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Sample records for chlorhexidine

  1. Chlorhexidine in endodontics.

    OpenAIRE

    Gomes, B. P.; Vianna, M E; Zaia, A. A.; Almeida,J.F.; Souza-Filho, F J; Ferraz, C. C.

    2013-01-01

    Chemical auxiliary substances (CAS) are essential for a successful disinfection and cleanness of the root canals, being used during the instrumentation and if necessary, as antimicrobial intracanal medicaments. Different CAS have been proposed and used, among which sodium hypochlorite (NaOCl), chlorhexidine (CHX), 17% EDTA, citric acid, MTAD and 37% phosphoric acid solution. CHX has been used in Endodontics as an irrigating substance or intracanal medicament, as it possesses a wide range of a...

  2. IgE-mediated allergy to chlorhexidine

    DEFF Research Database (Denmark)

    Garvey, Lene Heise; Krøigaard, Mogens; Poulsen, Lars K.

    2007-01-01

    Investigations at the Danish Anesthesia Allergy Centre have included testing for allergy to chlorhexidine since 1999.......Investigations at the Danish Anesthesia Allergy Centre have included testing for allergy to chlorhexidine since 1999....

  3. Chlorhexidine in endodontics.

    Science.gov (United States)

    Gomes, Brenda P F A; Vianna, Morgana E; Zaia, Alexandre A; Almeida, José Flávio A; Souza-Filho, Francisco J; Ferraz, Caio C R

    2013-01-01

    Chemical auxiliary substances (CAS) are essential for a successful disinfection and cleanness of the root canals, being used during the instrumentation and if necessary, as antimicrobial intracanal medicaments. Different CAS have been proposed and used, among which sodium hypochlorite (NaOCl), chlorhexidine (CHX), 17% EDTA, citric acid, MTAD and 37% phosphoric acid solution. CHX has been used in Endodontics as an irrigating substance or intracanal medicament, as it possesses a wide range of antimicrobial activity, substantivity (residual antimicrobial activity), lower cytotoxicity than NaOCl whilst demonstrating efficient clinical performance, lubricating properties, rheological action (present in the gel presentation, keeping the debris in suspension); it inhibits metalloproteinase, is chemically stable, does not stain cloths, it is odorless, water soluble, among other properties. CHX has been recommended as an alternative to NaOCl, especially in cases of open apex, root resorption, foramen enlargement and root perforation, due to its biocompatibility, or in cases of allergy related to bleaching solutions. The aim of this paper is to review CHX's general use in the medical field and in dentistry; its chemical structure, presentation form and storage; mechanism of action; antimicrobial activity including substantivity, effects on biofilms and endotoxins, effects on coronal and apical microbial microleakage; tissue dissolution ability; interaction with endodontic irrigants; effects on dentin bonding, metalloproteinases and collagen fibrils; its use as intracanal medicament and diffusion into the dentinal tubules; its use as disinfectant agent of obturation cones; other uses in the endodontic therapy; and possible adverse effects, cytotoxicity and genotoxicity.

  4. IgE-mediated chlorhexidine allergy: a new occupational hazard?

    DEFF Research Database (Denmark)

    Nagendran, Vasantha; Wicking, Jennifer; Ekbote, Anjali

    2009-01-01

    BACKGROUND: Chlorhexidine is an effective antimicrobial agent commonly used in UK hospitals, primarily for skin decontamination. Recent UK infection control guidelines recommend the use of 2% chlorhexidine solution in specific clinical settings, thus increasing chlorhexidine use by health care wo...

  5. Chlorhexidine--pharmacology and clinical applications.

    Science.gov (United States)

    Lim, K-S; Kam, P C A

    2008-07-01

    Chlorhexidine is a widely used skin antisepsis preparation and is an ingredient in toothpaste and mouthwash. It is an especially effective antiseptic when combined with alcohol. Its antimicrobial effects persist because it is binds strongly to proteins in the skin and mucosa, making it an effective antiseptic ingredient for handwashing, skin preparation for surgery and the placement of intravascular access. Catheters impregnated with chlorhexidine and antimicrobial agents can reduce the incidence of catheter-related bloodstream infections. Contact dermatitis related to chlorhexidine is not common in health care workers. The incidence of contact dermatitis to chlorhexidine in atopic patients is approximately 2.5 to 5.4%. Acute hypersensitivity reactions to chlorhexidine are often not recognised and therefore may be underreported. This review discusses the pharmacology, microbiology, clinical applications and adverse effects of chlorhexidine.

  6. Chlorhexidine preserves dentin bond in vitro.

    Science.gov (United States)

    Carrilho, M R O; Carvalho, R M; de Goes, M F; di Hipólito, V; Geraldeli, S; Tay, F R; Pashley, D H; Tjäderhane, L

    2007-01-01

    Loss of hybrid layer integrity compromises resin-dentin bond stability. Matrix metalloproteinases (MMPs) may be partially responsible for hybrid layer degradation. Since chlorhexidine inhibits MMPs, we hypothesized that chlorhexidine would decelerate the loss of resin-dentin bonds. Class I preparations in extracted third molars were sectioned into two halves. One half was customarily restored (etch-and-rinse adhesive/resin composite), and the other was treated with 2% chlorhexidine after being acid-etched before restoration. Specimens were stored in artificial saliva with/without protease inhibitors. Microtensile bond strengths and failure mode distribution under SEM were analyzed immediately after specimens' preparation and 6 months later. With chlorhexidine, significantly better preservation of bond strength was observed after 6 months; protease inhibitors in the storage medium had no effect. Failure analysis showed significantly less failure in the hybrid layer with chlorhexidine, compared with controls after 6 months. In conclusion, this in vitro study suggests that chlorhexidine might be useful for the preservation of dentin bond strength.

  7. Chlorhexidine urticaria: A rare occurrence with a common mouthwash

    Directory of Open Access Journals (Sweden)

    Sharma Anamika

    2009-01-01

    Full Text Available Chlorhexidine is a widely used antiseptic and disinfectant in medical and nonmedical environments. Compared to its ubiquitous use, allergic contact dermatitis from chlorhexidine has rarely been reported and so its sensitization rate seems to be low. The prevalence of contact urticaria and anaphylaxis due to chlorhexidine remains to be unknown. This case report presents a case of urticaria due to oral use of chlorhexidine. The adverse reaction was confirmed by skin prick test.

  8. DETERMINATION OF CHLORHEXIDINE IN SALIVA AND IN AQUEOUS-SOLUTIONS

    NARCIS (Netherlands)

    de Vries, J.; Ruben, J; Arends, J.

    1991-01-01

    A new method is presented for the determination of chlorhexidine in centrifuged saliva and in aqueous solutions by means of fluorescence spectroscopy. The method relies on complex formation between chlorhexidine and eosin. The fluorescence value of the chlorhexidine-eosin system decreases with incre

  9. Oral chlorhexidine and microbial contamination during endoscopy

    DEFF Research Database (Denmark)

    Donatsky, Anders Meller; Holzknecht, Barbara Juliane; Arpi, Magnus

    2013-01-01

    BACKGROUND: One of the biggest concerns associated with transgastric surgery is contamination and risk of intra-abdominal infection with microbes introduced from the access route. The purpose of this study was to evaluate the effect of oral decontamination with chlorhexidine on microbial contamin......BACKGROUND: One of the biggest concerns associated with transgastric surgery is contamination and risk of intra-abdominal infection with microbes introduced from the access route. The purpose of this study was to evaluate the effect of oral decontamination with chlorhexidine on microbial...... contamination of the endoscope. METHODS: In a prospective, randomized, single-blinded, clinical trial the effect of chlorhexidine mouth rinse was evaluated. As a surrogate for the risk of intra-abdominal contamination during transgastric surgery, microbial contamination of the endoscope during upper endoscopy...... microbial contamination of the endoscope, but micro-organisms with abscess forming capabilities were still present. PPI treatment significantly increased CFU and should be discontinued before transgastric surgery....

  10. Chlorhexidine: Patient Bathing and Infection Prevention.

    Science.gov (United States)

    Abbas, Salma; Sastry, Sangeeta

    2016-08-01

    Healthcare-associated infections (HAIs) are an important cause of morbidity and mortality in the USA. They are associated with a substantial increase in health care costs each year. Fortunately, many HAIs are preventable, and their eradication is a national priority. Chlorhexidine (CHG) bathing has been used as an infection prevention measure, either alone or bundled with other interventions, with mostly beneficial results. The recent surge in its use as an agent of choice for skin antisepsis has lead to concerns over emerging resistance among microorganisms. Moreover, compliance with CHG-bathing protocols is not routinely monitored. Policies developed to determine the best infection prevention practice must consider that a "one-size-fits-all" strategy may lead to the selection of CHG-tolerant microorganisms, thereby emphasizing the need for more robust guidelines and additional studies on the role of chlorhexidine bathing for the prevention of HAIs.

  11. Perioperative Anaphylaxis to Chlorhexidine during Surgery and Septoplasty

    Science.gov (United States)

    Teixeira de Abreu, Ana Paula; Ribeiro de Oliveira, Leonardo Ramos; Teixeira de Abreu, Ana Flavia; Ribeiro de Oliveira, Evandro; Santos de Melo Ireno, Michele; Aarestrup, Matheus Fonseca; Aarestrup, Paula Fonseca

    2017-01-01

    Chlorhexidine is an antiseptic and disinfectant used in surgical and clinical practice since 1954 and is available in aqueous or alcoholic solutions 0.5%–4.0% and has a broad-spectrum activity. Despite their widespread use, allergic reactions with chlorhexidine are rarely reported. We describe a case of anaphylaxis with chlorhexidine during a septoplasty, turbinectomy, and maxillary sinusectomy. The patient presented with periorbital edema, hives, hypotension, and wheezing. Immediately after the diagnosis of anaphylaxis promethazine, hydrocortisone, and epinephrine were administered with immediate clinical improvement. This case highlights the importance of assessing whether there is a previous clinical history of hypersensitivity to chlorhexidine in patients who will undergo surgical procedures.

  12. Enhanced chlorhexidine skin penetration with eucalyptus oil

    Directory of Open Access Journals (Sweden)

    Worthington Tony

    2010-09-01

    Full Text Available Abstract Background Chlorhexidine digluconate (CHG is a widely used skin antiseptic, however it poorly penetrates the skin, limiting its efficacy against microorganisms residing beneath the surface layers of skin. The aim of the current study was to improve the delivery of chlorhexidine digluconate (CHG when used as a skin antiseptic. Method Chlorhexidine was applied to the surface of donor skin and its penetration and retention under different conditions was evaluated. Skin penetration studies were performed on full-thickness donor human skin using a Franz diffusion cell system. Skin was exposed to 2% (w/v CHG in various concentrations of eucalyptus oil (EO and 70% (v/v isopropyl alcohol (IPA. The concentration of CHG (μg/mg of skin was determined to a skin depth of 1500 μm by high performance liquid chromatography (HPLC. Results The 2% (w/v CHG penetration into the lower layers of skin was significantly enhanced in the presence of EO. Ten percent (v/v EO in combination with 2% (w/v CHG in 70% (v/v IPA significantly increased the amount of CHG which penetrated into the skin within 2 min. Conclusion The delivery of CHG into the epidermis and dermis can be enhanced by combination with EO, which in turn may improve biocide contact with additional microorganisms present in the skin, thereby enhancing antisepsis.

  13. Chlorhexidine in cosmetic products – a market survey

    DEFF Research Database (Denmark)

    Opstrup, M. S; Duus Johansen, Jeanne; Bossi, Rossana

    2015-01-01

    (HPLC) with an ultraviolet (UV) detector. RESULTS: Chlorhexidine was found in 80 of 2251 checked products (3.6%) in the following categories: hair products (57/760), creams (9/324), face washes (4/24), wet wipes (4/63), skin tonics (3/22), make-up removers (2/25), and mouth washes (1/17). Chlorhexidine...

  14. Anaphylactic reactions in anaesthetised patients - four cases of chlorhexidine allergy

    DEFF Research Database (Denmark)

    Garvey, L H; Roed-Petersen, J; Husum, B

    2001-01-01

    Chlorhexidine is widely used all over the world in many different preparations. In Denmark chlorhexidine is the standard skin disinfectant used before surgery or invasive procedures and it is widely used in the general population in mouthwash or for disinfection of minor scratches etc. The potent......Chlorhexidine is widely used all over the world in many different preparations. In Denmark chlorhexidine is the standard skin disinfectant used before surgery or invasive procedures and it is widely used in the general population in mouthwash or for disinfection of minor scratches etc...... into the operation and all four patients required treatment with adrenaline. All four patients had a history of minor symptoms like rashes or faints in connection with previous surgery/invasive procedures. Allergy to chlorhexidine may be more prevalent in surgical patients and cases may have been overlooked due...

  15. The effect of chlorhexidine dentifrice or gel versus chlorhexidine mouthwash on plaque, gingivitis, bleeding and tooth discoloration: a systematic review

    NARCIS (Netherlands)

    S.C. Supranoto; D.E. Slot; M. Addy; G.A. van der Weijden

    2015-01-01

    Objective To systematically review and evaluate the available scientific evidence on the effectiveness of chlorhexidine dentifrice or gel (CHX DF/gel) compared to chlorhexidine mouthwash (CHX MW) on plaque, bleeding, gingival inflammation and tooth discoloration scores. Material and methods PubMed-M

  16. Should surgeons scrub with chlorhexidine or iodine prior to surgery?

    Science.gov (United States)

    Jarral, Omar A; McCormack, David J; Ibrahim, Sammra; Shipolini, Alex R

    2011-06-01

    A best evidence topic was written according to a structured protocol. The question addressed was whether chlorhexidine gluconate is equivalent or superior to the use of povidone-iodine during surgical hand scrub. A total of 593 papers were found using the reported searches of which eight represented the best evidence to answer the clinical question. The authors, date, journal, study type, population, main outcome measures and results are tabulated. We conclude that whilst both chlorhexidine and povidone-iodine reduce bacterial count after scrubbing, the effect of chlorhexidine is both more profound and longer lasting. The studies found analysed the difference in reduction in colony forming units or bacterial count following surgical scrub in order to conclude that chlorhexidine was superior. Four studies went further to analyse cumulative and residual activity by testing for bacterial reduction after using a scrub solution for a number of days, an area in which chlorhexidine showed consistent advantages over povidone-iodine. These findings are given more credibility by the clinical finding of a recent meta-analysis of over 5000 patients in which chlorhexidine as an antiseptic skin preparation was associated with significantly reduced surgical site infection (SSI) in clean-contaminated surgery. Despite this, there is no evidence suggesting the use of chlorhexidine during hand scrub reduces SSI, which perhaps explains why guidelines from the World Health Organization, the Centers for Disease Control and Prevention and the Association for Perioperative Practice do not recommend one specific antimicrobial over another for hand scrub.

  17. Synergistic Antimicrobial Action of Chlorhexidine and Ozone in Endodontic Treatment

    Directory of Open Access Journals (Sweden)

    Rita Noites

    2014-01-01

    Full Text Available Objectives. The aim of this study was to determine whether irrigation with sodium hypochlorite, chlorhexidine, and ozone gas, alone or in combination, were effective against Enterococcus faecalis and Candida albicans; these are microorganisms frequently isolated from teeth with periapical lesions resistant to endodontic treatment. Material and Methods. 220 single root teeth, recently extracted, were inoculated with Candida albicans and Enterococcus faecalis. The formulations tested were sodium hypochlorite at 1, 3, and 5% chlorhexidine at 0.2% and 2% and ozone gas applied for different periods of time. The combination of sodium hypochlorite at 5% and chlorhexidine at 2%, with gaseous ozone, were also assessed. For the most active treatments the mechanism of action was assessed through flow cytometry. Results. Sodium hypochlorite, chlorhexidine, and gaseous ozone alone were ineffective in completely eliminating the microorganisms. The association of chlorhexidine at 2% followed by ozone gas for 24 seconds promoted the complete elimination of Candida albicans and Enterococcus faecalis. Flow cytometry shows that ozone and chlorhexidine act differently, which could explain its synergic activity. Conclusions. This new disinfection protocol, combining irrigation with chlorhexidine at 2% and ozone gas for 24 seconds, may be advantageous when treating infected root canals.

  18. Antimicrobial effect of alexidine and chlorhexidine against Enterococcus faecalis infection

    Institute of Scientific and Technical Information of China (English)

    Hyun-Shik Kim; Seok Woo Chang; Seung-Ho Baek; Seung Hyun Han; Yoon Lee; Qiang Zhu; Kee-Yeon Kum

    2013-01-01

    A previous study demonstrated that alexidine has greater affinity for the major virulence factors of bacteria than chlorhexidine. The aim of this study was to compare the antimicrobial activity of 1% alexidine with that of 2% chlorhexidine using Enterococcus faecalis.infected dentin blocks. Sixty bovine dentin blocks were prepared and randomly divided into six groups of 10 each. E. faecalis was inoculated on 60 dentin blocks using the Luppens apparatus for 24 h and then the dentin blocks were soaked in 2% chlorhexidine or 1% alexidine solutions for 5 and 10 min, respectively. Sterile saline was used as a control. The antimicrobial efficacy was assessed by counting the number of bacteria adhering to the dentin surface and observing the degradation of bacterial shape or membrane rupture under a scanning electron microscope. Significantly fewer bacteria were observed in the 2% chlorhexidine- or 1% alexidine-soaked groups than in the control group (P~O.05). However, there was no significant difference in the number of bacteria adhering to the dentinal surface between the two experimental groups or between the two soaking time groups (P>0.05). Ruptured or antiseptic-attached bacteria were more frequently observed in the lO-min-soaked chlorhexidine and alexidine groups than in the 5-min-soaked chlorhexidine and alexidine groups. In conclusion, lO-min soaking with 1% alexidine or 2% chlorhexidine can be effective against E. faecalis infection.

  19. Chlorhexidine, A Medicine for all the Oral Diseases

    Directory of Open Access Journals (Sweden)

    Radhika Gupta

    2012-03-01

    Full Text Available Chlorhexidine is a bisbiguanide antiseptic. It is active against both Gram-positive and Gram-negative strains as well as fungi. It has bacteriostatic and bactericidal actions. Chlorhexidine has excellent antiplaque activity and unique property of substantivity. So it has got wide applications starting from maintaining oral hygiene pre surgically to post operative and also in physically and mentally handicapped patients. Chlorhexidine is now routinely used by clinicians when they treat patients with fixed appliances in orthodontia and maxillofacial surgeries. Chlorhexidine has been extensively used in various medical fields such as gynecology, urology and ophthalmology; also in disinfection of operation fields and treatment of burns. Its products are available in various forms like mouth rinses, gels, sprays, toothpastes and varnishes.

  20. Chlorhexidine monotherapy with adjunctive topical corticosteroids for acanthamoeba keratitis

    Directory of Open Access Journals (Sweden)

    Firoozeh Rahimi

    2015-01-01

    Conclusion: Chlorhexidine is effective for monotherapy in AK and could be a good choice for initiating treatment. After the initial response to anti-Acanthamoeba agents, corticosteroids can be used as adjunctive therapy depending on the clinical condition.

  1. Chlorhexidine-releasing methacrylate dental composite materials.

    Science.gov (United States)

    Leung, Danny; Spratt, David A; Pratten, Jonathan; Gulabivala, Kishor; Mordan, Nicola J; Young, Anne M

    2005-12-01

    Light curable antibacterial, dental composite restoration materials, consisting of 80 wt% of a strontium fluoroaluminosilicate glass dispersed in methacrylate monomers have been produced. The monomers contained 40-100 wt% of a 10 wt% chlorhexidine diacetate (CHXA) in hydroxyethylmethacrylate (HEMA) solution and 60-0 wt% of a 50/50 mix of urethane dimethacrylate (UDMA) and triethyleneglycol dimethacrylate (TEGDMA). On raising HEMA content, light cure polymerisation rates decreased. Conversely, water sorption induced swelling and rates of diffusion controlled CHXA release from the set materials increased. Experimental composites with 50 and 90 wt% of the CHXA in HEMA solution in the monomer were shown, within a constant depth film fermentor (CDFF), to have slower rates of biofilm growth on their surfaces between 1 and 7 days than the commercial dental composite Z250 or fluoride-releasing dental cements, Fuji II LC and Fuji IX. When an excavated bovine dentine cylinder re-filled with Z250 was placed for 10 weeks in the CDFF, both bacteria and polymers from the artificial saliva penetrated between the material and dentine. With the 50 wt% experimental HEMA/CHXA formulation, this bacterial microleakage was substantially reduced. Polymer leakage, however, still occurred. Both polymer and bacterial microleakage were prevented with a 90 wt% HEMA/CHXA restoration in the bovine dentine due to swelling compensation for polymerisation shrinkage in combination with antibacterial release.

  2. Is there a risk of sensitization and allergy to chlorhexidine in health care workers?

    DEFF Research Database (Denmark)

    Garvey, L H; Roed-Petersen, J; Husum, B

    2003-01-01

    BACKGROUND: In Denmark, chlorhexidine is the standard disinfectant in most hospitals and health care workers are repeatedly exposed to it. The aim of this study was to establish whether there is a risk of sensitization and allergy to chlorhexidine from this type of exposure. METHODS: Two hundred...... with chlorhexidine gluconate 1% and chlorhexidine acetate 1% were performed looking for type IV (delayed type) allergy. A prick test with chlorhexidine gluconate 0.5% and an intradermal test with chlorhexidine 0.0002% were performed looking for type I (immediate type) allergy. RESULTS: There were no positive tests...... in any of the 104 individuals tested (99% confidence interval 0-4.9%). There was a predominance of females in both groups and the overall median age was 42 years (28-63). No one in the group not tested reported to have a verified or suspected allergy to chlorhexidine. CONCLUSION: In this first study...

  3. Clinical efficacy of a chlorhexidine-delivering toothbrush

    NARCIS (Netherlands)

    Van Strydonck, D.A.C.; Timmerman, M.F.; van der Velden, U.; van der Weijden, G.A.

    2008-01-01

    Objectives: Evaluate the efficacy and safety of an experimental toothbrush with a slow-release system of chlorhexidine (CHX) and determine its ability to inhibit plaque, bleeding, staining and oral tissue abnormalities during 6 weeks of use. Material and Methods: One hundred and fifty healthy volunt

  4. Effect of fluoride and chlorhexidine digluconate mouthrinses on plaque biofilms

    DEFF Research Database (Denmark)

    Rabe, Per; Twetman, Svante; Kinnby, Bertil;

    2015-01-01

    in the pre-molar region were worn by three subjects for 7 days. Control discs were removed before subjects rinsed with 0.1% chlorhexidine digluconate (CHX) or 0.2% sodium fluoride (NaF) for 1 minute. Biofilms were stained with Baclight Live/Dead and z-stacks of images created using confocal scanning laser...

  5. Control of Streptococcus sanguinis oral biofilm by novel chlorhexidine-chitosan mouthwash: an in vitro study

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    Bangalore V. Karthikeyan

    2013-04-01

    Full Text Available Objective: The most common prevalent infectious oral diseases in humans are caries and periodontal diseases, which are usually associated with dental plaque. The present in vitro study was designed to evaluate and compare the impact of new mouthwash formulation consisting of chlorhexidine (0.1% and bioadhesive chitosan (0.5% on dental plaque bacterial reduction, to that of chlorhexidine or chitosan alone. Methods: In this study, we analyzed the antimicrobial susceptibility of strains of Streptococcus sanguinis from clinical plaque samples to four different antimicrobial agents. Antimicrobial susceptibilities of the isolates to chlorhexidine (0.2%, chitosan (0.5%, chlorhexidine (0.1% plus chitosan (0.5% combination and saline were evaluated by disc diffusion method. Results: The zone of inhibition showed that chlorhexidine, chitosan and chlorhexidine-chitosan combination mouthwash exert an antimicrobial activity. A markedly higher and significant activity was obtained with chlorhexidine-chitosan combination mouthwash. On intergroup comparison there were statistically significant differences between all the tested solutions, except between chlorhexidine and chitosan mouthwash. Conclusion: Within the limitation of the present study, results showed that chlorhexidine-chitosan combination mouthrinse are superior in antimicrobial activity than chlorhexidine or chitosan alone. [J Exp Integr Med 2013; 3(2.000: 165-169

  6. Contact allergy to chlorhexidine in a tertiary dermatology clinic in Denmark

    DEFF Research Database (Denmark)

    Opstrup, Morten S; Johansen, Jeanne D; Zachariae, Claus;

    2016-01-01

    BACKGROUND: Chlorhexidine is a widely used disinfectant in the healthcare setting and in cosmetic products. A high prevalence of chlorhexidine contact allergy was reported in Denmark in the 1980s (2.0-5.4% of patients patch tested). It is unknown whether the prevalence is still high, which products...... cause the contact allergy, and whether accidental re-exposure occurs in some patients. OBJECTIVES: To estimate the prevalence of chlorhexidine contact allergy in a tertiary dermatology clinic in Denmark; to investigate whether patch testing with both chlorhexidine diacetate and chlorhexidine digluconate...... is necessary; to investigate how many patients have combined immediate-type allergy and contact allergy; and to identify which products cause chlorhexidine contact allergy, and whether patients are accidentally re-exposed. METHODS: This was a retrospective study including all patients patch tested...

  7. Antimicrobial efficacy of the combination of chlorhexidine digluconate and dexpanthenol

    OpenAIRE

    2016-01-01

    Objective: The objective of this standardised experimental study was to investigate the antimicrobial efficacy of the combination of chlorhexidine digluconate (CHX) and the anti-inflammatory pro-vitamin dexpanthenol, which stimulates wound-healing, in the form of Bepanthen® Antiseptic Wound Cream, in order to rule out possible antagonistic combination effects of CHX and the alcohol analogue of pantothenic acid (vitamin B5) dexpanthenol.Method: Testing was carried out using the quantitative...

  8. The effect of liquid crystalline structure on chlorhexidine diacetate release.

    Science.gov (United States)

    Farkas, E; Zelkó, R; Németh, Z; Pálinkás, J; Marton, S; Rácz, I

    2000-01-05

    The aim of this study was to examine different liquid crystalline preparations containing chlorhexidine diacetate and to find connection between their structure and the kinetic of drug release. Nonionic surfactant, Synperonic A7 (PEG(7)-C(13-15)) was selected for the preparation of the examined liquid crystalline systems. Mixtures of different ratios of Synperonic A7 and water were produced. By increasing the water content of the systems, lamellar and hexagonal liquid crystal structures were observed. For the analysis of the prepared liquid crystalline systems polarising microscopy, rheology study, differential scanning calorimetry and dynamic swelling tests were carried out. The chlorhexidine diacetate release was examined by Franz-type vertical diffusion cell apparatus. The chlorhexidine diacetate release from hexagonal liquid crystalline preparations was characterised by zero-order release kinetics, while the drug release from lamellar liquid crystalline systems was described by anomalous (non-Fickian) transport. The results indicate that the drug release kinetic is strongly dependent on the liquid crystalline structure.

  9. Antimicrobial activity of toothpastes containing natural extracts, chlorhexidine or triclosan.

    Science.gov (United States)

    De Rossi, Andiara; Ferreira, Danielly Cunha Araújo; da Silva, Raquel Assed Bezerra; de Queiroz, Alexandra Mussolino; da Silva, Léa Assed Bezerra; Nelson-Filho, Paulo

    2014-01-01

    The objective of this in vitro study was to evaluate the antimicrobial effect of toothpastes containing natural extracts, chlorhexidine or triclosan. The effectiveness of toothpastes containing natural extracts (Parodontax®), 0.12% chlorhexidine (Cariax®), 0.3% triclosan (Sanogil®) or fluoride (Sorriso®, control) was evaluated against yeasts, Gram-positive and Gram-negative bacteria using the disk diffusion method. Water was used as a control. Disks impregnated with the toothpastes were placed in Petri dishes containing culture media inoculated with 23 indicative microorganisms by the pour plate method. After incubation, the inhibition growth halos were measured and statistical analyses (α=0.05) were performed. The results indicated that all formulations, except for conventional toothpaste (Sorriso®), showed antimicrobial activity against Gram-positive bacteria and yeasts. The toothpaste containing natural extracts (Parodontax®) was the only product able to inhibit the growth of Pseudomonas aeruginosa. The toothpastes containing chlorhexidine, triclosan or natural extracts presented antimicrobial activity against Gram-positive bacteria and yeasts.

  10. Recently introduced qacA/B genes in Staphylococcus epidermidis do not increase chlorhexidine MIC/MBC

    DEFF Research Database (Denmark)

    Skovgaard, Sissel; Larsen, Marianne Halberg; Nielsen, Lene Nørby;

    2013-01-01

    Chlorhexidine is used as a disinfectant to prevent surgical infections. Recently, studies have indicated that chlorhexidine usage has selected methicillin-resistant Staphylococcus aureus strains that are tolerant to chlorhexidine and that this may be related to the presence of the qacA/B-encoded ......A/B-encoded efflux pumps. Here, we evaluated if high-level exposure to chlorhexidine selects for tolerant colonizing Staphylococcus epidermidis and we addressed the consequences of long-term exposure to chlorhexidine.......Chlorhexidine is used as a disinfectant to prevent surgical infections. Recently, studies have indicated that chlorhexidine usage has selected methicillin-resistant Staphylococcus aureus strains that are tolerant to chlorhexidine and that this may be related to the presence of the qac...

  11. Differential actions of chlorhexidine on the cell wall of Bacillus subtilis and Escherichia coli.

    Directory of Open Access Journals (Sweden)

    Hon-Yeung Cheung

    Full Text Available Chlorhexidine is a chlorinated phenolic disinfectant used commonly in mouthwash for its action against bacteria. However, a comparative study of the action of chlorhexidine on the cell morphology of gram-positive and gram-negative bacteria is lacking. In this study, the actions of chlorhexidine on the cell morphology were identified with the aids of electron microscopy. After exposure to chlorhexidine, numerous spots of indentation on the cell wall were found in both Bacillus subtilis and Escherichia coli. The number of indentation spots increased with time of incubation and increasing chlorhexidine concentration. Interestingly, the dented spots found in B. subtilis appeared mainly at the hemispherical caps of the cells, while in E. coli the dented spots were found all over the cells. After being exposed to chlorhexidine for a prolonged period, leakage of cellular contents and subsequent ghost cells were observed, especially from B subtilis. By using 2-D gel/MS-MS analysis, five proteins related to purine nucleoside interconversion and metabolism were preferentially induced in the cell wall of E. coli, while three proteins related to stress response and four others in amino acid biosynthesis were up-regulated in the cell wall materials of B. subtilis. The localized morphological damages together with the biochemical and protein analysis of the chlorhexidine-treated cells suggest that chlorhexidine may act on the differentially distributed lipids in the cell membranes/wall of B. subtilis and E. coli.

  12. Chlorhexidine-calcium phosphate nanoparticles - Polymer mixer based wound healing cream and their applications.

    Science.gov (United States)

    Viswanathan, Kaliyaperumal; Monisha, P; Srinivasan, M; Swathi, D; Raman, M; Dhinakar Raj, G

    2016-10-01

    In this work, we developed a wound healing cream composed of two different polymers, namely chitosan and gelatin with chlorhexidine along with calcium phosphate nanoparticles. The physicochemical properties of the prepared cream were investigated based on SEM, EDX, Raman, FTIR and the results indicated that the cream contained gelatin, chitosan, calcium phosphate nanoparticles and chlorhexidine. The maximum swelling ratio studies indicated that the ratio was around of 52±2.2 at pH7.4 and the value was increased in acidic and alkaline pH. The antimicrobial activity was tested against bacteria and the results indicated that, both chlorhexidine and the hybrid cream devoid of chlorhexidine exhibited antimicrobial activity but the chlorhexidine impregnated cream showed three fold higher antimicrobial activity than without chlorhexidine. In vivo wound healing promoting activities of hybrid cream containing 0.4mg/L chlorhexidine were evaluated on surgically induced dermal wounds in mice. The results indicated that the cream with incorporated chlorhexidine significantly enhanced healing compared with the control samples. For the field validations, the veterinary clinical animals were treated with the cream and showed enhanced healing capacity. In conclusion, a simple and efficient method for design of a novel wound healing cream has been developed for veterinary applications.

  13. Prevention of gingivitis and treatment of periodontitis: Chlorhexidine gels and dental lasers

    NARCIS (Netherlands)

    Slot, D.E.

    2015-01-01

    It is a universal advice from dental care professionals to brush twice daily with a fluoride dentifrice. It would be ideal to incorporate an effective anti-microbial agent such as chlorhexidine in a dentifrice formulation. A well-known side effect of chlorhexidine is tooth discoloration. Reduced con

  14. [Less ventilator-associated pneumonia after oral decontamination with chlorhexidine; a randomised trial

    NARCIS (Netherlands)

    Koeman, M.; Ven, A.J.A.M. van der; Hak, E.; Joore, J.C.; Kaasjager, H.A.; Smet, AM de; Ramsay, G.; Dormans, T.P.J.; Aarts, L.P.H.J.; Bel, E.E. de; Hustinx, W.N.; Tweel, I. van de; Hoepelman, I.M.; Bonten, M.J.M.

    2008-01-01

    OBJECTIVE: To determine the effect of oral decontamination with either chlorhexidine (CHX, 2%) or the combination chlorhexidine-colistin (CHX-COL, 2%-2%) on the frequency and the time to onset of ventilator-associated pneumonia in Intensive Care patients. DESIGN: Double blind, placebo-controlled, mu

  15. Antimicrobial activity of calcium hydroxide and chlorhexidine on intratubular Candida albicans

    Institute of Scientific and Technical Information of China (English)

    Ronan Jacques Rezende Delgado; Thaís Helena Gasparoto; Carla Renata Sipert; Claudia Ramos Pinheiro; Ivaldo Gomes de Moraes; Roberto Brandāo Garcia; Marco Antonio Hungaro Duarte; Clóvis Monteiro Bramante; Sérgio Aparecido Torres; Gustavo Pompermaier Garlet; Ana Paula Campanelli; Norberti Bernardineli

    2013-01-01

    This study investigated the efficacy of calcium hydroxide and chlorhexidine gel for the elimination of intratubular Candida albicans (C. albicans). Human single-rooted teeth contaminated with C. albicans were treated with calcium hydroxide, 2% chlorhexidine gel, calcium hydroxide plus 2% chlorhexidine gel, or saline (0.9% sodium chloride) as a positive control. The samples obtained at depths of 0-100 and 100-200 μm from the root canal system were analyzed for C. albicans load by counting the number of colony forming units and for the percentage of viable C. albicans using fluorescence microscopy. First, the antimicrobial activity of calcium hydroxide and the 2% chlorhexidine gel was evaluated by counting the number of colony forming units. After 14 days of intracanal medication, there was a significant decrease in the number of C. albicanscolony forming units at a depth of 0-100 lzm with chlorhexidine treatment either with or without calcium hydroxide compared with the calcium hydroxide only treatment. However, there were no differences in the number of colony forming units at the 100-200 μm depth for any of the medications investigated. C. albicans viability was also evaluated by vital staining techniques and fluorescence microscopy analysis. Antifungal activity against C. albicans significantly increased at both depths in the chlorhexidine groups with and without calcium hydroxide compared with the groups treated with calcium hydroxide only. Treatments with only chlorhexidine or chlorhexidine in combination with calcium hydroxide were effective for elimination of C. albicans.

  16. Pectin gelation with chlorhexidine: Physico-chemical studies in dilute solutions.

    Science.gov (United States)

    Lascol, Manon; Bourgeois, Sandrine; Guillière, Florence; Hangouët, Marie; Raffin, Guy; Marote, Pedro; Lantéri, Pierre; Bordes, Claire

    2016-10-05

    Low methoxyl pectin is known to gel with divalent cations (e.g. Ca(2+), Zn(2+)). In this study, a new way of pectin gelation in the presence of an active pharmaceutical ingredient, chlorhexidine (CX), was highlighted. Thus chlorhexidine interactions with pectin were investigated and compared with the well-known pectin/Ca(2+) binding model. Gelation mechanisms were studied by several physico-chemical methods such as zeta potential, viscosity, size measurements and binding isotherm was determined by Proton Nuclear Magnetic Resonance Spectroscopy ((1)H NMR). The binding process exhibited similar first two steps for both divalent ions: a stoichiometric monocomplexation of the polymer followed by a dimerization step. However, stronger interactions were observed between pectin and chlorhexidine. Moreover, the dimerization step occurred under stoichiometric conditions with chlorhexidine whereas non-stoichiometric conditions were involved with calcium ions. In the case of chlorhexidine, an additional intermolecular binding occurred in a third step.

  17. Daily Bathing with Chlorhexidine and Its Effects on Nosocomial Infection Rates in Pediatric Oncology Patients.

    Science.gov (United States)

    Raulji, Chittalsinh M; Clay, Kristin; Velasco, Cruz; Yu, Lolie C

    2015-01-01

    Infections remain a serious complication in pediatric oncology patients. To determine if daily bathing with Chlorhexidine gluconate can decrease the rate of nosocomial infection in pediatric oncology patients, we reviewed rates of infections in pediatric oncology patients over a 14-month span. Intervention group received daily bath with Chlorhexidine, while the control group did not receive daily bath. The results showed that daily bath with antiseptic chlorhexidine as daily prophylactic antiseptic topical wash leads to decreased infection density amongst the pediatric oncology patients, especially in patients older than 12 years of age. Furthermore, daily chlorhexidine bathing significantly reduced the rate of hospital acquired infection in patients older than 12 years of age. The findings of this study suggest that daily bathing with chlorhexidine may be an effective measure of reducing nosocomial infection in pediatric oncology patients.

  18. Influence of chlorhexidine species on the liquid crystalline structure of vehicle.

    Science.gov (United States)

    Farkas, E; Zelkó, R; Török, G; Rácz, I; Marton, S

    2001-02-01

    The aim of this study was to investigate the influence of three chlorhexidine species, chlorhexidine base and its salts (diacetate and digluconate), on the physico-chemical features of liquid crystalline systems and on drug transport through lipophilic membranes. Nonionic surfactant, Synperonic A7 (PEG(7)-C(13--15)) was selected for the preparation of the liquid crystalline systems. Mixtures of different ratios of Synperonic A7 and water were prepared. The liquid crystalline systems were characterized using polarizing microscopy, small-angle neutron scattering and transmission electron microscopy. Membrane transport was also examined. The addition of chlorhexidine species to the liquid crystalline system modified the structure of the liquid crystalline system. As a result of liquid crystal--drug interaction, the solubility of chlorhexidine base and its diffusion through lipophilic membranes increased in comparison with those of the chlorhexidine salts.

  19. Comparative efficacy of aloe vera mouthwash and chlorhexidine on periodontal health: A randomized controlled trial

    Science.gov (United States)

    Jha, Abhishek; Bhashyam, Mamtha

    2016-01-01

    Background With introduction of many herbal medicines, dentistry has recently evidenced shift of approach for treating many inflammatory oral diseases by using such modalities. Aloe vera is one such product exhibiting multiple benefits and has gained considerable importance in clinical research recently. Aim To compare the efficacy of Aloevera and Chlorhexidine mouthwash on Periodontal Health. Material and Methods Thirty days randomized controlled trial was conducted among 390 dental students. The students were randomized into two intervention groups namely Aloe Vera (AV) chlorhexidine group (CHX) and one control (placebo) group. Plaque index and gingival index was recorded for each participant at baseline, 15 days and 30 days. The findings were than statistically analyzed, ANOVA and Post Hoc test were used. Results There was significant reduction (pAloe Vera (AV) and chlorhexidine group. Post hoc test showed significant difference (paloe Vera and placebo and chlorhexidine and placebo group. No significant difference (pAloe vera, chlorhexidine, dental plaque, gingivitis. PMID:27703614

  20. Influence of chlorhexidine digluconate on bond strength durability of a self-etching adhesive system

    Directory of Open Access Journals (Sweden)

    Synara Santos Herênio

    2011-10-01

    Full Text Available Introduction and objective: The aim of this study was to evaluate in vitro the effect of 2% chlorhexidine on bond strength durability of a self-etching adhesive system (ClearFill SE Bond. Material and methods: Forty bovine incisors’ crowns had their labial surfaces abraded to dentinexposure,inorderthatthestandardadhesion dentin exposure, inorderthatthestandardadhesion in order that the standard adhesion area reached 4 mm in diameter. Subsequently, they were divided into four groups, according to the treatments performed on the surfaces and storage time: G1 – adhesive system without chlorhexidine for 24 hours (control group; G2 – adhesive system without chlorhexidine for 6 months (control group; G3 – adhesive system with chlorhexidine for 24 hours (experimental group; G4 – adhesive system with chlorhexidine for 6 months (experimental group. After dentin surface treatments, cylinders of composite resin (Z350 were constructed. Then, the specimens were stored in distilled water according to each group design and storage time. Following, the four groups were subjected to shear bond strength test, at a crosshead speed of 0.5 mm / min. The obtained values were subjected to statistical analysis. Results: The results indicated a significant decrease of bond strength in the group treated with chlorhexidine followed by 24-hour storage when compared to control group. However, there was no significant difference in 6-month storage between the experimental and control groups (p>0.05. Conclusion: The application of 2% chlorhexidine was deleterious for bond strength after 24-hour storage.

