Bacterial contamination of dental unit waterlines

Safety of patients and dental personnel requires the appropriate microbiological water quality in dental units. During treatment, patients and dental workers are exposed both to direct contact with bacteria-contaminated water in the form of splatter and with contaminated water aerosol emitted during work by unit handpieces, including rotating and ultrasonic instruments. The aim of the study was to determine the qualitative and quantitative contamination of water in dental unit reservoirs with aerobic and facultative anaerobic bacteria. The study material included water sampled from 107 dental unit reservoirs located in dental surgeries of public health centres. Conventional microbiological methods were used to identify microorganisms. The study shows that the contamination of water in dental unit reservoirs with aerobic and facultative anaerobic bacteria is commonplace. The mean concentration of mesophile bacteria in dental unit reservoir water exceeded 1.1?×?10⁵ cfu/ml. The prevailing species were Gram-negative bacteria of the families Burkholderiaceae, Pseudomonadaceae, Ralstoniaceae and Sphingomonadaceae. The most numerous bacteria were Ralstonia pickettii, constituting 49.33 % of all the identified aerobic and facultative anaerobic bacteria. Among Gram-positive rods, the most numerous were bacteria of the genus Brevibacterium (5.83 %), while the highest percentage shares (13.25 %) of all Gram-positive microorganisms were found for Actinomyces spp. The study confirms the necessity of regular monitoring of microbial contamination of dental unit waterlines (DUWL) and use of various water treatment procedures available to disinfect DWUL.     

Microbial contamination of dental unit waterlines in Istanbul, Turkey

The water used in dental unit waterlines (DUWLs) acts as a coolant for the high-speed equipment and as an irrigant during dental treatments. There are kind of water tanks. DUWLs provide a favorable environment for microbial biofilm and multiplation primarily due to the high surface in the tubing and the character of fluid dynamics in narrow, smooth-walled waterlines. Biofilms can harbour opportunist pathogens such as Legionella sp., Pseudomonas sp. Several studies have shown that DUWLs have high levels of microbial contamination. Presence of high level of microbial contamination is an important problem for dentists and dental patients who are immunocompromised. We collected water samples from DUWLs of 20 private dental offices. We have determined that only 2 (3.4%) out of 59 dental unit water samples were found to meet the standard (<200 CFU.ml(-1)) for DUWLs water quality by American Dental Association (ADA). Of the 59 water samples examined, 14 (24%) were positive for Pseudomonas sp. and 18 (30.5%) were positive for fungi. The most common 14 bacterial strains and seven fungi were isolated. Of bacterial strains, 57.1% were identified: Majority of the bacterial species isolated from our samples was identified as Pseudomonas fluorescens, Pasteurella haemolytica, Photobacterium damsela, Ochrobacter anthropi, Moraxella sp., Aspergillus flavus, Penicillium expansum. Legionella sp. were not detected in all water samples.     

Investigation of the bacterial load and antibiotic susceptibility of dental units

The aim of this study was to evaluate the bacterial contamination level and to determine the antibiotic susceptibility of the isolated bacteria from dental unit waterlines (DUWLs) in Istanbul. Bacterial quality of DUWLs is very important, as patients and dental staff are regularly exposed to water and aerosols generated by the unit. If opportunistic pathogens such as Staphylococcus aureus, Pseudomonas aeruginosa, and Legionella pneumophila are present in DUWLs, patient and dental staff can be infected. One hundred water samples were collected from high-speed drills and input waters from 50 dental units. Aerobic heterotrophic bacteria counts and the presence of Legionella, Pseudomonas, oral streptococci, and Staphylococcus were investigated in dental unit waters and aerosol samples. In addition, the antibiotic susceptibility of the isolated and identified bacteria from DUWLs was examined. This research found that 37 out of 50 dental unit water samples exceeded the American Dental Association’s limit of 200 colony-forming units (CFU)/mL^?1. Legionella, oral streptococci, and S. aureus were not detected in any water or aerosol samples, but P. aeruginosa was isolated in three DUWLs. Also, Pseudomonas and Staphylococcus were found in water and aerosol samples. Cefoperazone, ofloxacin, gentamicin, ciprofloxacin, and piperacillin were the most effective antibiotics against the isolated bacteria from DUWLs.     

