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Published in: Clinical Oral Investigations 1/2017

01-01-2017 | Original Article

Microbial contamination in intraoral phosphor storage plates: the dilemma

Authors: Tricia Murielly Pereira Andrade de Souza, Ricardo Dias de Castro, Laís César de Vasconcelos, Andréa dos Anjos Pontual, Flávia Maria de Moraes Ramos Perez, Maria Luiza dos Anjos Pontual

Published in: Clinical Oral Investigations | Issue 1/2017

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Abstract

Objectives

The aims of this study were to evaluate microbial contamination in phosphor storage plates in dental radiology services and discuss the possible origin of this contamination.

Materials and methods

The sample comprised 50 phosphor plates: 14 plates from service A, 30 from service B, and 6 in the control group, consisting of plates never used. Damp sterile swabs were rubbed on the phosphor plates, and then transferred to tests tubes containing sterile saline solution. Serial dilutions were made, and then inoculated in triplicate on Mueller Hinton agar plates and incubated at 37 °C/48 h, before counting the colony-forming units (CFU). The samples were also seeded in brain-heart infusion medium to confirm contamination by turbidity of the culture medium. All solutions, turbid and clean, were seeded in selective and non-selective media.

Results

At service A and B, 50 and 73.3 % of the phosphor plates were contaminated, respectively. This contamination was mainly due to bacteria of the genus Staphylococcus. CFU counts ranged from 26.4 to 80.0 CFU/plate.

Conclusions

Most of the phosphor plates evaluated shown to be contaminated, mainly by Staphylococcus ssp. Quantitatively, this contamination occurred at low levels, possibly arising from handling of the plates. The use of a second plastic barrier may have diminished contamination by microorganisms from the oral cavity.