  1. Small molecule interactions with lipid bilayers: a molecular dynamics study of chlorhexidine

    Science.gov (United States)

    van Oosten, Brad; Marquardt, Drew; Sternin, Edward; Harroun, Thad

    2013-03-01

    Chlorhexidine presents an interesting modelling challenge with a hydrophobic hexane connecting two biguanides (arginine analogues) and two aromatic rings. We conducted molecular dynamic simulations using the GROMACS simulation software to reproduce the experimental environment of chlorhexidine in a 1,2-Dimyristoyl-sn-Glycero-3-Phosphocholine (DMPC) bilayer to produce atomic-level information. We constructed an all-atom force field of chlorhexidine from the CHARMM36 force field using well established parameters of certain amino acids. Partial charges were treated differently, which were calculated using GAUSSIAN software. We will compare and contrast the results of our model to that of our neutron scattering experiments previously done in our lab.

  2. Anti-biofilm Effect of Glass Ionomer Cements Incorporated with Chlorhexidine and Bioaetive Glass

    Institute of Scientific and Technical Information of China (English)

    HUANG Xueqing; YANG Tiantian; ZHAO Suling; HUANG Cui; DU Xijin

    2012-01-01

    The effect of glass ionomer cement and resin-modified glass ionomer cement incorporated with chlorhexidine and bioactive glass on antimicrobial activity and physicochemical properties were investigated.The experimental results showed that groups incorporated with 1% chlorhexidine exhibited a significant reduction of optical density values of the bacterial suspension and increased the degradation of Streptococcus mutans biofilm.However,groups incorporated with 10% bioactive glass did not affect the optical density values and the biofilm formation.The mechanical properties of the materials and the polymerization were not influenced by the addition of chlorhexidine.Nevertheless,the compressive strength was lower when the materials were incorporated with bioactive glass.It can be concluded that glass ionomer cements incorporated with chlorhexidine can maintain its mechanical properties as well as reduce early S mutans biofilm formation.Controlled release/sustained release technology may be required to optimize the antibacterial activity of glass ionomer cements incorporated with bioactive glass.

  3. The caries-preventive effect of chlorhexidine varnish in children and adolescents: a systematic review.

    LENUS (Irish Health Repository)

    James, Patrice

    2010-01-01

    Our purpose was to systematically review the literature on the effectiveness of chlorhexidine varnish for preventing dental caries in children and adolescents and to determine its effectiveness compared to fluoride varnish.

  4. Study on the release of chlorhexidine base and salts from different liquid crystalline structures.

    Science.gov (United States)

    Farkas, Edit; Kiss, Dorottya; Zelkó, Romána

    2007-08-01

    The aim of this study was to investigate the influence of two types of chlorhexidine species, chlorhexidine base and its salts, on the physico-chemical features of liquid crystalline systems and on drug transport through lipophilic membranes. A non-ionic surfactant, Synperonic A7 (PEG7-C13-15) was selected for the preparation of the liquid crystalline systems. Mixtures of different ratios of Synperonic A7 and water were prepared. The liquid crystalline systems were characterized using polarizing microscopy and dynamic oscillatory test. Membrane transport was also examined. The addition of chlorhexidine species to the liquid crystalline system modified the structure of the liquid crystalline system. As a result of the changes of liquid crystalline structures, the drug release of various types of chlorhexidine could be also modified. The combination of the base and salt forms of the drug in one dosage form could eliminate the drug release changes from liquid crystalline systems of dynamically changeable structures.

  5. Reducing bloodstream infection with a chlorhexidine gel IV dressing.

    Science.gov (United States)

    Jeanes, Annette; Bitmead, James

    The use of vascular access devices (VAD) is common in healthcare provision but there is a significant risk of acquiring an infection. Central venous catheters (CVC) are associated with the highest risk of intravenous catheter-related bloodstream infection (CRBSI). 3M™ Tegaderm™ CHG IV dressing is a semi-permeable transparent adhesive dressing with an integrated gel pad containing chlorhexidine gluconate 2%. This product was reviewed by the National Institute for Health and Care Excellence (NICE) in 2015, recommending that Tegaderm CHG could be used for CVC and arterial line dressings in high-dependency and intensive-care settings. This article discusses issues around CRBSI, interventions to reduce the risk of CRBSI, and the use of Tegaderm CHG dressing.

  6. Sustained ex vivo skin antiseptic activity of chlorhexidine in poly(epsilon-caprolactone) nanocapsule encapsulated form and as a digluconate.

    Science.gov (United States)

    Lboutounne, Hassan; Chaulet, Jean-François; Ploton, Christine; Falson, Françoise; Pirot, Fabrice

    2002-08-21

    In this work, the sustained bactericidal activity of chlorhexidine base loaded poly(epsilon-caprolactone), PCL, nanocapsules against Staphylococcus epidermidis inoculated onto porcine ear skin was investigated. Drug loaded nanocapsules were prepared by the interfacial polymer deposition following solvent displacement method, then characterized by photon correlation spectroscopy, electrophoretic measurements, transmission and scanning electron microscopy. Antimicrobial activity of these colloidal carriers was evaluated (i) in vitro against eight strains of bacteria, and (ii) ex vivo against Staphylococcus epidermidis inoculated for 12 h onto porcine ear skin surface treated for 3 min either with 0.6% chlorhexidine base loaded or unloaded nanocapsules suspended in hydrogel, or 1% chlorhexidine digluconate aqueous solution. Chlorhexidine absorption into the stratum corneum (SC) was evaluated by the tape-stripping method. The results showed that chlorhexidine nanocapsules in aqueous suspension having a 200-300 nm size and a positive charge exhibited similar minimum inhibitory concentrations against several bacteria with chlorhexidine digluconate aqueous solution. Ex vivo, there was a significant reduction in the number of colony forming units (CFUs) from 3-min treated skin with chlorhexidine nanocapsule suspension (5 to <1 log(10)) compared to chlorhexidine digluconate solution (5 to 2.02 log(10)) after a 8-h artificial contamination. After a 12-h artificial contamination, both formulations failed to achieve a 5 log(10) reduction. Furthermore, from a 3-min treatment with an identical applied dose and a subsequent 12-h artificial contamination, a residual chlorhexidine concentration in the SC was found to be three-fold higher with chlorhexidine nanocapsule suspension than with chlorhexidine digluconate solution. Interestingly, nanocapsules were shown in porcine skin follicles. Consequently, a topical application of chlorhexidine base-loaded positively charged

  7. Effect of chlorhexidine bathing in preventing infections and reducing skin burden and environmental contamination: A review of the literature.

    Science.gov (United States)

    Donskey, Curtis J; Deshpande, Abhishek

    2016-05-01

    Chlorhexidine bathing is effective in reducing levels of pathogens on skin. In this review, we examine the evidence that chlorhexidine bathing can prevent colonization and infection with health care-associated pathogens and reduce dissemination to the environment and the hands of personnel. The importance of education and monitoring of compliance with bathing procedures is emphasized in order to optimize chlorhexidine bathing in clinical practice.

  8. Efficacy of chlorhexidine gluconate ointment (Oronine H® for experimentally-induced comedones

    Directory of Open Access Journals (Sweden)

    Yamakoshi T

    2012-07-01

    Full Text Available Takako Yamakoshi,1 Teruhiko Makino,1 Kenji Matsunaga,1 Yoko Yoshihisa,1 Mati Ur Rehman,1 Taisuke Seki,2 Yoshito Hayashi,3 Tadamichi Shimizu11Department of Dermatology, Graduate School of Medicine and Pharmaceutical Sciences, University of Toyama, Toyama-shi, Toyama; 2Seki Dermatological Clinic, Toyama-shi, Toyama; 3Otsuka Pharmaceutical Factory Inc, Naruto-shi, Tokushima, JapanBackground: Oronine H® ointment, which contains chlorhexidine gluconate as its active component, is a well known disinfectant, and has been widely used for treatment of acne in Japan. In this study, we investigated the inhibitory effect of this ointment on the formation of comedones induced by application of 50% oleic acid on the orifices of the external auditory canals of rabbits.Methods: The application sites were observed with a dermatoscope, and the area of the hair pores was measured using an Image analysis software program.Results: The chlorhexidine gluconate ointment inhibited comedone formation significantly more effectively than the liquid paraffin used as a control (P < 0.001. We also investigated the therapeutic effect of this ointment on comedones. After starting application of chlorhexidine gluconate ointment or liquid paraffin on the comedone area, the hair pore size was gradually decreased in the group treated with chlorhexidine gluconate ointment compared with the hair pore size at baseline.Conclusion: These results suggest that chlorhexidine gluconate ointment is effective for inhibiting comedone formation as well as for treating already formed comedones. Chlorhexidine gluconate ointment is a useful topical medicine for the treatment of early-stage acne and for preventing acne.Keywords: chlorhexidine gluconate ointment, comedones, dermatoscope, oleic acid

  9. Residual activity of cetrimide and chlorhexidine on Enterococcus faecalis-infected root canals

    Institute of Scientific and Technical Information of China (English)

    Carmen Mara Ferrer-Luque; Mara Teresa Arias-Moliz; Matilde Ruz-Linares; Mara Elena Martnez Garca; Pilar Baca

    2014-01-01

    Effective final irrigation regimen is an important step in order to achieve better disinfection and ensure residual antimicrobial effects after root canal preparation. The aim of this study was to compare the residual antimicrobial activity of 0.2%cetrimide, and 0.2%and 2%chlorhexidine in root canals infected with Enterococcus faecalis. Biofilms of E. faecalis were grown on uniradicular roots for 4 weeks. After root canal preparation, root canals were irrigated with 17%ethylenediaminetetraacetic acid (EDTA) to remove the smear layer. The roots were randomly divided into three experimental groups (n526) according to the final irrigating solution:Group I, 5 mL 0.2%cetrimide;Group II, 5 mL 0.2%chlorhexidine;and Group III, 5 mL 2%chlorhexidine. Samples were collected for 50 days to denote the presence of bacterial growth. The proportion of ungrown specimens over 50 days was evaluated using the nonparametric Kaplan-Meier survival analysis. Differences among groups were tested using the log-rank test and the level of statistical significance was set at P,0.05. The highest survival value was found with 2%chlorhexidine, showing statistically significant differences from the other two groups. At 50 days, E. faecalis growth was detected in 69.23%specimens in Groups I and II, and in 34.61%specimens of Group III. There were no significant differences between 0.2%cetrimide and 0.2%chlorhexidine. Final irrigation with 2%chlorhexidine showed greater residual activity than 0.2%chlorhexidine and 0.2%cetrimide in root canals infected with E. faecalis.

  10. Comparative evaluation of honey, chlorhexidine gluconate (0.2% and combination of xylitol and chlorhexidine mouthwash (0.2% on the clinical level of dental plaque: A 30 days randomized control trial

    Directory of Open Access Journals (Sweden)

    Ankita Jain

    2015-01-01

    Full Text Available Aim: To compare the effect of honey, chlorhexidine mouthwash and combination of xylitol chewing gum and chlorhexidine mouthwash on the dental plaque level. Materials and Methods: Ninety healthy dental students, both male and female, aged between 21 to 25 years participated in the study. The subjects were randomly divided into three groups, i.e. the honey group, the chlorhexidine gluconate mouthwash group and the combination of xylitol chewing gum and chlorhexidine (CHX mouthwash group. The data was collected at the baseline, 15 th day and 30 th day; the plaque was disclosed using disclosing solution and their scores were recorded at six sites per tooth using the Quigley and Hein plaque index modified by Turesky-Gilmore-Glickman. Statistical analysis was carried out later to compare the effect of all the three groups. P ≤ 0.05 was considered as statistically significant. Results: Our result showed that all the three groups were effective in reducing the plaque but post-hoc LSD (Least Significant Difference showed that honey group and chlorhexidine + xylitol group were more effective than chlorhexidine group alone. The results demonstrated a significant reduction of plaque indices in honey group and chlorhexidine + xylitol group over a period of 15 and 30 days as compared to chlorhexidine.

  11. An in vitro analysis model for investigating the staining effect of various chlorhexidine-based mouthwashes

    Science.gov (United States)

    Kouadio, Alain-Ayepa; Struillou, Xavier; Bories, Céline; Bouler, Jean-Michel; Badran, Zahi

    2017-01-01

    Background There are different mouthwashes containing chlorhexidine in different concentrations, as well as various excipients. Chlorhexidine induce stains or discoloration in teeth and mucous membranes. The aim of this work was to design a model to reproduce in vitro staining associated with the use of different mouthwashes containing chlorhexidine. Material and Methods We used as substrates of natural teeth and elephant ivory slices. Different incubation baths were conducted over 21 days in culture dishes at 37°C. At the beginning of experiment before incubation (D0) and after 21 days (D21) of incubation with different mouthwashes, pictures of substrates were taken in a standardized manner and an image analysis software was used to analyse and quantify the staining under the various conditions by using the 3 main colours (Red, Green, Blue, RGB). Results The results of this work demonstrate a very good reproducibility of the protocol, and secondly, a different expression statistically significant of the primary blue colour. We suggest that for a given concentration of chlorhexidine, the staining effects may vary depending on the excipients used. Conclusions This replicable model, easy to implement over a relatively short duration, can be used for evaluation of existing mouthwashes, and to test the excipients anti discoloration proposed by manufacturers. Key words:In vitro, chlorhexidine, mouthwashes, dental stain, tooth discoloration.

  12. Efficacy of a probiotic and chlorhexidine mouth rinses: A short-term clinical study

    Directory of Open Access Journals (Sweden)

    Harini P

    2010-09-01

    Full Text Available Introduction: Probiotic technology represents a breakthrough approach to maintaining oral health by utilizing natural beneficial bacteria commonly found in healthy mouths to provide a natural defense against those bacteria thought to be harmful to teeth and gums. However, data are still sparse on the probiotic action in the oral cavity. The review article on probiotics in children published by Twetman and Stecksen- Blicks in 2008 showed only one study of dental interest on probiotics in children. Aim and Objectives: The present study evaluated clinically the efficacy of a probiotic and chlorhexidine mouth rinses on plaque and gingival accumulation in children. The trial design is a double-blind parallel group, 14 days comparative study between a probiotic mouth rinse and a chlorhexidine mouth rinse, which included 45 healthy children in the age group of 6-8 years. Results: The Probiotic and Chlorhexidine groups had less plaque accumulations compared with the Control group at the end of 14 years (P < 0.001 and P < 0.001, respectively. But, unlike the plaque score, there was a significant difference in the Gingival Index between the Probiotic and the Chlorhexidine groups (P = 0.009, Probiotic group being better than the Chlorhexidine group (mean = 0.2300 and 0.6805, respectively. Conclusion: The Probiotic mouth rinse was found effective in reducing plaque accumulation and gingival inflammation. Therefore, probiotic mouth rinse obviously has a potential therapeutic value and further long-term study is recommended to determine its efficacy.

  13. New form of administering chlorhexidine for treatment of denture-induced stomatitis

    Directory of Open Access Journals (Sweden)

    Ryalat S

    2011-06-01

    Full Text Available Soukaina Ryalat, Rula Darwish, Wala AminDepartment of Oral Surgery, Jordan University, Amman, JordanBackground: The purpose of this study was to evaluate the release of chlorhexidine as an antifungal drug from doped self-cured poly (methyl methacrylate (PMMA acrylic resin and the effect of the drug released on the growth of Candida albicans.Methods: Release of chlorhexidine was evaluated using liquid chromatography, and the effect of the drug on the growth of C. albicans was investigated microbiologically using a “well” technique on Saboraud culture medium inoculated with a resistant strain of C. albicans.Results: Chlorhexidine leached steadily out of the acrylic resin into distilled water at mouth temperature, and the sustained drug release continued throughout the 28-day test period. The drug released also demonstrated antifungal activity against the resistant strain of C. albicans.Conclusion: The findings of this study support the use of chlorhexidine-impregnated self-cured PMMA chair-side resin as a new dosage form for the treatment of denture-induced stomatitis.Keywords: chlorhexidine, poly (methyl methacrylate, eluates, antifungal drug, denture stomatitis, Candida albicans

  14. Chlorhexidine markedly potentiates the oxidants scavenging abilities of Candida albicans.

    Science.gov (United States)

    Ginsburg, I; Koren, E; Feuerstein, O; Zogakis, I P; Shalish, M; Gorelik, S

    2015-10-01

    The oxidant scavenging ability (OSA) of catalase-rich Candida albicans is markedly enhanced by chlorhexidine digluconate (CHX), polymyxin B, the bile salt ursodeoxycholate and by lysophosphatidylcholine, which all act as detergents facilitating the penetration of oxidants and their intracellular decomposition. Quantifications of the OSA of Candida albicans were measured by a highly sensitive luminol-dependent chemiluminescence assay and by the Thurman's assay, to quantify hydrogen peroxide (H2O2). The OSA enhancing activity by CHX depends to some extent on the media on which candida grew. The OSA of candida treated by CHX was modulated by whole human saliva, red blood cells, lysozyme, cationic peptides and by polyphenols. Concentrations of CHX, which killed over 95 % of Candida albicans cells, did not affect the cells' abilities to scavenge reactive oxygen species (ROS). The OSA of Candida cells treated by CHX is highly refractory to H2O2 (50 mM) but is strongly inhibited by hypochlorous acid, lecithin, trypan blue and by heparin. We speculate that similarly to catalase-rich red blood cells, Candida albicans and additional catalase-rich microbiota may also have the ability to scavenge oxidants and thus can protect catalase-negative anaerobes and facultative anaerobes cariogenic streptococci against peroxide and thus secure their survival in the oral cavity.

  15. Nanoparticle-encapsulated chlorhexidine against oral bacterial biofilms.

    Directory of Open Access Journals (Sweden)

    Chaminda Jayampath Seneviratne

    Full Text Available BACKGROUND: Chlorhexidine (CHX is a widely used antimicrobial agent in dentistry. Herein, we report the synthesis of a novel mesoporous silica nanoparticle-encapsulated pure CHX (Nano-CHX, and its mechanical profile and antimicrobial properties against oral biofilms. METHODOLOGY/PRINCIPAL FINDINGS: The release of CHX from the Nano-CHX was characterized by UV/visible absorption spectroscopy. The antimicrobial properties of Nano-CHX were evaluated in both planktonic and biofilm modes of representative oral pathogenic bacteria. The Nano-CHX demonstrated potent antibacterial effects on planktonic bacteria and mono-species biofilms at the concentrations of 50-200 µg/mL against Streptococcus mutans, Streptococcus sobrinus, Fusobacterium nucleatum, Aggregatibacter actinomycetemcomitans and Enterococccus faecalis. Moreover, Nano-CHX effectively suppressed multi-species biofilms such as S. mutans, F. nucleatum, A. actinomycetemcomitans and Porphyromonas gingivalis up to 72 h. CONCLUSIONS/SIGNIFICANCE: This pioneering study demonstrates the potent antibacterial effects of the Nano-CHX on oral biofilms, and it may be developed as a novel and promising anti-biofilm agent for clinical use.

  16. Antibacterial kaolinite/urea/chlorhexidine nanocomposites: Experiment and molecular modelling

    Energy Technology Data Exchange (ETDEWEB)

    Holešová, Sylva, E-mail: sylva.holesova@vsb.cz [Nanotechnology Centre, VŠB – Technical University of Ostrava, 17.listopadu 15/2172, CZ-708 33 Ostrava, Poruba (Czech Republic); IT4Innovations Centre of Excellence, VŠB – Technical University of Ostrava, 17.listopadu 15/2172, CZ-708 33 Ostrava, Poruba (Czech Republic); Valášková, Marta; Hlaváč, Dominik [Nanotechnology Centre, VŠB – Technical University of Ostrava, 17.listopadu 15/2172, CZ-708 33 Ostrava, Poruba (Czech Republic); IT4Innovations Centre of Excellence, VŠB – Technical University of Ostrava, 17.listopadu 15/2172, CZ-708 33 Ostrava, Poruba (Czech Republic); Madejová, Jana [Institute of Inorganic Chemistry, SAS, Dúbravská cesta 9, SK-845 36 Bratislava (Slovakia); Samlíková, Magda; Tokarský, Jonáš [Nanotechnology Centre, VŠB – Technical University of Ostrava, 17.listopadu 15/2172, CZ-708 33 Ostrava, Poruba (Czech Republic); IT4Innovations Centre of Excellence, VŠB – Technical University of Ostrava, 17.listopadu 15/2172, CZ-708 33 Ostrava, Poruba (Czech Republic); Pazdziora, Erich [Institute of Public Health Ostrava, Centre of Clinical Laboratories, Partyzánské náměstí 7, CZ-702 00 Ostrava (Czech Republic)

    2014-06-01

    Clay minerals are commonly used materials in pharmaceutical production both as inorganic carriers or active agents. The purpose of this study is the preparation and characterization of clay/antibacterial drug hybrids which can be further included in drug delivery systems for treatment oral infections. Novel nanocomposites with antibacterial properties were successfully prepared by ion exchange reaction from two types of kaolinite/urea intercalates and chlorhexidine diacetate. Intercalation compounds of kaolinite were prepared by reaction with solid urea in the absence of solvents (dry method) as well as with urea aqueous solution (wet method). The antibacterial activity of two prepared samples against Enterococcus faecalis, Staphylococcus aureus, Escherichia coli and Pseudomonas aeruginosa was evaluated by finding the minimum inhibitory concentration (MIC). Antibacterial studies of both samples showed the lowest MIC values (0.01%, w/v) after 1 day against E. faecalis, E. coli and S. aureus. A slightly worse antibacterial activity was observed against P. aeruginosa (MIC 0.12%, w/v) after 1 day. Since samples showed very good antibacterial activity, especially after 1 day of action, this means that these samples can be used as long-acting antibacterial materials. Prepared samples were characterized by X-ray diffraction (XRD) and Fourier transform infrared spectroscopy (FTIR). The experimental data are supported by results of molecular modelling.

  17. Susceptibility of multidrug resistant clinical pathogens to a chlorhexidine formulation.

    Science.gov (United States)

    Günther, F; Kaiser, S J; Fries, T; Frank, U; Mutters, N T

    2015-01-01

    Multidrug resistant pathogens are a widespread problem in the hospital setting especially on intensive care units (ICU). This study evaluated the susceptibility of clinical isolates of gramnegative extensively drug resistant organisms (XDR), methicillinresistant Staphylococcus aureus (MRSA), and vancomycin-resistant Enterococcus (VRE) to a proprietary chlorhexidine digluconate (CHG) formulation used in one brand of CHG-impregnated cloths. Ten isolates each of XDR Pseudomonas aeruginosa, XDR Acinetobacter baumannii, XDR Klebsiella pneumoniae, XDR Escherichia coli, MRSA, and vancomycin-resistant Enterococcus faecium from our hospital were tested. All isolates were susceptible to the proprietary CHG formulation (0.5%, 1%, 2%), with 99% to 100% suppression of growth at the earliest time point in time kill assays (1 minute for gram-positive and 15 seconds for gram-negative organisms). Minimum inhibitory concentrations ranged from 1 : 4096 to 1 : 65536 for MRSA, 1 : 1024 to 1 : 2048 for VRE, 1 : 2048 to 1 : 4096 for XDR E. coli, 1 : 512 to 1 : 2048 for XDR A. baumannii, 1 : 512 to 1 : 1024 for XDR P. aeruginosa, and 1 : 512 to 1 : 1024 for XDR K. pneumoniae. Cloths impregnated with this CHG formulation provide effective protection against colonization and infection by many pathogens. This study provides in vitro evidence that the proprietary CHG formulation used in one brand of CHG-impregnated cloths is effective against XDR gram-negative organisms, MRSA, and VRE.

  18. Effect of Hydrogen Peroxide on the Antibacterial Substantivity of Chlorhexidine

    Directory of Open Access Journals (Sweden)

    Shahriar Shahriari

    2010-01-01

    Full Text Available The purpose of this in vitro study was to assess the effect of hydrogen peroxide on the antibacterial substantivity of chlorhexidine (CHX. Seventy-five dentine tubes prepared from human maxillary central and lateral incisor teeth were used. After contamination with Enterococcus faecalis for 14 days, the specimens were divided into five groups as follows: CHX, H2O2, CHX + H2O2, infected dentine tubes (positive control, and sterile dentine tubes (negative control. Dentine chips were collected with round burs into tryptic soy broth, and after culturing, the number of colony-forming units (CFU was counted. The number of CFU was minimum in the first cultures in all experimental groups, and the results obtained were significantly different from each other at any time period (<.05. At the first culture, the number of CFU in the CHX + H2O2 group was lower than other two groups. At the other experimental periods, the CHX group showed the most effective antibacterial action (<.05. Hydrogen peroxide group showed the worst result at all periods. In each group, the number of CFU increased significantly by time lapse (<.05. In conclusion, H2O2 had no additive effect on the residual antibacterial activity of CHX.

  19. The effect of 1% chlorhexidine gel and 0.12% dentifrice gel on plaque accumulation: a 3-day non-brushing model

    NARCIS (Netherlands)

    D.E. Slot; N.A.M. Rosema; N.L. Hennequin-Hoenderdos; P.A. Versteeg; U. van der Velden; G.A. van der Weijden

    2010-01-01

    Aim:  The purpose of the study was to compare the effects of four treatments on ‘de novo’ plaque accumulation. Treatments included tray application of 1% chlorhexidine gel (CHX-Gel), 0.12% chlorhexidine dentifrice-gel (CHX-DFG), a regular dentifrice (RDF) tray application, or 0.2% chlorhexidine mout

  20. Antibacterial effects of electrospun chitosan/poly(ethylene oxide) nanofibrous membranes loaded with chlorhexidine and silver.

    Science.gov (United States)

    Song, Jiankang; Remmers, Stefan J A; Shao, Jinlong; Kolwijck, Eva; Walboomers, X Frank; Jansen, John A; Leeuwenburgh, Sander C G; Yang, Fang

    2016-07-01

    To prevent percutaneous device associated infections (PDAIs), we prepared electrospun chitosan/poly(ethylene oxide) (PEO) nanofibrous membrane containing silver nanoparticles as an implantable delivery vehicle for the dual release of chlorhexidine and silver ions. We observed that the silver nanoparticles were distributed homogeneously throughout the fibers, and a fast release of chlorhexidine in 2days and a sustained release of silver ions for up to 28days. The antibacterial efficacy of the membranes against Staphylococcus aureus showed that the membranes exhibited an obvious inhibition zone upon loading with either chlorhexidine (20μg or more per membrane) or AgNO3 (1 and 5wt% to polymer). Furthermore, long-term antibacterial effect up to 4days was verified using membranes containing 5wt% AgNO3. The results suggest that the membranes have strong potential to act as an active antibacterial dressing for local delivery of antibacterial agents to prevent PDAIs.

  1. Chlorhexidine spray as an adjunct in the control of dental biofilm in children with special needs.

    Science.gov (United States)

    Viana, Gilberg Resende; Teiltelbaum, Ana Paula; dos Santos, Fábio André; Sabbagh-Haddad, Aida; Guaré, Renata Oliveira

    2014-01-01

    The aim of this study was to evaluate the clinical effectiveness of .12% chlorhexidine applied via spray and the acceptance. A total of 26 individuals with mental health issues, aged 7-14, were included into two groups: placebo (control, n = 13) and chlorhexidine (experimental, n = 13). Both groups received two daily applications of spray during 2 months. The periodontal conditions were evaluated by the simplified oral hygiene index (OHI-S) and gingival index (GI). The evaluation of acceptance of the application method (spray) was assessed by questionnaire. Data were analyzed with nonparametric tests, with a significance level of 5%. Regarding the OHI-S index, only the experimental group showed significant change during the evaluations (p < 0.001). Regarding the GI, both groups showed significant changes during the evaluations. The method of application was well accepted by patients and caregivers, and .12% chlorhexidine solution applied via spray significantly reduced the rates of dental and gingival biofilm.

  2. Comparison of antibacterial efficacy of coconut oil and chlorhexidine on Streptococcus mutans: An in vivo study

    Science.gov (United States)

    Peedikayil, Faizal C.; Remy, Vimal; John, Seena; Chandru, T. P.; Sreenivasan, Prathima; Bijapur, Gufran Ahmed

    2016-01-01

    Aims: Streptococcus mutans is the most common organism causing dental caries. Various chemotherapeutic agents are available that help in treating the bacteria, with each having their own merits and demerits. Recent research has shown that coconut oil has anti-inflammatory and antimicrobial action. Therefore, the present was conducted to determine the antibacterial efficacy of coconut oil and to compare it with chlorhexidine. Materials and Methods: A total of fifty female children aged 8–12 years were included in the study. Twenty five children were randomly distributed to each group, i.e., the study group (coconut oil) and the control group (chlorhexidine). The participants were asked to routinely perform oil swishing with coconut oil and chlorhexidine and rinse every day in the morning after brushing for 2–3 minutes. S. mutans in saliva and plaque were determined using a chairside method, i.e., the Dentocult SM Strip Mutans test. Patients were instructed to continue oil swishing for 30 days. S. mutans. counts in plaque and saliva on day 1, day 15, and day 30 were recorded and the results were compared using Wilcoxon matched pairs signed ranks test. Results: The results showed that there is a statistically significant decrease in S. mutans. count from coconut oil as well as chlorhexidine group from baseline to 30 days. The study also showed that in comparison of coconut oil and chlorhexidine there is no statistically significant change regarding the antibacterial efficacy. Conclusion: Coconut oil is as effective as chlorhexidine in the reduction of S. mutans. PMID:27891311

  3. Effect of chlorhexidine on oral airway biofilm formation of Staphylococcus epidermidis

    Directory of Open Access Journals (Sweden)

    Ünase Büyükkoçak

    2015-12-01

    Full Text Available Objective: Biofilm formation of microorganisms on the surface of airways may lead to supraglottic colonization that may cause lower respiratuar tract infections. Studies searching the efficiency of local disinfectants on biofilm formation are limited. The aim of this study was to investigate the effects of chlorhexidine coated airways on biofilm formation of Staphylococcus epidermidis. Methods: Culture and electron microscopy methods were used for biofilm assessment. Airways were divided into two groups to investigate the effects of chlorhexidine on number of bacteria attached to the airway and biofilm formation. Group 1(control: naive material, S. epidermidis, Group 2: chlorhexidine coated material, S. epidermidis. No process was applied in Group 1. Chlorhexidine gluconate (0.2% was sprayed on the surface of naive material for four seconds and then left to dry in air, in Group to. Number of bacteria attached to the airway were counted by microbiological methods and biofilm formation was shown by Scanning Electron Microscope (SEM. Mann-Whitney u test was performed for statistical analyses. Results: In Group 2, bacteria numbers were 1x102-8x102 cfu/ml, whereas they were 3x103-1x104 cfu/ml in Group 1. Chlorhexidine decreased number of microorganisms attached to the airways with statistical significance (p=0.04. The results of the electron microscopic evaluation were in accordance with the acteriological findings. Conclusion: This study has shown that chlorhexidine coating can successfully reduce the number of adhered bacteria and biofilm formation on airways. J Microbiol Infect Dis 2015;5(4: 162-166

  4. Comparison of Antibacterial Effect of Fluoride and Chlorhexidine on Two Cariogenic Bacteria: An in Vitro Study

    Directory of Open Access Journals (Sweden)

    Poureslami HR

    2014-09-01

    Full Text Available Statement of problem: Dental plaque is the main source for dental caries and there is no proper vaccine that can affect dental plaques. Objectives: Daily use of an efficient anti-plaque product can be very beneficial in plaque control and, thus, prevention of caries. This study aims to evaluate the antibacterial effects of four products of Chlorhexidine and Fluoride on two types of cariogenic bacteria. Materials and Methods: In this in vitro study, the antibacterial effect of Chlorhexidine and Fluoride (gel and solution against Streptococci Sanguis and Sobrinus was evaluated. Chlorhexidine gluconate 1% gel (Corosodyl, France, Chlorhexidine gluconate 2% solution (Consepsis, Ultradent, US, Sodium fluoride 0.2% solution (Oral-B, US and Acidulated Phosphate Fluoride 1.23% gel ( Denti-Care, Canada were used. The disc diffusion method was used for testing bacterial sensitivity. The data were analyzed using paired t-test and Chi-square test. Results: In comparison with the negative control, each of the four gels and solutions showed antibacterial effects but the effects were not statistically significant for fluoride solution (P=0.217. For S. Sobrinus, the mean diameter of inhibition zone around the discs coated with fluoride gel (F g, fluoride solution (F s, Chlorhexidine gel (CHX g and Chlorhexidine solution (CHX s were 19, 9, 21.5 and 27.5mm, respectively. For S. Sanguis, the mean diameter of inhibition zone around the discs coated with F g, F s, CHX g and CHX s were 17, 11, 17 and 25mm, respectively. CHX s had the most effect on both bacteria and F s had the least. CHX g and F g were less effective than CHX s, respectively. Conclusion: The results demonstrated that 2% CHX s and 1.23% F g can be effective on inhibition of the growth of some of cariogenic bacteria. Therefore, these agents can be used in the prevention of Early Childhood Caries.

  5. Effect of 0.2% chlorhexidine on microbial and fungal contamination of dental unit waterlines

    Directory of Open Access Journals (Sweden)

    Raha Habib Agahi

    2014-01-01

    Full Text Available Background: It is known that dental unit waterline can be a source of infection. The aim of this study was to evaluate the efficacy of a mouthwash, chlorhexidine, in controlling microbial and fungal contamination of dental unit waterlines. Materials and Methods: In the present experimental study, the water in high-speed handpieces and air/water syringes of 35 dental units in a dental school was investigated microbiologically. Five of the units and one tap water served as controls; 100-200-mL water samples were collected aseptically in sterile containers in the morning after a 2-min purge. Water reservoir bottles were emptied and 50 mL of 0.2% chlorhexidine mouthwash was introduced into the tank. Then the water syringe was used to flush the waterline until the pink-colored chlorhexidine was observed to flow from the water syringe. Before the next day′s session and before the students used the unit, two water samples from the water syringe and water turbine was collected. The samples were transferred to the laboratory. After 48 h at 37°C, the microbial colonies were counted. The number of these colonies was evaluated using colony forming unit CFU. Data were analyzed with Mann - Whitney U test and SPSS 13.5 statistical program. The statistical significance was defined at P ≤ 0.05. Results: All 35 units were contaminated before chlorhexidine use; no contamination was detected after adding chlorhexidine to the waterlines of the units. After week 1, 28 of the 30 treated dental unit waterlines (DUWLs had values of CFU/mL less than 200. Conclusion: The present study showed that the use of chlorhexidine could reduce microbial counts in dental unit waterlines.

  6. Toxicity of chlorhexidine on odontoblast-like cells

    Directory of Open Access Journals (Sweden)

    Fernanda Campos Rosetti Lessa

    2010-02-01

    Full Text Available Chlorhexidine gluconate (CHX is recommended for a number of clinical procedures and it has been pointed out as a potential cavity cleanser to be applied before adhesive restoration of dental cavities. OBJECTIVE: As CHX may diffuse through the dentinal tubules to reach a monolayer of odontoblasts that underlies the dentin substrate, this study evaluated the cytotoxic effects of different concentrations of CHX on cultured odontoblast-like cells (MDPC-23. MATERIAL AND METHODS: Cells were cultured and exposed to CHX solutions at concentrations of 0.06%, 0.12%, 0.2%, 1% and 2%. Pure culture medium (α-MEM and 3% hydrogen peroxide were used as negative and positive control, respectively. After exposing the cultured cells to the controls and CHX solutions for 60 s, 2 h or 60 s with a 24-h recovery period, cell metabolism (MTT assay and total protein concentration were evaluated. Cell morphology was assessed under scanning electron microscopy. CHX had a dose-dependent toxic effect on the MDPC-23 cells. RESULTS: Statistically significant difference was observed when the cells were exposed to CHX in all periods (p<0.05. Significant difference was also determined for all CHX concentrations (p<0.05. The 60-s exposure time was the least cytotoxic (p<0.05, while exposure to CHX for 60 s with a 24-h recovery period was the most toxic to the cells (p<0.05. CONCLUSION: Regardless of the exposure time, all CHX concentrations had a high direct cytotoxic effect to cultured MDPC-23 cells.

  7. Antibacterial effects of electrospun chitosan/poly(ethylene oxide) nanofibrous membranes loaded with chlorhexidine and silver

    NARCIS (Netherlands)

    Song, J.; Remmers, S.J.; Shao, J.; Kolwijck, E.; Walboomers, X.F.; Jansen, J.A.; Leeuwenburgh, S.C.; Yang, F.

    2016-01-01

    To prevent percutaneous device associated infections (PDAIs), we prepared electrospun chitosan/poly(ethylene oxide) (PEO) nanofibrous membrane containing silver nanoparticles as an implantable delivery vehicle for the dual release of chlorhexidine and silver ions. We observed that the silver nanopar

  8. Delmopinol-induced matrix removal facilitates photodynamic therapy and chlorhexidine methods for disinfecting mixed oral biofilms

    Science.gov (United States)

    Rogers, Stephen Christopher

    It is often observed that the slimy matrixes of various bacterial-formed biofilms can limit their disinfection. This investigation demonstrated that disinfection effectiveness by either photodynamic therapy (PDT) or chlorhexidine irrigation is significantly improved by collapse of that matrix using the non-bactericidal reagent delmopinol as part of the treatment sequence. Cyclic shear-producing conditions were used to grow 4-day, whole salivary and growth media biofilms on glow-discharge-treated polystyrene (N=46) and mini-germanium internal reflection prisms to serve in a periodontal crypt model of disinfection by either methylene-blue-mediated PDT or by chlorhexidine irrigation. Assays for bacterial viability, with and without treatments, were performed by alamarBlueRTM fluorescent methods, statistically applied (ANOVA, Tukey's HSD). Multiple Attenuated Internal Reflection Infrared (MAIR-IR) assays confirmed selective removal of the predominantly polysaccharide matrix materials by the delmopinol treatment, but not by equivalent water or chlorhexidine methods. Confocal-IR microscopy showed that the delmopinol reagent, alone, caused about one-third of each wet biofilm to be removed, while bacterial re-growth was confirmed by alamarBlueRTM assay. Chlorhexidine and PDT suppression of bacterial activity without regrowth was significantly improved with the added delmopinol treatment, and is likely to provide similarly beneficial results in the effective disinfection of diverse biofilms in many settings.

  9. Chlorine dioxide and chlorhexidine mouthrinses compared in a 3-day plaque accumulation model

    NARCIS (Netherlands)

    Paraskevas, S.; Rosema, N.A.M.; Versteeg, P.; van der Velden, U.; van der Weijden, G.A.

    2008-01-01

    Background: The aim of this study was to investigate the inhibiting effect of a chlorine dioxide mouthrinse as opposed to a mouthrinse containing chlorhexidine (0.20%) during 3 days of plaque accumulation. Methods: At baseline, all participants (N = 77) received a professional prophylaxis and were r

  10. Effects of chlorhexidine varnish on caries during orthodontic treatment: a systematic review and meta-analysis

    Directory of Open Access Journals (Sweden)

    Elaine Machado Pingueiro OKADA

    Full Text Available Abstract This study aimed to perform a systematic review and meta-analysis to evaluate the effectiveness of chlorhexidine varnish on the reduction of caries incidence during fixed orthodontic treatment. The literature searches involved The Cochrane Library, Medline, Scopus, OpenSigle databases and manual searches. The search on OpenSigle did not produce any additional articles. Clinical studies conducted in patients with orthodontic fixed appliances that used professional application of chlorhexidine varnish were included. The effect-size was calculated and a meta-analysis was performed. From 182 abstracts, a total of six articles fulfilled the inclusion criteria. After reading the full articles, one was excluded because of lack of a control group. Three articles were used for continuous data analysis, and two articles were used for the dichotomous data analysis. The pooled meta-analysis with continuous data demonstrated chlorhexidine varnish effectiveness on caries reduction (p = 0.003, with a mean difference and confidence interval of −1.49 [−2.47, −0.51]. On the basis of the pooled meta-analysis of continuous data, we were able to conclude that professional application of chlorhexidine varnish is effective in caries incidence reduction during fixed orthodontic treatment.

  11. Effect of a chlorhexidine-containing brush-on gel on peri-implant mucositis

    DEFF Research Database (Denmark)

    Hallström, H; Lindgren, S; Twetman, S

    2017-01-01

    OBJECTIVE: The aim was to evaluate the effect of a chlorhexidine-containing brush-on gel when used as supplement to oral hygiene instructions and mechanical debridement, on peri-implant mucositis in adults. MATERIALS AND METHODS: The study group consisted of 38 adults (48-87 years.) with peri-implant...... of peri-implant mucositis....