Microbial contamination of dental unit waterlines and effect on quality of indoor air

The microbiological quality in dental unit waterlines (DUWLs) is considered to be important because patients and dental staff with suppressed immune systems are regularly exposed to water and aerosols generated from dental units (DUs). Opportunistic pathogens like Pseudomonas, Legionella, Candida, and Aspergillus can be present in DUWLs, while during consultations, bioaerosols can be dispersed in the air, thus resulting in effects on microbiological quality of indoor air. This present study represents microbiological air and water quality in dental offices (DOs) and also concerns the relationship between the quality of DO air and dental unit water. This study aimed to assess both the microbial quality of dental unit water and the indoor air in 20 DOs and to survey the effect on the quality of the indoor air with the existing microorganisms in dental unit water. Fourteen out of 20 (70 %) DUWLs were found to be contaminated with a high number of aerobic mesophilic heterotrophic bacteria. In terms of bacterial air contamination levels, in 90 % of DOs, a medium level (<500 colony-forming units (CFU)/m³) of contamination was determined, while in terms of microfungal air contamination, in all DOs, a low level (<100 CFU/m³) of contamination was determined. Potential infection or allergen agents, such as Pseudomonas, Micrococcus, Staphylococcus, Alternaria, Cladosporium, Penicillium, Aspergillus, and Paecilomyces were isolated from water and air samples. This study’s determination of contamination sources and evaluation of microbial load in DOs could contribute to the development of quality control methods in the future.     

Heterotrophic bacteria in drinking water distribution system: a review

The microbiological quality of drinking water in municipal water distribution systems (WDS) depends on several factors. Free residual chlorine and/or chloramines are typically used to minimize bacterial recontamination and/or regrowth in WDS. Despite such preventive measures, regrowth of heterotrophic (HPC) and opportunistic bacteria in bulk water and biofilms has yet to be controlled completely. No approach has shown complete success in eliminating biofilms or HPC bacteria from bulk water and pipe surfaces. Biofilms can provide shelter for pathogenic bacteria and protect these bacteria from disinfectants. Some HPC bacteria may be associated with aesthetic and non-life threatening diseases. Research to date has achieved important success in understanding occurrence and regrowth of bacteria in bulk water and biofilms in WDS. To achieve comprehensive understanding and to provide efficient control against bacteria regrowth, future research on bacteria regrowth dynamics and their implications is warranted. In this study, a review was performed on the literature published in this area. The findings and limitations of these papers are summarized. Occurrences of bacteria in WDS, factors affecting bacteria regrowth in bulk water and biofilms, bacteria control strategies, sources of nutrients, human health risks from bacterial exposure, modelling of bacteria regrowth and methods of bacteria sampling and detection and quantification are investigated. Advances to date are noted, and future research needs are identified. Finally, research directions are proposed to effectively control HPC and opportunistic bacteria in bulk water and biofilms in WDS.     

Assessment of elemental distribution and trace element contamination in surficial wetland sediments, Southern Tibetan Plateau

