Microbiological analysis of sterile and nonsterile gloves before and during root canal treatment procedures

Authors

DOI:

https://doi.org/10.33448/rsd-v11i9.32018

Keywords:

Biological contamination; Endodontics; Gloves, Protective; Gloves, Surgical; Root canal therapy.

Abstract

Objective: To evaluate the microbiological contamination of sterile (SG) and non-sterile (NSG) gloves before and during different stages of endodontic treatment. Methodology: Five brands (n = 10 per brand) of NSG (Supermax, UniGloves, Lemgruber, Nugard and Embramac) and four brands (n = 10 per brand) of SG (Sensitex, Sanro, Mucambo, Madeitex) were analyzed. Microbiological collections were performed at 3 different time-points: immediately after opening the packages (S1); after performing rubber dam placement (S2); and at the end of root canal treatment (S3). In the NSG group, to assess possible contamination by exposure to the clinical environment, samples were also collected within 24 hours (S4) and 7 days (S5) after opening the packages. After smearing the gloves with sterile swabs, the samples were immediately placed in test tubes containing specific BHI culture medium. These samples were incubated for 24 and 48h and the turbidity of the medium was evaluated. For turbid samples, bacterial identification was performed through culture and biochemical tests. Results: At S1, only the NSG UniGloves and Nugard brands showed contamination, while no contamination was observed in the SG. After S2 and S3 all brands showed contamination. In the NSG assessments, 24h after opening the packaging (S4) only the UniGloves brand showed no contamination, but this was not observed after 7 days (S5). The most observed species were Staphylococcus aureus, Staphylococcus ssp, Staphylococcus intermedius, Neisseria ssp, Escherichia coli and Pseudomonas aeroginosa. Conclusion: The NSG can be contaminated after opening the packaging and their exposure to the dental office environment can make it contaminated. SG are sterile but can also become contaminated during procedures. In the trans-operative period of root canal treatment, both NSG and SG can be contaminated by Gram-positive and Gram-negative bacteria.

References

Ather, A., Patel, B., Ruparel, N. B., Diogenes, A., & Hargreaves, K. M. (2020). Coronavirus disease 19 (COVID-19): Implications for clinical dental care. Journal of Endodontics, 46(5), 584–595.

Bahador, M., Alfirdous, R. A., Alquria, T. A., Griffin, I. L., Tordik, P. A., & Martinho, F. C. (2021). Aerosols generated during endodontic treatment: A special concern during the coronavirus disease 2019 pandemic. Journal of Endodontics, 47(5), 732–739.

Cardoso, F. G. D. R., Chung, A., Martinho, F. C., Camargo, C. H. R., Carvalho, C. A. T., Gomes, B. P. F. A., & Valera, M. C. (2016). Investigation of bacterial contents from persistent endodontic infection and evaluation of their inflammatory potential. Brazilian Dental Journal, 27(4), 412–418.

Centers for Disease Control and Prevention (CDC). (2016). Summary of Infection Prevention Practices in Dental Settings: Basic Expectations for Safe Care. Guide to Infection Prevention for Outpatient Settings: Minimum Expectations for Safe Care. <https://www.cdc.gov/oralhealth/infectioncontrol/pdf/safe-care2.pdf>

Centers for Disease Control and Prevention (CDC). (2020). Centers for Disease Control and Prevention recommendations for putting on and removing personal protective equipment for treating COVID-19 patients. <https://www.cdc.gov/hai/pdfs/ppe/ppe-sequence.pdf>.

Ferreira, A. M., & Andrade D. (2010). Avaliação microbiológica de luvas de procedimento: considerações para seu uso na técnica de curativo. Revista Enfermagem UERJ, 18, 191–197.

Ferreira, A. M., Andrade, D., & Haas, V. J. (2011). Contaminação microbiana das luvas de procedimento após a abertura da caixa e durante sua exposição ambiental. Revista da Escola de Enfermagem da USP, 45, 745–750.

Gomes, B. P. F. A., Francisco, P. A., Godoi, E. P., Endo, M. S., Barbosa-Ribeiro, M., Delboni, M. G., & Pecorari, V. G. A (2021). Identification of culturable and nonculturable microorganisms, lipopolysaccharides, and lipoteichoic acids from root canals of teeth with endodontic failure. Journal of Endodontics, 47(7), 1075–1086.