  12. EFFECT OF A COMBINED CHLORHEXIDINE AND NAF MOUTHRINSE - AN IN-VIVO HUMAN CARIES MODEL STUDY

    NARCIS (Netherlands)

    ULLSFOSS, BN; OGAARD, B; ARENDS, J; RUBEN, J; ROLLA, G; AFSETH, J

    1994-01-01

    Chlorhexidine (CHX) is probably the most widely used and the most potent chemical plaque inhibitory agent, whereas fluoride (F-) is the only truly accepted anticaries agent available at present. As they have discrete mechanisms of action, a combination effect of these agents on human dental caries m

  13. Evaluation of Antibacterial Efficacy of MTA with and without Additives Like Silver Zeolite and Chlorhexidine

    Science.gov (United States)

    Patil, Anand; Giriyappa, Ramesh Halebathi; Singh, Thakur Veerandar; Jyotsna, Sistla Venkata; Rairam, Surabhi

    2016-01-01

    Introduction Microorganisms, predominantly Enterococcus faecalis are found responsible in the progression of pulpal, periradicular diseases and in endodontic failures. Unsuccessful conventional treatment might necessitate the need for a surgical approach; where in retrograde restorative materials are used to seal the apex. Among the root end filling materials, Mineral Trioxide Aggregate (MTA) is considered biocompatible and is most commonly used in clinical applications but it has limited antibacterial activity. Metallic silver and chlorhexidine have been added into various dental materials to enhance the antibacterial activity. Aim This study aimed to compare the antibacterial effect of MTA, MTA mixed with silver zeolite and MTA mixed with chlorhexidine against Enterococcus faecalis. Materials and Methods Test materials used in the study were divided into three groups namely Group 1- MTA, Group 2-MTA + Silver Zeolite, Group 3-MTA + Chlorhexidine. Direct contact test was done by placing a standardized suspension of Enterococcus faecalis on the test materials in a 96 well microtiter plate. The bacterial growth was measured spectrophotometrically using ELISA reader at intervals of one, three and seven days. Statistical Analysis Data was collected by recording the optical density and analyzed using two-way ANOVA and Tukey’s multiple post hoc test followed by paired-t test. Results and Conclusion All test groups showed antibacterial activity against Enterococcus faecalis at day one, three and seven. MTA with silver zeolite showed the maximum antibacterial activity followed by MTA with 2% chlorhexidine. The least antibacterial effect was shown by MTA mixed with sterile water. PMID:27504400

  14. Chlorhexidine mouthwash and sodium lauryl sulphate dentifrice: do they mix effectively or interfere?

    NARCIS (Netherlands)

    Elkerbout, T.A.; Slot, D.E.; Bakker, E.W.P.; Van der Weijden, G.A.

    2016-01-01

    Focused question: What is the effectiveness of a chlorhexidine (CHX) mouthwash used in combination with a sodium lauryl sulphate (SLS) dentifrice on the parameters of plaque and gingivitis? Material and methods: MEDLINE-PubMed, Cochrane-CENTRAL, EMBASE and other electronic databases were searched up

  15. The effect of chlorhexidine varnish on root caries: a systematic review

    NARCIS (Netherlands)

    Slot, D.E.; Vaandrager, N.C.; Loveren, C. van; Palenstein Helderman, W.H. van; Weijden, G.A. van der

    2011-01-01

    OBJECTIVE: The aim of this study was to systematically review the present literature on the effect of chlorhexidine varnish (CHX-V) on root caries. MATERIALS AND METHODS: The MEDLINE-PubMed, the Cochrane-CENTRAL and EMBASE databases were searched through December 2010 to identify any appropriate stu

  16. Effect of Manuka honey, chlorhexidine gluconate and xylitol on the clinical levels of dental plaque

    Directory of Open Access Journals (Sweden)

    Prathibha A Nayak

    2010-01-01

    Full Text Available Aims: To compare the effect of Manuka honey, chlorhexidine gluconate (0.2% mouthwash and xylitol chewing gum on the dental plaque levels. Materials and Methods: Sixty healthy male dental students aged between 21 and 25 years (mean age 23.4 years participated in the study. All the subjects received a professional prophylaxis at the start of the study, with the purpose of making the dentition 100% free of plaque and calculus. The subjects were then randomly divided into three groups, i.e. the Manuka honey group, the chlorhexidine gluconate mouthwash group and the xylitol chewing gum group. Rinsing with water or any other fluid after the procedure was not allowed as also any form of mechanical oral hygiene for all the subjects during the experimental period of 72 h. After the experimental period, the plaque was disclosed using disclosing solution and their scores were recorded at six sites per tooth using the Quigley and Hein plaque index modified by Turesky-Gilmore-Glickman. Results: The mean plaque scores for Groups I, II and III were 1.37, 1.35 and 1.57, respectively. The ANOVA revealed that between-group comparison was significant, with an F-value of 5.99 and a probability value of 0.004. The T-test was carried out to evaluate the inter-group significance, which revealed that the plaque inhibition by Manuka honey was similar to that of chlorhexidine mouthwash. Both Manuka honey and chlorhexidine mouthwash reduced plaque formation significantly, better than the xylitol chewing gum. Conclusion: Manuka honey and chlorhexidine mouthwash reduced plaque formation significantly better than xylitol chewing gum.

  17. Strength characteristics and marginal sealing ability of chlorhexidine-modified glass ionomer cement: An in vitro study

    OpenAIRE

    Ahluwalia, P.; Chopra, S; Thomas, A. M.

    2012-01-01

    Background: This study was done to compare and evaluate the compressive strength, diametral tensile strength, and microleakage of glass ionomer cement and chlorhexidine-modified glass ionomer cement. The glass ionomer cements used in the study were Fuji IX for group I and chlorhexidine-modified glass ionomer cement for group II. Materials and Methods: The strength characteristics (compressive and diametral tensile strengths) and microleakage of both the groups were evaluated after 24 h. Stude...

  18. Comparative analysis of Salmonella susceptibility and tolerance to the biocide chlorhexidine identifies a complex cellular defence network

    Directory of Open Access Journals (Sweden)

    Orla eCondell

    2014-08-01

    Full Text Available Chlorhexidine is one of the most widely used biocides in health and agricultural settings as well as in the modern food industry. It is a cationic biocide of the biguanide class. Details of its mechanism of action are largely unknown. The frequent use of chlorhexidine has been questioned recently, amidst concerns that an overuse of this compound may select for bacteria displaying an altered susceptibility to antimicrobials, including clinically important anti-bacterial agents.We generated a Salmonella enterica serovar Typhimurium isolate (ST24CHX that exhibited a high-level tolerant phenotype to chlorhexidine, following several rounds of in vitro selection, using sub-lethal concentrations of the biocide. This mutant showed altered suceptibility to a panel of clinically important antimicrobial compounds. Here we describe a genomic, transcriptomic, proteomic, and phenotypic analysis of the chlorhexidine tolerant S. Typhimurium compared with its isogenic sensitive progenitor. Results from this study describe a chlorhexidine defence network that functions in both the reference chlorhexidine sensitive isolate and the tolerant mutant. The defence network involved multiple cell targets including those associated with the synthesis and modification of the cell wall, the SOS response, virulence, and a shift in cellular metabolism towards anoxic pathways, some of which were regulated by CreB and Fur. In addition, results indicated that chlorhexidine tolerance was associated with more extensive modifications of the same cellular processes involved in this proposed network, as well as a divergent defence response involving the up-regulation of additional targets such as the flagellar apparatus and an altered cellular phosphate metabolism.These data show that sub-lethal concentrations of chlorhexidine induce distinct changes in exposed Salmonella, and our findings provide insights into the mechanisms of action and tolerance to this biocidal agent.

  19. Bacteriologic investigation of the effects of sodium hypochlorite and chlorhexidine during the endodontic treatment of teeth with apical periodontitis

    OpenAIRE

    Siqueira Jr., José F.; Rocas,Isabela N.; Paiva, Simone S. M.; Pinto, Tatiana Guimarães; Magalhães, Karen M.; de Lima, Kenio C.

    2007-01-01

    SIQUEIRA JR. et al. Bacteriologic investigation of the effects of sodium hypochlorite and chlorhexidine during the endodontic treatment of teeth with apical periodontitis. Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod., v. 104, n. 1, p. 122-130, 2007. Objective. This clinical study was undertaken to compare the effectiveness of 2.5% sodium hypochlorite (NaOCl) and 0.12% chlorhexidine digluconate as irrigants in reducing the cultivable bacterial populations in infected root canals...

  20. Antimicrobial efficacy of the combination of chlorhexidine digluconate and dexpanthenol

    Directory of Open Access Journals (Sweden)

    Kramer, Axel

    2016-12-01

    Full Text Available Objective: The objective of this standardised experimental study was to investigate the antimicrobial efficacy of the combination of chlorhexidine digluconate (CHX and the anti-inflammatory pro-vitamin dexpanthenol, which stimulates wound-healing, in the form of Bepanthen Antiseptic Wound Cream, in order to rule out possible antagonistic combination effects of CHX and the alcohol analogue of pantothenic acid (vitamin B5 dexpanthenol.Method: Testing was carried out using the quantitative suspension test at conditions simulating wound bio-burden. Test strains included (ATCC 10541 and (ATCC 10231 in accordance with the standard methods of the German Hygiene and Microbiology Society with the following three organic challenges: i cell culture medium MEM with Earle’s salts, L-glutamine and 10% foetal calf serum (CCM; ii 10% sheep’s blood; iii or a mixture of 4.5% albumin, 4.5% sheep’s blood and 1% mucin. For methodological reasons, the wound cream was tested as a 55% dilution, prepared with 1% Tween 80 (equivalent to a content of 0.275% CHX instead of 0.5% as in the original preparation. CHX 0.275% was tested as control in an aqueous solution and in 1% Tween 80. Additionally, 1% Tween 80 was tested in order to rule out an interfering effect of the dilution medium. A combn of 3% Tween 80, 3% saponin, 0.1% histidine, 0.3% lecithin, 0.5% Na-thiosulphate and 1% ether sulphate was identified as the most appropriate neutraliser during the experiments.Results: Exposed to CCM or 10% sheep’s blood, the tested wound cream fulfilled the requirements for a wound antiseptic against both test species with ≥3 log reduction at 10 minutes. Even at the the worst-case challenge test with 4.5% albumin, 4.5% sheep’s blood and 1% mucin, the requirement for a ≥3 log reduction was met after 24 hours of exposure. Interestingly, the aqueous solution of 0.275% CHX tested as control did not achieve the antimicrobial efficacy of the combination of CHX and 5

  1. Preoperative administration of 0.2% chlorhexidine mouthrinse reduces the risk of bacteraemia associated with intra-alveolar tooth extraction.

    Science.gov (United States)

    Ugwumba, Chinedu U; Adeyemo, Wasiu L; Odeniyi, Olalekan M; Arotiba, Godwin T; Ogunsola, Folasade T

    2014-12-01

    The aim of the study was to investigate the effect of preoperative 0.2% chlorhexidine mouthwash on the risk of bacteraemia following routine intra-alveolar tooth extraction. The study was a randomized controlled clinical study of 101 subjects who underwent intra-alveolar dental extractions under local anaesthesia. Subjects were randomly assigned to either chlorhexidine or a control group. The chlorhexidine group had 0.2% chlorhexidine mouthwash administered for 1 min before any dental manipulation, and the control group had a mouthrinse of sterile water. Blood samples were collected at baseline, 1 min and 15 min after the dental extractions. Subculture and further identification of the isolated bacteria were performed by conventional microbiological techniques. There was a statistically significant difference in the incidence of bacteraemia between the control group (52.4%) and chlorhexidine group (27.1%) (P = 0.012). Bacteraemia was most frequently detected at 1 min after extraction (33.3%). Of the 30 subjects who had positive blood culture at 1 min, bacteraemia persisted in 8 (26.7%) of the subjects after 15 min. Bacteria isolated included Staphylococcus aureus, Actinomycetes naesulendi, Prevotella species, Streptococcus spp., and Acinetobacter iwoffii. Routine use of 0.20% chlorhexidine mouthwash before dental extraction is recommended to reduce the risk of bacteraemia following tooth extraction.

  2. The conductivity measurements applied for the evaluation of controlled release of chlorhexidine from thermosensitive N-isopropylacrylamide derivative microgels.

    Science.gov (United States)

    Musiał, Witold; Kokol, Vanja; Voncina, Bojana

    2009-01-01

    The aim of the work was the evaluation of the conductivity changes in aqueous environment, consisting of chlorhexidine, and N-isopropylacrylamide derivative microgel, during increasing the temperature between 25 degrees C and 42 degrees C, as a prerequisite to develop the this microgel for controlled release of chlorhexidine, when alterations in temperature are involved. Conductivity of studied systems underwent specific alterations, when temperature increased. For the system with polymer PNM I the values of conductivity were in the range 104,47 microS/cm - 134,70 microS/ cm, for temperature range 25 degrees C and 42 degrees C. In the case of PNM II - CX system, respective values reached 91,75 microS/cm - 135,95 microS/cm. The lowest conductivity values were observed when PNM III - CX mixture was studied: 96,90 microS/cm and 117,37 microS/cm. When a complex of derivatives of N-isopropylacrylamide with chlorhexidine undergoes thermal alteration, there is a potential to obtain controlled release of chlorhexidine from the polymeric bead in the range between 25 degrees C and 42 degrees C. The affinity of chlorhexidine to the polymer may be assessed in this systems applying the conductivity measurements. The solubility of chlorhexidine in the polymeric systems should be in future evaluated, to determine role of this factor in the conductivity alterations.

  3. Differential adhesion of Streptococcus gordonii to anatase and rutile titanium dioxide surfaces with and without functionalization with chlorhexidine.

    Science.gov (United States)

    Barbour, Michele E; Gandhi, Nikhil; el-Turki, Adel; O'Sullivan, Dominic J; Jagger, Daryll C

    2009-09-15

    The majority of dental implants are composed primarily of titanium and have an outer layer of titanium dioxide. Crystalline titanium dioxide most commonly exists in one of the two structures, anatase and rutile, and both of these have been observed on commercially available dental implants. Early implant failure can be associated with postoperative infection due to implant contamination during or immediately after surgery. The impetus of this study was to investigate whether functionalization of anatase and rutile titanium dioxide surfaces with chlorhexidine-reduced subsequent colonization of the surface by Streptococcus gordonii. Exposure to 100 mg x L(-1) chlorhexidine for 60 s resulted in a fivefold reduction in S. gordonii coverage on anatase and a twofold reduction on rutile. This may be related to a preferential adsorption of chlorhexidine to anatase compared with rutile. The reduction in bacterial coverage was not due to desorption of chlorhexidine into solution. More bacteria were observed on anatase than rutile surfaces without chlorhexidine functionalization, indicating that crystal structure may have a significant effect on bacterial colonization. In conclusion, functionalization with chlorhexidine reduced bacterial coverage on titanium dioxide surfaces, and anatase surfaces may be more amenable to such treatment than rutile.

  4. [Outbreak due to Serratia marcescens associated with intrinsic contamination of aqueous chlorhexidine].

    Science.gov (United States)

    Hervé, Beatrice; Chomali, May; Gutiérrez, Cecilia; Luna, Mariana; Rivas, Jeannette; Blamey, Rodrigo; Espinoza, Ricardo; Izquierdo, Giannina; Cabezas, Catalina; Alvarez, Claudia; de la Fuente, Sebastián

    2015-10-01

    Serratia marcescens is a widely distributed gram-negative rod, often associated to nosocomial infections. Some outbreaks linked to contaminated antiseptic solutions have been reported. In this study we report a nosocomial outbreak of surgical site infection and catheter insertion site infection due to S. marcescens. 33 patients with positive cultures were studied after an index case was identified. Epidemiological, microbiological and molecular analysis demostrated an intrinsic contamination of alcohol free chlorhexidine solution as causal factor. Positive cultures were associated with 13 clinical infections, 9 colonized patients, 6 pseudobacteremia episodes and 5 patients without documented exposure. Hospital and national recall of contaminated chlorhexidine solution was performed after this study. Intrinsic contamination of antiseptic solutions is an infrequent cause of nosocomial infections with major epidemiological relevance.

  5. Can 1% chlorhexidine diacetate and ethanol stabilize resin-dentin bonds?

    Science.gov (United States)

    Manso, Adriana Pigozzo; Grande, Rosa Helena Miranda; Bedran-Russo, Ana Karina; Reis, Alessandra; Loguercio, Alessandro D.; Pashley, David Henry; Carvalho, Ricardo Marins

    2014-01-01

    Objectives To examine the effects of the combined use of chlorhexidine and ethanol on the durability of resin-dentin bonds. Methods Forty-eight flat dentin surfaces were etched (32% phosphoric acid), rinsed (15 s) and kept wet until bonding procedures. Dentin surfaces were blot-dried with absorbent paper and re-wetted with water (Water, control), 1% chlorhexidine diacetate in water (CHD/Water), 100% ethanol (Ethanol), or 1% chlorhexidine diacetate in ethanol (CHD/Ethanol) solutions for 30 s. They were then bonded with All Bond 3 (AB3, Bisco) or Excite (EX, Ivoclar-Vivadent) using a smooth, continuous rubbing application (10 s), followed by 15 s gentle air stream to evaporate solvents. The adhesives were light-cured (20 s) and resin composite build-ups constructed for the microtensile method. Bonded beams were obtained and tested after 24-hours, 6-months and 15-months of water storage at 37°C. Storage water was changed every month. Effects of treatment and testing periods were analyzed (ANOVA, Holm-Sidak, p<0.05) for each adhesive. Results There were no interactions between factors for both etch-and-rinse adhesives. AB3 was significantly affected only by storage (p = 0.003). Excite was significantly affected only by treatments (p = 0.048). AB3 treated either with ethanol or CHD/ethanol resulted in reduced bond strengths after 15 months. The use of CHD/ethanol resulted in higher bond strengths values for Excite. Conclusions Combined use of ethanol/1% chlorhexidine diacetate did not stabilize bond strengths after 15 months. PMID:24815823

  6. Time-Dependent Effects of Chlorhexidine Soaks on Grossly Contaminated Bone

    Science.gov (United States)

    2012-10-01

    leads to a disproportionately large increase of bacterial colonization on allograft surfaces.1 Additionally, bacteria that are present on reimplanted...remove adherent bacteria from bone. J Bone Joint Surg Am. 2001;83-A:412 419. 21. Soyer J, Rouil M, Castel O. The effect of 10% povidone iodine solution...tendon autografts using 10% povidone iodine solution. Orthopedics. 1999;22:601 604. 23. Burd T, Conroy BP, Meyer SC, et al. The effects of chlorhexidine

  7. A comparative evaluation of efficacy of Punica granatum and chlorhexidine on plaque and gingivitis

    Directory of Open Access Journals (Sweden)

    Sakshi Ahuja

    2011-01-01

    Full Text Available Background: Periodontal diseases are chronic bacterial infections that lead to gingival inflammation, periodontal tissue destruction, and alveolar bone loss. Acting as powerful allies in the fight against periodontal disease, natural compounds can help safeguard against lethal age-related diseases that emanate from our mouths. Punica granatum (pomegranate shrub belongs to the Punicaceae family which has been used as an astringent, hemostatic, antidiabetic, antihelmintic, and also for diarrhea and dysentery. The aim of the present work was to investigate the possible efficacy of hydroalcoholic extract from Punica granatum fruit as an antiplaque and antigingivitis agent when compared with chlorhexidine. Materials and Methods: Twenty subjects diagnosed with chronic generalized gingivitis were selected and randomly divided into two groups: Group 1 - Pomegranate mouthwash and Group 2 - Chlorhexidine mouthwash. Punica granatum mouthwash was prepared using raw Punica granatum fruit. Patients were instructed to use the prescribed mouthwash for 15 days. Clinical evaluation was undertaken using the gingival index, the plaque index, and bleeding on probing at baseline, 7 days, and 15 days. Results: The clinical study observed significant improvement in gingival status in both the sites (P<0.05. Subjects using Punica granatum mouthwash showed significant improvement in bleeding and gingivitis score as compared with chlorhexidine. In contrast, Punica granatum was shown not to be so effective in reducing plaque scores. Chlorhexidine still remains as a standard in the reduction of plaque in subjects with gingivitis. Conclusion: Punica granatum mouthwash is beneficial in improving gingival status due to its profound styptic action, with sufficient reduction in plaque scores.

  8. Influence of chlorhexidine application on longitudinal adhesive bond strength in deciduous teeth

    Directory of Open Access Journals (Sweden)

    Vicente Castelo Branco Leitune

    2011-10-01

    Full Text Available The aim of this study was to evaluate the influence of applying 2% chlorhexidine for 30 seconds after phosphoric acid conditioning of dentin on the immediate and long-term bond strengths in deciduous teeth. The occlusal enamel was removed from 40 human sound deciduous molars, which were exfoliated by natural means, and the dentin was conditioned with 37% phosphoric acid for 15 seconds and washed with running water. The specimens were divided into two groups of 20 teeth. The test group received an application of 2% chlorhexidine for 30 seconds prior to a three-step etch-and-rinse adhesive system, whereas the control group received only the adhesive system. Three cylindrical restorations were made with a composite resin for each tooth. Ten teeth in each group were submitted to a microshear bond strength test after 24 hours, while the remaining teeth were stored in distilled water at 37 °C for 6 months before testing the microshear bond strength. The test group had a higher bond strength than did the control group after 6 months of storage. No statistical differences were found when groups with the same dentin treatment were compared at different times. Short applications of chlorhexidine at low concentrations prevent hybrid layer degradation and positively affect bond strength over time.

  9. Effects of chlorhexidine, essential oils and herbal medicines (Salvia, Chamomile, Calendula) on human fibroblast in vitro.

    Science.gov (United States)

    Wyganowska-Swiatkowska, Marzena; Urbaniak, Paulina; Szkaradkiewicz, Anna; Jankun, Jerzy; Kotwicka, Malgorzata

    2016-01-01

    Antiseptic rinses have been successfully used in inflammatory states of the gums and oral cavity mucosa. Antibacterial effects of chlorhexidine, essential oils and some herbs are well documented. Reaction of host tissue to these substances has much poorer documentation. The aim of the study was to analyse the influence of chlorhexidine (CHX), essential oil (EO: thymol, 0.064%; eucalyptol, 0.092%; methyl salicylate, 0.060%; menthol, 0.042%) mouth rinses and salvia, chamomile and calendula brews on fibroblast biology in vitro. The human fibroblast CCD16 line cells were cultured in incubation media which contained the examined substances. After 24 and 48 hours, the cell morphology, relative growth and apoptosis were evaluated. Exposure of fibroblasts to CHX, EO or salvia caused various changes in cell morphology. Cells cultured for 48 hours with CHX revealed a noticeably elongated shape of while cells cultured in high EO concentration or with salvia were considerably smaller and contracted with fewer projections. Chlorhexidine, EO and salvia reduced the fibroblast proliferation rate and stimulated cell death. Both reactions to EO were dose dependent. Cells exposure to chamomile or calendula brews did not change morphology or proliferation of fibroblasts. The results of this in vitro study showed that in contrast to chamomile and calendula, the brews of EO, CHX or salvia had a negative influence on fibroblast biology.

  10. Synthesis and Characterization of New Chlorhexidine-Containing Nanoparticles for Root Canal Disinfection

    Directory of Open Access Journals (Sweden)

    Ridwan Haseeb

    2016-06-01

    Full Text Available Root canal system disinfection is limited due to anatomical complexities. Better delivery systems of antimicrobial agents are needed to ensure efficient bacteria eradication. The purpose of this study was to design chlorhexidine-containing nanoparticles that could steadily release the drug. The drug chlorhexidine was encapsulated in poly(ethylene glycol–block–poly(l-lactide (PEG–b–PLA to synthesize bilayer nanoparticles. The encapsulation efficiency was determined through thermogravimetric analysis (TGA, and particle characterization was performed through microscopy studies of particle morphology and size. Their antimicrobial effect was assessed over the endodontic pathogen Enterococcus faecalis. The nanoparticles ranged in size from 300–500 nm, which is considered small enough for penetration inside small dentin tubules. The nanoparticles were dispersed in a hydrogel matrix carrier system composed of 1% hydroxyethyl cellulose, and this hydrogel system was observed to have enhanced bacterial inhibition over longer periods of time. Chlorhexidine-containing nanoparticles demonstrate potential as a drug carrier for root canal procedures. Their size and rate of release may allow for sustained inhibition of bacteria in the root canal system.

  11. In vitro antimicrobial activity of a commercial ear antiseptic containing chlorhexidine and Tris-EDTA.

    Science.gov (United States)

    Guardabassi, Luca; Ghibaudo, Giovanni; Damborg, Peter

    2010-06-01

    Minimum bactericidal concentrations (MBCs) of a commercial ear antiseptic containing chlorhexidine 0.15% and Tris-EDTA (Otodine) were determined by broth microdilution for 150 isolates representing the most common pathogens associated with canine otitis. The microorganisms were classified into three groups according to their levels of susceptibility. The most susceptible group included Staphylococcus pseudintermedius, Malassezia pachydermatis, Streptococcus canis and Corynebacterium auriscanis, which were generally killed by 1 : 64 dilution of the antiseptic product (MBC = 23/0.8 microg/mL of chlorhexidine/Tris-EDTA). The most resistant organism was Proteus mirabilis, which survived up to 1 : 8 dilution of the product (MBC = 375/12 microg/mL). Escherichia coli, Pseudomonas aeruginosa and Staphylococcus aureus displayed intermediate MBCs ranging between 188/6 and 47/1.5 microg/mL. Interestingly, S. pseudintermedius was more susceptible than S. aureus, and no significant difference was observed between meticillin-resistant and meticillin-susceptible isolates within each species, indicating that antiseptic use is unlikely to co-select for meticillin resistance. Although the concentrations required for killing (MBCs) varied considerably with microorganism type, the combination of chlorhexidine 0.15% and Tris-EDTA was active against all the pathogens most commonly involved in canine otitis.

  12. Comparison of a chlorhexidine and a benzoyl peroxide shampoo as sole treatment in canine superficial pyoderma.

    Science.gov (United States)

    Loeffler, A; Cobb, M A; Bond, R

    2011-09-01

    The clinical and antibacterial efficacy of two shampoos used as a sole antibacterial treatment in dogs with superficial pyoderma were investigated and compared. In a randomised, partially blinded study, a 3 per cent chlorhexidine gluconate shampoo (Chlorhex 3; Leo Animal Health) was compared against a 2.5 per cent benzoyl peroxide shampoo (Paxcutol; Virbac) in 22 dogs with superficial pyoderma. Dogs were washed two to three times weekly with a 10-minute contact time over 21 days. Clinical scores and bacterial counts were assessed on days 1, 8 and 22 and compared within and between treatment groups; overall response was assessed at the end of the study. Twenty dogs completed the study; 15 (68.2 per cent) showed an overall clinical improvement and the clinical signs resolved in three chlorhexidine-treated dogs. In the chlorhexidine-treated group, scores for papules/pustules (P<0.001), investigator-assessed pruritus (P=0.003), total bacterial counts (P=0.003) and counts for coagulase-positive staphylococci (P=0.003) were reduced after three weeks. Scores and bacterial counts did not vary significantly in the benzoyl peroxide-treated group.

  13. Results of gastroscope bacterial decontamination by enzymatic detergent compared to chlorhexidine

    Institute of Scientific and Technical Information of China (English)

    Rungsun Rerknimitr; Sorapat Eakthunyasakul; Pongpan Nunthapisud; Pradermchai Kongkam

    2006-01-01

    AIM: To compare the efficacy of enzymatic detergent with chlorhexidine for gastroscope bacterial decontamination.METHODS: A prospective randomized controlled study was undertaken to evaluate the ability of these 2 agents to achieve high level disinfection in a gastroscope. A total of 260 samples were collected from 5 different gastroscopes. Manual cleaning was done for 10 min with these 2 agents separately (n = 130 each). Then all specimens underwent 2% glutaraldehyde soaking for 20 min. After 70% alcohol was rinsed, sterile normal saline was flushed into each gastroscope channel and 40 mL of sample was collected. The sample was sent for aerobic bacterial culture after membrane was filtered. A colony count greater than 200 cfu/mL was considered significant.RESULTS: The positive culture rate was 4.6% in the enzymatic detergent arm and 3.1% in the chlorhexidine arm. Pseudomonas species were the main organism detected from both groups (60%). Multiple organisms were found from 4 specimens (enzymatic detergent arm = 1, chlorhexidine arm = 3).CONCLUSION: The contamination rate of both types of cleaning solution is equivalent.

  14. Efficacy of Concomitant Therapy with Fluoride and Chlorhexidine Varnish on Remineralization of Incipient Lesions in Young Children

    Science.gov (United States)

    Tandon, Shobha; Nayak, Rashmi; Ratnanag, P Venkat; Prajapati, Deepesh; Kamath, Namitha

    2016-01-01

    Aim To assess the effect of combined use of chlorhexidine and fluoride varnish on the remineralization of incipient carious lesions in young children. Materials and methods Twenty caries-active children (80 lesions) were randomly divided into four groups and subjected to initial examination. Caries status was assessed visually and with the aid of DIAGNOdent. Baseline enamel biopsies were obtained. Subjects of groups I and II received fluoride and chlorhexidine varnish respectively. Group III received both fluoride and chlorhexidine varnish alternatively, for a period of 4 weeks. Group IV served as the control. At 3-month follow-up, the incipient lesions were assessed again with DIAGNOdent and enamel biopsy. Results Increased calcium, phosphate, and fluoride levels were noticed in groups I, II, III compared to group IV, at the 3-month follow-up (p < 0.001). Conclusion The combined therapy with fluoride and chlorhex-idine varnish may be considered an alternative therapy for early reversal of incipient lesions. How to cite this article Naidu S, Tandon S, Nayak R, Ratnanag PV, Prajapati D, Kamath N. Efficacy of Concomitant Therapy with Fluoride and Chlorhexidine Varnish on Remineralization of Incipient Lesions in Young Children. Int J Clin Pediatr Dent 2016;9(4):296-302. PMID:28127159

  15. Chitosan nanoparticles enhance the antibacterial activity of chlorhexidine in collagen membranes used for periapical guided tissue regeneration.

    Science.gov (United States)

    Barreras, Uriel Soto; Méndez, Fernando Torres; Martínez, Rita Elizabeth Martínez; Valencia, Carolina Samano; Rodríguez, Panfilo Raymundo Martinez; Rodríguez, Juan Pablo Loyola

    2016-01-01

    Endodontic failure is mainly associated with the persistence of microbial infection in the root canal system and/or the periradicular area. Microorganisms and their toxins located in the root canal system may trigger apical periodontitis and tissue destruction. Tissue regeneration in periapical surgery by using membrane barriers has shown an improved healing and bone closure. However, bacterial membrane contamination is a main reason of failure. In this in vitro study, different brands of chlorhexidine, a combination of chitosan nanoparticles containing chlorhexidine were tested against Enterococcus faecalis on agar plate's cultures and infected collagen membranes. Our results indicated that chitosan nanoparticles acted synergistically with chlorhexidine, inhibiting and eliminating significantly a greater amount of colony former units in both BHI-agar cultures and infected collagen membranes. These results suggested that chitosan nanoparticles could be used to improve regenerative procedures in periapical surgery.

  16. Dynamics of plasma levels of specific IgE in chlorhexidine allergic patients with and without accidental re-exposure

    DEFF Research Database (Denmark)

    Opstrup, M S; Poulsen, L K; Malling, H J;

    2016-01-01

    BACKGROUND: Chlorhexidine is an effective disinfectant, which may cause severe allergic reactions. Plasma level of specific IgE to chlorhexidine (ImmunoCAP(®) ) has high estimated sensitivity and specificity when measured within 6 months of allergic reaction, but knowledge of the dynamics over...... longer time periods is lacking and it is unknown whether levels fall below IgE. OBJECTIVE: To investigate the dynamics of specific IgE in chlorhexidine allergic patients...... several years. RESULTS: Overall, 23 patients were included. Specific IgE within hours of reaction was available in eight patients and was >0.35 kUA/L in six of these. During allergy investigations, usually 2-4 months later, specific IgE was >0.35 kUA/L in 22 of 23 patients. In the following months...

  17. Cell surface hydrophobicity of oral Candida dubliniensis isolates following limited exposure to sub-therapeutic concentrations of chlorhexidine gluconate.

    Science.gov (United States)

    Ellepola, Arjuna N B; Joseph, Bobby K; Khan, Z U

    2013-01-01

    Candidal adhesion has been implicated as the initial step in the pathogenesis of oral candidiasis and cell surface hydrophobicity (CSH) has been implicated in adhesion to mucosal surfaces. Candida dubliniensis is an opportunistic pathogen associated with recurrent oral candidiasis. Chlorhexidine gluconate is by far the commonest antiseptic mouth wash prescribed in dentistry. At dosage intervals the intraoral concentration of this antiseptic fluctuates considerably and reaches sub-therapeutic levels due to the dynamics of the oral cavity. Hence, the organisms undergo only a limited exposure to the antiseptic during treatment. The impact of this antiseptic following such exposure on CSH of C. dubliniensis isolates has not been investigated. Hence, the main objective of this study was to investigate the effect of brief exposure to sub-therapeutic concentrations of chlorhexidine gluconate on the CSH of C. dubliniensis isolates. Twelve oral isolates of C. dubliniensis were briefly exposed to three sub-therapeutic concentrations of 0.005%, 0.0025% and 0.00125% chlorhexidine gluconate for 30 min. Following subsequent removal of the drug, the CSH of the isolates was determined by a biphasic aqueous-hydrocarbon assay. Compared with the controls, exposure to 0.005% and 0.0025% chlorhexidine gluconate suppressed the relative CSH of the total sample tested by 44.49% (P 0.05), four isolates of the group were significantly affected. These findings imply that exposure to sub-therapeutic concentrations of chlorhexidine gluconate may suppress CSH of C. dublinienis isolates, thereby reducing its pathogenicity and highlights further the pharmacodynamics of chlorhexidine gluconate.

  18. Novel high efficient coatings for anti-microbial surgical sutures using chlorhexidine in fatty acid slow-release carrier systems.

    Directory of Open Access Journals (Sweden)

    Andreas Obermeier

    Full Text Available Sutures can cause challenging surgical site infections, due to capillary effects resulting in bacteria permeating wounds. Anti-microbial sutures may avoid these complications by inhibiting bacterial pathogens. Recently, first triclosan-resistances were reported and therefore alternative substances are becoming clinically relevant. As triclosan alternative chlorhexidine, the "gold standard" in oral antiseptics was used. The aim of the study was to optimize novel slow release chlorhexidine coatings based on fatty acids in surgical sutures, to reach a high anti-microbial efficacy and simultaneously high biocompatibility. Sutures were coated with chlorhexidine laurate and chlorhexidine palmitate solutions leading to 11, 22 or 33 µg/cm drug concentration per length. Drug release profiles were determined in aqueous elutions. Antibacterial efficacy against Staphylococcus aureus was assessed in agar diffusion tests. Biocompatibility was evaluated via established cytotoxicity assay (WST-1. A commercially triclosan-containing suture (Vicryl Plus, was used as anti-microbial reference. All coated sutures fulfilled European Pharmacopoeia required tensile strength and proved continuous slow drug release over 96 hours without complete wash out of the coated drug. High anti-microbial efficacy for up to 5 days was observed. Regarding biocompatibility, sutures using 11 µg/cm drug content displayed acceptable cytotoxic levels according to ISO 10993-5. The highest potential for human application were shown by the 11 µg/cm chlorhexidine coated sutures with palmitic acid. These novel coated sutures might be alternatives to already established anti-microbial sutures such as Vicryl Plus in case of triclosan-resistance. Chlorhexidine is already an established oral antiseptic, safety and efficacy should be proven for clinical applications in anti-microbial sutures.

  19. Biofilm inhibitory effect of chlorhexidine conjugated gold nanoparticles against Klebsiella pneumoniae.

    Science.gov (United States)

    Ahmed, Ayaz; Khan, Anum Khalid; Anwar, Ayaz; Ali, Syed Abid; Shah, Muhammad Raza

    2016-09-01

    Klebsiella pneumoniae (K. pneumoniae) is one of the major pathogen associated with nosocomial infections, especially catheter associated urinary tract infections which involved biofilm formation. This study was designed to evaluate the antibiofilm efficacy of gold nanoparticle conjugated with chlorhexidine (Au-CHX) against K. pneumoniae isolates. Au-CHX was synthesized and analyzed for stability by using UV-Visible spectrophotometry, atomic force microscopy (AFM), fourier transform infrared spectroscopy (FT-IR) and electrospray ionization mass spectroscopy (ESI-MS). Biofilm inhibition and eradication was performed by crystal violet, 3-(4,5-dimethylthiazole-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assays and further confirmed by florescence and AFM microscopy. Au-CHX showed the maxima surface plasmon resonance (SPR) band at 535 nm, spherical morphology and polydispersity with size in the range of 20-100 nm. The micro molar concentrations (i.e. 25 and 100 μM) of Au-CHX completely inhibited the biofilm formation and metabolic activity within biofilms of K. pneumoniae reference and three tested clinical isolates, respectively. Time dependant biofilm inhibition assay showed that Au-CHX inhibited the early stage of biofilm formation. While at 75 and 100 μM concentrations, it also eradicated the established biofilms of K. pneumoniae isolates as compared to 2 mM chlorhexidine. Reduced florescence signals and surface roughness during microscopic analysis further confirms the antibiofilm activity of Au-CHX against K. pneumoniae ATCC13882 and clinical isolates. Thus it is concluded that chlorhexidine coated gold nanoparticle not only inhibits the biofilm formation of K. pneumoniae ATCC and clinical isolates but also eradicated the preformed biofilm.

  20. Colonization and infection in the newborn infant: Does chlorhexidine play a role in infection prevention?

    Science.gov (United States)

    Ortegón, Lizeth; Puentes-Herrera, Marcela; Corrales, Ivohne F; Cortés, Jorge A

    2017-02-01

    Healthcare-associated infections are a major problem in newborn infants, considering their high morbidity, mortality, and long-term sequelae. In preterm infants, it has been shown that skin and gastrointestinal tract colonization undergoes variations compared to healthy term infants, and that preterm infants are more exposed to nosocomial microorganisms given their higher probability of being admitted to the neonatal intensive care unit where they are cared for. This document reviews normal colonization, the changes observed during hospitalization, prematurity, and the potential role of chlorhexidine in the prevention of resistant microorganism transmission, as well as its side effects in newborn infants admitted to the neonatal intensive care unit.

  1. Keyboard cleanliness: a controlled study of the residual effect of chlorhexidine gluconate.

    Science.gov (United States)

    Jones, Rhiannon; Hutton, Anna; Mariyaselvam, Maryanne; Hodges, Emily; Wong, Katherine; Blunt, Mark; Young, Peter

    2015-03-01

    A controlled trial of once daily cleaning of computer keyboards in an intensive care unit was performed comparing 2% chlorhexidine gluconate-70% isopropyl alcohol (CHG) and a chlorine dioxide-based product used as a standard in our hospital. A study before and after the introduction of once daily keyboard cleaning with CHG in the wider hospital was also completed. Cleaning with CHG showed a sustained and significant reduction in bacterial colony forming units compared with the chlorine dioxide-based product, demonstrating its unique advantage of maintaining continuous keyboard cleanliness over time.

  2. Preoperative skin preparation with 2% chlorhexidine as a factor in the prevention of surgical site infection

    Directory of Open Access Journals (Sweden)

    Evelyn Solano Castro

    2014-04-01

    Full Text Available The results of secondary research that refers to preoperative skin preparation with antiseptic chlorhexidine 2% are presented. Surgical Site Infections are one of the most common complications in surgical procedures are associated with significant morbidity and mortality in the user and are the third -associated infection more frequent in the health care . Steps of clinical practice based on evidence were applied, considering in the first instance a question in PICO format, then a search for information in databases recommended in the Course of Clinical Nursing Practice Evidence-Based, taught by the program for Collaborative Research in Evidence-Based Nursing of Costa Rica ( CIEBE -CR . The PubMed database and Cochrane LIBRARY was consulted, National Center for Biotechnology Information ( NCBI, Google Scholar, CINAHL (cummulative Index of Nursing and Allied Health Literature. SCIELO (Scientific Electronic Library on line www.Scielo.org . 22 documents were recovered, but only three were selected because had methodological rigor. For the critical analysis Critical Reading Sheets 2.0 ( FLC software was used. Was concluded that 2% chlorhexidine, is the best choice for preoperative skin preparation antiseptic, however, it is necessary to conduct further studies in order to determine which is the correct way in strength, frequency, technical and adverse effects in the pediatric population.

  3. Agonistic and Antagonistic Interactions between Chlorhexidine and Other Endodontic Agents: A Critical Review.

    Science.gov (United States)

    Mohammadi, Zahed; Giardino, Luciano; Palazzi, Flavio; Asgary, Saeed

    2015-01-01

    Root canal irrigants play a significant role in elimination of the microorganisms, tissue remnants, and removal of the debris and smear layer. No single solution is able to fulfill all these actions completely; therefore, a combination of irrigants may be required. The aim of this investigation was to review the agonistic and antagonistic interactions between chlorhexidine (CHX) and other irrigants and medicaments. An English-limited Medline search was performed for articles published from 2002 to 2014. The searched keywords included: chlorhexidine AND sodium hypochlorite/ethylenediaminetetraacetic acid/calcium hydroxide/mineral trioxide aggregate. Subsequently, a hand search was carried out on the references of result articles to find more matching papers. Findings showed that the combination of CHX and sodium hypochlorite (NaOCl) causes color changes and the formation of a neutral and insoluble precipitate; CHX forms a salt with ethylenediaminetetraacetic acid (EDTA). In addition, it has been demonstrated that the alkalinity of calcium hydroxide (CH) remained unchanged after mixing with CHX. Furthermore, mixing CHX with CH may enhance its antimicrobial activity; also mixing mineral trioxide aggregate (MTA) powder with CHX increases its antimicrobial activity but this may negatively affect its mechanical properties.