In order to analyze and evaluate different trace metals on surface water of the Changjiang River, concentrations of dissolved trace metals (Cu, Ni, Fe, Co, Sc, Al, Zn, Pb, Cd, Se, As, Cr, and Hg), major elements(Ca and Mg), and nutrient(NO $_{3}^{-})$ were measured. Samples were taken at 76 positions along Changjiang River in flood and dry seasons during 2007?C2008. Spatial distributions identified two main large zones mainly influenced by mineral erosion (sites 1?C22) and anthropogenic action (sites 23?C76), respectively. Principal component analysis (PCA) and hierarchical cluster analysis were used to identify the variance distinguishing the origin of water. Four significant components were extracted by PCA, explaining 74.91% of total variable. Cu, Ni, Fe, Co, Sc, Al, Ca, and Mg were mainly associated with the weathering and erosion of various rocks and minerals, while an anthropogenic source was identified for Cd and As. Although erosion was one source of Pb and Zn, they were also input by atmospheric deposition and industrial pollutions. NO $_{3}^{-}$ and Se were mainly associated with agriculture activities. However, Hg and Cr showed different sources. CA confirmed and completed the results obtained by PCA, classifying the data into two large groups representing different areas. Group 1 referred to the upper reaches which represented samples mainly corresponding to natural background areas. Group 2 referred to the middle and lower reaches including samples under anthropogenic influence. Meanwhile, group 2 was subdivided into three new groups, representing agricultural, industrial, and various artificial pollution sources, respectively.     

Evaluation of metal contamination in sediments from north of Morocco: geochemical and statistical approaches

Concentrations of Fe, Mn, Cr, Cu, Ni, Pb, Zn, Cd and Hg were evaluated in surface sediments of two rivers from north of Morocco, known as Souani and Mghogha rivers. Significantly higher concentrations in mg kg^???1 dry weight (dw) of Mn (747.6 vs. 392.9), Cr (86.4 vs. 56.3), Zn (299.5 vs. 138.5) were found in sediment samples from Mghogha when compared with Souani river. Average concentrations of Cd and Hg in several sediment samples from both rivers were above the effect range median that predicts toxic effects to aquatic organisms. The calculation of enrichment factors showed that Mn, Cr, Cu and Ni were depleted, whereas Pb and Hg were enriched. The results of geoaccumulation index revealed that sediments of both rivers were unpolluted with most of the metals and moderately contaminated with Fe and Hg. Some of elevated concentrations of Hg, principally in Mghogha River, were due to anthropogenic sources including the direct discharges of industrial zone.     

Comparison of the microbial load of incoming and distal outlet waters from dental unit water systems in Istanbul

This is a cross-sectional study of the incoming and distal outlet water quality from 41 dental units in Istanbul, carried out to compare the total microbial loads using traditional culture method versus epifluorescence microscopy. The possible presence of Legionella pneumophila using traditional culture method was also analyzed. One hundred and twenty three samples were taken from the high-speed handpiece lines, air-water syringe lines and source (incoming) water supplies from 41 dental units. The samples were assayed for live/dead bacteria, heterotrophic bacterial counts and presence of L. pneumophila bacteria. Thirty nine out of 41 dental units (91%) were not able to meet the standard limit of 200 CFU/ml in dental unit waters. The live bacterial counts were 1-1.5 orders of magnitude higher than aerobic mesophilic heterotrophic bacteria. L. pneumophila (serogroup 2-14) was isolated from five out of 41 units. Some dental units were using commercially bottled (19 l) drinking water as a source. The source water of eight dental unit was heavily contaminated which were fed up by commercially bottled drinking water.     

Spatial distribution and enteroparasite contamination in peridomiciliar soil and water in the Apucaraninha Indigenous Land,southern Brazil

The prevalence and distribution of soil and water samples contaminated with enteroparasites of humans and animals with zoonotic potential (EHAZP) in Apucaraninha Indigenous Land (AIL), southern Brazil, was evaluated. An environmental survey was conducted to evaluate the presence of parasitic forms in peridomiciliary soil and associated variables. Soil samples were collected from 40/293 domiciles (10 domiciles per season), from November 2010 to June 2011, and evaluated by modified methods of Faust et al. and Lutz. Analyses of water from seven consumption sites were also performed. The overall prevalence of soil samples contaminated by EHAZP was 23.8 %. The most prevalent parasitic forms were cyst of Entamoeba spp. and eggs of Ascaris spp. The highest prevalence of contaminated soil samples was observed in winter (31 %). The probability map obtained with geostatistical analyses showed an average of 47 % soil contamination at a distance of approximately 140 m. The parasitological analysis of water did not detect Giardia spp. or Cryptosporidium spp. and showed that all collection points were within the standards of the Brazilian law. However, the microbiological analysis showed the presence of Escherichia coli in 6/7 sampled points. Despite the low level of contamination by EHAZP in peridomiciliar soil and the absence of pathogenic protozoa in water, the AIL soil and water (due to the presence of fecal coliforms) are potential sources of infection for the population, indicating the need for improvements in sanitation and water treatment, in addition periodic treatment of the population with antiparasitic.     

