuous sodium hypochlorite treatment to control biofilms in dental unit water systems. J Am Dent Assoc 130(7):957-965
28. Kemp GK, Schneider KR (2000) Validation of thiosulfate for neutralization of acidified sodium chlorite in microbiological testing. Poult Sci 79(12):1857-1860
29. Kohn W, Collins A, Cleveland J, Harte J, Eklund K, Malvitz D (2003) Guidelines for infection control in dental health-care settings. MMWR Recomm Rep 52(RR-17):1-61
30. Larsen T, Fiehn NE (2003) The effect of Sterilex Ultra for disinfection of dental unit waterlines. Int Dent J 53(4):249-254 (Pubitemid 37222545)
31. Lazar V (2011) Quorum sensing in biofilms - how to destroy the bacterial citadels or their cohesion/power? Anaerobe 17:280-285
32. Lohr DC, Goeken JA, Doty DB, Donta ST (1978) Mycobacterium gordonae infection of a prosthetic aortic valve. JAMA 239:1528-1530 (Pubitemid 8324430)
33. Martin M (1987) The significance of the bacterial contamination of dental unit water systems. Br Dent J 163:152-154
34. McDade JE, Shepard CC, Fraser DW, Tsai TR, Redus MA, Dowdle WR (1977) Legionnaires' disease. Isolation of a bacterium and demonstration of its role in other respiratory disease. N Engl J Med 297:1197-1203 (Pubitemid 8226680)
35. McEntegart MG, Clark A (1973) Colonisation of dental units by water bacteria. Br Dent J 34:140-142
36. Michel O, Kips J, Duchateau J, Vertongen F, Robert L, Collet H, Pauwels R, Sergysels R (1996) Severity of asthma is related to endotoxin in house dust. Am J Respir Crit Care Med 154:1641-1646 (Pubitemid 26424928)
37. Mills SE (2003) Waterborne pathogens and dental waterlines. Dent Clin N Am 47:545-557
38. Mills SE, Karpay RI (2002) Dental waterlines and biofilm - searching for solutions. Compend Contin Educ Dent 23(3):237-240
39. Momeni SS, Tomlin N, Ruby JD, Dasanayake AP (2012) Evaluation of in-office dental unit waterline testing. Gen Dent 60:e142-e147
40. Morris BF, Vandewalle KS, Hensley DM, Bartoloni JA (2010) Comparison of in-office dental unit waterline kits. Mil Med 175:901-906
41. O'Donnell MJ, Shore AC, Russell RJ, Coleman DC (2007) Optimisation of the long-term efficacy of dental chair waterline disinfection by the identification and rectification of factors associated with waterline disinfection failure. J Dent 35(5):438-451
42. Pankhurst CL (2003) Risk assessment of dental unit waterline contamination. Prim Dent Care 10:5-10
43. Pankhurst CL, Coulter WA (2007) Do contaminated dental unit waterlines pose a risk of infection? J Dent Res 35:712-720
44. Pankhurst CL, Philpott-Howard JN (1993) The microbiological quality of water in dental chair units. J Hosp Infect 23:167-174 (Pubitemid 23162375)
45. Pankhurst CL, Johnson NW, Woods RG (1998) Microbial contamination of dental unit waterlines: the scientific argument. Int Dent J 48:359-368 (Pubitemid 128527301)
46. Pankhurst CL, Coulter W, Philpott-Howard JN, Surman-Lee S, Warburton F, Challacombe S (2005) Evaluation of the potential risk of occupational asthma in dentists exposed to contaminated dental unit waterlines. Prim Dent Care 12:53-59
47. Pearce M, O'Donnell H, Singhrao SK, St. Crean J (2013) Assessing water discharged from dental units using Dip Slides™. The British Society for Oral and Dental Research (BSODR) abstract number 181571
48. Popat R, Crusz SA, Messina M, Williams P, West SA, Diggle SP (2012) Quorum-sensing and cheating in bacterial biofilms. Proc R Soc 279:4765-4771
49. Porteous NB, Redding SW, Jorgensen JH (2004) Isolation of nontuberculosis Mycobacteria in treated dental unit waterlines. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 98:40-44 (Pubitemid 38953829)
50. Putnins EE, Di Giovanni D, Bhullar AS (2001) Dental unit waterline contamination and its possible implications during periodontal surgery. J Periodontol 72:393-400 (Pubitemid 33606347)
51. Reinthaler FF, Mascher F, Stunzner D (1988) Serological examinations for antibodies against Legionella species in dental personnel. J Dent Res 67:942-943
52. Ricci ML, Fontana S, Pinci F, Fiumana E, Pedna MF, Farolfi P, Sabattini MA, Scaturro M (2012) Pneumonia associated with a dental unit waterline. Lancet 379:684