  4. Efficacy of a surgical scrub including 2% chlorhexidine acetate for canine superficial pyoderma.

    Science.gov (United States)

    Murayama, Nobuo; Nagata, Masahiko; Terada, Yuri; Shibata, Sanae; Fukata, Tsuneo

    2010-12-01

    The clinical efficacy of a surgical scrub containing 2% chlorhexidine acetate (2CA; Nolvasan® Surgical Scrub; Fort Dodge Animal Health, USA) was evaluated for the topical management of canine superficial pyoderma. The first study was a randomized, double-blind, controlled trial. The control was a shampoo containing 4% chlorhexidine gluconate (4CG; Skin Clinic Shampoo; CHD MEDICS, Goyang, Korea). Ten dogs with symmetrical lesions of canine superficial pyoderma were allocated to receive either 2CA or the control shampoo applied to either side of the body twice weekly for 1 week. Both the owners and the investigators subjectively scored skin lesions including pruritus, erythema, crusted papules and scales on a scale of 0-3. The 2CA and 4CG resulted in almost the same degree of improvement of skin lesions, and there were no significant differences between the two groups. The second study was an open trial of 2CA monotherapy in eight dogs with cefalexin-resistant Staphylococcus intermedius group-associated superficial pyoderma. The 2CA monotherapy was applied every 2 days for 2 weeks. Five dogs improved with 2CA monotherapy, one partially improved and two did not. No adverse reactions were seen in either trial. This suggests that a 2CA surgical scrub could be a useful and safe topical adjunct therapy for dogs with superficial pyoderma involving cefalexin-resistant Staphylococcus intermedius group.

  5. Characterization of chlorhexidine-releasing, fast-setting, brushite bone cements.

    Science.gov (United States)

    Young, Anne M; Ng, Poon Yun J; Gbureck, Uwe; Nazhat, Showan N; Barralet, Jake E; Hofmann, Michael P

    2008-07-01

    The effect of antibacterial chlorhexidine diacetate powder (CHX) on the setting kinetics of a brushite-forming beta-tricalcium phosphate/monocalcium phosphate monohydrate (beta-TCP/MCPM) cement was monitored using attenuated total reflection Fourier transform infrared spectroscopy. The final composition of the set cement with up to 12 wt.% CHX content before and after submersion in water for 24h, the kinetics of chlorhexidine release and the total sample mass change in water over four weeks was monitored using Raman mapping, UV spectroscopy and gravimetry, respectively. Below 9 wt.%, CHX content had no significant effect on brushite formation rate at 37 degrees C, but at 12 wt.% the half-life of the reaction decreased by one-third. Raman mapping confirmed that brushite was the main inorganic component of the set cements irrespective of CHX content, both before and after submersion in water. The CHX could be detected largely as discrete solid particles but could also be observed partially dispersed throughout the pores of the set cement. The percentage of CHX release was found to follow Fick's law of diffusion, being independent of its initial concentration, proportional to the square root of time and, with 1mm thick specimens, 60% was released at 24h. Total set cement mass loss rate was not significantly affected by CHX content. On average, cements exhibited a loss of 7 wt.% assigned largely to surface phosphate particle loss within the initial 8h followed by 0.36 wt.% per day.

  6. Contamination of chlorhexidine cream used to prevent ascending urinary tract infections

    Energy Technology Data Exchange (ETDEWEB)

    Salveson, A.; Bergan, T.

    1981-06-01

    Chlorhexidine-containing cream is often used as an antimicrobial barrier to ascending urinary tract infection in patients with indwelling urethral catheters. The cream is dispensed in small tubes for personal use but repeated use of a tube still entails a potential infection hazard. The extent of cream contamination was analysed by emulsifying it in 1% peptone broth with 1% Tween-80 added as a wetting agent, and culturing quantitatively for bacteria and fungi by membrane filtration. Twenty-three per cent of cream samples and 35% of swabs taken from outside the tube beneath the screw cap demonstrated microbial contamination. Isolates included potential pathogens such as enterococci, staphylococci, Proteus mirabilis, Pseudomonas aeruginosa, opportunists like Moraxella spp. and diphtheroids, and contaminants such as Bacillus spp., micrococci, and a mould of the genus Cladosporium. Contamination of cream with a particular bacterial strain was found to precede urinary tract infection with the same microbe. We recommend that chlorhexidine cream for this use be dispensed in single dose units to ensure sterility.

  7. Effect of disinfecting the cavity with chlorhexidine on the marginal gaps of Cl V giomer restorations

    Science.gov (United States)

    Pournaghi-Azar, Fatemeh; Naser-Alavi, Fereshteh; Salari, Ashkan

    2017-01-01

    Background Considering the effect of cavity disinfecting agents on the bonding and sealing ability of restorations bonded to dentin, the aim of this study was to evaluate the effect of chlorhexidine (CHX) disinfecting agent on the marginal gaps of Cl V giomer restorations. Material and Methods Cl V cavities were prepared on the buccal surfaces of 60 sound bovine permanent incisors in this in vitro study, with the occlusal and gingival margins in enamel and dentin, respectively. The teeth were randomly divided into two groups (n=30). The teeth in groups 1 and 2 were restored without and with the use of the disinfecting agent in the cavity, respectively, before applying the adhesive. BeautiBond one-step self-etch adhesive and Beautifil II giomer were used to restore the cavities in both groups. After thermocycling and sectioning of the samples, the sizes of marginal gaps at gingival margins were measured in µm under a stereomicroscope. Mann-Whitney U test was used to compare marginal gaps at P<0.05 level of significance. Results The means of marginal gaps were significantly different between the two study groups (U=180, P<0.001), with higher means of marginal gaps in group 2 (with CHX disinfection) compared to group 1 (without CHX disinfection) (P<0.0005). Conclusions Application of CHX for the disinfection of cavities in giomer restorations resulted in an increase in gingival margin gaps. Key words:Chlorhexidine, dental marginal adaptation, dental restorations. PMID:28210436

  8. Ex vivo microbial leakage after using different final irrigation regimens with chlorhexidine

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    Esther NAVARRO-ESCOBAR

    2013-01-01

    Full Text Available Objective To assess the influence of final irrigation protocols with chlorhexidine in the coronal leakage of Enterococcus faecalis in filled root canals. Material and Methods Seventy single-root canals from extracted teeth were prepared using ProTaper instruments. The irrigation protocol accomplished an alternating irrigation with 5 mL of 2.5% sodium hypochlorite (NaOCI and 17% EDTA between each file. The teeth were randomly divided into four experimental groups (n=15 according to the final irrigation regimen: group 1, without final irrigation; group 2, irrigation with 10 mL 2.0% chlorhexidine (CHX; group 3, with a final application of EC40™; and group 4, irrigation with the combination (1:1 of 0.2% CHX + 0.1% cetrimide (CTR. All the teeth were mounted in a two-chamber apparatus and the coronal access was exposed to E. faecalis. The presence of turbidity in the BHI broth over a period of 180 days was observed. The Friedman test was used for statistical analysis. Results EC40™ varnish showed the least leakage at 180 days, and was statistically similar to 2% CHX. No significant differences were observed between the group without final irrigation and the 2% CHX group or 0.2% CHX + 0.1% CTR. Conclusions In this ex vivo study, EC40™ showed the longest delayed coronal leakage of E. faecalis, although without significant differences from 2% CHX.

  9. Daya antibakteri obat kumur chlorhexidine, povidone iodine, fluoride suplementasi zinc terhadap, Streptococcus mutans dan Porphyromonas gingivalis (Antibacterial effect of mouth washes containing chlorhexidine, povidone iodine, fluoride plus zinc on Strep

    Directory of Open Access Journals (Sweden)

    Betadion Rizki Sinaredi

    2014-12-01

    Full Text Available Background: Dental Caries and periodontal disease prevalence in Indonesian children are still high. Some efforts can be done to overcome the problem; one of them is the use of mouthwash to decrease pathogen microorganisms. The mouthwashes that commercially available in market are chlorhexidine, povidone Iodine and Fluoride with Zinc supplementation. Purpose: The purpose of this study was to examine the anti bacterial effect of the mouthwashes chlorhexidine, povidone iodine and fluoride with zinc supplementation against mix bacteria that found in the plaque, Streptococcus mutans and Porphyromonas gingivalis. Methods: The antibacterial effect was measured using disk diffusion test. The bacteria samples (plaque polybacteria, S.mutans and P. gingivalis were inoculated and spread in the petridish containing MHA. Paper discs containing the mouthwashes were placed in the petridish and incubated for 24 hours at 37oC (anaerobe for P. gingivalis, aerobe for S. mutans and polybacteria. The diameter of inhibition zone surrounding the paper discs were measured and compared between each active ingredient contained in mouthwash. Results: Chlorhexidine had the strongest antibacterial effect than povidone iodine and fluoride. Chlorhexidine was more effective to inhibited the growth of S. mutans than to polybacteria or P.Gingivalis, while Povidone iodine and fluoride were more effective to inhibited the growth of polybacteria. Conclusion: The mouthwash chlorhexidine was more effective to inhibit the growth of plaque polybacteria, Streptoccous mutans and Porphyromonas gingivalis compared with povidone iodine and fluoride with zinc supplementation.Latar belakang: Prevalensi karies gigi dan penyakit periodontal masih tinggi pada anak Indonesia. Usaha mengatasi hal tersebut antara lain melalui melalui penggunaan obat kumur untuk mengurangi jumlah kuman pathogen. Kandungan obat kumur yang beredar di pasar diantaranya adalah chlorhexidine, povidone iodine dan fluoride

  10. Essential oils compared to chlorhexidine with respect to plaque and parameters of gingival inflammation: a systematic review

    NARCIS (Netherlands)

    M.P.C. van Leeuwen; D.E. Slot; G.A. van der Weijden

    2011-01-01

    Background: The purpose of this review is to systematically evaluate the effects of an essential-oil mouthwash (EOMW) compared to a chlorhexidine mouthwash with respect to plaque and parameters of gingival inflammation. Methods: PubMed/MEDLINE and Cochrane CENTRAL databases were searched for studies

  11. Inhibition of early biofilm formation by glass-ionomer incorporated with chlorhexidine in vivo: a pilot study.

    NARCIS (Netherlands)

    Du, X.; Huang, X.; Huang, C.; Frencken, J.E.F.M.; Yang, T.

    2012-01-01

    BACKGROUND: This pilot study investigated the antibiofilm effects of glass-ionomer cements (GICs) and resin-modified glass-ionomer cements (RMGICs) incorporated with chlorhexidine (CHX) in vivo. METHODS: Experimental GICs and RMGICs containing 2% CHX were obtained by mixing CHX with the powder of GI

  12. Efficacy of a silicone urinary catheter impregnated with chlorhexidine and triclosan against colonization with Proteus mirabilis and other uropathogens.

    Science.gov (United States)

    Gaonkar, Trupti A; Caraos, Lauserpina; Modak, Shanta

    2007-05-01

    We sought to develop an infection-resistant urinary catheter. We evaluated 3 types of catheters for their efficacy against uropathogens in an in vitro model of the urinary tract. The catheter impregnated with chlorhexidine and triclosan suppressed the growth of uropathogens, including Proteus mirabilis, for 20-30 days or longer.

  13. Reduced costs for staphylococcus aureus carriers treated prophylactically with mupirocin and chlorhexidine in cardiothoracic and orthopaedic surgery

    NARCIS (Netherlands)

    M.M.L. van Rijen (Miranda); L.G.M. Bode (Lonneke); D.A. Baak (Diane); J.A.J.W. Kluytmans (Jan); M.C. Vos (Margreet)

    2012-01-01

    textabstractBackground: A multi centre double-blind randomised-controlled trial (M-RCT), carried out in the Netherlands in 2005-2007, showed that hospitalised patients with S. aureus nasal carriage who were treated prophylactically with mupirocin nasal ointment and chlorhexidine gluconate medicated

  14. Comparison of efficacy of cryotherapy and chlorhexidine to oral nutrition transition time in chemotherapy-induced oral mucositis.

    Science.gov (United States)

    Erden, Y; Ipekcoban, G

    2016-05-01

    The aim of this study was to compare the efficacy of cryotherapy and chlorhexidine to oral nutrition transition time in chemotherapy-induced oral mucositis. This randomised controlled trial with random assignments to the experimental and control groups was conducted with cancer patients. Study data were collected from 90 cancer patients. The first experimental group (n = 30) received chlorhexidine mouthwash, the second experimental group (n = 30) received oral cryotherapy and the control group (n = 30) received routine care. To collect data we used the 'Mucositis Rating Index'. Changes in patients' oral mucosa in each group were checked and oral feeding transition periods were recorded. There was an important statistical difference between the times of transition to oral nutrition for patients (P < 0.01). Oral nutrition transition time of patients in the first experimental group who had applied chlorhexidine was shorter than in other groups. Following the tests, we detected a significant shortening in oral nutrition transition time of patients in first group who used chlorhexidine gargle as compared to the second group and control group. There was no significant difference between cryotherapy application and control group. In parallel with these findings, we detected that the degree of oral mucositis decreased.

  15. Effect of a chlorhexidine/thymol and a fluoride varnish on caries development in erupting permanent molars

    DEFF Research Database (Denmark)

    Flamee, S; Gizani, S; Caroni, C

    2015-01-01

    AIM: To compare the caries preventive effect of a chlorhexidine/thymol-containing antibacterial varnish with a fluoride varnish when topically applied during the eruption of permanent molars. METHODS: The study group consisted of 189 patients, 5-14 years of age, with one 1st or 2nd permanent mola...

  16. Comparison the efficacy of herbal mouthwash with chlorhexidine on gingival index of intubated patients in Intensive Care Unit

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    Sahra Rezaei

    2016-01-01

    Full Text Available Background: Intubated patients in Intensive Care Unit (ICU are not able to take care of their mouth health, so they are at risk of bacterial colonization and dental plaques formation that can lead to systemic diseases such as pneumonia and gingivitis. Aims: In randomized, double-blind clinical study, the efficacy of natural herbal mouthwash containing Salvadora persica ethanol extract and Aloe vera gel was compared with chlorhexidine on gingival index (GI of intubated patients in ICU. Materials and Methods: Seventy-six intubated patients (18–64 years old with mean age 40.35 ± 13.2 in ICU were admitted to this study. The patients were randomly divided into two groups: (1 Herbal mouthwash and (2 chlorhexidine solution. Before the intervention, the GIs was measured by modified GI device into two groups. The mouth was rinsed by mouthwashes every 2–3 h for 4 days. 2 h after the last intervention, GIs were determined. Results: Along with mechanical methods, herbal mouthwash in reducing GI was statistically significant than that of chlorhexidine (P < 0.05. Conclusion: The results of this study introduce a new botanical extract mouthwash with dominant healing effects on GI (1.5 ± 0.6 higher than that of synthetic mouthwash, chlorhexidine (2.31 ± 0.73.

  17. Can mouth washes containing chlorhexidine 0.12% be used as synonym of a water solution of chlorhexidine 0.12%?

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    Ivana Barbosa Suffredini

    2015-06-01

    Full Text Available Chlorhexidine digluconate (CHX is a gold standard drug in dentistry and is widely used as a reference in both in vitro and in vivoexperiments. Due to ease of access, mouth washes containing CHX 0.12% are used as a substitute for aqueous CHX 0.12% solution in laboratory experiments. Additionally, it is well known that for product flavor purposes, volatile compounds are added to mouth washes formulations. Volatiles added to CHX 0.12% may improve wash's antibacterial ability. Volatiles add potency to the mouth wash formulation. Compared with an aqueous CHX 0.12% solution, it is proposed that CHX solutions and Periogard® would have antimicrobial activity. Antimicrobial activity was assessed in the present study via disk diffusion assays against Streptococcus mutans, Streptococcus sanguinisand Escherichia coli. Periogard® showed a significantly higher antibacterial activity in relation to CHX 0.12% (p0.05. Periogard(r volatiles were analyzed by gas-chromatography/mass spectrometry (GCMS and the presence of antibacterial menthol, menthone, isomenthol, menthyl acetate, trans-anethol and eugenol was verified. Finally, the use of Periogard® as a synonym of CHX 0.12% must be avoided, because its antibacterial activity is closely related to CHX 1%.

  18. [Simultaneous determination of chlorhexidine acetate and benzalkonium chloride in compound chemical disinfectants by capillary electrophoresis].

    Science.gov (United States)

    Song, Baohua; Ding, Xiaojing; Li, Jia; Wang, Zhi

    2012-09-01

    Benzalkonium chloride (BAC) is a mixture of alkyl substituted benzyl dimethylammonium chloride homologs (C12-BAC, C14-BAC and C16-BAC). Chlorhexidine acetate is a widely used effective component in compound chemical disinfectants. A method for the simultaneous determination of chlorhexidine acetate and benzalkonium chloride in compound chemical disinfectants by capillary electrophoresis (CE) was established. The CE analysis was carried out using an uncoated capillary with 50 microm i. d. and 37 cm total length. The running buffer was 150 mmol/L NaH2PO4-62.5 mmol/L H3PO4 (pH 2.5) containing 40% (v/v) acetonitrile. The sample medium was 50 mmol/L acetic acid-acetonitrile (1:1, v/v). The detection wavelength was 214 nm. The factors such as the buffer concentration and pH, the content of acetonitrile, which influenced the separation and accurate assay of compound chemical disinfectants were investigated in detail. The intra-day and inter-day precisions of the method were below 3. 0% and 3.7%, respectively. The limits of detection (LOD, signal to noise ratio (S/N) = 3) for chlorhexidine acetate, C12-BAC, Cl4-BAC and C16-BAC were 0. 3, 0.5, 0.5 and 0.5 mg/L, respectively. The limits of quantification (LOQ, S/N = 10) were 1.0, 1.5, 1.5, and 1.5 mg/L, respectively. The corrected peak area and the mass concentration of the four components mentioned above showed good linear relationships within the ranges of 1.0 - 400 mg/L, 1. 5 - 200 mg/L, 1.5 - 200 mg/L and 1.5 - 200 mg/L, with linear correlation coefficients (r) of 0.9995, 0.9998, 0.999 7 and 0.9998, respectively. The established method was used for the determination of the four disinfectants in the compound chemical disinfectants. The results were in good agreement with those obtained by the high performance liquid chromatographic method.

  19. Evaluation of antimicrobial efficacy of sodium hypochlorite, propolis, octenidine dihydrochloride and chlorhexidine on microorganisms

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    Demet Altunbaş

    2011-09-01

    Full Text Available

    ABSTRACT

    Objectives: The aim of this present study was to evaluate the antimicrobial effect of  2.5% sodium hypochlorite (NaOCl, 12.5% propolis, 25% propolis, octenidine dihydrochloride (OCT and 2% chlorhexidine (CHX on microorganisms with different structural characteristics.

    Materials and Methods: S. aureus, E. faecalis, E. coli and C. albicans were included in the study. Pre-sterilized paper discs (6 mm in diameter were soaked with the test solutions and placed on the plates, following Muller-Hinton agar plates were inoculated with the microbial suspensions. Then zones of inhibition were recorded and the results were analysed statistically. 2.5% NaOCl, 2% CHX and OCT produced inhibitory zones against all microorganisms tested. Statistical analysis was carried out with analyses of variance (ANOVA. Differences were identified by post-hoc Bonferroni test. The level of significance was set at p=0.05.

    Results: NaCl was ineffective against all microorganisms; however, 2.5% NaOCl, 2% CHX and OCT produced inhibitory zones against all microorganisms tested. 2.5% NaOCl and 2% CHX showed significantly larger average zones of inhibition compared to the other experimental irrigants (p<0.05. While 12.5% propolis extract produced only slight inhibition on S. aureus, 25% propolis extract was effective on S. aureus, E. faecalis and C. albicans.

    Conclusions: The present study showed that 2.5% NaOCl and 2% chlorhexidine had superior antimicrobial effects than other irrigants used.

    Key words: Chlorhexidine, microorganisms, sodium hypochlorite, octenidine dihydrochloride, propolis.

     

  20. Perawatan Ulang Saluran Akar Insisivus Lateralis Kiri Maksila dengan Medikamen Kalsium Hidroksida-Chlorhexidine

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    Ni Gusti Ayu Ariani

    2013-06-01

    Full Text Available Banyak faktor yang menyebabkan kegagalan terapi endodontik antara lain pembersihan dan membentuk saluran akar yang tidak sempurna dan obturasi tidak hermetis sehingga menyebabkan kurangnya kemampuan untuk menghilangkan mikroorganisme yang ada. Saluran akar yang terinfeksi membutuhkan suatu medikamen untuk menunjang keberhasilan dalam perawatan saluran akar.Kalsium hidroksida merupakan salah satu bahan medikamen yang efektif karena memiliki sifat antibakteri dengan spektrum luas, pH tinggi, biokompatibilitas baik, mampu menetralkan endotoksin bakteri, memiliki sifat toksik yang paling rendah, serta menstimulasi pembentukan jaringan keras. Tujuan laporan kasus untuk menunjukan keberhasilan perawatan ulang saluran akar gigi insisivus lateralis kiri maksila dengan lesi periapikal menggunakan medikamen kalsium hidroksida- chlorhexidine. Pasien wanita umur 53 tahun, gigi insisivus lateralis kiri maksila dengan lesi periapikal.Radiografi tampak obturasi kurang hermetis dan radiolusen daerah periapikal. Perawatan ulang saluran akar,diikuti pemasangan pasak fiber frefabricated dan restorasi porselin fuse metal.Keseimpulan setelah evaluasi setelah enam bulan pasca perawatan ulang saluran akar, radiografi menunjukan radiolusen mengecil dan gigi dapat berfungsi dengan normal. Re-Treatment of Root Canal of Maxillary Left Lateral Incisor with Calcium Hydroxide-Chlorhexidine Medicament. There are many factors that cause failure of endodontic therapy. For instances, incomplete cleaning and shaping of root canal and inadequate obturation that results in difficulty to remove the microorganisms. Infected root canal requires a medicament for the success of the root canal treatment. Calcium hydroxide is one of the effective ingredients as medicament because it has broad spectrum antibacterial properties, high pH, good biocompatibility, and it is able to neutralize bacterial endotoxins, decrease tissue toxicity, and stimulate the formation of hard tissue. The purpose

  1. Antifungal activity of benzalkonium chloride, dettol , and chlorhexidine on opportunistic isolated fungi from the environment and operating rooms in private clinics of Tehran in 2011

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    Hossein Nowrozi

    2013-11-01

    Conclusion: Benzalkonium chloride and Dettol had a complete antifungal activity, but chlorhexidine was found to be the least effective agent.. Therefore, the tested concentrations give out their most fungicidal activity as disinfectants, if their durability is taken into account.

  2. Effects of chlorhexidine in self-etching adhesive: 24 hours results.

    Science.gov (United States)

    Nishitani, Yoshihiro; Hosaka, Keiichi; Hoshika, Tomohiro; Yoshiyama, Masahiro; Pashley, David H

    2013-01-01

    It is known that chlorhexidine (CHX) does not inhibit micro-tensile bond strengths (MTBS) when it is used in etch-and-rinse adhesives. In that technique, CHX is applied to dentin as a primer after phosphoric acid-etching before bonding with Single Bond. It would be more convenient if it is possible to incorporate CHX into the adhesive. The purpose of this study was to compare the MTBS and the FT-IR percent conversion of an all-in-one self-etching adhesives contained varying concentration of CHX. Extracted human third molars were bonded with a control all-in-one adhesive or experimental versions containing 0.5, 1, 2 or 5% CHX. The MTBS and the percent conversion of experimental adhesives containing up to 1% CHX were not significantly CHX-free control adhesives. However, addition of 2 or especially 5% CHX experimental adhesives produced significant reductions in both the MTBS and the percent conversion.

  3. Low compliance with alcohol gel compared with chlorhexidine for hand hygiene in ICU patients: results of an alcohol gel implementation program

    OpenAIRE

    Luis Fernando Aranha Camargo; Alexandre Rodrigues Marra; Cláudia Vallone Silva; Cláudia Regina Laselva; Denis Faria Moura Junior; Ruy Guilherme G. Cal; Maria Aparecida Yamashita; Elias Knobel

    2009-01-01

    Although the introduction of alcohol based products have increased compliance with hand hygiene in intensive care units (ICU), no comparative studies with other products in the same unit and in the same period have been conducted. We performed a two-month-observational prospective study comparing three units in an adult ICU, according to hand hygiene practices (chlorhexidine alone-unit A, both chlorhexidine and alcohol gel-unit B, and alcohol gel alone-unit C, respectively). Opportunities for...

  4. Chlorhexidine as a root canal irrigant: Antimicrobial and scanning electron microscopic evaluation

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    Živković Slavoljub

    2010-01-01

    Full Text Available Introduction. Selection of irrigant is very important for longterm success of root canal therapy. Objective. This study was undertaken to evaluate the antimicrobial effects of 2% chlorhexidine digluconate solution (CHX against five selected microorganisms and to evaluate its efficacy in root canal cleaning. Methods. In this study, by agar diffusion test, were evaluated antimicrobial effects of three root canal irrigants: 5.25% NaOCl, 2.5% NaOCl and 2% CHX. The microorganisms tested in this study were Staphylococcus aureus, Streptococcus mutans, Enterococcus faecalis, Escherichia coli and Candida albicans. A scanning electron microscope was used to evaluate root canal cleaning ability of 5.25% NaOCl, 2.5% NaOCl, 2% CHX and 15% EDTA. Twelve extracted single-root human teeth were divided into four groups depending on the irrigant used during instrumentation. Mechanical preparation was performed with Step back technique and K files. Data were analyzed statistically by Student’s t-test. Results 5.25% NaOCl was the most effective against all tested microorganisms. 2.5% NaOCl and 2% CHX showed antimicrobial effects against all tested microorganisms but zones of inhibition were smaller. The best results in root canal walls cleaning were obtained in the group where the irrigant was 15% EDTA (score 2.33. In 5.25% NaOCl, 2.5% NaOCl and 2% CHX groups, there was more smear layer (score 4 and 5. Conclusion. 2% chlorhexidine digluconate showed strong antimicrobial effect on the tested microorganisms, but was not effective in cleaning root canal walls.

  5. Comparative evaluation of 0.2% Chlorhexidine Mouthwash, Xylitol Chewing Gum, and Combination of 0.2% Chlorhexidine Mouthwash and Xylitol Chewing Gum on Salivary Streptococcus mutans and Biofilm Levels in 8- to 12-Year-Old Children

    Science.gov (United States)

    Syed, Meena; Shrivastava, Vandana; Sachdev, Vinod

    2016-01-01

    Aim To assess the effect of combining 0.2% chlorhexidine (CHX) mouthwash with xylitol (XYL) chewing gum on Streptococcus mutans and biofilm levels among 8- to 12-year-old children. Materials and methods Sixty children aged 8 to 12 years were selected with moderate and high salivary S. mutans levels. They were divided into three groups of 20 children each: (1) XYL group where the subjects chewed XYL twice daily; (2) CHX where rinsing was done twice daily; and (3) combination of XYL and CHX group (XYL+CHX) where both the agents were used once daily. The S. mutans colony-forming units (CFUs) were counted by using the mitis salivarius agar plate at the beginning of the study and at 15 days, 1, 2, and 6 months from the start of the study. Results The XYL+CHX group showed the maximum reduction in both the biofilm and S. mutans scores throughout the study period. Conclusion The XYL+CHX combination reduced both the biofilm and S. mutans score significantly better than either XYL chewing gums or CHX mouthwash used alone. How to cite this article Syed M, Chopra R, Shrivastava V, Sachdev V. Comparative evaluation of 0.2% Chlorhexidine Mouthwash, Xylitol Chewing Gum, and Combination of 0.2% Chlorhexidine Mouthwash and Xylitol Chewing Gum on Salivary Streptococcus mutans and Biofilm Levels in 8- to 12-Year-Old Children. Int J Clin Pediatr Dent 2016;9(4):313-319. PMID:28127162

  6. The application of conductivity measurements for preliminary assessments of chlorhexidine and lidocaine hydrochloride release from methylcellulose gel at various temperatures.

    Science.gov (United States)

    Musial, Witold; Kokol, Vanja; Voncina, Bojana

    2009-01-01

    For the evaluation of conductivity measurements in the control and monitoring of release process, high number of conductivity measurements was performed. The measurements were done for the compositions of chlorhexidine with methylcellulose, and lidocaine hydrochloride with methylcellulose. Chlorhexidine, a very slightly soluble substance is released from the methylcellulose bead in the amounts ca. 30%-70%, and it depends of temperature of the release process. The lidocaine hydrochloride at the same time is released from methylcellulose formulation in 70-100%. The conductivity in the donor compartment at the start point, and in the acceptor compartment at the termination point, reflect the released amounts of the drug. This study confirms the possibility of application of conductivity measurements for the preliminary assessments of the kinetics of release of soluble and practically insoluble substances from the nonionic polymeric matrix.

  7. Comparing the Impact of Topical Application of Human Milk and Chlorhexidine on Cord Separation Time in Newborns

    OpenAIRE

    Abbaszadeh, Fatemeh; Hajizadeh, Zanab; Mohammad JAHANGIRI

    2016-01-01

    Objectives: The best umbilical cord care after birth is a controversial issue. Aim of this research was to compare the effect of topical application of human milk and chlorhexidin on cord separation time in newborns. Methods: One hundred seventy four neonates attending from hospitals affiliated to Kashan University of Medical Sciences were included. Newborns from birth were randomized to two groups. In group mother’s milk, mother will rub her own milk to cord stump two times a day. chlorhexid...

  8. A randomized controlled clinical trial of Ocimum sanctum and chlorhexidine mouthwash on dental plaque and gingival inflammation

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    Devanand Gupta

    2014-01-01

    Full Text Available Background: Periodontal diseases are ubiquitous, affecting all dentate animals. Regular methods for controlling it have been found to be ineffective, which have paved the way for the use of herbal products as an adjunctive to mechanical therapy as they are free to untoward effects and hence can be used for a long period of time. Ocimum sanctum is a plant which has the greater medicinal value and enormous properties for curing and preventing disease. Objective: In the present study we assessed the effectiveness of Ocimum sanctum on dental plaque, gingival inflammation and comparison with gold standard chlorhexidine and normal saline (placebo. Materials and Methods: A triple blind randomized control trial was conducted among volunteered medical students. They were randomly allocated into three study groups: (1 Ocimum sanctum mouthwash (n = 36; (2 Chlorhexidine (active control (n = 36; (3 normal saline (negative control (n = 36. Assessment was carried out according to plaque score and gingival score. Statistical analysis was carried out later to compare the effect of both mouthwash. ANOVA (Analysis of variance and post-hoc LSD tests were performed using software package used for statistical analysis (SPSS version 17. P ≤0.05 was considered as statistically significant. Results: Our result showed that Ocimum sanctum mouthrinse is equally effective in reducing plaque and gingivitis as Chlorhexidine. The results demonstrated a significant reduction in gingival bleeding and plaque indices in both groups over a period of 15 and 30 days as compared to control group. Conclusion: The results of the present study indicate that Ocimum sanctum mouthrinse may prove to be an effective mouthwash owing to its ability in decreasing periodontal indices by reducing plaque accumulation, gingival inflammation and bleeding. It has no side effect as compared to chlorhexidine.

  9. Comparative evaluation of the effect of chlorhexidine and Aloe barbadensis Miller (Aloe vera) on dentin stabilization using shear bond testing

    OpenAIRE

    Dakshita Joy Sinha; Natasha Jaiswal; Agrima Vasudeva; Paridhi Garg; Shashi Prabha Tyagi; Priyanka Chandra

    2016-01-01

    Introduction: The main objective of adhesive dentistry is to create an effective, durable union between the tooth structure and restorative material. However, degradation of adhesive dentine interface remains largely responsible for the relatively short lifetime of tooth colored resin restoration. Aim: The aim of the study is to compare the dentin collagen stabilization property of Chlorhexidine (CHX) and Aloe barbadensis Miller using shear bond strength testing. Materials and Methods: ...

  10. Cytotoxicity of chlorhexidine digluconate to murine macrophages and its effect on hydrogen peroxide and nitric oxide induction

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    Bonacorsi C.

    2004-01-01

    Full Text Available Chlorhexidine, even at low concentrations, is toxic for a variety of eukaryotic cells; however, its effects on host immune cells are not well known. We evaluated in vitro chlorhexidine-induced cytotoxicity and its effects on reactive oxygen/nitrogen intermediate induction by murine peritoneal macrophages. Thioglycollate-induced cells were obtained from Swiss mice by peritoneal lavage with 5 ml of 10 mM phosphate-buffered saline, washed twice and resuspended (10(6 cells/ml in appropriate medium for each test. Cell preparations contained more than 95% macrophages. The cytotoxicity was determined by the 3-(4,5-dimethylthiazol-2-yl-2,5-diphenyl-tetrazolium bromide assay and the presence of hydrogen peroxide (H2O2 and nitric oxide (NO by the horseradish peroxidase-dependent oxidation of phenol red and Griess reaction, respectively. The midpoint cytotoxicity values for 1- and 24-h exposures were 61.12 ± 2.46 and 21.22 ± 2.44 µg/ml, respectively. Chlorhexidine did not induce synthesis or liberation of reactive oxygen/nitrogen intermediates. When macrophages were treated with various sub-toxic doses for 1 h (1, 5, 10, and 20 µg/ml and 24 h (0.5, 1, and 5 µg/ml and stimulated with 200 nM phorbol myristate acetate (PMA solution, the H2O2 production was not altered; however, the NO production induced by 10 µg/ml lipopolysaccharide (LPS solution varied from 14.47 ± 1.46 to 22.35 ± 1.94 µmol/l and 13.50 ± 1.42 to 20.44 ± 1.40 µmol/l (N = 5. The results showed that chlorhexidine has no immunostimulating activity and sub-toxic concentrations did not affect the response of macrophages to the soluble stimulus PMA but can interfere with the receptor-dependent stimulus LPS.

  11. Antimicrobial activity of herbal medicines (tulsi extract, neem extract) and chlorhexidine against Enterococcus faecalis in Endodontics: An in vitro study

    OpenAIRE

    Chandrappa, Pradeep Muttagadur; Dupper, Akash; Tripathi, Pragya; Arroju, Ramakrishna; Sharma, Preeti; Sulochana, Konthoujam

    2015-01-01

    Background: Successful endodontic treatment depends on effective disinfection and complete sealing of root canal. Various medicaments are advised for disinfecting root canal, such as herbal and non-herbal medicaments. This study was done to assess the antimicrobial activity of herbal medicines (neem extract, tulsi extract) and chlorhexidine against Enterococcus faecalis in Endodontics. Materials and Methods: Agar diffusion method was used to evaluate the antimicrobial action of different medi...

  12. Comparison of antimicrobial efficacy of chlorhexidine and combination mouth rinse in reducing the Mutans streptococcus count in plaque

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    Laxmi S Lakade

    2014-01-01

    Full Text Available Background: The removal of plaque is utmost important to control dental caries. But in children, factors like lack of dexterity, individual motivation and monitoring limit the effectiveness of tooth brushing. This necessitates the use of chemotherapeutic agents for control of plaque. Aims: To compare the antimicrobial efficacy of 0.2% chlorhexidine mouth rinse and mouth rinse containing 0.03% triclosan, 0.05% sodium fluoride, and 5% xylitol in reducing the Mutans streptococcus count in plaque. Materials and Methods: Thirty healthy children aged 8-10 years with dmft (decay component of three or four were selected. They were divided randomly into two groups: The control or chlorhexidine group and the study group or combination mouth rinse. Both the groups practiced rinsing with respective mouth wash for 1 min for 15 d twice a day. The plaque samples were collected and after incubation Mutans streptococcus count was estimated on the strips from the Dentocult SM kit and evaluated using manufacture′s chart. Statistical Analysis Used: Wilcoxon matched pairs signed ranks test and Mann-Whitney U test were used to analyze the findings. Results: Statistically significant reduction in the Mutans streptococci count in the plaque was seen in the control and study group from baseline level. But when both the groups were compared, the antimicrobial effect of chlorhexidine was more.

  13. The efficacy of chlorhexidine gel in reduction of Streptococcus mutans and Lactobacillus species in patients treated with radiation therapy

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    Epstein, J.B.; McBride, B.C.; Stevenson-Moore, P.; Merilees, H.; Spinelli, J. (Cancer Control Agency of British Columbia, Vancouver (Canada))

    1991-02-01

    Xerostomia may develop in patients with cancer who receive radiotherapy that includes the salivary glands in the field. These patients are at high risk of rampant dental caries. Streptococcus mutans and Lactobacillus species have been associated with dental caries. Quantitative counts of these organisms demonstrated high caries risk due to streptococci in 66% and due to lactobacilli in 100% of patients studied. Use of chlorhexidine rinse was shown to reduce S. mutans counts 1.1 logs and lactobacilli 1.1 logs. The use of chlorhexidine gel resulted in a reduction of S. mutans 1.2 logs and lactobacilli 2.2 logs. In the subjects using the rinse, caries risk due to streptococci was reduced to low levels in 44% and due to lactobacilli in only one subject, with reduction to moderate risk in one third and no change in risk in the remaining patients. The use of chlorhexidine gel was found to reduce the caries risk associated with streptococci to low levels in all patients, and the risk associated with lactobacilli to low and moderate risk in two thirds of patients.

  14. Control of White Spot Lesion Adjacent to Orthodontic Bracket with Use of Fluoride Varnish or Chlorhexidine Gel

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    Manuel Restrepo

    2015-01-01

    Full Text Available The aims of this study were to compare the effectiveness of fluoride varnish and chlorhexidine gel in controlling white spot lesions (WSLs adjacent to orthodontic brackets and to compare the ability of Quantitative Light-Induced Fluorescence (QLF to measure mineral uptake with that of transverse microradiography (TMR. Thirty premolars with artificially induced WSLs were randomly assigned to three groups: (1 two applications of 5% NaF-varnish (F, with one-week interval, (2 two applications of 2% chlorhexidine gel (CHX, with one-week interval, and (3 control (CO, no treatment. QLF was used to measure changes in fluorescence before and after caries induction, 1 week after each application and 1, 2, and 3 months after the last application of F or CHX. TMR was performed to quantify lesion depth and mineral content after caries induction to evaluate the effects of F, CHX, and CO 3 months after the last application of agents. The data were analyzed by repeated measures ANOVA and Tukey’s test. All treatments increased the mineral content during the experimental period; however, F induced faster remineralization than CHX. The correlation between QLF and TMR was significantly moderate. Two applications of fluoride varnish or 2% chlorhexidine gel at one-week intervals were effective in controlling WSLs.

  15. Control of white spot lesion adjacent to orthodontic bracket with use of fluoride varnish or chlorhexidine gel.

    Science.gov (United States)

    Restrepo, Manuel; Bussaneli, Diego G; Jeremias, Fabiano; Cordeiro, Rita C L; Magalhães, Ana C; Palomari Spolidorio, Denise M; Santos-Pinto, Lourdes

    2015-01-01

    The aims of this study were to compare the effectiveness of fluoride varnish and chlorhexidine gel in controlling white spot lesions (WSLs) adjacent to orthodontic brackets and to compare the ability of Quantitative Light-Induced Fluorescence (QLF) to measure mineral uptake with that of transverse microradiography (TMR). Thirty premolars with artificially induced WSLs were randomly assigned to three groups: (1) two applications of 5% NaF-varnish (F), with one-week interval, (2) two applications of 2% chlorhexidine gel (CHX), with one-week interval, and (3) control (CO), no treatment. QLF was used to measure changes in fluorescence before and after caries induction, 1 week after each application and 1, 2, and 3 months after the last application of F or CHX. TMR was performed to quantify lesion depth and mineral content after caries induction to evaluate the effects of F, CHX, and CO 3 months after the last application of agents. The data were analyzed by repeated measures ANOVA and Tukey's test. All treatments increased the mineral content during the experimental period; however, F induced faster remineralization than CHX. The correlation between QLF and TMR was significantly moderate. Two applications of fluoride varnish or 2% chlorhexidine gel at one-week intervals were effective in controlling WSLs.