Spatial distribution and metal contamination in the coastal sediments of Al-Khafji area,Arabian Gulf,Saudi Arabia

To document the spatial distribution and metal contamination in the coastal sediments of the Al-Khafji area in the northern part of the Saudi Arabian Gulf, 27 samples were collected for Al, V, Cr, Mn, Cu, Zn, Cd, Pb, Hg, Sr, As, Fe, Co, and Ni analysis using inductively coupled plasma-mass spectrometer (ICP-MS). The results revealed the following descending order of the metal concentrations: Sr > Fe > Al > As > Mn > Ni > V > Zn > Cr > Cu > Pb > Co > Hg > Cd. Average levels of enrichment factor of Sr, As, Hg, Cd, Ni, V, Cu, Co, and Pb were higher than 2 (218.10, 128.50, 80.94, 41.50, 12.31, 5.66, 2.95, 2.90, and 2.85, respectively) and that means the anthropogenic sources of these metals, while Al, Zn, Cr and Mn have enrichment factor less than 2, which implies natural sources. Average values of Sr, Hg, Cd, Cr, Ni, and As in the coastal sediments of Al-Khafji area were mostly higher than the values recorded from the background shale and earth crust and from those results along coasts of the Caspian Sea and the Mediterranean Sea. The highest levels of Cu in the northern part of the studied coastline might be due to Al-Khafji desalination plant, while levels of Al, Ni, Cr, Fe, Mn, Pb, and Zn in the central part may be a result of landfilling and industrial sewage. The highest levels of As, Cd, Co, Cu, Hg, and V in the southern part seem to be due to oil pollutants from Khafji Joint Operations (KJO). The higher values of Sr in the studied sediments in general and particularly in locality 7 could relate to the hypersalinity and aragonitic composition of the scleractinian corals abundant in that area.     

北京市近地层气象要素与大气细菌浓度分布规律的调查研究

以1998年10月的观测资料为例,分析了北京市某地气象要素的变化规律以及该地区大气细菌浓度的分布特征,对两者之间的相互关系进行了初步探讨,发现一天内气象要素及细菌浓度均是周期变化,且两者有一定的相关性。     

Heavy metal in surface sediments of the Liaodong Bay, Bohai Sea: distribution, contamination, and sources

In an effort to assess the potential contamination and determine the environmental risks associated with heavy metals, the surface sediments in Liaodong Bay, northeast China, were systematically sampled and analyzed for the concentrations of Cu, Pb, Zn, Cr, Ni, As, and Hg. The metal enrichment factor (EF) and geoaccumulation index (I _geo) were calculated to assess the anthropogenic contamination in the region. Results showed that heavy metal concentrations in the sediments generally met the criteria of China Marine Sediment Quality (GB18668-2002); however, both EF and I _geo values suggested the elevation of Pb concentration in the region. Based on the effect-range classification (TEL-PEL SQGs), Cu, Pb, Ni, and As were likely to pose environment risks, and the toxic units decreased in the order: Ni?>?Pb?>?Cr?>?Zn?>?As?>?Cu?>?Hg. The spatial distribution of ecotoxicological index (mean-ERM-quotient) suggested that most of the surface sediments were “low–medium” priority zone. Multivariate analysis indicated that the sources of Cr, Ni, Zn, Cu, and Hg resulted primarily from parent rocks, and Pb or As were mainly attributed to anthropogenic sources. The results of this study would provide a useful aid for sustainable marine management in the region.     