53. Rowbotham TJ (1986) Current views of the relationships between amoebae, Legionella and man. Isr J Med Sci 22:678-689
54. Rusin PA, Rose JB, Haas CN, Gerba CP (1997) Risk assessment of opportunistic bacterial pathogens in drinking water. Rev Environ Contam Toxicol 152:57-83
55. Schel AJ, Marsh PD, Bradshaw DJ, Finney M, Fulford MR, Frandsen E, Østergaard E, ten Cate JM, Moorer WR, Mavridou A, Kamma JJ, Mandilara G, Stösser L, Kneist S, Araujo R, Contreras N, Goroncy-Bermes P, O'Mullane D, Burke F, O'Reilly P, Hourigan G, O'Sullivan M, Holman R, Walker JT (2006) Comparison of the efficacies of disinfectants to control microbial contamination in dental unit water systems in general dental practices across the European Union. Appl Environ Microbiol 72(2):1380-1387 (Pubitemid 43271250)
56. Schulze-Robbecke R, Feldman C, Fischeder R (1995) Dental units: an environmental study of sources of potentially pathogenic Mycobacteria. Tuber Lung Dis 76:318-323
57. Singh T, Coogan MM (2005) Isolation of pathogenic Legionella species and Legionella-laden amoebae in dental unit waterlines. J Hosp Infect 61:257-262 (Pubitemid 41487471)
58. Strauss WL, Plouffe JF, File TM Jr (1996) Risk factors for domestic acquisition of Legionnaires disease. Arch Intern Med 156:1685-1692 (Pubitemid 26287125)
59. Szymanska J (2004) Risk of exposure to Legionella in dental practice. AAEM 11:9-12
60. Szymanska J (2005) Evaluation of mycological contamination of dental unit waterlines. AAEM 12:153-155
61. Toté K, Horemans T, Vanden Berghe D, Maes L, Cos P (2010) Inhibitory effect of biocides on the viable masses and matrices of Staphylococcus aureus and Pseudomonas aeruginosa biofilms. Appl Environ Microbiol 76(10):3135-3142
62. Tuttlebee CM, O'Donnell MJ, Keane CT, Russell RJ, Sullivan DJ, Falkiner F, Coleman DC (2002) Effective control of dental chair unit waterline biofilm and marked reduction of bacterial contamination of output water using two peroxide-based disinfectants. J Hosp Infect 52:192-205 (Pubitemid 38001927)
63. USDHHS (1987) Guidelines on validation of the Limulus amebocyte lysate test as an end-product endotoxin test for human and animal parenteral drugs, biological products, and medical devices. US Department of Health and Human Services, Food and Drug Administration, Washington, DC
64. Wadowsky RM, Wolford R, McNamara AM, Yee RB (1985) Effect of temperature, pH and oxygen level on the multiplication of naturally occurring Legionella pneumophila in potable water. Appl Environ Microbiol 48:1197-1205 (Pubitemid 16197080)
65. Walker JT, Marsh PD (2004) A review of biofilms and their role in microbial contamination of dental unit water systems (DUWS). Int Biodeterior Biodegrad 54:87-98 (Pubitemid 39131444)
66. Walker JT, Marsh PD (2007) Microbial biofilm formation in DUWS and their control using disinfectants. J Dent 35:721-730
67. Walker JT, Bradshaw DJ, Bennett AM, Fulford MR, Martin MV, Marsh PD (2000) Microbial biofilm formation and contamination of Dental-Unit Water Systems in General Practice. Appl Environ Microbiol 66:3363-3367 (Pubitemid 30624577)
68. Walker JT, Bradshaw DJ, Fulford MR, Marsh PD (2003) Microbiological evaluation of a range of disinfectant products to control mixed-species biofilm contamination in a laboratory model of a dental unit water system. Appl Environ Microbiol 69:3327-3332 (Pubitemid 36693338)
69. Wallace JR, Swenson JM, Sicox VA, Good RC, Tschen JA, Stone MS (1983) Spectrum of disease due to rapidly growing Mycobacterium. Rev Infect Dis 5:657-679
70. Watnick P, Kolter R (2000) Biofilm, city of microbes. J Bacteriol 18:2675-2679 (Pubitemid 30246894)
71. Williams HN, Kelley J, Folineo D, Williams GC, Hawley CL, Sibiski J (1994) Assessing microbial contamination of clean water dental units and compliance with disinfection protocols. J Am Dent Assoc 125:1205-1211
72. Wirthlin MR, Marshall GW Jr, Rowland EW (2003) Formation and decontamination of biofilms in dental unit waterlines. J Periodontol 74:1595-1609 (Pubitemid 37540699)