  16. Comparative evaluation of Green Tea- Aloe Vera mouthwash and chlorhexidine 0.2% on gingival indices (A randomized clinical trial

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    Naser Sargolzaie

    2015-12-01

    Full Text Available Introduction: Nowadays in the field of dentistry, there is a trend to encourage the use of herbal and natural products. The high level of clinical research in terms of considering green tea and aloe vera, with various functionality for individual use is a typical example. The purpose of this randomized, controlled, and double-blind study was to evaluate comparative evaluation of green tea-aloe vera mouthwash and chlorhexidine 0.2% on gingival indices. Methods: A total of 60 patients (26 women and 34 men with periodontal disease were randomly allocated into one of the three double blind groups, 20 in each, to receive the following treatments :(1 0.2% chlorhexidine, (2 green tea-aloe vera and  (3 distilled water. Plaque and gingival indices were evaluated on the day of the beginning of the experiment and 14 days postoperative. Subjects were asked to rinse their mouth with the mouth rinse, twice a day, during a 14-day period. Paired t-test was used to test the mean difference on 0 and 14 days, respectively. One way analysis of variance (ANOVA was used to compare the mean difference between the groups while Tukey test was used for multiple comparisons. Results: Chlorhexidine 0.2%, green tea - aloe vera and placebo reduced the plaque index by 0.17±0.14, 0.10±0/08 and 0.02±0.18, respectively, with a statistical significance of p=0.008. This difference was related to Chlorhexidine 0.2% and green tea - aloe vera with Placebo. There exist a significant difference of p=0.001 in the bleeding index  between the three groups, and this difference was related to Chlorhexidine 0.2% and green tea - aloe vera with placebo. Conclusion: Green tea –aloe vera   mouthwash improves periodontal health status. Therefore, it can be used to improve oral and dental health status.

  17. Preclinical Bioassay of a Polypropylene Mesh for Hernia Repair Pretreated with Antibacterial Solutions of Chlorhexidine and Allicin: An In Vivo Study.

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    Bárbara Pérez-Köhler

    Full Text Available Prosthetic mesh infection constitutes one of the major complications following hernia repair. Antimicrobial, non-antibiotic biomaterials have the potential to reduce bacterial adhesion to the mesh surface and adjacent tissues while avoiding the development of novel antibiotic resistance. This study assesses the efficacy of presoaking reticular polypropylene meshes in chlorhexidine or a chlorhexidine and allicin combination (a natural antibacterial agent for preventing bacterial infection in a short-time hernia-repair rabbit model.Partial hernia defects (5 x 2 cm were created on the lateral right side of the abdominal wall of New Zealand White rabbits (n = 21. The defects were inoculated with 0.5 mL of a 106 CFU/mL Staphylococcus aureus ATCC25923 strain and repaired with a DualMesh Plus antimicrobial mesh or a Surgipro mesh presoaked in either chlorhexidine (0.05% or allicin-chlorhexidine (900 μg/mL-0.05%. Fourteen days post-implant, mesh contraction was measured and tissue specimens were harvested to evaluate bacterial adhesion to the implant surface (via sonication, S. aureus immunolabeling, host-tissue incorporation (via staining, scanning electron microscopy and macrophage response (via RAM-11 immunolabeling.The polypropylene mesh showed improved tissue integration relative to the DualMesh Plus. Both the DualMesh Plus and the chlorhexidine-soaked polypropylene meshes exhibited high bacterial clearance, with the latter material showing lower bacterial yields. The implants from the allicin-chlorhexidine group displayed a neoformed tissue containing differently sized abscesses and living bacteria, as well as a diminished macrophage response. The allicin-chlorhexidine coated implants exhibited the highest contraction.The presoaking of reticular polypropylene materials with a low concentration of chlorhexidine provides the mesh with antibacterial activity without disrupting tissue integration. Due to the similarities found with the antimicrobial

  18. Antimicrobial Activity of Glass lonomer Cement Incorporated with Chlorhexidine-Loaded Zeolite Nanoparticles.

    Science.gov (United States)

    Kim, Hyun-Jin; Son, Jun Sik; Kim, Kyo-Han; Kwon, Tae-Yub

    2016-02-01

    A functional dental restorative system with antimicrobial properties was developed using zeolite (ZE) nanoparticles (NPs) as a drug delivery carrier. ZE NPs loaded with chlorhexidine (CHX) were prepared using the ionic immobilization method. The resulting CHX-loaded ZE NPs were then incorporated into commercial dental glass ionomer cement (GIC). The average size of the CHX-loaded ZE NPs was about 100 to 200 nm, and the NPs were dispersed homogeneously in the GIC. The in vitro release profile of encapsulated GIC containing CHX showed an early release burst of approximately 30% of the total CHX by day 7, whereas GIC containing CHX-loaded ZE NPs showed a sustained release of CHX without the early release burst in a 4-week immersion study. The agar diffusion test results showed that the GIC incorporated with CHX-loaded ZE NPs showed a larger growth inhibition zone of Streptococcus mutans than GIC alone, indicating that this innovative delivery platform potently imparted antimicrobial activity to the GIC. Moreover, these findings suggest that a range of antimicrobial drugs that inhibit the growth of oral bacteria can be incorporated efficiently into dental GIC using CHX-loaded ZE NPs.

  19. Study of the hormetic effect of disinfectants chlorhexidine, povidone iodine and benzalkonium chloride.

    Science.gov (United States)

    Morales-Fernández, L; Fernández-Crehuet, M; Espigares, M; Moreno, E; Espigares, E

    2014-01-01

    The study of the dose-response relationship of disinfectants is of great importance in treating infection, the objective being to use concentrations above the minimal bactericidal concentration (MBC). Below these concentrations, the bacteriostatic or bactericidal effect may be insufficient. Moreover, at low concentrations, a hormetic effect may be observed, producing a stimulation of growth instead of inhibitory action. Hormesis is not well known in the context of antimicrobial substances. This study investigates the possible existence of a hormetic effect in three commonly used antiseptics-chlorhexidine digluconate, povidone iodine and benzalkonium chloride-on strains of reference of Staphylococcus aureus and Pseudomonas aeruginosa. Growth curves were determined for different concentrations of the disinfectants. The variables studied-concentration of disinfectant, instantaneous growth rate and number of generations-were analysed using linear, quadratic and cubic models to adjust for the variables. The three disinfectants tested show a significant hormetic effect with P. aeruginosa and a less significant effect with S. aureus. These findings point to a dose-response effect that is not linear at low concentrations, while hormetic effects observed at some low concentrations result in greater bacterial growth. In infected wounds, materials or surfaces where microorganisms may occupy zones of difficult access for a disinfectant, the hormetic effect may have important consequences.

  20. Experimental and Theoretical Investigation of Multispecies Oral Biofilm Resistance to Chlorhexidine Treatment

    Science.gov (United States)

    Shen, Ya; Zhao, Jia; de La Fuente-Núñez, César; Wang, Zhejun; Hancock, Robert E. W.; Roberts, Clive R.; Ma, Jingzhi; Li, Jun; Haapasalo, Markus; Wang, Qi

    2016-06-01

    We investigate recovery of multispecies oral biofilms following chlorhexidine gluconate (CHX) and CHX with surface modifiers (CHX-Plus) treatment. Specifically, we examine the percentage of viable bacteria in the biofilms following their exposure to CHX and CHX-Plus for 1, 3, and 10 minutes, respectively. Before antimicrobial treatment, the biofilms are allowed to grow for three weeks. We find that (a). CHX-Plus kills bacteria in biofilms more effectively than the regular 2% CHX does, (b). cell continues to be killed for up to one week after exposure to the CHX solutions, (c). the biofilms start to recover after two weeks, the percentage of the viable bacteria recovers in the 1 and 3 minutes treatment groups but not in the 10 minutes treatment group after five weeks, and the biofilms fully return to the pretreatment levels after eight weeks. To understand the mechanism, a mathematical model for multiple bacterial phenotypes is developed, adopting the notion that bacterial persisters exist in the biofilms together with regulatory quorum sensing molecules and growth factor proteins. The model reveals the crucial role played by the persisters, quorum sensing molecules, and growth factors in biofilm recovery, accurately predicting the viable bacterial population after CHX treatment.

  1. Mucoadhesive Gels Designed for the Controlled Release of Chlorhexidine in the Oral Cavity

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    Adamo Fini

    2011-09-01

    Full Text Available This study describes the in vitro/ex vivo buccal release of chlorhexidine (CHX from nine mucoadhesive aqueous gels, as well as their physicochemical and mucoadhesive properties: CHX was present at a constant 1% w/v concentration in the chemical form of digluconate salt. The mucoadhesive/gel forming materials were carboxymethyl- (CMC, hydroxypropylmethyl- (HPMC and hydroxypropyl- (HPC cellulose, alone (3% w/w or in binary mixtures (5% w/w; gels were tested for their mucoadhesion using the mucin method at 1, 2 and 3% w/w concentrations. CHX release from different formulations was assessed using a USP method and newly developed apparatus, combining release/permeation process in which porcine mucosa was placed in a Franz cell. The combination of HPMC or HPC with CMC showed slower drug release when compared to each of the individual polymers. All the systems proved suitable for CHX buccal delivery, being able to guarantee both prolonged release and reduced transmucosal permeation. Gels were compared for the release of previously studied tablets that contained Carbopol and HPMC, alone or in mixture. An accurate selection and combination of the materials allow the design of different pharmaceutical forms suitable for different purposes, by simply modifying the formulation compositions.

  2. Comparison between the efficacy of self-prepared chlorhexidine varnishes and of EC 40®

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    Rawee Teanpaisan

    2009-08-01

    Full Text Available It was reported that clinical application of chlorhexidine (CHX varnish could reduce dental caries occurrence effectively.However, this form of CHX is not commercially available in Thailand. Our previous study showed that the released CHX from 20% and 40% self-prepared CHX varnishes were sufficient to inhibit the growth of Streptococcus mutans. This study aimed to compare the efficacy of the 20% and 40% self-prepared CHX varnishes to commercial CHX varnish EC 40®. The study included CHX release, antibacterial activity against S. mutans ATCC 25175, and the cytotoxic effect of CHX on fibroblasts. The results showed that the greatest amount of CHX was released by EC 40® followed by 40% and 20% selfpreparedCHX, which were 4,111.29 g, 2,408.7 g, and 1,136.4 g, respectively. EC 40® gave the strongest antibacterial activity; however, there was no statistical significant difference. The 20% self-prepared CHX gave the highest viability of fibroblasts. This study indicates that the self-prepared CHX should be considered to be used as antimicrobial agents for the prevention of dental caries.

  3. Efficacy of sodium hypochlorite and chlorhexidine against Enterococcus faecalis: a systematic review

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    Carlos Estrela

    2008-12-01

    Full Text Available The efficacy of the sodium hypochlorite (NaOCl and chlorhexidine (CHX on Enterococcus faecalis was evaluated by systematic review and meta-analysis. The search strategies included search in electronic biomedical journal databases (MEDLINE, EMBASE, CENTRAL and handsearching records, using different matches of keywords for NaOCl, CHX and Enterococcus faecalis. From 41 in vivo studies, 5 studies met the inclusion criteria. In a sample containing 159 teeth, E. faecalis was detected initially in 16 (10% teeth by polymerase chain reaction (PCR and 42 (26.4% teeth by microbial culture techniques. After root canal disinfection, this species was observed in 11 (6.9% teeth by PCR and 12 (7.5% teeth by culture. Risk differences of included studies were combined as generic inverse variance data type (Review Manager Version 5.0 _ Cochrane Collaboration, http://www.cc-ims.net, accessed 15 May 2008, taking into account the separate tracking of positive and negative cultures/PCR. The level of statistical significance was set at p<0.05. In conclusion, NaOCl or CHX showed low ability to eliminate E. faecalis when evaluated by either PCR or culture techniques.

  4. [The efficacy of three hand asepsis techniques using chlorhexidine gluconate (CHG 2%)].

    Science.gov (United States)

    da Cunha, Érika Rossetto; Matos, Fabiana Gonçalves de Oliveira Azevedo; da Silva, Adriana Maria; de Araújo, Eutália Aparecida Cândido; Ferreira, Karine Azevedo São Leão; Graziano, Kazuko Uchikawa

    2011-12-01

    The scrubbing of hands and forearms using antiseptic agents has been the standard pre-operative procedure to prevent surgical site infection. With the introduction of antiseptic agents, the need to use brushes for pre-operative disinfection has been questioned and it has been recommended that the procedure be abandoned due to the injuries it may cause to the skin. With the purpose to provide the foundations for the efficacy of pre-operative asepsis without using brushes or sponges, the objective of this study was to evaluate three methods of pre-operative asepsis using an antimicrobial agent containing chlorhexidine gluconate - CHG 2%; hand-scrubbing with brush (HSB), hand-scrubbing with sponge (HSS), and hand-rubbing with the antiseptic agent (HRA) only. A comparative crossover study was carried with 29 healthcare providers. Antimicrobial efficacy was measured using the glove-juice method before and after each tested method. Statistical analyses showed there were no significant differences regarding the number of colony-forming units when comparing HRA, HSB, and HSS techniques (p=0.148), which theoretically disregards the need to continue using brushes or sponges for hand asepsis.

  5. Antimicrobial effect of chlorhexidine on Aggregatibacter actinomycetemcomitans biofilms associated with peri-implantitis

    Science.gov (United States)

    Kadkhoda, Zeinab; Amarlu, Zeinab; Eshraghi, Saeed; Samiei, Nazanin

    2016-01-01

    Background. This study aimed to assessthe antimicrobial effect of chlorhexidine (CHX) on Aggregatibacter actinomycetemcomitans biofilms isolated from subgingival plaque of peri-implantitis lesions. Methods. Thirteen patients requiring peri-implantitis treatment were consecutively selected and their subgingival biofilm was collected by inserting fine sterile paper points into peri-implant pockets for 15 seconds. A. actinomycetemcomitans was isolated from the subgingival biofilm and cultured. In this study, the standard strain of A. actinomycetemcomitans served as the positive control group and a blank disc impregnated with water served as the negative control; 0.1 mL of the bacterial suspension was cultured on specific culture medium and blank discs (6 mm in diameter) impregnated with 0.2%CHX mouthrinse (Behsa Pharmaceutical Co.) and negative control discs were placed on two sides of the bacterial culture plate. The size of growth inhibition zone was measured by a blinded independent observer in millimetres. Results. According to the results of disc diffusion test, the mean diameter of growth inhibition zone of A. actinomycetemcomitans around discs impregnated with CHX was larger in both standard (positive control) and biofilm samples of A. actinomycetemcomitans compared to the negative control group (blank disc) (P<0.001). Conclusion. Use of0.2% CHX mouthwash had antibacterial effects on A. actinomycetemcomitans species isolated from peri-implantitis sites. PMID:27651884

  6. Effect of chlorhexidine gluconate on porosity and compressive strength of a glass ionomer cement

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    Luana Mafra MARTI

    Full Text Available INTRODUCTION:For presenting wide antibacterial activity, chlorhexidine (CHX has been extensively used in dentistry and can be easily incorporated into the glass ionomer cement (GIC and consequently released into the oral cavity.AIM: The aim of this study was porosity and compression strength of a GIC, that was added to different concentrations of CHX.MATERIAL AND METHOD: Specimens were prepared with GIC (Ketac Molar Esaymix and divided into 4 groups according to the concentration of CHX: control, 0.5% and 1% and 2% (n = 10. For analysis of pores specimens were fractured with the aid of hammer and chisel surgical, so that the fracture was performed in the center of the specimens, dividing it in half and images were obtained from a scanning electron microscope (SEM analyzed in Image J software. The compressive strength test was conducted in a mechanical testing machine (EMIC - Equipment and Testing Systems Ltd., Joseph of the Pines, PR, Brazil. Statistical analysis was performed by ANOVA, Tukey test. Significance level of 5%.RESULT: No statistically significant changes between the study groups was observed both for the number of pores as well as for the compressive strength.CONCLUSION: The use of GIC associated with CHX gluconate 1% and 2% is the best option to be used in dental practice.

  7. Antimicrobial efficacy of MTAD, sodium hypochlorite and chlorhexidine on rapid disinfection of gutta-percha cones

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    Ismail Uzun

    2014-12-01

    Full Text Available Objective: The aim of this study was to compare the disinfection efficacy of various disinfectants on gutta-percha root canal filling materials. Methods: Three-hundred and seventy standard #80 gutta-percha cones were used for the study. The gutta-percha cones were sterilized with ethylene oxide. Ten cones were separated for negative control group. Then the gutta-percha cones were randomly divided into four groups containing 90 points each and contaminated with Escherichia coli, Enterococcus faecalis, Candida albicans and Streptococcus mutans. Specimens were incubated in 10 ml Brain Heart Infusion Broth at 37 and deg;C for 72 h. After incubation, cones were dried with sterile gauze; ten of the cones from each group were seperated for positive control groups and rest of the cones were divided into four subgroups according to the chemical disinfectant used (n = 80 each: 5.25% sodium hypochlorite (NaOCl; 2% chlorhexidine gluconate (CHX; 10% povidone iodine (PI; and MTAD groups. For each subgroup, the gutta-percha cones were immersed into the disinfectant for 1 and 10 min individually. In plates showing growth, the number of colony forming units were counted. Results: NaOCl, CHX and MTAD were equally effective on tested microorganisms. Conclusion: 5.25% NaOCl, 2% CHX, and MTAD are effective agents for a rapid high disinfection level of gutta-percha cones. [J Exp Integr Med 2014; 4(4.000: 278-281

  8. Effect of fluoridated casein phospopeptide-amorphous-calcium phosphate complex, chlorhexidine fluoride mouthwash on shear bond strength of orthodontic brackets: A comparative in vitro study

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    C A Abdul Shahariyar

    2016-01-01

    Full Text Available Objective: The aim of the current study was to determine the effects of casein phosphopeptide amorphous calcium-phosphate (CPP-ACP complex, chlorhexidine fluoride mouthwash on shear bond strengths (SBSs of orthodontic brackets. Materials and Methods: About sixty extracted healthy human premolar teeth with intact buccal enamel were divided into two equal groups to which brackets were bonded using self-etching primers (SEPs and conventional means respectively. These were further equally divided into three subgroups - (1 control (2 CPP-ACP (3 chlorhexidine fluoride mouthwash. The SBSs were then measured using a universal testing machine. Results: SBS of the conventional group was significantly higher than the self-etching group. The intragroup differences were statistically insignificant. Conclusion: CPP-ACP, chlorhexidine fluoride mouthwash did not adversely affect SBS of orthodontic brackets irrespective of the method of conditioning. Brackets bonded with conventional technique showed greater bond strengths as compared to those bonded with SEP.

  9. Cytogenetic analysis of oral mucosa cells, induced by chlorhexidine, essential oils in ethanolic solution and triclosan mouthwashes

    Energy Technology Data Exchange (ETDEWEB)

    Ros-Llor, Irene; Lopez-Jornet, Pia, E-mail: majornet@um.es

    2014-07-15

    Objectives: The aim of this study was to evaluate DNA damage and cytokinetic defects, proliferative potential and cell death caused by the frequent use of mouthrinses containing chlorhexidine, triclosan and essential oils in ethanolic solution, compared to a placebo mouthwash. Study design: This double-blind, prospective, randomized clinical trial included 80 Caucasian patients. Subjects were divided into four groups: Group I used a mouthrinse, Triclosan; Group II used physiological saline; Group III used chlorhexidine; Group IV a mouthrinse with essential oils in ethanolic solution. All subjects used the mouthrinses for two weeks (15 ml, twice a day, rinsing for 30 s). Two cell samples per subject were collected, before and after mouthrinse use (on day 0 and day 15). Samples were processed as follows: cell collection from cheeks with a cytobrush; cell centrifuge; slide preparation, fixation and staining; and fluorescent microscope analysis. 2000 exfoliated cells were screened for nuclear abnormalities, particularly the presence of micronuclei by means of cytome assay. Results: No significant differences between study times (before and after use of mouthwash) were identified for any of the variables studied (p>0.05). Differences between mouthrinse groups were also compared but no significant differences were found (p>0.05). Conclusions: This study did not observe any genotoxic effect resulting from mouthrinse use. - Highlights: • Mouthrinses are used widely, mainly for their capacity to control dental plaque. • No genotoxic effects from the mouthrinses triclosan, chlorhexidine essential oils solution. • The buccal cytome assay is a sensitive, non-invasive, and low cost technique.

  10. The effect of different concentrations of water soluble azadirachtin (neem metabolite on Streptococcus mutans compared with chlorhexidine

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    Amit R Kankariya

    2016-01-01

    Full Text Available Despite advances in the development of anticaries chemotherapy, the newer agents are unable to control the initiation of dental caries. Research and development of natural antibacterial agents that are safe for the host as well as specific for oral pathogens is awaited. Neem tree extracts have been used for thousands of years for maintaining overall well-being. Chewing neem sticks in the morning is the most common indigenous method of cleaning the mouth in rural population. This has generated the interest of the dentists for the use of neem for controlling dental diseases. Aims: This study aims to evaluate the quantitative and qualitative effect of different concentrations of water soluble azadirachtin (neem metabolite on Streptococcus mutans (S. mutans against chlorhexidine. Materials and Methods: Plaque was collected from 30 children aged 8-12 years reporting to the Department of Pediatric and Preventive Dentistry, Bharti Vidyapeeth Dental College, Pune and transported to the laboratory. After incubation of the plates the inhibitory zones were noted and the diameter of the zone of inhibition was measured and recorded to check the inhibition of growth of S. mutans. For testing the bacterial survival, the biofilms were prepared and colony forming units (CFU was enumerated using a digital colony counter. Statistical Analysis Used: Two-way analysis of variance (ANOVA and Tukey′s test. Results: The results show that there was no statistically significant difference in the inhibition of S. mutans between 40% concentration of water soluble azadirachtin and chlorhexidine. Conclusions: This study concluded that 40% water soluble azadirachtin is as effective as 0.2% chlorhexidine mouthrinse in reducing the S. mutans count in dental plaque. Hence, a water soluble formulation of azadirachtin may provide the maximum benefit to mankind to prevent dental caries.

  11. Color Stability of Nanofilled and Microhybrid Resin-Based Composites following Exposure to Chlorhexidine Mouthrinses: An In Vitro Study

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    Mahmood Khosravi

    2016-10-01

    Full Text Available Objectives: This study aimed to evaluate the effects of chlorhexidine mouthrinses on color stability of nanofilled and micro-hybrid resin-based composites.Materials and Methods: In this in-vitro study, 160 disc-shaped specimens (7x2mm were fabricated of Filtek Z250 and Filtek Z350XT Enamel (A2 shade. The samples of each group were randomly divided into eight subgroups (n=10. The specimens were incubated in artificial saliva at 37˚C for 24 hours. The baseline color values (L*, a*, b* of each specimen were measured according to CIE LAB system using a reflection spectrophotometer. After baseline color measurements, the control samples were immersed in saliva and the test groups were immersed in Kin (Cosmodent, Vi-One (Rozhin, Epimax (Emad, Hexodine (Donyaye Behdasht, Chlorhexidine (Shahrdaru, Najo (Najo and Behsa (Behsa mouthrinses once a day for two minutes. The specimens were then immersed again in saliva. This process was repeated for two weeks. Color measurements were made on days seven and 14. Two-way and one-way ANOVA and Tukey’s post hoc test, t-test and paired t-test were used to analyze data at a significance level of 0.05.Results: All specimens displayed color change after immersion in the mouthrinses. Significant interactions were found between the effects of materials and mouthrinses on color change.Conclusions: All composite resins tested showed acceptable color change after immersion in different mouthrinses. Filtek Z350XT showed less color change than Filtek Z250. Mouthrinses containing alcohol (Behsa and Najo and citric acid (Vi-One caused greater discoloration of composites.Keywords: Chlorhexidine; Color; Composite Resins; Mouthwashes

  12. Effect of Calcium Hydroxide, Chlorhexidine Digluconate and Camphorated Monochlorophenol on the Sealing Ability of Biodentine Apical Plug

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    Srivastava, Harshit; Prasad, Ashwini B; Raisingani, Deepak; Soni, Dileep

    2016-01-01

    Introduction Teeth with immature apex are managed by establishing an apical plug using various materials and techniques. However, the use of previously placed intracanal medicament may affect the sealing ability of permanent filling material used as an apical plug. Aim To evaluate the effect of removal of previously placed Calcium Hydroxide, Chlorhexidine Digluconate and Camphorated Monochlorophenol as an intracanal medicament on the sealing ability of the Biodentine as an apical plug. Materials and Methods A total of 72 recently extracted human permanent teeth with single root were selected and stored in saline at room temperature. The crown portion of each tooth was removed at the level of cemento enamel junction; 14mm root length was taken as standard length. All the roots were submerged in 20% sulphuric acid up to 3 mm from the apex, for four days for root resorption. One sample was cut longitudinally to look for root resorption under stereo microscope. The canal preparation was done; the roots were kept in moist gauze after instrumentation. A total of 71 roots were randomly divided into three groups. GROUP 1:Calcium hydroxide paste, GROUP 2: Chlorhexidine digluconate, GROUP 3: Camphorated Monochlorophenol (CMCP). The medicaments were removed with stainless steel hand files and 0.5% sodium hypochlorite irrigation. After removal of medicament Biodentine was placed in apical third of resorbed roots and the remaining portion of the canals was filled with gutta-percha. All the 71 roots were analysed with fluid filtration method for evaluating microleakage. Results Comparing all the three groups statistically there was no significant difference. The mean values were found more for group 1 followed by group 2 & 3. Conclusion All the groups showed microleakage. Calcium hydroxide showed the maximum microleakage followed by Chlorhexidine digluconate and least with CMCP. PMID:27504409

  13. Antiplaque effect of essential oils and 0.2% chlorhexidine on an in situ model of oral biofilm growth: a randomised clinical trial.

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    Víctor Quintas

    Full Text Available To evaluate the in situ antiplaque effect after 4 days of using of 2 commercial antimicrobial agents in short term on undisturbed plaque-like biofilm.An observer-masked, crossover randomised clinical trial on 15 oral and systemically healthy volunteers between 20-30 years who were randomly and sequentially allocated in the same group which performed 3 interventions in different randomised sequences.The participants wore an appliance in 3 different rinsing periods doing mouthwashes twice a day (1/0/1 with essential oils, 0.2% chlorhexidine or sterile water (negative control. At the end of each 4-day mouthwash period, samples were removed from the appliance. Posteriorly, after bacterial vital staining, samples were analysed using a Confocal Laser Scanning Microscope.Bacterial vitality, thickness and covering grade by the biofilm after 4 days of applying each of the mouthwashes.The essential oils and the 0.2% chlorhexidine were significantly more effective than the sterile water at reducing bacterial vitality, thickness and covering grade by the biofilm. No significant differences were found between the 0.2% chlorhexidine and the essential oils at reducing the bacterial vitality (13.2% vs. 14.7%. However, the 0.2% chlorhexidine showed more reduction than the essential oils in thickness (6.5 μm vs. 10.0 μm; p<0.05 and covering grade by the biofilm (20.0% vs. 54.3%; p<0.001.The essential oils and 0.2% chlorhexidine showed a high antiplaque effect. Although the 0.2% chlorhexidine showed better results with regard to reducing the thickness and covering grade by the biofilm, both antiseptics showed a high and similar antibacterial activity.Daily essential oils or 0.2% chlorhexidine mouthwashes are effective when reducing dental plaque formation in the short term. Although 0.2% chlorhexidine continues to be the "gold standard" in terms of antiplaque effect, essential oils could be considered a reliable alternative.ClinicalTrials.gov NCT02124655.

  14. Acidogenicity and acidurance of dental plaque and saliva sediment from adults in relation to caries activity and chlorhexidine exposure

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    Andreadis Georgios

    2015-03-01

    Full Text Available Background: The ecological plaque hypothesis for the etiopathogenesis of caries implies a microbial shift towards a more aciduric dental plaque microbiota, due to a frequent carbohydrate intake. Acid tolerance has been suggested as an important property of the caries-associated bacteria and several in vitro studies with mixed cultures indicated that a low pH rather than the carbohydrate availability is responsible for microbiota shifts associated with the development of dental caries. Objective: To examine 1 the acidogenic potential (amount lactate produced per mg plaque and minute, at pH 7.0 or pH 5.5 and the aciduric potential (acidogenic potential at pH 5.5/acidogenic potential at pH 7.0 of dental plaque and salivary sediment taken from caries-active or caries-free adults, and 2 the effect of a short-term chlorhexidine treatment on these potentials. Design: Dental plaque and saliva sediment samples were taken from caries-free and caries-active subjects and suspended in Ringer's solution containing 1% sucrose and buffered with 0.5 M 3-[N-morpholino]propanesulfonic acid (MOPS, pH 7.0, or 3-[N-morpholino]ethanesulfonic acid (MES, pH 5.5. After incubation at 37°C for 10–20 min, the concentration of lactic acid in the suspension was determined by an enzymatic assay. The acid production of dental plaque was also determined after a period of mouth rinsing with 0.2% chlorhexidine. Results: Both dental plaque and salivary sediment from caries-free subjects exhibited significantly lower acidogenic potentials at both pHs compared to caries-active volunteers. The opposite was observed with the aciduric potential. Chlorhexidine treatment significantly reduced all three potentials but had no effect on the relative proportion of bacteria grown on acidic agar. Conclusions: Caries-active adults have an oral microbiota characterised by an increased catabolic velocity for sugar. The increase is more pronounced at neutral than acidic pH. Exposure to

  15. Effects of chlorhexidine on the structure and permeability of hamster cheek pouch mucosa

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    Harvey, B.V.; Squier, C.A.; Hall, B.K.

    1984-10-01

    This study examined the effects of chlorhexidine (CHD) on the clinical appearance, morphology, and in vitro permeability of hamster cheek pouch mucosa. The cheek pouches were treated daily for 3 weeks with topical applications of saline, 0.2% CHD, or 2.0% CHD. Treatment with 2.0% CHD resulted in the formation of discrete white lesions in every animal in the group, whereas no changes were identified in any animal treated with 0.2% CHD or saline. Upon microscopic examination it was determined that treatment with 2.0% CHD resulted in a statistically significant increase in epithelial thickness, when compared to the other groups, and the lesions were found to consist of hyperplastic areas of epithelium with associated inflammatory cell accumulations. Daily treatments with 2.0% CHD, 0.2% CHD or saline had no effect on the very low permeability of cheek pouch mucosa to /sup 14/C-CHD. However, treatment with 2.0% CHD resulted in decreased permeability to /sup 3/H/sub 2/O when compared to the other groups. Treatment with 2.0% CHD also resulted in a thickened permeability barrier, as determined using a tracer, horseradish peroxidase. It is concluded that topical applications of 0.2% T CHD have no detectable effect on cheek-pouch mucosa while applications of 2.0% CHD result in hyperplasia and a decrease in mucosal permeability. Results suggest that CHD should be used with caution clinically and at a concentration of 0.2% or less.

  16. Survival and susceptibility of Burkholderia cepacia complex in chlorhexidine gluconate and benzalkonium chloride.

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    Kim, Jeong Myeong; Ahn, Youngbeom; LiPuma, John J; Hussong, David; Cerniglia, Carl E

    2015-06-01

    The Burkholderia cepacia complex (BCC) includes opportunistic pathogenic bacteria that have occasionally been recovered from various pharmaceutical products, including antiseptics and disinfectants. Plausible reasons for the contamination include intrinsic sources, such as inadequate process controls, especially for water or equipment used during product manufacture, or extrinsic sources, such as improper handling and dilution or distribution in contaminated containers. Because the survival of BCC in antiseptics is a concern to the public health and pharmaceutical industry, we determined minimum inhibitory concentrations (MICs) of 36 BCC strains against the antiseptics, following exposure to chlorhexidine gluconate (CHX) and benzalkonium chloride (BZK) solutions (1-500 µg/ml for each chemical). Susceptibility to CHX and BZK varied across the BCC strains and was recorded as mean 90.3 and 111.1 µg/ml, respectively, at initial inoculation, which was significantly higher than the 46.4 and 61.1 µg/ml levels measured for BCC incubated in water for 40 days. After determining antiseptic MICs of individual BCC strains, BCC recovery was measured on Tryptic Soy Agar (TSA), Reasoner's Second Agar (R2A) and diluted preparations of these media under their sub-MICs. The survival of BCC was monitored for 14 days (336 h) in sub-MICs diluted to less than their antiseptic susceptible concentration value. Diluted TSA and R2A media exhibited greater efficiency of recovery for most BCC strains from the CHX and BZK solutions than full strength TSA or R2A. For BCC survival in antiseptic solutions, the cell number of BCC decreased rapidly within the first 20 min in both antiseptics, but after this, recovery remained constant in CHX and increased in BZK over the 14 day incubation period. The results indicate that BCC in water can remain viable with low susceptibility to antiseptics for 14 days, which suggests the necessity for improved detection methods and control measures to monitor

  17. New trends in dentistry: plant extracts against Enterococcus faecalis. The efficacy compared to chlorhexidine

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    Adriana Lígia de Castilho

    2013-04-01

    Full Text Available Enterococcus faecalis is an important pathogen associated with endodontic diseases, and its elimination and control are of paramount importance, as it represents one of the major causes of failure in the treatment of endodontic disease. Twenty-five plant extracts obtained from Brazilian forests were found to be effective against planktonic E. faecalis and were subjected to two traditional antibacterial assays, the microdilution broth assay (MDBA and the disk diffusion assay (DDA, using chlorhexidine (CHX as a control. Seven out of 25 extracts showed significant antibacterial activity and were tested in a biofilm assay, and three of these extracts were subjected to chemical fractionation. Residues were tested for their antibacterial activity, and the first chemical findings were described based on thin layer chromatography (TLC. Extracts obtained from Ipomoea alba, Symphonia globulifera and Moronobea coccinea showed significant bactericidal activity in the MDBA. The same I. alba and S. globulifera extracts, as well as the extract obtained from Connarus ruber var. ruber, showed significant activity in the DDA. RH2O obtained from Psidium densicomum and Stryphnodendron pulcherrimum showed better antibacterial activity compared to the respective crude extracts and CHX. TLC analysis showed that phenolic compounds and triterpenes represent the first findings of chemical groups that may occur in all species. The results of the present study include the discovery of six active extracts against planktonic E. faecalis and support further testing via assays involving biofilm formation, as well as the determination of the compounds' chemical profiles, as their activity was significantly better than that observed for CHX.

  18. Microscopic and spectroscopic analyses of chlorhexidine tolerance in Delftia acidovorans biofilms.

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    Rema, Tara; Lawrence, John R; Dynes, James J; Hitchcock, Adam P; Korber, Darren R

    2014-10-01

    The physicochemical responses of Delftia acidovorans biofilms exposed to the commonly used antimicrobial chlorhexidine (CHX) were examined in this study. A CHX-sensitive mutant (MIC, 1.0 μg ml(-1)) was derived from a CHX-tolerant (MIC, 15.0 μg ml(-1)) D. acidovorans parent strain using transposon mutagenesis. D. acidovorans mutant (MT51) and wild-type (WT15) strain biofilms were cultivated in flow cells and then treated with CHX at sub-MIC and inhibitory concentrations and examined by confocal laser scanning microscopy (CLSM), scanning transmission X-ray microscopy (STXM), and infrared (IR) spectroscopy. Specific morphological, structural, and chemical compositional differences between the CHX-treated and -untreated biofilms of both strains were observed. Apart from architectural differences, CLSM revealed a negative effect of CHX on biofilm thickness in the CHX-sensitive MT51 biofilms relative to those of the WT15 strain. STXM analyses showed that the WT15 biofilms contained two morphochemical cell variants, whereas only one type was detected in the MT51 biofilms. The cells in the MT51 biofilms bioaccumulated CHX to a similar extent as one of the cell types found in the WT15 biofilms, whereas the other cell type in the WT15 biofilms did not bioaccumulate CHX. STXM and IR spectral analyses revealed that CHX-sensitive MT51 cells accumulated the highest levels of CHX. Pretreating biofilms with EDTA promoted the accumulation of CHX in all cells. Thus, it is suggested that a subpopulation of cells that do not accumulate CHX appear to be responsible for greater CHX resistance in D. acidovorans WT15 biofilm in conjunction with the possible involvement of bacterial membrane stability.

  19. Chlorhexidine substantivity on salivary flora and plaque-like biofilm: an in situ model.

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    Lucía García-Caballero

    Full Text Available OBJECTIVE: To evaluate the in situ antibacterial activity of a mouthrinse with 0.2% Chlorhexidine (M-0.2% CHX on undisturbed de novo plaque-like biofilm (PL-biofilm and on salivary flora up to 7 hours after its application. METHODS: A special acrylic appliance was designed, with 3 inserted glass disks on each buccal side, allowing for PL-biofilm growth. Fifteen healthy volunteers wore the appliance for 48 hours and then performed an M-0.2% CHX; disks were removed at 30 seconds and 1, 3, 5 and 7 hours after the mouth-rinsing. Applying a washout period, saliva samples were collected from each volunteer at 30 seconds and 1, 3, 5 and 7 hours after performing an M-0.2% CHX. The PL-biofilm and saliva samples were analysed by confocal laser scanning and epifluorescence microscopes, respectively. RESULTS: At 30 seconds after M-0.2% CHX, the levels of viable bacteria detected in saliva were significantly lower than those observed in PL-biofilm. The difference in the percentage of live bacteria detected in saliva was significantly higher than that observed in PL-biofilm at 5 and 7 hours after M-0.2% CHX. CONCLUSION: After a single mouthrinse of the 0.2% CHX formulation tested in the present study, the 2-day PL-biofilm presented a significantly higher resistance to this antiseptic in situ than that observed in salivary flora. However, this 0.2% CHX formulation showed a higher substantivity on PL-biofilm than on salivary flora at 5 and 7 hours after mouth-rinsing, which could be related to the slower growth rate of PL-biofilm and the possible reservoir function for antimicrobial agents associated with the undisturbed de novo PL-biofilm.

  20. Pitfalls in efficacy testing – how important is the validation of neutralization of chlorhexidine digluconate?

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    Heisig Peter

    2008-12-01

    Full Text Available Abstract Background Effective neutralization of active agents is essential to obtain valid efficacy results, especially when non-volatile active agents like chlorhexidine digluconate (CHG are tested. The aim of this study was to determine an effective and non-toxic neutralizing mixture for a propan-1-ol solution containing 2% CHG. Methods Experiments were carried out according to ASTM E 1054-02. The neutralization capacity was tested separately with five challenge microorganisms in suspension, and with a rayon swab carrier. Either 0.5 mL of the antiseptic solution (suspension test or a saturated swab with the antiseptic solution (carrier test was added to tryptic soy broth containing neutralizing agents. After the samples were mixed, aliquots were spread immediately and after 3 h of storage at 2 – 8°C onto tryptic soy agar containing a neutralizing mixture. Results The neutralizer was, however, not consistently effective in the suspension test. Immediate spread yielded a valid neutralization with Staphylococcus aureus, Staphylococcus epidermidis and Corynebacterium jeikeium but not with Micrococcus luteus (p Candida albicans (p Staphylococcus epidermidis (p Corynebacterium jeikeium (p = 0.044. In the carrier test, the neutralizing mixture was found to be effective and non toxic to all challenge microorganisms when spread immediately. However, after 3 h storage of the neutralized active agents significant carry-over activity of CHG against Micrococcus luteus (p = 0.004; Tukey HSD was observed. Conclusion Without effective neutralization in the sampling fluid, non-volatile active ingredients will continue to reduce the number of surviving microorganisms after antiseptic treatment even if the sampling fluid is kept cold straight after testing. This can result in false-positive antiseptic efficacy data. Attention should be paid during the neutralization validation process to the amount of antiseptic solution, the storage time and to the choice of

  1. Influence of chlorhexidine concentration on microtensile bond strength of contemporary adhesive systems

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    Edson Alves de Campos

    2009-09-01

    Full Text Available The purpose of this study was to investigate the influence of chlorhexidine (CHX concentration on the microtensile bond strength (μTBS of contemporary adhesive systems. Eighty bovine central incisors were used in this study. The facial enamel surface of the crowns was abraded with 600-grit silicon carbide paper to expose flat, mid-coronal dentin surfaces. The tested materials were Scotchbond Multipurpose (SMP, Single-Bond (SB, Clearfil SE Bond (CSEB and Clearfil Tri S Bond (CTSB. All the materials were applied according to manufacturer's instructions and followed by composite application (Z250. The teeth were randomly divided into 16 groups: for the etch-and-rinse adhesives (SMP and SB, 0.12% or 2% CHX was applied prior to or after the acid etching procedure. For the self-etch adhesives (CSEB and CTSB 0.12% or 2% CHX was applied prior to the primer. Control groups for each one of the adhesive systems were also set up. The specimens were immediately submitted to μTBS testing and the data were analyzed using Analysis of Variance and the Tukey post hoc test (alpha = .01. The failure patterns of the specimens were observed using scanning electron microscopy. The effects of 2% CHX were statistically significant (p < 0.01 for the self-etch adhesives but were not significant for the etch-and-rinse adhesive systems. Analysis of the data demonstrated no statistical difference between the etch-and-rinse adhesive systems. CHX-based cavity disinfectants in concentrations higher than 0.12% should be avoided prior to the self-etch adhesive systems evaluated in this study to diminish the possibilities of reduction in bond strength.