Evaluation of organic contamination in urban groundwater surrounding a municipal landfill, Zhoukou, China

This paper investigates the organic pollution status of shallow aquifer sediments and groundwater around Zhoukou landfill. Chlorinated aliphatic hydrocarbons, monocylic aromatic hydrocarbons, halogenated aromatic hydrocarbons, organochlorine pesticides and other pesticides, and polycyclic aromatic hydrocarbons (PAHs) have been detected in some water samples. Among the detected eleven PAHs, phenanthrene, fluorine, and fluoranthene are the three dominant in most of the groundwater samples. Analysis of groundwater samples around the landfill revealed concentrations of PAHs ranging from not detected to 2.19 μg/L. The results show that sediments below the waste dump were low in pollution, and the shallow aquifer, at a depth of 18–30 m, was heavily contaminated, particularly during the wet season. An oval-shaped pollution halo has formed, spanning 3 km from west to east and 2 km from south to north, and mainly occurs in groundwater depths of 2–4 m. For PAH source identification, both diagnostic ratios of selected PAHs and principal component analysis were studied, suggesting mixed sources of pyro- and petrogenic derived PAHs in the Zhoukou landfill. Groundwater table fluctuations play an important role in the distribution of organic pollutants within the shallow aquifer. A conceptual model of leachate migration in the Quaternary aquifers surrounding the Zhoukou landfill has been developed to describe the contamination processes based on the major contaminant (PAHs). The groundwater zone contaminated by leachate has been identified surrounding the landfill.     

Evaluation of Clostridium perfringens as a tracer of sewage contamination in sediments by two enumeration methods

A traditional method of enumerating Clostridium perfringens using membrane filtration (MF) as an indicator of fecal contamination was compared to recently developed rapid method using Rapid Fung Double Tube (RFDT) in an evaluation to characterize the extent of sewage contamination in sediments of the Great Lakes. Evaluation of these two methods included determining C. perfringens concentrations and recovery efficiencies from sewage, sewage-spiked sediments, and water (surface and bottom) and sediment samples collected from two Great Lakes. The RFDT method proved to be a superior method for identifying C. perfringens in lake sediments compared to MF, as it had higher recovery efficiency and was more rapid, reliable, simple, and effective. This study provides biological evidence of the long-term deposition and movement of sewage particulates in the Great Lakes environment and demonstrates the potential usefulness of C. perfringens as a tracer for sewage contamination using a reliable enumeration method.     

Seasonal and spatio-temporal distribution of faecal-indicator bacteria in Tyume River in the Eastern Cape Province, South Africa

We assessed the incidence of faecal-indicator bacteria in Tyume River over a 12-month period between August 2010 and July 2011. Total coliforms, faecal coliforms and enterococci were determined by the membrane filtration method. Total coliforms were detected in counts ranging from 2.1?×?10² to 3.4?×?10⁴?CFU/100 ml. Faecal coliform counts ranged from 1?×?10² to 1.6?×?10⁴?CFU/100 ml while enterococci counts were in the range of 3.3?×?10¹ to 5.1?×?10³?CFU/100 ml. Indicator bacteria counts increased from upstream to downstream sampling sites. Counts of indicator bacteria at all sites were significantly affected by seasonal changes. The bacteriological qualities of the river water were poor, exceeding the guideline of 200 CFU/100 ml and 33 CFU/100 ml for faecal coliforms and enterococci, respectively, for recreational water. Faecal coliform counts also exceeded the 1,000 CFU/100 ml guideline for water used in fresh produce irrigation. Microbial source tracking results showed that faecal pollution was predominantly of human origin during spring at all sampling sites. During other seasons, human faecal pollution was largely confined to midstream and downstream sampling sites. Generally, the presence of faecal-indicator bacteria in the river water samples suggests faecal pollution of this freshwater resource, raising the possibility of the presence of pathogenic microorganisms in the water and a threat to public health.     