Clinical relevance

There is a risk of cross-contamination by phosphor storage plates used in dental radiology services.
Literature
1.
go back to reference Bartoloni JA, Chariton DG, Flint DJ (2003) Infection control practices in dental radiology. Gen Dent 51:264–271PubMed Bartoloni JA, Chariton DG, Flint DJ (2003) Infection control practices in dental radiology. Gen Dent 51:264–271PubMed
2.
go back to reference Palenik CJ (2004) Infection control practices for dental radiography. Dent Today 23:52–55PubMed Palenik CJ (2004) Infection control practices for dental radiography. Dent Today 23:52–55PubMed
3.
go back to reference van der Stelt PF (2005) Filmless imaging: the uses of digital radiography in dental practice. J Am Dent Assoc 136:1379–1387CrossRefPubMed van der Stelt PF (2005) Filmless imaging: the uses of digital radiography in dental practice. J Am Dent Assoc 136:1379–1387CrossRefPubMed
5.
go back to reference Geist JR, Katz JO (2002) Radiation dose-reduction techniques in North American dental schools. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 93:496–505CrossRefPubMed Geist JR, Katz JO (2002) Radiation dose-reduction techniques in North American dental schools. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 93:496–505CrossRefPubMed
6.
go back to reference Wenzel A, Frandsen E, Hintze H (1999) Patient discomfort and cross-infection control in bitewing examination with a storage phosphor plate and a CCD-based sensor. J Dent 27:243–246CrossRefPubMed Wenzel A, Frandsen E, Hintze H (1999) Patient discomfort and cross-infection control in bitewing examination with a storage phosphor plate and a CCD-based sensor. J Dent 27:243–246CrossRefPubMed
7.
go back to reference Parks ET, Williamson GF (2002) Digital radiography: an overview. J Contemp Dent Pract 3:23–39PubMed Parks ET, Williamson GF (2002) Digital radiography: an overview. J Contemp Dent Pract 3:23–39PubMed
8.
go back to reference Kalathingal S, Youngpeter A, Minton J, Shrout M, Dickinson D, Plummer K, et al. (2010) An evaluation of microbiologic contamination on a phosphor plate system: is weekly gas sterilization enough? Oral Surg Oral Med Oral Pathol Oral Radiol Endod 109:457–462. doi:10.1016/j.tripleo.2009.09.035 CrossRefPubMed Kalathingal S, Youngpeter A, Minton J, Shrout M, Dickinson D, Plummer K, et al. (2010) An evaluation of microbiologic contamination on a phosphor plate system: is weekly gas sterilization enough? Oral Surg Oral Med Oral Pathol Oral Radiol Endod 109:457–462. doi:10.​1016/​j.​tripleo.​2009.​09.​035 CrossRefPubMed
9.
go back to reference MacDonald DS, Waterfield JD (2011) Infection control in digital intraoral radiography: evaluation of microbiological contamination of photostimulable phosphor plates in barrier envelopes. J Can Dent Assoc 77:1–5 MacDonald DS, Waterfield JD (2011) Infection control in digital intraoral radiography: evaluation of microbiological contamination of photostimulable phosphor plates in barrier envelopes. J Can Dent Assoc 77:1–5
10.
go back to reference Wenzel A, Kornum F, Knudsen MR, Frandsen Lau E (2013) Antimicrobial efficiency of ethanol and 2-propanol alcohols used on contaminated storage phosphor plates and impact on durability of the plate. Dentomaxillofac Radiol 42:1–6. doi:10.1259/dmfr.20120353 Wenzel A, Kornum F, Knudsen MR, Frandsen Lau E (2013) Antimicrobial efficiency of ethanol and 2-propanol alcohols used on contaminated storage phosphor plates and impact on durability of the plate. Dentomaxillofac Radiol 42:1–6. doi:10.​1259/​dmfr.​20120353
11.
go back to reference Negron W, Mauriello SM, Peterson CA, Arnold R (2005) Cross contamination of the PSP sensor in a preclinical setting. J Dent Hyg 79:1–10 Negron W, Mauriello SM, Peterson CA, Arnold R (2005) Cross contamination of the PSP sensor in a preclinical setting. J Dent Hyg 79:1–10
13.
go back to reference Miles AA, Misra SS, Irurn JO (1938) The estimation of the bacterial power of the blood. J Hyg (Lond) 38:732–749CrossRef Miles AA, Misra SS, Irurn JO (1938) The estimation of the bacterial power of the blood. J Hyg (Lond) 38:732–749CrossRef
14.
go back to reference Hokett SD, Honey JR, Ruiz F, Baisden MK, Hoen MM (2000) Assessing the effectiveness of direct digital radiography barrier sheaths and finger cots. J Am Dent Assoc 131:463–467CrossRefPubMed Hokett SD, Honey JR, Ruiz F, Baisden MK, Hoen MM (2000) Assessing the effectiveness of direct digital radiography barrier sheaths and finger cots. J Am Dent Assoc 131:463–467CrossRefPubMed
16.
go back to reference White SC, Glaze S (1978) Interpatient microbiological cross-contamination after dental radiographic examination. J Am Dent Assoc 96:801–804CrossRefPubMed White SC, Glaze S (1978) Interpatient microbiological cross-contamination after dental radiographic examination. J Am Dent Assoc 96:801–804CrossRefPubMed
17.
go back to reference Air Techniques. ScanX® Duo digital imaging system. Instruction manual. Air Techniques. ScanX® Duo digital imaging system. Instruction manual.
18.
go back to reference Soredex. DIGORA® Optime DXR-50 001. Digital intraoral imaging plate system. User’s manual. Soredex. DIGORA® Optime DXR-50 001. Digital intraoral imaging plate system. User’s manual.
19.
go back to reference Centers for Disease Control and Prevention (2003) Guidelines for infection control in dental health-care settings —. MMWR 52:1–76 Centers for Disease Control and Prevention (2003) Guidelines for infection control in dental health-care settings —. MMWR 52:1–76
Metadata
Title
Microbial contamination in intraoral phosphor storage plates: the dilemma
Authors
Tricia Murielly Pereira Andrade de Souza
Ricardo Dias de Castro
Laís César de Vasconcelos
Andréa dos Anjos Pontual
Flávia Maria de Moraes Ramos Perez
Maria Luiza dos Anjos Pontual
Publication date
01-01-2017
Publisher
Springer Berlin Heidelberg
Published in
Clinical Oral Investigations / Issue 1/2017
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI
https://doi.org/10.1007/s00784-016-1790-7

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