  2. Economic impact of Tegaderm chlorhexidine gluconate (CHG) dressing in critically ill patients

    Science.gov (United States)

    Thokala, Praveen; Arrowsmith, Martin; Poku, Edith; Martyn-St James, Marissa; Anderson, Jeff; Foster, Steve; Elliott, Tom; Whitehouse, Tony

    2016-01-01

    Purpose: To estimate the economic impact of a TegadermTM chlorhexidine gluconate (CHG) gel dressing compared with a standard intravenous (i.v.) dressing (defined as non-antimicrobial transparent film dressing), used for insertion site care of short-term central venous and arterial catheters (intravascular catheters) in adult critical care patients using a cost-consequence model populated with data from published sources. Material and Methods: A decision analytical cost-consequence model was developed which assigned each patient with an indwelling intravascular catheter and a standard dressing, a baseline risk of associated dermatitis, local infection at the catheter insertion site and catheter-related bloodstream infections (CRBSI), estimated from published secondary sources. The risks of these events for patients with a Tegaderm CHG were estimated by applying the effectiveness parameters from the clinical review to the baseline risks. Costs were accrued through costs of intervention (i.e. Tegaderm CHG or standard intravenous dressing) and hospital treatment costs depended on whether the patients had local dermatitis, local infection or CRBSI. Total costs were estimated as mean values of 10,000 probabilistic sensitivity analysis (PSA) runs. Results: Tegaderm CHG resulted in an average cost-saving of £77 per patient in an intensive care unit. Tegaderm CHG also has a 98.5% probability of being cost-saving compared to standard i.v. dressings. Conclusions: The analyses suggest that Tegaderm CHG is a cost-saving strategy to reduce CRBSI and the results were robust to sensitivity analyses. PMID:27582899

  3. Synergistic Antibacterial Effects of Nanoparticles Encapsulated with Scutellaria baicalensis and Pure Chlorhexidine on Oral Bacterial Biofilms

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    Ken Cham-Fai Leung

    2016-04-01

    Full Text Available Scutellaria baicalensis (SB is a traditional Chinese medicine for treating infectious and inflammatory diseases. Our recent study shows potent antibacterial effects of nanoparticle-encapsulated chlorhexidine (Nano-CHX. Herein, we explored the synergistic effects of the nanoparticle-encapsulated SB (Nano-SB and Nano-CHX on oral bacterial biofilms. Loading efficiency of Nano-SB was determined by thermogravimetric analysis, and its releasing profile was assessed by high-performance liquid chromatographyusing baicalin (a flavonoid compound of SB as the marker. The mucosal diffusion assay on Nano-SB was undertaken in a porcine model. The antibacterial effects of the mixed nanoparticles (Nano-MIX of Nano-SB and Nano-CHX at 9:1 (w/w ratio were analyzed in both planktonic and biofilm modes of representative oral bacteria. The Nano-MIX was effective on the mono-species biofilms of Streptococcus (S. mutans, S. sobrinus, Fusobacterium (F. nucleatum, and Aggregatibacter (A. actinomycetemcomitans (MIC 50 μg/mL at 24 h, and exhibited an enhanced effect against the multi-species biofilms such as S. mutans, F. nucleatum, A. actinomycetemcomitans, and Porphyromonas (P. gingivalis (MIC 12.5 μg/mL at 24 h that was supported by the findings of both scanning electron microscopy (SEM and confocal scanning laser microscopy (CLSM. This study shows enhanced synergistic antibacterial effects of the Nano-MIX on common oral bacterial biofilms, which could be potentially developed as a novel antimicrobial agent for clinical oral/periodontal care.

  4. Influence of chlorhexidine on dentin adhesive interface micromorphology and nanoleakage expression of resin cements.

    Science.gov (United States)

    Stape, Thiago Henrique Scarabello; Menezes, Murilo De Sousa; Barreto, Bruno De Castro Ferreira; Naves, Lucas Zago; Aguiar, Flávio Henrique Baggio; Quagliatto, Paulo Sérgio; Martins, Luís Roberto Marcondes

    2013-08-01

    This study focused on adhesive interface morphologic characterization and nanoleakage expression of resin cements bonded to human dentin pretreated with 1% chlorhexidine (CHX). Thirty-two non-carious human third molars were ground flat to expose superficial dentin. Resin composite blocks were luted to the exposed dentin using one conventional (RelyX ARC) and one self-adhesive resin cement (RelyX U100), with/without CHX pretreatment. Four groups (n = 8) were obtained: control groups (ARC and U100); experimental groups (ARC/CHX and U100/CHX) were pretreated with 1% CHX prior to the luting process. After storage in water for 24 h, the bonded teeth were sectioned into 0.9 × 0.9 mm(2) sticks producing a minimum of 12 sticks per tooth. Four sticks from each tooth were prepared for hybrid layer evaluation by scanning electron microscope analysis. The remaining sticks were immersed in silver nitrate for 24 h for either nanoleakage evaluation along the bonded interfaces or after rupture. Nanoleakage samples were carbon coated and examined using backscattered electron mode. Well-established hybrid layers were observed in the groups luted with RelyX ARC. Nanoleakage evaluation revealed increase nanoleakage in groups treated with CHX for both resin cements. Group U100/CHX exhibited the most pronouncing nanoleakage expression along with porous zones adjacent to the CHX pretreated dentin. The results suggest a possible incompatibility between CHX and RelyX U100 that raises the concern that the use of CHX with self-adhesive cements may adversely affect resin-dentin bond.

  5. Comparison of 2% chlorhexidine and 5.25% sodium hypochlorite irrigating solutions on postoperative pain: A randomized clinical trial

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    Bashetty Kusum

    2010-01-01

    Full Text Available Aim: To compare the levels of postoperative pain after cleaning and shaping of root canals using two different root canal irrigants for debridement. Materials and Methods: Forty patients with irreversible pulpitis, pulp necrosis and non-vital teeth exhibiting acute apical periodontitis requiring root canal treatment were included. At random, canals were cleaned and shaped with the following protocols. 2% chlorhexidine solution in group I and 5.25% sodium hypochlorite solution in group II were used as an irrigants. Access cavities were closed with a sterile cotton pellet and cavit. The patients recorded degree of pain at various time intervals after cleaning and shaping on a visual analogue scale for 1 week. Results: The mean pain score for group I was between 0.65 and 3.35 and for group II was between 0.95 and 4.50. There was significant difference in the pain level between the two groups only at 6 th hour postoperatively (P<0.05 and the pain was more in sodium hypochlorite group. Conclusions: More pain was present in teeth irrigated using 5.25% sodium hypochlorite when compared to that in teeth irrigated using 2% chlorhexidine solution. Significant difference in pain level was present only at 6th hour postoperatively, and at all other periods (24 th hour, 4 th and 7 th days there was no significant difference in pain level between the two groups.

  6. Effectiveness of the chlorhexidine containing dentifrice on reduction of plaque and gingival inflammation - A controlled clinical trial

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    Dinesh Bhopale

    2014-01-01

    Full Text Available AIM:The aim of the study was to determine the plaque and gingivitis reducing effect of a dentifrice containing chlorhexidine and compare with control toothpaste during the course of 3 months. MATERIALS AND METHODS: This randomized, double-blind study looked prospectively at participants over a 3 month period. Plaque score and gingivitis score was assessed in 40 participants, who were divided into two parallel groups. The participants used either chlorhexidine containing toothpaste (test group or commercially available fluoridated triclosan containing toothpaste (control group. Parameters were assessed at baseline and again after 1and 3 months. RESULTS:After 3 months of product use, both groups had less gingivitis compared with the baseline evaluation (p=0.001. At this time point, the test group showed a statistically significant lower gingival index values compared with the baseline (p=0.001. No statistically significant difference between either of the groups at various time points was detected with regard to plaque index score. CONCLUSION:Although there was a statistically significant difference at 3 months between test and control groups in reduction of gingival index values, this difference was too small to be considered clinically meaningful.

  7. Synthesis, characterization, and efficacy of antimicrobial chlorhexidine hexametaphosphate nanoparticles for applications in biomedical materials and consumer products

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    Barbour ME

    2013-09-01

    Full Text Available Michele E Barbour,1 Sarah E Maddocks,2 Natalie J Wood,1,3 Andrew M Collins3 1Oral Nanoscience, School of Oral and Dental Sciences, University of Bristol, Bristol, UK; 2Cardiff School of Health Sciences, Cardiff Metropolitan University, Cardiff, UK; 3Bristol Centre for Functional Nanomaterials, University of Bristol, Bristol, UK Abstract: Chlorhexidine (CHX is an antimicrobial agent that is efficacious against gram-negative and -positive bacteria and yeasts. Its mechanism of action is based on cell membrane disruption and, as such, it does not promote the development of bacterial resistance, which is associated with the widespread use of antibiotics. In this manuscript, we report the development of novel antimicrobial nanoparticles (NPs based on a hexametaphosphate salt of CHX. These are synthesized by instantaneous reaction between equimolar aqueous solutions of CHX digluconate and sodium hexametaphosphate, under room temperature and pressure. The reaction results in a stable colloid composed of highly negatively charged NPs (−50 mV, of size 20-160 nm. The NPs adhere rapidly to specimens of glass, titanium, and an elastomeric wound dressing, in a dose-dependent manner. The functionalized materials exhibit a gradual leaching of soluble CHX over a period of at least 50 days. The NP colloid is efficacious against methicillin-resistant Staphylococcus aureus (MRSA and Pseudomonas aeruginosa in both planktonic and biofilm conditions. These NPs may find application in a range of biomedical and consumer materials. Keywords: MRSA, biomaterials, chlorhexidine, drug delivery, slow release

  8. Evaluation of the sealing ability of two sealers after using chlorhexidine as a final irrigant: An in vitro study

    Directory of Open Access Journals (Sweden)

    Hitesh Gupta

    2013-01-01

    Full Text Available Aims and Objectives: The aim of this study was to evaluate the effect of the precipitate formed by using sodium hypochlorite and chlorhexidine as a root canal irrigant on the sealing ability of different root canal sealers, using a push-out bond strength test. Materials and Methods: Twenty single rooted premolars were used for this study. The teeth were divided into two groups (Groups I and II of ten teeth each, according to the obturation done with AH Plus with GuttaPercha and Resilon with epiphany, respectively. The groups were in turn divided into two subgroups of five teeth each (Subgroups A and B according to the irrigation protocol, and were evaluated using a micro push-out bond strength, with the help of a universal testing machine. Statistical analysis was done using the paired t test. Results: The mean value of the AH Plus GuttaPercha group with precipitate formation (17.66 ± 0.56 showed the highest mean value for the bond strength, which was statistically higher (P < 0.05 than the rest of the groups. In the Resilon Epiphany group, the samples with precipitate formation showed (13.28 ± 1.35 the least bond strength, which was statistically lower than all the groups, except the Resilon samples without precipitate (13.99 ± 0.48. Conclusion: The precipitate formed by a combination of sodium hypochlorite and chlorhexidine tends to affect the bond strength of the sealers used for obturation.

  9. Microbial diversity of the supra- and subgingival biofilm of healthy individuals after brushing with chlorhexidine- or silver-coated toothbrush bristles.

    Science.gov (United States)

    do Nascimento, Cássio; Paulo, Diana Ferreira; Pita, Murillo Sucena; Pedrazzi, Vinícius; de Albuquerque Junior, Rubens Ferreira

    2015-02-01

    Nanoparticulate silver has recently been reported as an effective antimicrobial agent. The aim of this clinical study was to investigate the potential changes on the oral microbiota of healthy individuals after controlled brushing with chlorhexidine- or silver-coated toothbrush bristles. Twenty-four healthy participants were enrolled in this investigation and randomly submitted to 3 interventions. All the participants received, in a crossover format, the following toothbrushing interventions: (i) chlorhexidine-coated bristles, (ii) silver-coated bristles, and (iii) conventional toothbrush (Control). All the interventions had a duration of 30 days. The DNA checkerboard hybridization method was used to identify and quantify up to 43 microbial species colonizing the supra- and subgingival biofilm. The supragingival samples presented higher genome counts than the subgingival samples (p toothbrush bristles impregnated with silver nanoparticles reduced the total and individual genome count in the supra- and subgingival biofilm after 4 weeks of brushing. Chlorhexidine was not effective in reducing the total genome counts in both supra- or subgingival biofilm after 4 weeks of brushing. Chlorhexidine reduced the individual genome counts in the supragingival biofilm for most of the target species, including putative periodontal pathogens.

  10. The potential pathogenicity of chlorhexidine-sensitive Acanthamoeba strains isolated from contact lens cases from asymptomatic individuals in Tenerife, Canary Islands, Spain.

    Science.gov (United States)

    Martín-Navarro, Carmen M; Lorenzo-Morales, Jacob; Cabrera-Serra, M Gabriela; Rancel, Fernando; Coronado-Alvarez, Nieves M; Piñero, José E; Valladares, Basilio

    2008-11-01

    Pathogenic strains of the genus Acanthamoeba are causative agents of a serious sight-threatening infection of the eye known as Acanthamoeba keratitis. The prevalence of this infection has risen in the past 20 years, mainly due to the increase in number of contact lens wearers. In this study, the prevalence of Acanthamoeba in a risk group constituted by asymptomatic contact lens wearers from Tenerife, Canary Islands, Spain, was evaluated. Contact lenses and contact lens cases were analysed for the presence of Acanthamoeba isolates. The isolates' genotypes were also determined after rDNA sequencing. The pathogenic potential of the isolated strains was subsequently established using previously described molecular and biochemical assays, which allowed the selection of three strains with high pathogenic potential. Furthermore, the sensitivity of these isolates against two standard drugs, ciprofloxacin and chlorhexidine, was analysed. As the three selected strains were sensitive to chlorhexidine, its activity and IC(50) were evaluated. Chlorhexidine was found to be active against these strains and the obtained IC(50) values were compared to the concentrations of this drug present in contact lens maintenance solutions. It was observed that the measured IC(50) was higher than the concentration found in these maintenance solutions. Therefore, the ineffectiveness of chlorhexidine-containing contact lens maintenance solutions against potentially pathogenic strains of Acanthamoeba is demonstrated in this study.

  11. Antiseptic Effect of Conventional Povidone-Iodine Scrub, Chlorhexidine Scrub, and Waterless Hand Rub in a Surgical Room: A Randomized Controlled Trial.

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    Tsai, Jui-Chen; Lin, Yen-Kuang; Huang, Yen-Jung; Loh, El-Wui; Wen, Hsiao-Yun; Wang, Chia-Hui; Tsai, Yin-Tai; Hsieh, Wen-Shyang; Tam, Ka-Wai

    2017-04-01

    OBJECTIVE Effective perioperative hand antisepsis is crucial for the safety of patients and medical staff in surgical rooms. The antimicrobial effectiveness of different antiseptic methods, including conventional hand scrubs and waterless hand rubs, has not been well evaluated. DESIGN, SETTING, AND PARTICIPANTS A randomized controlled trial was conducted to investigate the effectiveness of the 3 antiseptic methods among surgical staff of Taipei Medical University-Shuang Ho Hospital. For each method used, a group of 80 participants was enrolled. INTERVENTION Surgical hand cleansing with conventional 10% povidone-iodine scrub, conventional 4% chlorhexidine scrub, or waterless hand rub (1% chlorhexidine gluconate and 61% ethyl alcohol). RESULTS Colony-forming unit (CFU) counts were collected using the hand imprinting method before and after disinfection and after surgery. After surgical hand disinfection, the mean CFU counts of the conventional chlorhexidine (0.5±0.2, Pscrub and waterless hand rub were superior to a conventional povidone-iodine product in bacterial inhibition. We recommend using conventional chlorhexidine scrub as a standard method for perioperative hand antisepsis. Waterless hand rub may be used if the higher cost is affordable. Infect Control Hosp Epidemiol 2017;38:417-422.

  12. The efficacy of mupirocin ointment and chlorhexidine body scrubs in the eradication of nasal carriage of Staphylococcus aureus among patients undergoing long-term hemodialysis

    NARCIS (Netherlands)

    C. Watanakunakorn; J. Brandt; P. Durkin; S. Santore; B. Bota; C. J. Stahl

    1992-01-01

    textabstractPatients undergoing long-term hemodialysis have a high prevalence of Staphylococcus aureus nasal carriage, which may lead to serious infections. Mupirocin ointment has been used intranasally to eradicate S. aureus carriage in health human volunteers and health care workers. Chlorhexidine

  13. Frequency of biocide-resistant genes and susceptibility to chlorhexidine in high-level mupirocin-resistant, methicillin-resistant Staphylococcus aureus (MuH MRSA).

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    Liu, Qingzhong; Zhao, Huanqiang; Han, Lizhong; Shu, Wen; Wu, Qiong; Ni, Yuxing

    2015-08-01

    The aim of this study was to determine the prevalence of biocide-resistant determinants and the susceptibility to chlorhexidine in high-level mupirocin-resistant, methicillin-resistant Staphylococcus aureus (MuH MRSA). Fifty-three MuH MRSA isolates were analyzed for plasmid-borne genes (qacA/B, smr, qacG, qacH, and qacJ) by polymerase chain reaction (PCR); for chromosome-mediated genes (norA, norB, norC, mepA, mdeA, sepA, and sdrM) by PCR and quantitative reverse transcription-PCR (qRT-PCR); and for susceptibility to chlorhexidine by MIC and minimum bactericidal concentration (MBC). Furthermore, disinfectant efficacy was tested in the presence of 3.0% bovine serum albumin (BSA) in MBC detection. The plasmid-borne genes qacA/B (83.0%) and smr (77.4%) and overexpressions of chromosome-mediated genes norA (49.0%) and norB (28.8%) were predominantly found in isolates studied, and 90.6% of the isolates revealed tolerance to chlorhexidine. In the presence of BSA, the average MBC of chlorhexidine for these isolates rose to 256 μg/mL. Altogether, our results suggest that surveillance of sensitivity to biocides among MuH MRSA isolates is essential for hospital infection control.

  14. Effectiveness of 0.2% chlorhexidine gel and a eugenol-based paste on postoperative alveolar osteitis in patients having third molars extracted: a randomised controlled clinical trial.

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    Jesudasan, James Solomon; Wahab, P U Abdul; Sekhar, M R Muthu

    2015-11-01

    The aim of this study was to compare the effect of application of 0.2% chlorhexidine gel, a eugenol-based paste, together with a control group on the postoperative incidence of alveolar osteitis in patients having third molars extracted. A total of 270 patients who had this procedure at the Dept of Oral and Maxillofacial Surgery, Saveetha Dental College and who met the inclusion criteria were enrolled in the study and divided into 3 groups: the first had a 0.2% chlorhexidine-based gel applied to the alveolar socket once after extraction; the second had a eugenol-based paste applied to the alveolar socket once after extraction; and the third group acted as controls, with no treatment. The incidence of alveolar osteitis was recorded for 7 days. We also recorded postoperative pain, inflammation, infection, and wound healing. Nine of the control group (10%) and 2 (2%) of the chlorhexidine group developed alveolar osteitis on the seventh postoperative day. The overall incidence (11/270) was 4%, which is less than reported elsewhere. The distribution of alveolar osteitis among the 3 groups was significant (p=0.002), with the eugenol group having no cases. The chlorhexidine group showed less incidence of alveolar osteitis than other reported studies and also less pain, inflammation, infection, and better wound healing than the control group. We conclude that eugenol was the better of the 2 interventions.

  15. Comparison of Antimicrobial Activity of Chlorhexidine, Coconut Oil, Probiotics, and Ketoconazole on Candida albicans Isolated in Children with Early Childhood Caries: An In Vitro Study

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    Beena Shino

    2016-01-01

    Full Text Available Background. Early childhood caries (ECC is associated with early colonisation and high levels of cariogenic microorganisms. With C. albicans being one of those, there is a need to determine the effectiveness of various chemotherapeutic agents against it. The study is aimed at isolating Candida species in children with ECC and at studying the antifungal effect of coconut oil, probiotics, Lactobacillus, and 0.2% chlorhexidine on C. albicans in comparison with ketoconazole. Materials and Methods. Samples were collected using sterile cotton swabs, swabbed on the tooth surfaces from children with ECC of 3 to 6 yrs and streaked on Sabouraud dextrose agar (HI Media plates and incubated in a 5% CO2 enriched atmosphere at 37°C for 24 hours. Candida was isolated and its susceptibility to probiotics, chlorhexidine, ketoconazole, and coconut oil was determined using Disc Diffusion method. Results. The mean zone of inhibition for chlorhexidine was 21.8 mm, whereas for coconut oil it was 16.8 mm, for probiotics it was 13.5 mm, and for ketoconazole it was 22.3 mm. The difference between the groups was not statistically significant (Chi-square value 7.42, P value 0.06. Conclusion. Chlorhexidine and coconut oil have shown significant antifungal activity which is comparable with ketoconazole.

  16. Repercussions of intraalveolar placement of combination of 0.2% chlorhexidine & 10 Mg metronidazole gel on the occurrence of dry sockets- A randomized control trial

    Science.gov (United States)

    Raval, Rushik; Bansal, Anupam; Kumawat, Vinod

    2017-01-01

    Background To evaluate the effects of intraalveolar placement of gel containing 0.2% chlorhexidine and 10gm of metronidazole on the incidence of alveolar osteitis. Material and Methods A total of 300 impacted third molars were extracted in 150 patients enrolled in this trial. In each subject a socket was randomly selected and packed to the crest of alveolar ridge with the gel. The contralateral socket was packed with placebo dressing. The occurrence of dry socket was assessed during 3rd and 5th postoperative days .The data was analysed using a meta analytical program. Study Design Double blind, prospective, placebo controlled trial. Results The combination of metronidazole + chlorhexidine gel significantly reduced dry socket incidence from 22.6% to 6.6% (P ≤ 0.001) [McNemar and chi-square tests]. Conclusions The decrease in incidence of adverse reactions and complications related to local application of metronidazole and chlorhexidine gel explains its clinical use, specifically in mandibular molar extractions where the chances of dry sockets are high. Key words:Chlorhexidine, dry socket, intra-alveolar, metronidazole, placebo. PMID:28210450

  17. Comparison of Antimicrobial Activity of Chlorhexidine, Coconut Oil, Probiotics, and Ketoconazole on Candida albicans Isolated in Children with Early Childhood Caries: An In Vitro Study.

    Science.gov (United States)

    Shino, Beena; Peedikayil, Faizal C; Jaiprakash, Shyamala R; Ahmed Bijapur, Gufran; Kottayi, Soni; Jose, Deepak

    2016-01-01

    Background. Early childhood caries (ECC) is associated with early colonisation and high levels of cariogenic microorganisms. With C. albicans being one of those, there is a need to determine the effectiveness of various chemotherapeutic agents against it. The study is aimed at isolating Candida species in children with ECC and at studying the antifungal effect of coconut oil, probiotics, Lactobacillus, and 0.2% chlorhexidine on C. albicans in comparison with ketoconazole. Materials and Methods. Samples were collected using sterile cotton swabs, swabbed on the tooth surfaces from children with ECC of 3 to 6 yrs and streaked on Sabouraud dextrose agar (HI Media) plates and incubated in a 5% CO2 enriched atmosphere at 37°C for 24 hours. Candida was isolated and its susceptibility to probiotics, chlorhexidine, ketoconazole, and coconut oil was determined using Disc Diffusion method. Results. The mean zone of inhibition for chlorhexidine was 21.8 mm, whereas for coconut oil it was 16.8 mm, for probiotics it was 13.5 mm, and for ketoconazole it was 22.3 mm. The difference between the groups was not statistically significant (Chi-square value 7.42, P value 0.06). Conclusion. Chlorhexidine and coconut oil have shown significant antifungal activity which is comparable with ketoconazole.

  18. Evaluation and Comparison of the Antibacterial Activity against Streptococcus mutans of Grape Seed Extract at Different Concentrations with Chlorhexidine Gluconate: An in vitro Study

    Science.gov (United States)

    Dave, Bhavna; Vyas, Soham M; Shah, Nupur

    2016-01-01

    Introduction Streptococcus mutans has been implicated as primary microorganisms which cause dental caries in humans. There has been an increased interest in the therapeutic properties of some medicinal plants and natural compounds which have demonstrated antibacterial activities. Grape is one of the plants of this group which contains tannin and polyphenolic compound. Aim To evaluate and compare antibacterial activity of grape seed extract at different concentrations with chlorhexidine gluconate against S. mutans. Materials and methods Grape seeds were extracted with ethanol/water ratio of 70:30 volume/volume. The extracts were filtered through Whatman No. 1 filter paper until it becomes colorless. Streptococcus mutans strains were taken. To check the antimicrobial properties of grape seed extract at different concentration and chlorhexidine gluconate, they were added to S. mutans strain and incubated for 48 hours than colony-forming units/mL were checked. Results Grape seed extract at higher concentration were found to be more potent against S. mutans. Chlorhexidine gluconate was found to have most potent antibacterial action compared to all different concentrations of grape seed extract. Conclusion Grape seed extract as a natural antimicrobial compound has inhibitory effect against S. mutans. How to cite this article Swadas M, Dave B, Vyas SM, Shah N. Evaluation and Comparison of the Antibacterial Activity against Streptococcus mutans of Grape Seed Extract at Different Concentrations with Chlorhexidine Gluconate: An in vitro Study. Int J Clin Pediatr Dent 2016;9(3):181-185. PMID:27843246

  19. Evaluation of a waterless, scrubless chlorhexidine gluconate/ethanol surgical scrub for antimicrobial efficacy.

    Science.gov (United States)

    Mulberrry, G; Snyder, A T; Heilman, J; Pyrek, J; Stahl, J

    2001-12-01

    A new waterless surgical hand preparation containing 1% chlorhexidine gluconate (CHG) and 61% ethyl alcohol was evaluated for antimicrobial efficacy in comparison with a standard 4% CHG surgical scrub and a 61% ethyl alcohol control. Clinical studies were based on the Tentative Final Monograph for Health-Care Antiseptic Drug Products (TFM) (proposed rule) and the Standard Test Method for Evaluation of Surgical Hand Scrub Formulations (ASTM E1115-91). Two randomized, blinded, well-controlled clinical studies involving 137 healthy subjects were conducted to evaluate the antimicrobial effectiveness of the CHG/ethanol hand preparation in producing an immediate and persistent reduction in the normal bacterial flora of the hands. The CHG/ethanol hand preparation was applied without scrubbing or the use of water, and a standard 4% CHG reference product was applied with a scrub brush in 2 traditional 3-minute surgical scrubs. In 1 study, a 61% ethanol vehicle control treatment was applied without scrubbing or use of water. During a 5-day period, each study subject performed a series of 11 surgical scrubs with 1 of the test treatments. After the first treatment on days 1, 2, and 5, surgical gloves were worn for 3 or 6 hours. Bacterial samples were taken with the glove-juice technique at 1 minute, 3 hours, and 6 hours after treatment. The immediate bactericidal effect of the CHG/ethanol hand preparation after a single application resulted in a 2.5-log reduction in normal flora. This bactericidal effect persisted throughout the studies and eventually increased to a 3.6-log reduction after the 11th scrub on day 5. The log reductions of the CHG/ethanol hand preparation proved to be significantly better (P <.05) than that of the 4% CHG product at each sampling interval on days 1 and 2 and the sampling at 6 hours on day 5 and significantly better than the 61% ethanol vehicle at all times. The combination of 1% CHG and 61% ethanol had significantly greater microbial reduction than

  20. Chlorhexidine Nanocapsule Drug Delivery Approach to the Resin-Dentin Interface.

    Science.gov (United States)

    Priyadarshini, B M; Selvan, S T; Lu, T B; Xie, H; Neo, J; Fawzy, A S

    2016-08-01

    In this study, we are introducing a new drug-delivery approach to demineralized dentin substrates through microsized dentinal tubules in the form of drug-loaded nanocapsules. Chlorhexidine (CHX) is widely used in adhesive dentistry due to its nonspecific matrix metalloproteinase inhibitory effect and antibacterial activities. Poly(ε-caprolactone) nanocapsules (nano-PCL) loaded with CHX were fabricated by interfacial polymer deposition at PCL/CHX ratios of 125:10, 125:25, and 125:50. Unloaded nanocapsules (blank) were fabricated as control. The fabricated nanocapsules were characterized in vitro in terms of particle size, surface charges, particle recovery, encapsulation efficiency, and drug loading. Nanocapsule morphology, drug inclusion, structural properties, and crystallinity were investigated by scanning and transmission electron microscopes (SEM/TEM), energy-dispersive x-ray analysis, Fourier transform infrared spectroscopy, and x-ray diffraction. Initial screening of the antibacterial activities and the cytotoxicity of the nanocapsules were also conducted. Nanocapsules, as carried on ethanol/water solution, were delivered to demineralized dentin specimens connected to an ex vivo model setup simulating the pulpal pressure to study their infiltration, penetration depth, and retention inside the dentinal tubules by SEM/TEM. Nanocapsules were Ag labeled and delivered to demineralized dentin, followed by the application of a 2-step etch-and-rinse dentin adhesive. CHX-release profiles were characterized in vitro and ex vivo up to 25 d. Spherical nanocapsules were fabricated with a CHX core coated with a thin PCL shell. The blank nanocapsules exhibited the largest z-average diameter with negatively charged ζ-potential. With CHX incorporation, the nanocapsule size was decreased with a positive shift in ζ-potential. Nano-PCL/CHX at 125:50 showed the highest drug loading, antibacterial effect, and CHX release both in vitro and ex vivo. SEM and TEM revealed the deep

  1. Efecto inhibitorio en placa microbiana y propiedades antibacterianas de enjuagatorios de clorhexidina The effects of a chlorhexidine rinses on the development of plaque and antibacterial

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    Ismael Yevenes L

    2003-04-01

    Full Text Available El propósito de este estudio fue determinar en 20 voluntarios el efecto sobre el crecimiento de placa en 24 horas de enjuagatorios de clorhexidina, medir in vitro su actividad microbicida y determinar la concentración de clorhexidina. Tres enjuagatorio s comerciales fueron usados, denominados A, B y C, los dos primeros con 0,12% y el tercero con 0,1% de clorhexidina. El efecto sobre el crecimiento de placa en 24 horas se determino midiendo área de placa e índice de placa en tres estudios cruzados doble ciego. Las propiedades microbicidas fueron determinadas por un ensayo de inhibición del desarrollo del Streptococcus mutans, Actinomyces viscosus y Candida albicans. La determinación de clorhexidina fue realizada por cromatografía HPLC. No se encontraron diferencias significativas en la placa formada a las 24 horas después del uso de los enjuagatorios pero menos placa se desarrollo con clorhexidina al compararla con el control. Las concentraciones de clorhexidina fueron 0,1174%, 0,1168% Y0,091% para A, B y C respectivamente, valores estables después de 16 meses de elaboración. Las concentraciones en clorhexidina para A y B son valores normales mientras que el valor de C esta bajo el valor declarado. Los enjuagatorios presentan actividad microbicida contra los microorganismos usados con un tiempo de inactivación del crecimiento menor o igual a 30 segundos. Las metodologías usadas permiten confirmar la efectividad de los enjuagatorios con diferentes concentración de clorhexidina, donde los resultados claramente sugieren que 0,1% en clorhexidina es capaz de tener actividad antiplaca y antimicrobiana cuando es usada en colutorios, no siendo necesarias concentraciones mas elevadas.The purpose of this study was to measure plaque regrowth over 24 h.(in vivo and microbicidal activity (in vitro, and to determine the concentration of chlorhexidine in mouthwashes. Three commercial mouthwashes were used, A ,B, whit 0.12 % and C whit 0.10 % of

  2. Comparative evaluation of sutures coated with triclosan and chlorhexidine for oral biofilm inhibition potential and antimicrobial activity against periodontal pathogens: An in vitro study

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    Kunal Sunder Sethi

    2016-01-01

    Full Text Available Background: Surgical site plaque accumulation is one of the challenging problems leading to unfavorable healing. The antibacterial sutures can be used to reduce or inhibit plaque formation. Presently there is no study comparing efficacy of sutures coated with triclosan and chlorhexidine in terms of oral biofilm inhibition and antimicrobial property against periodontal pathogens. Aim: The aim of present study was to evaluate the antibacterial efficacy and oral biofilm inhibition around chlorhexidine and triclosan coated polyglactin sutures in comparison to uncoated sutures. Materials and Method: Equal segments of chlorhexidine and triclosan coated polyglactin sutures (3-0 were incubated at 370°C in saliva collected from 10 chronic periodontitis patients for 7 days. Plain uncoated suture served as control. Biofilm formation was analyzed with Confocal Laser-Scanning Microscopy (CLSM and Scanning Electron Microscopy (SEM. Quantitative assessment was done using Colony Forming Units (CFU/mL.The antibacterial efficacy of the sutures was tested against specific periodontal pathogens (S.mutans, F.nucleatum, A.actinomycetomcomitans, P.intermedia, P.gingivalis using agar diffusion method. CLSM and SEM were not subjected to statistical analysis. ANOVA test was used for colony forming units and agar diffusion test. (P < 0.05 Results: CLSM and SEM showed substantial biofilm inhibition around chlorhexidine-coated sutures followed by triclosan-coated when compared to plain uncoated suture. The antibacterial coated sutures showed statistically significant difference in CFUs/ml and zone of inhibition compared to plain uncoated sutures. Among coated sutures, chlorhexidine-coated sutures showed better results. Conclusion: The antibacterial coated sutures have a promising potential in preventing the colonization of periodontal pathogens around it thereby inhibiting biofilm formation.

  3. Comparative evaluation of antibacterial property and substantivity of chlorhexidine containing dentifrices with sodium lauryl sulfate and Tween as surfactants: An in vivo study

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    V Venu

    2013-01-01

    Full Text Available Aim: The aim of the study was to determine the antibacterial property and substantivity of chlorhexidine containing dentifrices with sodium lauryl sulfate (SLS and Tween as surfactants. Materials and Methods: It is a double-blind cross over the study, a total of 20 children within their mixed dentition period (7-13 year having Streptococci mutans count more than 10 6 were selected for the main study. Three types of chlorhexidine containing dentifrices were used with a washout period of 1 week. Out of the three toothpastes, one was without surfactant and other two toothpastes contained SLS and Tween as surfactants respectively. 20 volunteers brushed for 1 min during the study day with their assigned toothpaste. Saliva samples were collected before brushing, immediately after brushing and 1, 3, 5, and 7 hand sent for microbial analysis. The culture carried out by inoculating saliva sample onto Mitis salivarius agar for selective isolation of S. mutans followed by counting of colony forming unit. Results: Group I and III (Chlorhexidine and CHX + Tween had shown statistically significant reduction in bacterial count until 7 h when compared to their baseline values ( P < 0.001. Group II toothpaste (CHX + SLS had shown significant reduction in bacterial count until 3 h only. On inter group comparison, Group III had shown good amount of percentage reduction in bacterial count when compared to other groups. Conclusion: CHX + Tween toothpaste had shown statistically significant reduction in antibacterial activity and substantivity than other groups. These findings show chlorhexidine containing toothpaste with non-ionic surfactant will be able to maintain the antibacterial property and substantivity of chlorhexidine.

  4. A study on the design, formulation and effectiveness of chewing gums containing Chlorhexidine Gluconate in the prevention of dental plaque

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    Kolahi Kazerani G

    2003-08-01

    Full Text Available Statement of Problem: The role of the microbial plaque in caries etiology and periodontal diseases has been"nproved and the mechanical methods for plaque control have special limitations, consequently, chemical"nmethods have been suggested. One of the most effective materials is Chlorhexidine Gluconate that is"ncommonly used as mouth rinses. However, the medicated formulations of chewing gums, due to several"nproperties, have been paid attention. It should be noted that a new formulation to satisfy the consumers' taste"nseems necessary."nPurpose: The aim of this study was to present a new formulation for chewing gums containing chlorhexidine"nto achieve a pleasant taste coupled with their effectiveness and anti-plaque properties maintenance."nMaterials and Methods: In this double blind, crossover, prospective clinical trial, 18 volunteers were"ninvestigated. Chlorhexidine Gluconate was used and added to the gum-base by Manitole. In order to cover the"nbitter taste of the drug Aspartam, mint essence and Mentole were used. After gums production, the profile of"ndrug dissolution was evaluated by jaw movement simulating system. It took 5 days to study each type of"nchewing gums without any mechanical plaque control method. Medicated and placebo chewing gums were"nidentical in shape, size, color and formulation. The washout period was 2 days. Chewing gums were used"nevery 12 hours for 20 minutes. To determine plaque score, Turesky- Gilmore- Glickman modification index"nwas used. Other variables including: subjective evaluation of taste, cleansing effect and taste disturbance were"nassessed through filling a checklist. The data were analyzed by Paired t test and Wilcoxon test."nResults: During 20 mins, 80% of the drug was released from the gum-base. The mean difference of plaque"nscore between the initial and final stages at the first trial was -0.1589 and at the second trial was 2.994 which"nwas statistically significant (P<0.001. Subjective

  5. An in vitro comparative antibacterial study of different concentrations of green tea extracts and 2% chlorhexidine on Enterococcus faecalis

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    Leena P Martina

    2013-01-01

    Full Text Available Aim : The purpose of this study was to comparatively evaluate the antibacterial property of various concentrations of green tea extracts and 2% chlorhexidine (CHX against Enterococcus faecalis 0(E. faecalis in vitro. Materials and Methods: The activity of green tea extract and CHX on E. faecalis was measured on agar plates using the agar diffusion method. In addition, the tube dilution method was used to determine the minimum inhibitory concentration (MIC and minimum bactericidal concentration of green tea extract against E. faecalis. Results: The MIC of green tea extract was found to be 3.5%. The zone of inhibition was found to be concentration dependent. The 2.5% concentration of green tea extract showed 20 mm zone of inhibition, while the 3% concentration demonstrated a 30 mm zone of inhibition. Two percent CHX showed 30 mm zone of inhibition. Conclusion: Three percent concentration of green tea extract showed an antibacterial activity equivalent to 2% CHX against E. faecalis.

  6. The Effects of Chlorhexidine and Persica Mouthwashes on Colonization of Streptococcus mutans on Fixed Orthodontics O-rings

    Science.gov (United States)

    Saffari, Fereshteh; Danesh Ardakani, Mohammad; Zandi, Hengameh; Heidarzadeh, Hamed; Moshafi, Mohammad Hassan

    2015-01-01

    Statement of the Problem Fixed orthodontic appliances predispose patients to dental caries. Use of mouthrinses has been introduced as the effective way for reducing dental plaque accumulation. Purpose The aim of this study was to compare the effects of Persica mouthwash and Chlorhexidine (CHX) on colonization of Streptococcus mutans (S. mutans) on fixed orthodontic O-rings. Materials and Method Thirty patients with fixed orthodontic appliances and proper oral hygiene were randomly provided by CHX and Persica and trained to use these mouthwashes according to the manufacturer’s instruction. Sampling was carried out right before and 4 weeks after mouthrinsing treatment. The mean amounts of S. mutans colonies in these groups were compared. Results Comparison of S. mutans colonization within each group revealed both mouthrinses to be efficient. However, this difference was found to be significant only in CHX group. Conclusion Persica cannot be a good alternative mouthwash and patients on orthodontic treatment are still recommended to use CHX. PMID:25759859

  7. Antibacterial efficiency of vermiculite/chlorhexidine nanocomposites and results of the in vivo test of harmlessness of vermiculite

    Energy Technology Data Exchange (ETDEWEB)

    Holešová, Sylva, E-mail: sylva.holesova@vsb.cz [Nanotechnology Centre, VŠB — Technical University of Ostrava, 17. listopadu 15/2172, CZ-708 33 Ostrava, Poruba (Czech Republic); IT4Innovations Centre of Excellence, VŠB — Technical University of Ostrava, 17. listopadu 15/2172, CZ-708 00 Ostrava, Poruba (Czech Republic); Štembírek, Jan [Department of Maxillofacial Surgery, University Hospital Ostrava, 17. listopadu 1790/5, CZ-708 00 Ostrava, Poruba (Czech Republic); Bartošová, Ladislava [Department of Human Pharmacology and Toxicology, University of Veterinary and Pharmaceutical Sciences Brno, Palackého 1/3, CZ-612 42 Brno (Czech Republic); Pražanová, Gabriela [Department of Pathology, Masaryk Memorial Cancer Institute, Žlutý kopec 7, CZ-65653 Brno (Czech Republic); Valášková, Marta; Samlíková, Magda [Nanotechnology Centre, VŠB — Technical University of Ostrava, 17. listopadu 15/2172, CZ-708 33 Ostrava, Poruba (Czech Republic); IT4Innovations Centre of Excellence, VŠB — Technical University of Ostrava, 17. listopadu 15/2172, CZ-708 00 Ostrava, Poruba (Czech Republic); Pazdziora, Erich [Institute of Public Health Ostrava, Centre of Clinical Laboratories, Partyzánské náměstí 7, CZ-702 00 Ostrava (Czech Republic)

    2014-09-01

    Clay minerals have been proposed as very useful materials for modulating drug delivery. These are the commonly used materials in pharmaceutical production both as inorganic carriers or active agents. We focused on the development of suitable long-acting material for local treatment of oral infection where clay minerals act as inorganic drug carriers. Organovermiculites with antibacterial activity were prepared by ion exchange reactions using different concentrations of chlorhexidine diacetate. The samples were characterized by X-ray diffraction (XRD), Fourier transform infrared spectroscopy (FTIR) and thermal analysis (TGA). The antibacterial activity was evaluated by finding the minimum inhibitory concentration (MIC). All studied organoclays possessed good antibacterial activity after 24 h exposure against Escherichia coli, Enterococcus faecalis and particularly against Staphylococcus aureus. Pseudomonas aeruginosa however proved very resistant as only the sample with the highest concentration of CA that successfully inhibited bacterial growth. Furthermore, clay mineral vermiculite was subjected to in vivo toxicological analysis and its influence on gastrointestinal tract during its oral application was investigated. Tissue samples from buccal mucosa, tongue, esophagus, stomach, terminal duodenum, small intestine, caecum, distal colon and liver were subjected to histological examination, both macroscopically and microscopically. Neither systemic nor local reactions were observed. Therefore the toxicity of vermiculite to a mammal model organism can be excluded. - Highlights: • Antibacterial chlorhexidine diacetate/vermiculite nanocomposites were prepared. • Samples were characterized by XRD, FTIR and TGA. • Efficiency against S. aureus, E. faecalis, E. coli and P. aeruginosa was evaluated. • Influence of Ver on gastrointestinal tract during oral application was investigated. • In vivo toxicological analysis excluded neither systemic nor local reactions.