Evaluation of genotoxicity in Rhamdia quelen (Pisces, Siluriformes) after sub-chronic contamination with Fipronil

Diverse genetic biomarkers have been used to evaluate the effects of pollution by mutagenic agents such as metals and pesticides, as well as a large variety of chemical substances derived from human activities. This work researched the effects that an exposure of 60 days to the insecticide Fipronil (concentrations of 0.05, 0.10 and 0.23 μg/L) can cause in the fish Rhamdia quelen using Comet assay with gills, histopathological analysis of gills and the Piscine Micronucleus test and Nuclear Morphological Alterations. The results for the Comet assay and for gills histopathological injuries showed no difference between the control group and the contaminated groups. In the Piscine Micronucleus test, the smallest concentration of Fipronil (0.05 μg/L) was similar as the control group, while concentrations of 0.10 and 0.23 μg/L caused more damage to the DNA. These results suggested that only the highest concentrations of Fipronil tested cause damage in erythrocytes, but none of these concentrations was sufficient to alter the DNA in the gill cells. R. quelen may be a less sensitive bioindicator than other fish that have been tested. On the other hand, the concentrations used may not have been sufficient to detect alterations in the DNA of R. quelen with the chosen tests. Works like this take on great importance given the enormous quantity of substances that are thrown daily into the environment in an uncontrolled way, without evaluation of the consequences. The application of these tests with other concentrations, tissues and exposure times is suggested for future works.     

Evaluation of geochemical associations as a screening tool for identifying anthropogenic trace metal contamination

Geochemical association plots are used as a screening tool for environmental site assessments and use empirical log–log relationships between total trace metal concentrations and concentrations of a major (i.e., reference) soil metal constituent, such as iron (Fe), to discern sites with naturally elevated trace metal levels from sites with anthropogenic contamination. Log–log relationships have been consistently observed between trace metal and reference metal concentrations and are often considered constant. Consequently, we used a regional geochemistry data set to evaluate background trace metal/Fe log–log associations across soils with highly diverse composition. Our results indicate that, although geochemical associations may be proportional, they significantly differ across predominant United States Department of Agriculture (USDA) soil orders. This suggests that highly complex interactions between soil-forming factors and variable secondary clay mineral composition affect the ratio of trace metals to Fe concentrations in soils. Also, intra-order variability in trace metal/Fe ratios generally ranged multiple orders of magnitude which suggest that the order level of the USDA soil taxonomic system is insufficient to reasonably classify background trace metal concentrations. Consequently, geochemical association plots are a useful screening tool for environmental site assessments, but ubiquitous application of generic background metal data sets could result in erroneous conclusions. Because significantly different ratios were observed across predominant USDA soil orders, an agglomerative clustering technique was used to elucidate hierarchical patterns of association. We present these results as a mechanism to aid environmental assessors in screening candidate background metal data sets for their applicability to site-specific soil composition; although site-specific background metal data should be utilized if ample pristine reference sites with similar (i.e., sub-order) soil composition can be identified and sampled.     

Results from the NOAA National Status and Trends Program on distribution and effects of chemical contamination in the coastal and estuarine United States

The NOAA National Status and Trends (NS&T) Program has been monitoring chemical contamination in fish livers, and surface sediments since 1984 and in molluscan tissue and sediments since 1986. Data from fine-grained sediment at 175 sites are used to describe the spatial distribution of contamination throughout the coastal and estuarine United States. Highest levels are generally found in, and considered representative of, urban areas. It should be noted, however, that these levels are not as high as have been found near discharge pipes or in isolated industrial areas through other monitoring efforts. Dramatic biological responses, such as liver tumors in fish or apparently toxic contaminant levels in sediment, are found infrequently. Subtle biological changes, especially those that affect reproductive ability, are being sought. Data from three annual collections of mollusks have been used to identify early signals of temporal trends in contamination at NS&T sites.