Gomes, B. P. F. A., Montagner, F., Jacinto, R. C., Pinheiro, E. T., Zaia, A. A., Ferraz, C. C., & Souza-Filho, F. J. (2008). Gemella morbillorum in primary and secondary/persistent endodontic infections. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics, 105, 519–525.

Gomes, B. P. F. A., Pinheiro, E. T., Sousa, E. L. R., Jacinto, R. C., Zaia, A. A., Ferraz, C. C., & Souza-Filho, F. J. (2006). Enterococcus faecalis in dental root canals detected by culture and by polymerase chain reaction analysis. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics, 102, 247–253.

Gund, M. P., Naim, J., Hannig M., Halfmann, A., Gärtner, B., Boros, G., & Rupf, S. (2022). CHX and a Face Shield Cannot Prevent Contamination of Surgical Masks. Frontiers in Medicine, 9, 896308. doi: 10.3389/fmed.2022.896308.

Hall, M., Trivedi, U., Rumbaugh, K., & Dissanaike, S. (2014). Contamination of Unused, Nonsterile Gloves in the Critical Care Setting: A Comparison of Bacterial Glove Contamination in Medical, Surgical and Burn Intensive Care Units. The Southwest Respiratory and Critical Care Chronicles, 2, 3–10.

Luckey, J. B., Barfield, R. D., & Eleazer, P. D. (2006). Bacterial count comparisons on examination gloves from freshly opened boxes versus nearly empty boxes and from examination gloves before treatment versus after dental dam isolation. Journal of Endodontics, 32, 646–648.

Martinho, F. C., & Griffin, I. L. (2021). A Cross-sectional Survey on the Impact of Coronavirus Disease 2019 on the Clinical Practice of Endodontists across the United States. Journal of Endodontics, 47(1), 28–38.

Meng, L., Hua, F., & Bian, Z. (2020). Coronavirus Disease 2019 (COVID-19): Emerging and Future Challenges for Dental and Oral Medicine. Journal of Dental Research, 99, 481–487.

Moran, V., & Heuertz, R. (2017). Cross Contamination: Are Hospital Gloves Reservoirs for Nosocomial Infections? Hospital Topics, 95, 57–62.

Patel, S., Puri, T., Mannocci, F., & Bakhsh, A. A. (2022). The outcome of endodontic treatment using an enhanced infection protocol in specialist practice. British Dental Journal, 232(11), 805–811.

Siqueira, J., & Rôças, I. (2009). Diversity of endodontic microbiota revisited. Journal of Dental Research, 88, 969–981.

World Health Organization. (2009). WHO guidelines on hand hygiene in health care: First Global Patient Safety Challenge Clean Care is Safer Care. <https://www.who.int/publications/i/item/9789241597906>.

Zaheer, U., Shahbaz, M., Zaheer, N., Israr, J., Riaz, A., Yaqub, A., Alam, M. K. (2022). Knowledge, attitude, and behaviour of dentists working during the covid-19 pandemic: A cross-sectional survey. Work (Reading, Mass.), 1–9. Advance online publication. https://doi.org/10.3233/WOR-211018.

Zahran, S., Mannocci, F., & Koller, G. (2022). Assessing the Iatrogenic Contribution to Contamination During Root Canal Treatment. Journal of Endodontics, 48(4), 479–486.

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Published

14/07/2022

How to Cite

BARROSO, A. P. .; SILVA , E. J. N. L. da .; SOARES, E. C. de A. .; ANACLETO, F. N. .; PRADO, M. C. .; GUERISOLI, D. M. Z. .; DUQUE, T. M. .; MARION, J. J. de C. . Microbiological analysis of sterile and nonsterile gloves before and during root canal treatment procedures. Research, Society and Development, [S. l.], v. 11, n. 9, p. e41711932018, 2022. DOI: 10.33448/rsd-v11i9.32018. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/32018. Acesso em: 22 dec. 2024.

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Section

Health Sciences