  8. Antimicrobial effect of zataria multiflora extract in comparison with chlorhexidine mouthwash on experimentally contaminated orthodontic elastomeric ligatures.

    Directory of Open Access Journals (Sweden)

    Hossein Aghili

    2015-02-01

    Full Text Available Long-term use of orthodontic appliances and fixation ligatures creates a favorable environment for the accumulation of oral normal microflora and increases the risk of enamel demineralization and periodontal disease. The aim of this study was to compare the antimicrobial effects of Zataria Multiflora extract and 0.2% chlorhexidine (CHX mouthwash on experimentally contaminated orthodontic elastomeric ligatures.In this lab trial study, Iranian and foreign-made elastomeric ligatures were experimentally contaminated in Streptococcus mutans, Enterococcus faecalis and Candida albicans suspensions. Ligatures were then decontaminated using 0.2% CHX as the control, 0.5 mg/ml Zataria multiflora extract mouthwashes as the test and phosphate buffered saline (PBS as the negative control for one hour. Antimicrobial properties of both solutions were evaluated by comparing the mean viable bacterial cell count on both rings after decontamination, using SPSS version 15 software.The mean viable bacterial cell count on Iranian ligatures was greater than that on foreign-made ligatures before disinfection (P=0.001, however this difference for C. albicans was not statistically significant (P=0.061. Chlorhexidine mouthwash completely eliminated all tested microorganisms attached to both elastomeric rings, but Zataria extract was only capable of completely eliminating C. albicans from both ligatures. Statistically significant differences were found in viable bacterial counts on both ligatures before and after disinfection with Zataria extract (P=0.0001.Zataria multiflora extract has antimicrobial properties and can be used for disinfection of elastomeric ligatures. In vivo studies are required to evaluate the efficacy of the incorporation of this herbal extract in mouthwashes for orthodontic patients.

  9. Effect of three disinfectants (chlorhexidine, sodium hypochlorite and hydrogen peroxide on the microleakage of 7th generation bonding agents

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    Salari Behzad

    2013-10-01

    Full Text Available   Background and Aims : The aim of this study was to evaluate the effect of chlorhexidin 2%, sodium hypochlorite 2.5% and hydrogen peroxide 3% as three effective and regular disinfectants on the microleakage of 7th generation bonding agents in vitro.   Materials and Methods: 45 extracted molar teeth without carries were collected and disinfected. On buccal and lingual aspects of these teeth conventional class V cavity preparation were done (90 cavities, then randomly divided to 4 groups, three of them had 10 teeth (20 cavities and one of them had 5 teeth (10 cavities as control group. Cavities in each experimental group prepared with one of the disinfectants and then 7th generation bonding (Optibond all in one, kerr was used as noted by manufacturer, then cavities filled with composite and polished. Bonding agent was used without our previous disinfectants manipulation in control group. Specimens were thermocycled with 1000 thermal cycles between 5 and 55 0 C each for 30 seconds and then immersed in the methylene blue 5%, then sectioned mesiodistally and investigated for microleakage under stereomicroscope (Olympus, Japan. Data were analyzed using Kruskal-Wallis and Wilcoxon mean rank tests.   Results: Despite the lower mean rank values for the untreated group at both occlusal and gingival aspects, the Kruskal-Wallis procedure (α=0.05 showed that the treatment factor did not significantly affect the mean rank values neither in occlusal (P=0.12 nor in gingival (P=0.39 part of cavities.   Conclusion: According to the results of this study, antimicrobial agents such as chlorhexidine 2%, sodium hypochloride 2.5% and hydrogen peroxide 3% can be used perior to 7th generation dentin bonding agent(Optibond all in one, kerr without much concern.

  10. Evaluation of the Effects of Oronasal Versus Oral Disinfections with Chlorhexidine on Clinical Criteria of Ventilator-associated Pneumonia

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    Mahdi Alimi

    2016-10-01

    Full Text Available Background: Ventilator-associated pneumonia (VAP is the most prevalent and lethal form of nosocomial infections in the ICU and oral disinfection is a nursing measure to prevent this condition. Aim: this study aimed to evaluate the effect of oronasal versus oral disinfections with chlorhexidine on the clinical criteria for diagnosis of VAP. Method: This randomized clinical trial was conducted on 70 intubated ICU patients under mechanical ventilation at Shahid Kamyab Hospital of Mashhad, Iran in 2016. Samples were divided into two groups of intervention (mouthwash and disinfection of nostrils with 0.2% chlorhexidine every eight hours and control (mouthwash. Clinical criteria for VAP, including pulmonary infiltration, rectal temperature, white blood cell (WBC count and endotracheal discharge were recorded and compared between the two groups from days 1-6. Data analysis was performed in SPSS version 11.5 using Chi-square test. Results: In this study, mean age of intervention and control groups was 44.3±19.9 and 45.9±18.2 years, respectively. The results of Chi-square test indicated no significant difference between the groups regarding rectal temperature (P=0.22, WBC count (P=0.33, purulent endotracheal discharge (P= 0.47, pulmonary infiltration (P=0.21 and incidence of VAP (P=0.21. Implications for Practice: According to the results of this study, no statistically significant difference was observed between the two groups regarding clinical criteria and the incidence of VAP despite clinical differences. Therefore, it is recommended that further studies be conducted in this area.

  11. Plaque growth-inhibiting effects of an abrasive fluoride-chlorhexidine toothpaste and a fluoride toothpaste containing oxidative enzymes.

    Science.gov (United States)

    Etemadzadeh, H; Ainamo, J; Murtomaa, H

    1985-08-01

    The aim of this 4 times cross-over double-blind clinical trial was to test the plaque-inhibiting effect of 2 fluoride-containing toothpastes. One toothpaste contained 0.8% chlorhexidine together with amine fluoride (0.1% F degrees) and a suitable abrasive agent. The other contained 1.7 U/g glucose oxidase and 8.0 U/g amyloglucosidase, added to an amine fluoride (0.1% F degrees) toothpaste. 1% Hibitane dental gel was used as a positive and a conventional fluoride toothpaste (Vademecum MFP Fluor) as a negative control. 9 dental students, in a randomized sequence, applied the 4 dentifrices twice daily from Monday afternoon to Friday morning with cap splints, designed to cover the teeth and about 2 mm of gingiva. No other oral hygiene measures were allowed during the 4 test periods. On Fridays, the teeth were cleaned professionally and good oral hygiene was maintained during the week-ends. At the beginning and at the end of each test period, per student plaque thickness was recorded using the plaque index, the visible plaque index, and plaque fresh weight as parameters, and the area of plaque as related to the area of the tooth surface was recorded planimetrically and according to the PLQ index. The best plaque growth-inhibiting effect was recorded for the positive control (CHX) with the test chlorhexidine toothpaste (TX) as next best. The enzyme-containing toothpaste (TE) did not differ significantly from the negative control (C). All the significant differences in anti-plaque effect between the 4 toothpastes were obtained by recordings of plaque thickness and none on the basis of area of plaque.

  12. Comparison of an alcohol-based hand rub and water-based chlorhexidine gluconate scrub technique for hand antisepsis prior to elective surgery in horses

    OpenAIRE

    da Silveira, Eduardo Almeida; Bubeck, Kirstin A.; Batista, Edisleidy Rodriguez; Piat, Perrine; Laverty, Sheila; Beauchamp, Guy; Archambault, Marie; Elce, Yvonne

    2016-01-01

    This prospective clinical study evaluates the effectiveness of an alcohol-based hand rub (Avagard™) for pre-surgical hand antisepsis in an equine hospital and compares it with traditional scrubbing technique using 4% chlorhexidine gluconate sponges and water. Prior to elective surgery, 3 board-certified surgeons were randomly assigned to hand antisepsis with either technique. Culture samples of each hand were taken at 4 times: before and after neutral soap hand wash, after scrub or rubbing te...

  13. The use of ozonated water and 0.2% chlorhexidine in the treatment of periodontitis patients: A clinical and microbiologic study

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    Kshitish Durga

    2010-01-01

    Full Text Available Background: The development of periodontal disease has been thought to be associated with several restricted members of the oral anaerobic species, such as black-pigmented Porphyromonas species and Actinobacillus actinomycetemcomitans (Aa, in the subgingival environment. Apart from bacteria, certain viruses and fungi that are associated with periodontal disease are also present in the subgingival plaque . Materials and Methods: A randomized, double-blind, crossover split-mouth design was performed. A total of 16 patients suffering from generalized chronic periodontitis were selected for the study. The study period of 18 days was divided into two time-intervals, i.e. baseline (0 days to 7 th day, with a washout period of 4 days followed by a second time interval of 7 days. The use of ozone and chlorhexidine gluconate (CHX irrigation was randomized. Both the patient and the clinician evaluating the clinical parameters were blinded regarding the type of irrigation used. Results: The interpretation of clinical and microbial data is from baseline to 7 th day. A higher percentage of plaque index (12%, gingival index (29% and bleeding index (26% reduction was observed using ozone irrigation as compared to chlorhexidine. The percentile reduction of Aa (25% using ozone was appreciable as compared to no change in Aa occurrence using chlorhexidine. By using O 3 and chlorhexidine, there was no antibacterial effect on Porphyromonas gingivalis (Pg and Tannerella forsythensis. The antifungal effect of ozone from baseline (37% to 7 th day (12.5% was pronounced during the study period, unlike CHX, which did not demonstrate any antifungal effect. Conclusion: Ozone may be considered as an alternative management strategy due to its powerful ability to inactivate microorganisms. Also, there is growing evidence that ozone can be employed as a useful therapeutic agent in both dentistry and medicine.

  14. Antimicrobial activity of Calendula officinalis, Camellia sinensis and chlorhexidine against the adherence of microorganisms to sutures after extraction of unerupted third molars

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    Raquel Lourdes Faria

    2011-10-01

    Full Text Available OBJECTIVE: The objective of this study was to compare the antimicrobial effect of mouthwashes containing Calendula officinalis L., Camellia sinensis (L. Kuntze and 0.12% chlorhexidine digluconate on the adherence of microorganisms to suture materials after extraction of unerupted third molars. MATERIAL AND METHODS: Eighteen patients with unerupted maxillary third molars indicated for extraction were selected (n=6 per mouthwash. First, the patients were subjected to extraction of the left tooth and instructed not to use any type of antiseptic solution at the site of surgery (control group. After 15 days, the right tooth was extracted and the patients were instructed to use the Calendula officinalis, Camellia sinensis or chlorhexidine mouthwash during 1 week (experimental group. For each surgery, the sutures were removed on postoperative day 7 and placed in sterile phosphate-buffered saline. Next, serial dilutions were prepared and seeded onto different culture media for the growth of the following microorganisms: blood agar for total microorganism growth; Mitis Salivarius bacitracin sucrose agar for mutans group streptococci; mannitol agar for Staphylococcus spp.; MacConkey agar for enterobacteria and Pseudomonas spp., and Sabouraud dextrose agar containing chloramphenicol for Candida spp. The plates were incubated during 24-48 h at 37ºC for microorganism count (CFU/mL. RESULTS: The three mouthwashes tested reduced the number of microorganisms adhered to the sutures compared to the control group. However, significant differences between the control and experimental groups were only observed for the mouthwash containing 0.12% chlorhexidine digluconate. CONCLUSIONS: Calendula officinalis L. and Camellia sinensis (L. Kuntze presented antimicrobial activity against the adherence of microorganisms to sutures but were not as efficient as chlorhexidine digluconate.

  15. Nanoleakage of fiber posts luted with different adhesive strategies and the effect of chlorhexidine on the interface of dentin and self-adhesive cements.

    Science.gov (United States)

    Pontes, Danielson Guedes; Araujo, Cintia Tereza Pimenta; Prieto, Lucia Trazzi; de Oliveira, Dayane Carvalho Ramos Salles; Coppini, Erick Kamiya; Dias, Carlos Tadeu Santos; Paulillo, Luis Alexandre Maffei Sartini

    2015-01-01

    The aim of this in vitro study was to evaluate the nanoleakage of fiber posts luted using different adhesive strategies and to investigate the effect of 2% chlorhexidine (CHX) on nanoleakage at the resin-dentin interfaces of self-adhesive cements. The self-adhesive and etch-and-rinse adhesive groups tested demonstrated similar results with regard to nanoleakage. Pretreatment with CHX promoted an adequate seal at the resin-dentin interface for self-adhesive cements.

  16. Effect of chlorhexidine gel or toothpaste in the salivary count of mutans streptococci in children of Saí district (São Francisco do Sul, SC, Brazil)

    OpenAIRE

    2010-01-01

    Introduction: Dental caries is the most prevalent disease affectinghumans and it is characterized by the progressive destruction ofthe affected teeth. A susceptible host, a cariogenic oral microflora(mainly mutans streptococci) and a suitable substrate are necessaryconditions for the development of caries. Chlorhexidine is one of themost effective antimicrobial agents available for dental use in reducing the proportion of some microorganisms, especially the mutansstreptococci. Objective: The ...

  17. Comparison of the effectiveness of 0.5% tea, 2% neem and 0.2% chlorhexidine mouthwashes on oral health: A randomized control trial

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    Aswini Y Balappanavar

    2013-01-01

    Full Text Available Background: The aim of this study was to evaluate and compare the effectiveness of 0.5% tea, 2% neem, and 0.2% chlorhexidine mouthwashes on oral health. Materials and Methods: A randomized blinded controlled trial with 30 healthy human volunteers of age group 18-25 years was carried out. The subjects were randomly assigned to 3 groups i.e., group A - 0.2% chlorhexidine gluconate (bench mark control, Group B - 2% neem, and group C - 0.5% tea of 10 subjects per group. Plaque accumulation and gingival condition were recorded using plaque index and gingival index. Oral hygiene was assessed by simplified oral hygiene index (OHIS. Salivary pH was assessed by indikrom pH strips. Plaque, gingival, and simplified OHI scores as well as salivary pH were recorded at baseline, immediately after 1 st rinse, after 1 week, 2 nd week, and 3 rd week. The 3 rd week was skipped for group A. Results: Mean plaque and gingival scores were reduced over the 3 week trial period for experimental and control groups. Anti-plaque effectiveness was observed in all groups and the highest being in group C (P < 0.05. Neem and tea showed comparative effectiveness on gingiva better than chlorhexidine (P < 0.05. The salivary pH rise was sustained and significant in Group B and C compared to Group A. Oral hygiene improvement was better appreciated in Group B and Group C. Conclusion: The effectiveness of 0.5% tea was more compared to 2% neem and 0.2% chlorhexidine mouth rinse.

  18. Effect of aqueous and alcoholic Stevia (Stevia rebaudiana) extracts against Streptococcus mutans and Lactobacillus acidophilus in comparison to chlorhexidine: An in vitro study

    Science.gov (United States)

    Ajagannanavar, Sunil Lingaraj; Shamarao, Supreetha; Battur, Hemant; Tikare, Shreyas; Al-Kheraif, Abdulaziz Abdullah; Al Sayed, Mohammed Sayed Al Esawy

    2014-01-01

    Introduction: Stevia (S. rebaudiana) a herb which has medicinal value and was used in ancient times as a remedy for a great diversity of ailments and sweetener. Leaves of Stevia contain a high concentration of Stevioside and Rebaudioside which are supposed to be sweetening agents. Aim: To compare the efficacy of aqueous and alcoholic S. rebaudiana extract against Streptococcus mutans and Lactobacillus acidophilus in comparison to chlorhexidine. Materials and Methods: In the first part of the study, various concentrations of aqueous and ethanolic Stevia extract were prepared in the laboratory of Pharmacy College. It was then subjected to microbiological assay to determine its zone of inhibition using Agar disk diffusion test and minimum inhibitory concentration (MIC) using serial broth dilution method against Streptococcus mutans and Lactobacillus acidophilus. Chlorhexidine was used as a positive control. One way Analysis of Variance (ANOVA) test was used for multiple group comparisons followed by Tukey post hoc for group wise comparisons. Results: Minimum inhibitory concentration (MIC) of aqueous and ethnolic Stevia extract against Streptococcus mutans and Lactobacillus acidophilus were 25% and 12.5% respectively. Mean zone of inhibition of the aqueous and alcoholic Stevia extracts against Streptococcus mutans at 48 hours were 22.8 mm and 26.7 mm respectively. Mean zone of inhibition of the aqueous and alcoholic Stevia extracts against Lactobacillus acidophilus at 48 hours were 14.4 mm and 15.1 mm respectively. Mean zone of inhibition of the chlorhexidine against Streptococcus mutans and Lactobacillus acidophilus at 48 hours was 20.5 and 13.2 respectively. Conclusion: The inhibitory effect shown by alcoholic Stevia extract against Streptococcus mutans and Lactobacillus acidophilus was superior when compared with that of aqueous form and was inferior when compared with Chlorhexidine. PMID:25558451

  19. Comparison of the antimicrobial efficacy of chlorhexidine, sodium fluoride, fluoride with essential oils, alum, green tea, and garlic with lime mouth rinses on cariogenic microbes

    OpenAIRE

    Thomas, Ann; Thakur, Sneha; Mhambrey, Sanjana

    2015-01-01

    Background: A number of natural mouth rinse formulations are being proposed as an alternative to the widely used chemical mouth rinses. Objective: To evaluate and compare the antimicrobial efficacy of chlorhexidine (0.2%), sodium fluoride (0.05%), fluoride with essential oils (0.05%), alum (0.02 M), green tea, and garlic with lime mouth rinses against Streptococcus mutans, lactobacilli, and Candida albicans. Materials and Methods: The three microbes were isolated from the saliva samples colle...

  20. Evaluation of antimicrobial efficacy of garlic, tea tree oil, cetylpyridinium chloride, chlorhexidine, and ultraviolet sanitizing device in the decontamination of toothbrush

    OpenAIRE

    Chandrdas, Dithi; Jayakumar, H L; Chandra, Mahesh; Katodia, Lavleen; Sreedevi, Athira

    2014-01-01

    Objective: To assess and compare the efficacy of 3% garlic extract, 0.2% tea tree oil, 0.2% chlorhexidine, 0.05% cetylpyridinium chloride, and ultravoilet (UV) toothbrush sanitizing device as toothbrush disinfectants against Streptococcus mutans. Materials and Methods: A double blind randomized controlled parallel study was done on 210 dental students. The subjects were divided into one control group using distilled water and five study groups representing 0.2% tea tree oil, 3% garlic extract...

  1. Effectiveness of Hexetidine 0.1% Compared to Chlorhexidine Digluconate 0.12% in Eliminating Candida Albicans Colonizing Dentures: A Randomized Clinical In Vivo Study

    Science.gov (United States)

    Aoun, Georges; Saadeh, Maria; Berberi, Antoine

    2015-01-01

    Background: Denture hygiene is an important factor in the prevention and treatment of denture stomatitis (DS). This study aimed to evaluate the efficacy of two different mouthwashes (chlorhexidine digluconate 0.12% and hexetidine 0.1%) in eliminating Candida albicans on dentures. Materials and Methods: A total of 60 denture wearers (20 men, 40 women; age range 40-80 years) with clinical evidence of DS were randomly divided into 2 test groups and 1 control group. The dentures of each test group were treated by immersion in one of the two mouthwashes while those of the control group were immersed in distilled water. Swab samples from the palatal surfaces of the upper dentures were collected before and after of cleaner use and examined mycologically. Results: Reduction in the number of colony-forming units of Candida albicans after immersion of the dentures with chlorhexidine digluconate 0.12% was significantly greater than that of the group using hexetidine 0.1% and those of the control group. Conclusion: Hexetidine 0.1% solution tested for the first time as a product of disinfection of the acrylic dentures showed average results after immersion of 8 night hours for 4 days and was less effective than chlorhexidine digluconate 0.12%. PMID:26464531

  2. An in-vivo comparative evaluation of two herbal extracts Emblica officinalis and Terminalia Chebula with chlorhexidine as an anticaries agent: A preliminary study

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    Arumugam Velmurugan

    2013-01-01

    Full Text Available Aim: To compare the effect of 20% aqueous extract of Terminalia chebula and Emblica officinallis with chlorhexidine as an anticaries mouthwash - an in vivo study. Methodology: 20% aqueous extract of Terminalia chebula and Emblica officinalis were prepared. Forty five high caries risk patients were divided into group 1,2,3 [ n=15]and asked to rinse with 20% aqueous extract of Terminalia chebula and Emblica officinalis, 0.2% Chlorhexidine for 40 seconds respectively. Salivary samples were collected for pH, buffering capacity before and after rinsing at repeated intervals of 10, 30,60 and 90 minutes and except for microbial analysis for which it was collected before and 90 minutes after rinsing. The pH and the buffering capacity analysis was done using chairside kit and percentage of reduction of Streptococcus mutans and Lactobacillus were tabulated and statistically analyzed. Results: For salivary pH, Group 2 showed the highest peak value followed by group 1. For salivary buffering capacity,there was no significant difference between any of the groups. For microbial count, highest percentage of reduction was seen in group 2 followed by group 1 and 3. However group 3 was more efficient at 90 minutes followed by group 1 and group 2. Conclusion: The aqueous extract of Embilica officinalis extract and Terminalia chebula was more effective anticaries mouthwash but with less time of action than chlorhexidine.

  3. Antibacterial effect of triantibiotic mixture, chlorhexidine gel, and two natural materials Propolis and Aloe vera against Enterococcus faecalis: An ex vivo study

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    Leila Bazvand

    2014-01-01

    Full Text Available Background: The aim of this ex vivo study was to compare the antimicrobial effect of triantibiotic paste, 0.2% chlorhexidine gel, Propolis and Aloe vera on Enterococcus faecalis in deep dentin. Materials and Methods: Ninety fresh extracted single-rooted teeth were used in a dentin block model. Seventy-five teeth were infected with E. faecalis and divided into four experimental groups (n = 15. Experimental groups were treated with triantibiotic mixture with distilled water, 0.2% chlorhexidine gel, 70% ethanol + Propolis and Aloe vera. Fifteen teeth treated with distilled water as the positive control and 15 samples, free of bacterial contamination, were considered as the negative control. Gates-Glidden drill #4 was used for removal of surface dentin and Gates-Glidden drill #5 was used to collect samples of deep dentin. The samples were prepared and colony-forming units were counted. Data were analyzed by one-way ANOVA and post hoc Tukey tests. Statistical significance was defined at P 0.05. Aloe vera had antibacterial effects on E. faecalis, but in comparison with other medicaments, it was less effective (P < 0.05. Conclusion: This experimental study showed that triantibiotic mixture, 0.2% chlorhexidine gel, Propolis and Aleo vera were relatively effective against E. faecalis. All the intracanal medicements had similar effects on E. faecalis in deep dentin except for Aloe vera.

  4. A comparative evaluation of the efficacy of probiotic and chlorhexidine mouthrinses on clinical inflammatory parameters of gingivitis: A randomized controlled clinical study

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    Purnima Vidyesh Nadkerny

    2015-01-01

    Full Text Available Background: The aim of our clinical trial was to assess and compare the antiplaque and anti-inflammatory potential of a probiotic mouthwash with 0.2% chlorhexidine and saline. Materials and Methods: A randomized parallel group study was designed for a period of 4 weeks on 45 systemically healthy subjects between 20 and 30 years having chronic gingivitis. The study population was divided into three groups. Group A - 15 subjects were advised experimental (probiotic mouthwash. Group B - 15 subjects were advised positive control (chlorhexidine mouthwash and Group C - 15 subjects into a negative control group (normal saline. Oral prophylaxis was done for all groups at baseline. After the proper oral hygiene instructions, all the three groups were instructed to rinse their mouth with 10 ml of their respective mouthrinse, undiluted for 1 min twice daily, 30 min after brushing. Clinical parameters such as plaque index (PI, gingival index (GI, and oral hygiene index simplified (OHI-S were assessed at baseline, 2 weeks and 4 weeks, respectively. Results: At day 28, the PI, GI, and OHI-S were significantly reduced by all treatment modalities ranking probiotic and chlorhexidine is greater than saline. Conclusion: The probiotic mouthrinses tested was effectively used as an adjunct to mechanical plaque control in the prevention of plaque and gingivitis. Thus, the probiotic mouthrinse has a great therapeutic potential.

  5. A randomized clinical study for comparative evaluation of Aloe Vera and 0.2% chlorhexidine gluconate mouthwash efficacy on de-novo plaque formation

    Science.gov (United States)

    Chhina, Shivjot; Singh, Avnish; Menon, Ipseeta; Singh, Rickypal; Sharma, Anubhav; Aggarwal, Vartika

    2016-01-01

    Objective: To comparatively assess the antiplaque efficacy of Aloe vera mouthwash and 0.2% chlorhexidine gluconate mouthwash on de novo plaque formation. Materials and Methods: This was a randomized, single blind, parallel, controlled clinical study with 90 healthy participants, with mean age of 27.19 ± 12.08 years. After thorough oral prophylaxis, participants were instructed to discontinue mechanical plaque control. Participants were divided randomly into three groups; pure Aloe vera mouthwash was dispensed to the test group; control group received 0.2% chlorhexidine gluconate mouthwash; in Placebo group, flavored distilled water was used as oral rinse twice daily. Effect on 4-day de novo plaque formation was assessed by comparing pre-rinsing Quigley Hein Modified Plaque Scores were analyzed statistically using analysis of variance and Student's t-test. Results: Post-rinsing control group showed the least plaque score which was comparable to the test group. Both the control group and test group showed significant difference with the placebo group. Conclusions: Herbal mouthwash containing Aloe vera mouthwash has comparable antiplaque efficacy as the gold standard 0.2% chlorhexidine gluconate with fewer side effects and can be considered as an alternative. PMID:27382543

  6. Synergic Germicidal Efficacy of Chlorhexidine Acetate Combined with Ethyl Alcohol%醋酸氯己定与乙醇的协同杀菌效果

    Institute of Scientific and Technical Information of China (English)

    陈羽; 李飞; 张春梅; 徐威

    2014-01-01

    In order to understand the synergic germicidal efficacy of chlorhexidine acetate combined with ethyl alco-hol,suspension quantitative germicidal test was used to carry out laboratory study. It was found chlorhexidine acetate (0. 1% )combined with ethyl alcohol(75% )had obviously synergetic germicidal efficacy against Staphyloccocus au-reus ATCC 6538,E. coli 8099,Candida albicans ATCC 10231,and Aspergillius niger ATCC 16404. The results showed that chlorhexidine acetate combined with ethyl alcohol had fine synergetic germicidal efficacy.%采用悬液定量杀菌试验,对醋酸氯己定与乙醇的协同杀菌效果进行了实验室研究。研究发现,0.1%醋酸氯己定与75%乙醇混合溶液对金黄色葡萄球菌、大肠埃希菌、白假丝酵母菌和黑曲霉均呈现出显著的协同杀菌作用。结果表明,醋酸氯己定与乙醇具有良好的协同杀菌效果。

  7. Disinfection of gutta-percha cones with chlorhexidine Descontaminação de cones de guta-percha com clorexidina

    Directory of Open Access Journals (Sweden)

    Roberta Redmerski

    2007-12-01

    Full Text Available This study investigated the effectiveness of detergent and aqueous solutions of 2% chlorhexidine digluconate in decontaminating gutta-percha cones (gpc contaminated with bacteria, yeast, or bacterial spores. Gutta-percha cones were contaminated with 10(7-10(8 colony-forming units per milliliter (cfu/ml of the following test organisms: Staphylococcus aureus, Enterococcus faecalis, Escherichia coli, or Candida albicans. Spores of Bacillus subtilis were also tested. Contaminated gpc were treated with the chlorhexidine solutions for 1, 5, 10, or 15 min. Each cone was then transferred to a tube containing saline and the micoorganisms were recovered after homogenization for cfu determination. Both detergent and aqueous chlorhexidine solutions were effective in eliminating S. aureus, E. faecalis, and C. albicans cells adhered on the surface of gpc within 1 min of exposure. E. coli was eliminated in 5 min with detergent solution. The Bacillus subtilis spores were eliminated by chlorhexidine solutions within 5 min. The results of this study demonstrated that both aqueous and detergent solutions of 2% chlorhexidine digluconate were effective in decontaminating gpc within 5 minutes of exposure.No presente estudo foi investigada a eficácia das soluções aquosa e detergente de digluconato de clorexidina a 2% na descontaminação de cones de guta-percha (cgp contaminados experimentalmente com bactérias, leveduras ou esporos bacterianos. Os cones foram contaminados com 10(7 a 10(8 unidades formadores de colônias por mililitro (ufc/ml dos seguintes microrganismos teste: Staphylococcus aureus, Enterococcus faecalis, Escherichia coli, ou Candida albicans. Esporos de Bacillus subtilis foram também testados. Os cones contaminados foram tratados com as soluções de clorexidina por, respectivamente, 1, 5, 10 ou 15 min. Cada cone foi então transferido para solução salina e homogeneizado para a determinação das ufc dos microorganismos. As soluções de

  8. The effects of a topical gel containing chitosan, 0,2% chlorhexidine, allantoin and despanthenol on the wound healing process subsequent to impacted lower third molar extraction

    Science.gov (United States)

    Madrazo-Jiménez, Marta; Rodríguez-Caballero, Ángela; Serrera-Figallo, María-Ángeles; Garrido-Serrano, Roberto; Gutiérrez-Corrales, Aida; Gutiérrez-Pérez, José-Luis

    2016-01-01

    Background Despite efforts to prevent postoperative discomfort, there are still many immediate side effects associated with the surgical extraction of impacted lower third molars. Cicatrization is a physiological process through which the loss of integrity of oral mucosa is recovered and damaged tissues are repaired. Bexident Post (ISDIN, Spain) is a topical gel that contains chitosan, 0.2% chlorhexidine, allantoin and dexpanthenol. While this gel has many clinical indications, there are no published clinical trials evaluating its use in impacted mandibular third molar surgery. This study aims to clinically evaluate the efficacy of a gel containing chitosan, 0.2% chlorhexidine, allantoin and dexpanthenol on wound healing and reduction of postoperative side effects and complications after extraction of an impacted mandibular third molar. Material and Methods A split-mouth design study was carried out on a total of 50 bilaterally and symmetrically impacted third molar extractions, which were randomly placed into either a control group (CG=25) or an experimental group (EG=25). Patients were all informed of the purpose of the study and provided written consent. All procedures were carried out by the same dental practitioner, in accordance with standard surgical protocol. A different dental practitioner, unaware of which treatment had been applied, provided follow-up care. The EG applied 10 ml of topical gel composed of chitosan, 0.2% chlorhexidine, allantoin and dexpanthenol to the surgical wound three times a day for 10 days, patients in the CG did not apply any gel. Results The groups were homogeneous insofar as potentially confounding variables. No significant findings were found regarding postoperative swelling and pain. Neither of the groups displayed poor healing or infectious complications of the wound during the postoperative period. In all the recorded follow-ups (Day 7 p=0.001, and Day 14 p=0.01), the wound’s aesthetic appearance was better in the EG

  9. Reduction in catheter-related infections after switching from povidone-iodine to chlorhexidine for the exit-site care of tunneled central venous catheters in children on hemodialysis.

    Science.gov (United States)

    Paglialonga, Fabio; Consolo, Silvia; Biasuzzi, Antonietta; Assomou, Jolanda; Gattarello, Elisabetta; Patricelli, Maria Grazia; Giannini, Alberto; Chidini, Giovanna; Napolitano, Luisa; Edefonti, Alberto

    2014-10-01

    Only a few studies have investigated the optimal exit site management of tunneled central venous catheters (CVCs) in pediatric patients on chronic hemodialysis (HD). The aim of this study was to assess the efficacy of chlorhexidine solutions and a 5% povidone-iodine solution on the incidence of CVC-related infections in children on HD. The incidence of exit-site infection (ESI), tunnel infection (TI), and bloodstream infection (BSI) was assessed in two groups of tunneled CVCs. The iodopovidone group consisted of 14 CVCs used between 1 January 2011 and 30 June 2012 in 10 children, whose median age at the time of CVC placement was 11.8 years (range 1.2-19.2): 5% povidone-iodine was used for CVC exit-site care. From 1 August 2012 to 31 January 2014, 0.5% chlorhexidine gluconate/70% isopropyl alcohol was used for the exit site, and 2% chlorhexidine gluconate/70% isopropyl alcohol spray for the hub in 13 CVCs was used in 10 patients (chlorhexidine group), whose median age at the time of CVC placement was 10 years (range 1.2-19.2). Ten episodes of ESI were diagnosed in the iodopovidone group (incidence 3.4/1000 CVC days), and only one in the chlorhexidine group (incidence 0.36/1000 CVC days, P = 0.008). One TI was observed in the iodopovidone group (0.34/1000 CVC days), and none in the chlorhexidine group. The incidence of BSIs decreased from 1.7/1000 CVC days (5 cases) to 0.36/1000 CVC days (1 case, P = 0.06) after switching to chlorhexidine. Two CVCs were lost due to CVC-related infections in the iodopovidone group, whereas no CVC was lost due to infections in the chlorhexidine group. In comparison with 5% povidone-iodine, the use of chlorhexidine gluconate was associated with a reduction in the incidence of ESI, TI, and BSI in children on HD.

  10. Disinfection of dentinal tubules with two different formulations of calcium hydroxide as compared to 2% chlorhexidine: As intracanal medicaments against Enterococcus faecalis and Candida albicans: An in vitro study

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    Dakshita Joy Vaghela

    2011-01-01

    Full Text Available Aim: To evaluate the disinfection of dentinal tubules using calcium hydroxide with propylene glycol and calcium hydroxide with iodoform in silicone oil, as compared to 2% chlorhexidine gel. Materials and Methods: The antimicrobial efficacy of the medicaments against E.faecalis and C.albicans were assessed in vitro, using a dentinal tubule model at depths of 200 μm and 400 μm in extracted single rooted teeth. Saline was taken as the negative control (Group I Results: All three medicaments used in this study exerted antibacterial and antifungal activity. Group II (calcium hydroxide with propylene glycol and Group IV (2% chlorhexidine gel had the highest antimicrobial activity and the differences between their antibacterial activities were not statistically significant. Group III (calcium hydroxide with iodoform in silicone oil and Group IV had the highest antifungal activity and the differences between their antifungal activities were not statistically significant. The inhibition of growth at 200 μm and 400 ΅m was uniform, with no statistical difference. Conclusions: Two percent chlorhexidine gel was effective against both E.faecalis and C.albicans. Calcium hydroxide with propylene glycol was the most effective intracanal medicament along with 2% chlorhexidine against E.faecalis, whereas, calcium hydroxide with iodoform in silicone oil was the most effective intracanal medicament along with 2% chlorhexidine against C.albicans.

  11. Sequential delivery of chlorhexidine acetate and bFGF from PLGA-glycol chitosan core-shell microspheres.

    Science.gov (United States)

    Chen, Ming-Mao; Cao, Huan; Liu, Yuan-Yuan; Liu, Yan; Song, Fei-Fei; Chen, Jing-Di; Zhang, Qi-Qing; Yang, Wen-Zhi

    2017-03-01

    Wound treatment should meet the challenge both of preventing infection and promoting wound healing. To design a sequential delivery system for wound healing, PLGA-glycol chitosan (GC) core-shell microspheres containing chlorhexidine acetate (CHA) at the GC shell and bFGF in the core of PLGA microspheres were fabricated using emulsion-solvent evaporation method. SEM showed that the microspheres were all spherical in shape with a smooth surface. The average size of PLGA-GC microspheres increased due to the GC coating on the surface. The results of release profiles and fluorescence images indicated that PLGA-GC microspheres had an ability to deliver drugs in sequence. The CHA was rapidly released, whereas the proteins presented a sustained release. The release behavior could be modulated by changing the GC amount. Antibacterial assay and cell proliferation tests suggested that the released CHA and bFGF retained their antimicrobial activity and bioactivity during preparation. The microspheres exhibited non-cytotoxicity against 3T3 cells and had a good biocompatibility. These results demonstrated that PLGA-GC core-shell microspheres could be a promising controlled release system of delivering drugs and proteins in sequence for wound healing.

  12. Effect of 4% chlorhexidine gluconate predisinfection skin scrub prior to hepatectomy: a double-blinded, randomized control study.

    Science.gov (United States)

    Hsieh, Ching-Shui; Cheng, Hsiu-Chi; Lin, Jen-Shiou; Kuo, Shou-Jen; Chen, Yao-Li

    2014-01-01

    This trial was designed to compare the efficacy of 4% chlorhexidine gluconate (CHG) with normal saline (NS) as a predisinfection skin-scrub solution prior to standard presurgical skin preparation. Data was collected at a single transplantation center where patients electing resection of hepatic tumors were recruited between October 2011 and September 2012. In total, 100 patients were consecutively enrolled for random assignment to either 4% CHG or NS as a predisinfection skin-scrub solution prior to surgery. Our aim was to assess the comparative antiseptic efficacy of CHG in this setting, focusing on cutaneous microbial colonization (at baseline, preoperatively, and postoperatively) and postsurgical site infections as primary outcome measures. Positivity rates of baseline, preoperative, and postoperative cultures were similar for both groups, showing significant declines (relative to baseline) after skin preparation and no significant postsurgical rebound. Rates of surgical site infection were also similar in both groups (CHG, 6.0%; NS, 4.1%; P = 1.0). For patients with hepatic tumors undergoing hepatectomy, the effect of 4% CHG as a predisinfection scrub solution was similar to that of NS in terms of skin decontamination and surgical site infections.

  13. In vivo comparison of cavity disinfection efficacy with APF gel, Propolis, Diode Laser, and 2% chlorhexidine in primary teeth

    Science.gov (United States)

    Mohan, P. V. M. Uday; Uloopi, K. S.; Vinay, C.; Rao, R. Chandrasekhar

    2016-01-01

    Background: The survival of atraumatic restorative treatment (ART) restorations would be enhanced if near total elimination of cariogenic microorganisms could be done in the process of cavity cleaning before placing a restoration. Thus, use of disinfecting agents for achieving this goal could herald a new beginning in the field of contemporary dentistry. Aim: To assess and compare the cavity disinfection efficacy of APF gel, Brazilian Propolis, Diode Laser, and 2% chlorhexidine (CHX). Materials and Methods: The study was a randomized, single blinded, parallel grouped, active controlled trial. Eighty primary molars in 68 children with cavitated dentinal occlusal caries were randomly assigned into four groups (20 teeth each) Group I: APF gel; Group II: Propolis; Group III: Diode Laser, and Group IV: 2% CHX (control). After cavity preparation using ART procedure, dentinal samples collected before and after disinfection with respective agent of the group. These samples were subjected to microbiological evaluation, for total viable count (TVC) on blood agar, Streptococcus mutans on mutans-sanguis (MS) agar, and Lactobacilli (LB) on Rogosa agar. Results: Intragroup comparison (Wilcoxon signed rank test) showed significant reductions in TVC, MS, and LB counts in all the groups. Pairwise Mann–Whitney test showed APF gel had least bacterial reductions among the agents tested. Conclusion: This study illustrated the need for cavity disinfection. Diode Laser and Brazilian Propolis are equally effective as 2% CHX in cavity disinfection. PMID:27041900

  14. In vivo comparison of cavity disinfection efficacy with APF gel, Propolis, Diode Laser, and 2% chlorhexidine in primary teeth

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    P.V.M. Uday Mohan

    2016-01-01

    Full Text Available Background: The survival of atraumatic restorative treatment (ART restorations would be enhanced if near total elimination of cariogenic microorganisms could be done in the process of cavity cleaning before placing a restoration. Thus, use of disinfecting agents for achieving this goal could herald a new beginning in the field of contemporary dentistry. Aim: To assess and compare the cavity disinfection efficacy of APF gel, Brazilian Propolis, Diode Laser, and 2% chlorhexidine (CHX. Materials and Methods: The study was a randomized, single blinded, parallel grouped, active controlled trial. Eighty primary molars in 68 children with cavitated dentinal occlusal caries were randomly assigned into four groups (20 teeth each Group I: APF gel; Group II: Propolis; Group III: Diode Laser, and Group IV: 2% CHX (control. After cavity preparation using ART procedure, dentinal samples collected before and after disinfection with respective agent of the group. These samples were subjected to microbiological evaluation, for total viable count (TVC on blood agar, Streptococcus mutans on mutans-sanguis (MS agar, and Lactobacilli (LB on Rogosa agar. Results: Intragroup comparison (Wilcoxon signed rank test showed significant reductions in TVC, MS, and LB counts in all the groups. Pairwise Mann–Whitney test showed APF gel had least bacterial reductions among the agents tested. Conclusion: This study illustrated the need for cavity disinfection. Diode Laser and Brazilian Propolis are equally effective as 2% CHX in cavity disinfection.

  15. Comparative evaluation of the effect of chlorhexidine and Aloe barbadensis Miller (Aloe vera) on dentin stabilization using shear bond testing

    Science.gov (United States)

    Sinha, Dakshita Joy; Jaiswal, Natasha; Vasudeva, Agrima; Garg, Paridhi; Tyagi, Shashi Prabha; Chandra, Priyanka

    2016-01-01

    Introduction: The main objective of adhesive dentistry is to create an effective, durable union between the tooth structure and restorative material. However, degradation of adhesive dentine interface remains largely responsible for the relatively short lifetime of tooth colored resin restoration. Aim: The aim of the study is to compare the dentin collagen stabilization property of Chlorhexidine (CHX) and Aloe barbadensis Miller using shear bond strength testing. Materials and Methods: Occlusal reduction was done in sixty extracted human mandibular molars to expose the mid coronal dentin and divided into three groups n = 20. Following the surface pretreatment (Group 1 = control, Group 2 = CHX, Group 3 = Aloevera), dentine bonding agent and composite resin were applied and cured. The specimens were then subjected to shear bond strength testing. Results: From the results analyzed, it was noted that there was statistically significant difference between the groups Control and CHX and Control and A. barbadensis Miller (P 0.05). Hence, the following result for the shear bond strengths to dentin was obtained: Control < CHX ≈ A. barbadensis Miller. Conclusion: CHX and A. barbadensis Miller, as pretreatment agents of acid demineralized dentin collagen, has no adverse effect on the immediate shear bond strength of a two-step etch and rinse adhesive to dentin. PMID:27656056

  16. Antibacterial and residual antimicrobial activities against Enterococcus faecalis biofilm: A comparison between EDTA, chlorhexidine, cetrimide, MTAD and QMix

    Science.gov (United States)

    Zhang, Rui; Chen, Min; Lu, Yan; Guo, Xiangjun; Qiao, Feng; Wu, Ligeng

    2015-08-01

    We compared the antibacterial and residual antimicrobial activities of five root canal irrigants (17% EDTA,2% chlorhexidine,0.2% cetrimide, MTAD, and QMix) in a model of Enterococcus faecalis biofilm formation. Sixty dentin blocks with 3-week E. faecalis biofilm were divided into six equal groups and flushed with irrigant for 2 min or left untreated. A blank control group was also established. Antibacterial activities of the irrigants were evaluated by counting colony forming units. To test residual antimicrobial activities, 280 dentin blocks were divided into seven equal groups and flushed with irrigant for 2 min or left untreated and then incubated with E. faecalis suspension for 48 h, or used as a blank. No bacteria were observed in the blank control group. The number of viable E. faecalis was significantly fewer in the irrigant-treated groups compared with the untreated control (P faecalis, but QMix and CHX had the strongest, and CHX the longest (up to 36 h), antimicrobial activity.

  17. Effectiveness of green tea mouthwash in comparison to chlorhexidine mouthwash in patients with acute pericoronitis: a randomized clinical trial.

    Science.gov (United States)

    Shahakbari, R; Eshghpour, M; Rajaei, A; Rezaei, N M; Golfakhrabadi, P; Nejat, A

    2014-11-01

    The objective of this study was to evaluate the effectiveness of green tea mouthwash in controlling the pain and trismus associated with acute pericoronitis in comparison to chlorhexidine (CHX) mouthwash. Ninety-seven patients with acute pericoronitis underwent debridement and received 5% green tea mouthwash (study group) or 0.12% CHX mouth rinse (control group). Pain (visual analogue scale; VAS), number of analgesics, maximum mouth opening (MMO), and number of patients with trismus were determined. There were no significant differences in demographic variables (P>0.05), or baseline VAS (P>0.006), MMO (P>0.017) or number of patients with trismus (P>0.017) between the two groups. The mean VAS score of the study group was statistically lower than that of the control group between post-treatment days 3 and 5 (P0.017). Fewer of the patients rinsing with green tea had trismus on days 3 and 7, but the difference was non-significant (P>0.017). Hence, green tea mouth rinse could be an appropriate and effective choice for the control of pain and trismus in acute pericoronitis.

  18. A comparison between zinc sulfate and chlorhexidine gluconate mouthwashes in the prevention of chemotherapy-induced oral mucositis

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    M Mehdipour

    2011-03-01

    Full Text Available "n Background and the Purpose of the Study: Patients undergoing high-dose chemotherapy for hematological malignancies are susceptible to development of oral mucositis, and no effective modality has been reported for its prophylaxis and treatment. The aim of this study was to evaluate the effectiveness of zinc mouthwash on chemotherapy-induced oral mucositis lesions. "nMethods: In this double-blind randomized trial, patients under chemotherapy for acute leukemia were divided into two test and control groups of 15 patients each. The groups were homogeneous with respect to medical history, tumor characteristics, and therapeutic details. The test group received 10ml 0.2% zinc sulfate mouthwash, and the control group received 10ml 0.2% chlorhexidine gluconate mouthwash, twice a day for a period of two weeks. Spijkervet scale was used to grade the severity of mucositis at every other week during eight weeks. The severity scores were analyzed with repeated measure ANOVA using SPSS 13.0 computer software. "nResults: Mean severity scores were generally lower in the test group compared to the controls at all four time intervals evaluated; but only, the differences in weeks of 2 and 3 were statistically significant (P=0.025. Conclusion: Zinc mouthwash used in conjunction with chemotherapy may reduce the severity of oral mucositis lesions in patients with leukaemia.

  19. The antibacterial activity of sodium hypochlorite and chlorhexidine against Enterococcus faecalis: A review on agar diffusion and direct contact methods

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    Norhayati Luddin

    2013-01-01

    Full Text Available Complete debridement and disinfection of the root canal system are fundamental requirements for successful endodontic treatment. Despite the morphological challenges of the internal root anatomy, root canal irrigants play an important role in the optimization of the root canal preparation, which is essentially a chemo-mechanical procedure. Enterococcus faecalis is one of the most resistant microorganisms that dominants the microbial ecosystem of persistent periradicular lesions in retreatment cases. For that reason, many in vitro and in vivo studies evaluated and compared the antibacterial activity of sodium hypochlorite and chlorhexidine at varying concentrations using different experimental models against this microorganism. However, many controversies with regard to the ideal irrigant and concentration do in fact exist. Hence, this review aims to discuss the antibacterial activity of these two main root canal irrigants against Enterococcus faecalis using the agar diffusion and direct contact methods and the possible modulating factors responsible for inconsistent findings among different studies. In addition, the disinfection potential of both chemical agents on gutta percha and Resilon cones are also discussed. The source of this review was conducted through an electronic literature search using PubMed database from December 1997 until December 2011, which analyze the related laboratory investigations of both irrigants, published in major endodontic journals.

  20. Influence of the Culture Medium in Dose-Response Effect of the Chlorhexidine on Streptococcus mutans Biofilms.

    Science.gov (United States)

    de Queiroz, Vanessa Salvadego; Ccahuana-Vásquez, Renzo Alberto; Tedesco, Alcides Fabiano; Lyra, Luzia; Cury, Jaime Aparecido; Schreiber, Angélica Zaninelli

    2016-01-01

    The aim of this study was to evaluate the influence of culture medium on dose-response effect of chlorhexidine (CHX) on Streptococcus mutans UA159 biofilm and validate the use of the cation-adjusted-Müller-Hinton broth (MH) for the evaluation of antibacterial activity. Ultrafiltered Tryptone-Yeast Extract Broth (UTYEB) was compared against MH and MH with blood supplementation (MHS). For each medium, six groups (n = 4) were assessed: two negative control groups (baseline 48 and 120 h) and four experimental groups (0.0001, 0.001, 0.012, and 0.12% CHX). S. mutans biofilm grew on glass slides of each media containing 1% sucrose. After 48 h of growth, biofilms of baseline 48 h were collected and the other groups were treated for 1 min, twice a day, for 3 days, with their respective treatments. The media were changed daily and pH was measured. After 120 h, biofilms were collected and dry weight and viable microorganisms were determined. Results showed CHX dose-response effect being observed in all media for all the variables. However, MH and MHS showed higher sensitivity than UTYEB (p culture medium does influence dose-response effect of CHX on Streptococcus mutans biofilm and that MH can be used for antibacterial activity.

  1. Microscopic cleanliness evaluation of the apical root canal after using calcium hydroxide mixed with chlorhexidine, propylene glycol, or antibiotic paste.

    Science.gov (United States)

    da Silva, Juliana M; Andrade Junior, Carlos V; Zaia, Alexandre A; Pessoa, Oscar F

    2011-02-01

    This study evaluated cleaning of the dentinal wall after removal of different calcium hydroxide pastes. Sixty-eight single-rooted teeth were prepared using the step-back technique and randomly divided into 4 groups according to medication used: Ca(OH)2 with 0.2% chlorhexidine solution (Group 1), Ca(OH)2 with propylene glycol (Group 2), Ca(OH)2 with antibiotic paste (ciprofloxacin, metronidazole) and distilled water (Group 3), and Ca(OH)2 with antibiotic paste and propylene glycol (Group 4). The samples were stored at 37 °C and 100% relative humidity for 21 days. The medicaments were removed using 5 mL 1% NaOCl, instrumentation with master apical file, 5 mL 1% NaOCl, patency with the K-file #10, ultrasonic instrumentation, and 10 mL 17% EDTA-T. The specimens were analyzed using scanning electron microscopy and chemical analysis. The Kruskal-Wallis (α = 5%) test showed that were no differences between the experimental groups when comparing Ca(OH)2 removal (P = .0951). The chi-square test (α = 5%) indicated a predominance of Ca(OH)2 obstructing dental tubules in all groups. On the basis of the methodology applied, it was concluded that the apical dentine surface remained equally covered by Ca(OH)2, regardless of the vehicle used.

  2. Vaginal inserts based on chitosan and carboxymethylcellulose complexes for local delivery of chlorhexidine: preparation, characterization and antimicrobial activity.

    Science.gov (United States)

    Bigucci, Federica; Abruzzo, Angela; Vitali, Beatrice; Saladini, Bruno; Cerchiara, Teresa; Gallucci, Maria Caterina; Luppi, Barbara

    2015-01-30

    The aim of this work was to prepare vaginal inserts based on chitosan/carboxymethylcellulose polyelectrolyte complexes for local delivery of chlorhexidine digluconate. Complexes were prepared with different chitosan/carboxymethylcellulose molar ratios at a pH value close to pKa interval of the polymers and were characterized in terms of physico-chemical properties, complexation yield and drug loading. Then complexes were used to prepare inserts as vaginal dosage forms and their physical handling, morphology, water-uptake ability and drug release properties as well as antimicrobial activity toward Candida albicans and Escherichia coli were evaluated. Results confirmed the ionic interaction between chitosan and carboxymethylcellulose and the influence of the charge amount on the complexation yield. Complexes were characterized by high values of drug loading and showed increasing water-uptake ability with the increase of carboxymethylcellulose amount. The selection of appropriate chitosan/carboxymethylcellulose molar ratios allowed to obtain cone-like shaped solid inserts, easy to handle and able to hydrate releasing the drug over time. Finally, the formulated inserts showed antimicrobial activity against common pathogens responsible for vaginal infections.

  3. Influence of the Culture Medium in Dose-Response Effect of the Chlorhexidine on Streptococcus mutans Biofilms

    Science.gov (United States)

    de Queiroz, Vanessa Salvadego; Ccahuana-Vásquez, Renzo Alberto; Tedesco, Alcides Fabiano; Lyra, Luzia; Cury, Jaime Aparecido; Schreiber, Angélica Zaninelli

    2016-01-01

    The aim of this study was to evaluate the influence of culture medium on dose-response effect of chlorhexidine (CHX) on Streptococcus mutans UA159 biofilm and validate the use of the cation-adjusted-Müller-Hinton broth (MH) for the evaluation of antibacterial activity. Ultrafiltered Tryptone-Yeast Extract Broth (UTYEB) was compared against MH and MH with blood supplementation (MHS). For each medium, six groups (n = 4) were assessed: two negative control groups (baseline 48 and 120 h) and four experimental groups (0.0001, 0.001, 0.012, and 0.12% CHX). S. mutans biofilm grew on glass slides of each media containing 1% sucrose. After 48 h of growth, biofilms of baseline 48 h were collected and the other groups were treated for 1 min, twice a day, for 3 days, with their respective treatments. The media were changed daily and pH was measured. After 120 h, biofilms were collected and dry weight and viable microorganisms were determined. Results showed CHX dose-response effect being observed in all media for all the variables. However, MH and MHS showed higher sensitivity than UTYEB (p < 0.05). We can conclude that the culture medium does influence dose-response effect of CHX on Streptococcus mutans biofilm and that MH can be used for antibacterial activity. PMID:27293967

  4. Antibacterial Efficacy of Calcium Hydroxide and Chlorhexidine Mixture for Treatment of Teeth with Primary Endodontic Lesions: A Randomized Clinical Trial

    Science.gov (United States)

    Donyavi, Zakiyeh; Ghahari, Parastoo; Esmaeilzadeh, Mohammad; Kharazifard, Mohammadjavad; Yousefi-Mashouf, Rasoul

    2016-01-01

    Introduction: This study compared the root canal microbial count of necrotic teeth after irrigation with 6% sodium hypochlorite (NaOCl) (single session treatment) and two-session root canal treatment with two-week application of calcium hydroxide (CH) mixed with 0.2% chlorhexidine (CHX) as intracanal medicament. Methods and Materials: In this randomized clinical trial, single-rooted necrotic teeth were divided into two groups. Root canal was irrigated with 2 mL of 6% NaOCl in one group, and a mixture of 0.2% CHX and CH powder as an intracanal medicament for two weeks, in the other group. Root canal samples were obtained before and after the intervention and number of colony forming units (CFUs) was counted in each phase. Results: The reduction of Enterococcus faecalis CFU was not significantly different between the two groups (P=0.233) but the CFU of aerobic and anaerobic bacteria was significantly lower in CH+CHX group (Pfaecalis colony counts. Thus, it may be beneficial to carry out primary root canal treatment of necrotic teeth with endodontic lesions in two sessions with intracanal medicaments to achieve predictable results. PMID:27790252

  5. Levels of infection and colonization of some oral bacteria after use of naf, chlorhexidine and a combined chlorhexidine with naf mouthrinses Níveis de infecção e colonização de algumas bactérias orais após o uso de soluções de fluoreto de sódio, clorexidina e de uma combinação de fluoreto de sódio e clorexidina

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    Kenio Costa Lima

    2001-06-01

    Full Text Available This study was carried out to evaluate levels of infection of bacteria involved in caries and oral streptococci and their colonization after use of mouthrinses with NaF, chlorhexidine and chlorhexidine plus NaF. Combination of chlorhexidine and fluoride was the only agent that reduced levels of Streptococcus mutans (group for 30 days.O objetivo deste estudo foi avaliar os níveis de infecção de bactérias cariogênicas e estreptococos orais e sua colonização após uso de bochechos com NaF, clorexidina e clorexidina e NaF associados. Associação de clorexidina e NaF foi o único agente que reduziu os níveis de Streptococcus mutans (grupo por 30 dias.

  6. Comparative Evaluation of Propolis, Metronidazole with Chlorhexidine, Calcium Hydroxide and Curcuma Longa Extract as Intracanal Medicament Against E.faecalis– An Invitro Study

    Science.gov (United States)

    Nair, Rashmi; Asrani, Hemant

    2015-01-01

    Introduction The increase of potential side effects and safety concerns of conventional medicaments have led to the recent popularity of herbal alternative medications. The herbal products are known for its high antimicrobial activity, biocompatibility, anti-inflammatory and antioxidant properties. Aim The purpose of this study was to investigate and compare the effectiveness of Propolis, Metronidazole with Chlorhexidine gel, Curcuma Longa and Calcium Hydroxide for elimination of E.faecalis bacteria in extracted teeth samples. Materials and Methods Ninety extracted single rooted intact teeth were taken for the study. Decoronation, removal of apices and chemomechanical preparation was done for all samples. These sterilized samples were then contaminated with pure culture of E.faecalis under laminar flow. The samples were incubated for a period of 21 days. The infected samples were assigned to 5 groups: Group I- Propolis; Group II- Metronidazole with Chlorhexidine gel; Group III- Calcium hydroxide; Group IV- Curcuma Longa; and control group- Saline. Efficacy of newer intracanal medicaments against E.faecalis were carried out in the samples at the end of 1, 2 & 5 days for each group with the help of colorimeter. Student paired t-test, ANOVA and multiple tukey test were used for statistical analysis. Results The value of optical density was statistically significant in all groups when compared to that of control group. Group I (Propolis) produced better antimicrobial efficacy followed by Chlorhexidine Metronidazole combination, Curcuma Longa and Calcium hydroxide. Conclusion Within the limitations of this study, it can be concluded that Propolis showed better antimicrobial properties against E.faecalis than other medicaments. PMID:26673857

  7. Influence of 2% chlorhexidine on pH, calcium release and setting time of a resinous MTA-based root-end filling material.

    Science.gov (United States)

    Jacinto, Rogério Castilho; Linhares-Farina, Giane; Sposito, Otávio da Silva; Zanchi, César Henrique; Cenci, Maximiliano Sérgio

    2015-01-01

    The addition of chlorhexidine (CHX) to a resinous experimental Mineral Trioxide Aggregate (E-MTA) based root-end filling material is an alternative to boost its antimicrobial activity. However, the influence of chlorhexidine on the properties of this material is unclear. The aim of this study was to evaluate the influence of 2% chlorhexidine on the pH, calcium ion release and setting time of a Bisphenol A Ethoxylate Dimethacrylate/Mineral Trioxide Aggregate (Bis-EMA/MTA) based dual-cure experimental root-end filling material (E-MTA), in comparison with E-MTA without the addition of CHX and with conventional white MTA (W-MTA). The materials were placed in polyethylene tubes, and immersed in deionized water to determine pH (digital pH meter) and calcium ion release (atomic absorption spectrometry technique). The setting time of each material was analyzed using Gilmore needles. The data were statistically analyzed at a significance level of 5%. E-MTA + CHX showed an alkaline pH in the 3 h period of evaluation, the alkalinity of which decreased but remained as such for 15 days. The pH of E-MTA + CHX was higher than the other two materials after 7 days, and lower after 30 days (p MTA to levels statistically similar to W-MTA. E-MTA showed shorter initial and final setting time, compared with W-MTA (p MTA prevented setting of the material. The addition of CHX to E-MTA increased its pH and calcium ion release. However, it also prevented setting of the material.

  8. Double-blind, placebo-controlled, randomized study of chlorhexidine prophylaxis for 5-fluorouracil-based chemotherapy-induced oral mucositis with nonblinded randomized comparison to oral cooling (cryotherapy) in gastrointestinal malignancies

    DEFF Research Database (Denmark)

    Skovsgaard, T.; Bork, E.; Damstrup, L.

    2008-01-01

    BACKGROUND: The purpose was to evaluate prevention of oral mucositis (OM) using chlorhexidine compared with placebo and with oral cooling (cryotherapy) during fluorouracil (5-FU)-based chemotherapy in gastrointestinal (GI) cancer. METHODS: Patients with previously untreated GI cancer receiving...... bolus 5-FU/leucovorin chemotherapy were randomized to chlorhexidine mouthrinse 3 times a day for 3 weeks (Arm A), double-blind placebo (normal saline) with the same dose and frequency (Arm B), or cryotherapy with crushed ice 45 minutes during chemotherapy (Arm C). Patients self-reported on severity (CTC...... (33%) than in A (13%, Pcryotherapy. The latter is easy and inexpensive but has...

  9. The effect of povidone-iodine and chlorhexidine mouth rinses on plaque Streptococcus mutans count in 6- to 12-year-old school children: An in vivo study

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    Neeraja R

    2008-05-01

    Full Text Available Objectives: Treating a carious tooth in children with high caries experience by providing a restoration does not cure the disease. If the unfavorable oral environment that caused the cavity persists so will the disease and more restorations will be required in future. Treating the oral infection by reducing the number of cariogenic microorganisms and establishing a favorable oral environment to promote predominantly remineralization of tooth structure over time will stop the caries process. The present study was conducted: (1 To evaluate the efficacy of povidone-iodine and chlorhexidine mouth rinses on plaque Streptococcus mutans when used as an adjunct to restoration. (2 To compare the anti-microbial effect of 1% povidone-iodine and 0.2% chlorhexidine mouth rinses on plaque S. mutans count. Study Design: Forty-five study participants in the age group of 6-12 years with dmft (decay component of three or four were selected from one government school in Bangalore city. They were divided into three groups after the restorative treatment. Group-A, Group-B, and Group-C received 1% povidone-iodine mouth rinse, 0.2% chlorhexidine mouth rinse and placebo mouth rinse, respectively, twice daily for 14 days. The plaque sample was collected and S. mutans count was estimated at six phases: (1 Baseline, (2 3 weeks after restoration, (3 First day after mouth rinse therapy, (4 15 days after mouth rinse therapy, (5 1 month and (6 3 months after mouth rinse therapy Results: After the restoration the percentage change in S. mutans count was 28.4%. Immediately after mouth rinse therapy there was significant reduction in S. mutans count in all the three groups. After which the count started to increase gradually and after 3 months the bacterial counts in the povidone-iodine group and placebo group were almost near the postrestorative count. Conclusion: Mouth rinses can be used as adjunct to restoration for short duration as temporary measure in reduction of S

  10. To comparatively evaluate the antimicrobial efficacy of chlorhexidine, nisin and linezolid as an intracanal medicament on Enterococcus faecalis: An in vitro study

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    Geethu Somanath

    2015-01-01

    Results: In group Nisin, the mean CFU was 10.6250 at 24 hrs, 6.6250 at 72 hrs and 6.2500 after 1 week respectively (statistically significant. In group Chlorhexidine, mean CFU was found to be the lowest of 10.5000 at 24 hrs, with further gradual increase to 13.7500 at 72 hrs and further increase to 15.8750 by 1 week. Similarly, in group linezolid , the mean CFU was found to decrease from 49.0000 at 24 hrs to 29.8750 at 72hrs and then increase to 34.8750 in 1 week

  11. [Disinfection efficacy of hand hygiene based on chlorhexidine gluconate content and usage of alcohol-based hand-rubbing solution].

    Science.gov (United States)

    Tanaka, Ippei; Watanabe, Kiyoshi; Nakaminami, Hidemasa; Azuma, Chihiro; Noguchi, Norihisa

    2014-01-01

    Recently, the procedure for surgical hand hygiene has been switching to a two-stage method and hand-rubbing method from the traditional hand-scrubbing method. Both the two-stage and hand-rubbing methods use alcohol-based hand-rubbing after hand washing. The former requires 5 min of antiseptic hand washing, and the latter 1 min of nonantiseptic hand washing. For a prolonged bactericidal effect in terms of surgical hand hygiene, chlorhexidine gluconate (CHG) has been noted due to its residual activity. However, no detailed study comparing the disinfection efficacy and prolonged effects according to different contents of CHG and the usage of alcohol-based hand-rubbing has been conducted. The glove juice method is able to evaluate disinfection efficacy and prolonged effects of the disinfectants more accurately because it can collect not only transitory bacteria but also normal inhabitants on hands. In the present study, we examined the disinfection efficacy and prolonged effects on alcohol-based hand-rubbing containing CHG by six hand-rubbing methods and three two-stage methods using the glove juice method. In both methods, 3 mL (one pump dispenser push volume) alcohol-based hand-rubbing solution containing 1% (w/v) CHG showed the highest disinfection efficacy and prolonged effects, and no significant difference was found between the hand-rubbing and two-stage methods. In the two methods of hand hygiene, the hand-rubbing method was able to save time and cost. Therefore, the data strongly suggest that the hand-rubbing method using a one pump dispenser push volume of alcohol-based hand-rubbing solution containing 1% (w/v) CHG is suitable for surgical hand hygiene.

  12. Comparison of the antibacterial activity of an ozonated oil with chlorhexidine digluconate and povidone-iodine. A disk diffusion test.

    Science.gov (United States)

    Montevecchi, Marco; Dorigo, Antonio; Cricca, Monica; Checchi, Luigi

    2013-07-01

    Ozonated oils are antiseptics obtained from the chemical reaction between ozone and unsaturated fatty acids of vegetable oils. The aim of this study was to investigate the antimicrobial effectiveness of a commercially available ozonated oil (O3-Oil), in comparison with 0.2% chlorhexidine digluconate (CHX) and 10% povidone-iodine (PVP-I) through a disk diffusion test. For each antiseptic a series of two-fold dilutions was made, obtaining seven dilutions: 1:2, 1:4, 1:8, 1:16, 1:32, 1:64 and 1:128. The undiluted antiseptics and the seven dilutions were tested against two freeze-dried bacterial strains: Staphylococcus aureus (Sa) and Porphyromonas gingivalis (Pg). O3-Oil showed significantly greater diameters of growth inhibition (p<0.01) than CHX and PVP-I in all dilutions for both tested strains. CHX lost any antibacterial efficacy when diluted more than 1:32. At the highest dilution, the diameters of growth inhibition against Sa were 20.67±0.58 mm and 15.33±0.58 mm, for O3-Oil and PVP-I, respectively. At the same dilution, the diameters of growth inhibition against Pg were: 19.00 mm for O3-Oil and 13.67±0.58 mm for PVP-I. The promising results obtained for the O3-Oil, against the opportunistic Sa, and Pg, one of the main periodontal pathogens, suggest its potential applicability for periodontal treatment. Further preclinical and clinical investigations are warranted.

  13. Effects of extracellular plaque components on the chlorhexidine sensitivity of strains of Streptococcus mutans and human dental plaque

    Energy Technology Data Exchange (ETDEWEB)

    Wolinsky, L.E.; Hume, W.R.

    1985-08-01

    An in vitro study was undertaken to determine the effects of sucrose-derived extracellular plaque components on the sensitivity of selected oral bacteria to chlorhexidine (CX). Cultures of Streptococcus mutans HS-6, OMZ-176, Ingbritt C, 6715-wt13, and pooled human plaque were grown in trypticase soy media with or without 1% sucrose. The sensitivity to CX of bacteria grown in each medium was determined by fixed-time exposure to CX and subsequent measurement of /sup 3/H-thymidine uptake. One-hour exposure to CX at concentrations of 10(-4) M (0.01% w/v) or greater substantially inhibited subsequent cellular division among all the S. mutans strains and human plaque samples tested. An IC50 (the CX concentration which depressed /sup 3/H-thymidine incorporation to 50% of control level) of close to 10(-4) M was noted for S. mutans strains HS-6, OMZ-176, and 6715-wt13 when grown in the presence of sucrose. The same strains grown in cultures without added sucrose showed about a ten-fold greater sensitivity to CX (IC50 close to 10(-5) M). A three-fold difference was noted for S. mutans Ingbritt C. Only a slight increase in the IC50 was noted for the plaque samples cultured in sucrose-containing media, but their threshold for depression of /sup 3/H-thymidine uptake by CX was lower than that for the sucrose-free plaque samples. The study showed that extracellular products confer some protection against CX to the bacteria examined, and provided an explanation for the disparity between clinically-recommended concentrations for plaque suppression and data on in vitro susceptibility.

  14. Antibacterial and Toxic Effect of Hydrogen Peroxide Combined with Different Concentrations of Chlorhexidine in Comparison with Sodium Hypochlorite

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    Hosein Mirhadi

    2015-12-01

    Full Text Available Statement of the Problem: Hydrogen peroxide (H2O2 has been suggested to be used in sequence or in combination with chlorhexidine (CHX to enhance the antibacterial activity against Enterococcus faecalis, but there is no research in the literature on the safety and effectiveness of this irrigation protocol. Purpose: This study aimed to assess the cytocompatibility and antibacterial activity of different concentrations of CHX combined with H2O2 in comparison with the activity of 5.25 and 2.5% sodium hypochlorite (NaOCl. Materials and Method: Different concentrations of H2O2 (10, 5, 3 and 1% were exposed to the PDL cells. Then, the solution with minimal cytotoxicity was selected (3% H2O2. The cytocompatibility and antibacterial activity of 0.1, 0.2, 1 and 2% CHX combined with 3% H2O2 were evaluated and compared with 5.25 and 2.5% NaOCl. The differences in the mean viability of PDL cells were evaluated by one-way ANOVA. Kruskal-Wallis and post-hoc Dunn's tests were adopted to compare the antibacterial activity of the solutions against E.faecalis. Results: The viability of PDL cells was lower when treated with 5.25 or 2.5% NaOCl than all combinations of CHX and H2O2. There was no significant difference in the antibacterial activity of the solutions against E.faecalis, except for the 0.1% CHX + 3% H2O2 combination, which had significantly lower efficacy than other groups. Conclusion: All combinations of CHX and H2O2 (used in this study except 0.1% CHX + 3% H2O2 were efficient irrigants against planktonic E.faecalis and had a better cytocompatibility with PDL cells than 5.25 and 2.5% NaOCl.

  15. The Antibacterial Efficacy of Photo-Activated Disinfection, Chlorhexidine and Sodium Hypochlorite in Infected Root Canals: An in Vitro Study

    Science.gov (United States)

    Samiei, Mohammad; Shahi, Shahriar; Abdollahi, Amir Ardalan; Eskandarinezhad, Mahsa; Negahdari, Ramin; Pakseresht, Zahra

    2016-01-01

    Introduction: This study compared the efficacy of light-activated low-power laser, 2% chlorhexidine (CHX) and 2.5% NaOCl in eliminating Enterococcus faecalis (E. faecalis) from the root canal system. Methods and Materials: The root canals of 60 maxillary central incisors were contaminated with E. faecalis and then the bacteria were incubated for 24 h. All the root canals were instrumented in a crown-down manner with #4 and 3 Gates-Glidden drills, followed by RaCe rotary files (40/0.10, 35/0.08, and 30/0.06). The samples were randomly assigned to three experimental groups and one control group (n=15). In the control group no intervention was made. In the photo-activated disinfection (PAD) group, laser therapy was undertaken with diode laser beams (with an output power of 100 mW/cm2) for 120 sec. For the other two experimental groups, root canals were irrigated either with 5 mL of 2% CHX or 2.5% NaOCl solutions, respectively. The Kruskal-Wallis test was used to compare the CFU values of the bacteria and post-hoc Bonferroni test was used for pairwise comparisons. The level of significance was set at 0.05. Results: The inhibition of bacterial growth in all the experimental groups was significantly superior to the control group (Pfaecalis counts in comparison with the control group, but 2.5% NaOCl solution was the most effective protocol. PMID:27471527

  16. Comparison of the Antimicrobial Efficacy of Octenidine Dihydrochloride and Chlorhexidine with and Without Passive Ultrasonic Irrigation - An Invitro Study

    Science.gov (United States)

    Cherian, Bastin; Manjunath, Mysore Krishnaswamy

    2016-01-01

    Introduction Elimination of microorganisms from infected root canals is a complicated task. Numerous measures have been described to reduce the microbial load in the root canal system, including the use of various instrumentation techniques, irrigation regimens and intracanal medicaments. The drawbacks of few commonly used irrigants include toxic and harmful side effects, microbial resistance to antimicrobial agents and staining. Hence there is a need for alternative agents which are nontoxic, effective and safe. Aim To compare and evaluate antimicrobial effects of 2% Chlorhexidine (CHX) versus 0.1% Octenidine Dihydrochloride (OCT) as root canal irrigant with and without passive ultrasonic irrigation against Enterococcus faecalis (E. faecalis) in vitro and to evaluate the depth of penetration of irrigant solution into the dentinal tubules at the junction of middle and apical third. Materials and Methods Forty eight freshly extracted, single rooted human mandibular premolars were decoronated and root specimen standardized to 14mm. Biofilm of E. faecalis (strain ATCC 29212) was grown for seven days and the specimens were divided into four groups (n=12) based on irrigation protocol : Group I- Conventional Syringe Irrigation (CSI) with 2% CHX, Group II- CSI + 0.1% OCT, Group III-Passive Ultrasonic Irrigation (PUI) + 2% CHX and Group IV- PUI+ 0.1% OCT. Dentin shavings were collected at two depths (200μm and 400μm) and total number of colony forming units were determined. The data were statistically analyzed using ANOVA, Scheffes multiple comparison of means and paired t-test (pfaecalis both at 200μm and 400μm. Passive ultrasonic irrigation proved to enhance the antimicrobial action of the irrigants. PMID:27504415

  17. Effects of catalase, 2% chlorhexidine gel and 1% sodium hypochlorite on the microtensile bond strength of teeth bleached with 35% hydrogen peroxide

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    Ricardo Ferreira

    2011-07-01

    Full Text Available Introduction and objective: Dental bleaching is an effective, relatively simple and noninvasive technique. The aim of this study was to evaluate the effects of catalase, 2% chlorhexidine gel, and 1% sodium hypochlorite on the microtensile bond strength to enamel of bovine teeth submitted to internal and external bleaching with 35% hydrogen peroxide. Material and methods: Sixty bovine incisors were used. They had their debris removed, washed in tap water and stored frozen. The samples were divided into five experimental groups according to the treatment applied after bleaching (n = 12: 1 − control/no bleaching (C; 2 − catalase (CA; 3 − 2% chlorhexidine gel (CG; 4 − 1% sodium hypochlorite (SH; 5 − distilled water (DW. For microtensile test, samples were prepared into blocks of enamel/resin, which were sectioned to obtain hourglass-like specimens. Bond strength was calculated in MPa and data analyzed statistically by Anova (p < 0.05. Results: Microtensile bond strength means decreased in comparison to control group, but no statistically significant difference between groups was found. Conclusion: The substances used after dental bleaching did not result in statistically significant microtensile bond strength means of the tested groups.

  18. Impact of umbilical cord cleansing with 4% chlorhexidine on rate of omphalitis and separation time among newborns in Khartoum state, Sudan

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    Abdelmoneim E.M. Kheir

    2015-07-01

    Full Text Available Infection of the umbilical cord remains high in developing countries with subsequent increase in neonatal mortality rates. This may be due to the practice of applying potentially harmful substances to the freshly cut cord. The aim of this study was to assess the impact of umbilical cord care with 4% chlorhexidine on the rate of omphalitis and separation time among newborns in Khartoum State. This was a quasi-experimental research design that was carried out in the main maternity hospitals of Khartoum state between February and August 2012. One hundred mothers and their respective babies were selected by convenience sampling and were divided equally into intervention and control groups. The tools used for data collection were a questionnaire and an observational checklist. The data were analyzed using Statistical Package for Social Sciences version 17 for descriptive and inferential statistics. Umbilical cord training was effective in enhancing mothers’ knowledge and skills in the intervention group. The result showed that the omphalitis rate was reduced significantly in the intervention group; also the intervention group had a shorter separation time (mean=5.02 compared to the control group (mean=7.24. In conclusion, the application of 4% chlorhexidine on the freshly cut umbilical cord stump, significantly reduces omphalitis rate. This inexpensive and simple intervention can save a significant number of newborn lives in developing countries.

  19. Antibacterial effect of calcium hydroxide combined with chlorhexidine on Enterococcus faecalis: a systematic review and meta-analysis

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    Masoud SAATCHI

    2014-10-01

    Full Text Available Objective: Enterococcus faecalis (E. faecalis is the most frequently isolated strain in failed endodontic therapy cases since it is resistant to calcium hydroxide (CH. Whether a combination of CH and chlorhexidine (CHX is more effective than CH alone against E. faecalis is a matter of controversy. Thus, the aim of this study was to conduct a systematic review and meta-analysis of the literature. Material and Methods: A comprehensive search in PubMed, EMbase, EBSCOhost, The Cochrane Library, SciELO, and BBO databases, Clinical trials registers, Open Grey, and conference proceedings from the earliest available date to February 1, 2013 was carried out and the relevant articles were identified by two independent reviewers. Backward and forward search was performed and then inclusion and exclusion criteria were applied. The included studies were divided into "comparisons" according to the depth of sampling and dressing period of each medicament. Meta-analysis was performed using Stata software 10.0. The level of significance was set at 0.05. Results: Eighty-five studies were retrieved from databases and backward/forward searches. Fortyfive studies were considered as relevant (5 in vivo, 18 in vitro, 18 ex vivo, and 4 review articles. Nine studies were included for meta-analysis. Inter-observer agreement (Cohen kappa was 0.93. The included studies were divided into 21 comparisons for meta-analysis. Chi-square test showed the comparisons were heterogeneous (p<0.001. Random effect model demonstrated no significant difference between CH/CHX mixture and CH alone in their effect on E. faecalis (p=0.115. Conclusions: According to the evidence available now, mixing CH with CHX does not significantly increase the antimicrobial activity of CH against E. faecalis. It appears that mixing CH with CHX does not improve its ex vivo antibacterial property as an intracanal medicament against E. faecalis. Further in vivo studies are necessary to confirm and correlate

  20. Impact of 4.0% chlorhexidine cleansing of the umbilical cord on mortality and omphalitis among newborns of Sylhet, Bangladesh: design of a community-based cluster randomized trial

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    Ahmed Saifuddin

    2009-10-01

    Full Text Available Abstract Background The World Health Organization recommends dry cord care for newborns but this recommendation may not be optimal in low resource settings where most births take place in an unclean environment and infections account for up to half of neonatal deaths. A previous trial in Nepal indicated that umbilical cord cleansing with 4.0% chlorhexidine could substantially reduce mortality and omphalitis risk, but policy changes await additional community-based data. Methods The Projahnmo Chlorhexidine study was a three-year, cluster-randomized, community-based trial to assess the impact of three cord care regimens on neonatal mortality and omphalitis. Women were recruited mid-pregnancy, received a basic package of maternal and neonatal health promotion messages, and were followed to pregnancy outcome. Newborns were visited at home by local village-based workers whose areas were randomized to either 1 single- or 2 7-day cord cleansing with 4.0% chlorhexidine, or 3 promotion of dry cord care as recommended by WHO. All mothers received basic messages regarding hand-washing, clean cord cutting, and avoidance of harmful home-base applications to the cord. Death within 28 days and omphalitis were the primary outcomes; these were monitored directly through home visits by community health workers on days 1, 3, 6, 9, 15, and 28 after birth. Discussion Due to report in early 2010, the Projahnmo Chlorhexidine Study examines the impact of multiple or single chlorhexidine cleansing of the cord on neonatal mortality and omphalitis among newborns of rural Sylhet District, Bangladesh. The results of this trial will be interpreted in conjunction with a similarly designed trial previously conducted in Nepal, and will have implications for policy guidelines for optimal cord care of newborns in low resource settings in Asia. Trial Registration ClinicalTrials.gov (NCT00434408

  1. Insufficient neutralization in testing a chlorhexidine-containing ethanol-based hand rub can result in a false positive efficacy assessment

    Directory of Open Access Journals (Sweden)

    Kampf Günter

    2005-06-01

    Full Text Available Abstract Background Effective neutralization in testing hand hygiene preparations is considered to be a crucial element to ensure validity of the test results, especially with the difficulty to neutralize chlorhexidine gluconate. Aim of the study was to measure the effect of chemical neutralization under practical test conditions according to EN 1500. Methods We have investigated two ethanol-based hand rubs (product A, based on 61% ethanol and 1% chlorhexidine gluconate; product B, based on 85% ethanol. The efficacy of products (application of 3 ml for 30 s was compared to 2-propanol 60% (v/v (two 3 ml rubs of 30 s each on hands artificially contaminated with Escherichia coli using a cross-over design with 15 volunteers. Pre-values were obtained by rubbing fingertips for 1 minute in liquid broth. Post-values were determined by sampling immediately after disinfection in liquid broth with and without neutralizers (0.5% lecithin, 4% polysorbate 20. Results The neutralizers were found to be effective and non-toxic. Without neutralization in the sampling fluid, the reference disinfection reduced the test bacteria by 3.7 log10, product B by 3.3 log10 and product A by 4.8 log10 (P = 0.001; ANOVA. With neutralization the reference disinfection reduced the test bacteria by 3.5 log10, product B by 3.3 log10 and product A by 2.7 log10 (P = 0.011; ANOVA. In comparison to the reference treatment Product B lead to a lower mean reduction than the reference disinfection but the difference was not significant (P > 0.1; Wilcoxon-Wilcox test. Without neutralizing agents in the sampling fluid, product A yielded a significantly higher reduction of test bacteria (4.8; P = 0.02 as compared to the situation with neutralizing agents (2.7; P = 0.033. Conclusion The crucial step of neutralization lies in the sampling fluid itself in order to stop any residual bacteriostatic or bactericidal activity immediately after the application of the preparation, especially with

  2. Antimicrobial Activity of Chlorhexidine, Peracetic acid/ Peroxide hydrogen and Alcohol based compound on Isolated Bacteria in Madani Heart Hospital, Tabriz, Azerbaijan, Iran

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    Reza Ghotaslou

    2012-06-01

    Full Text Available Purpose: The aim of present study was to investigate the effect of chemical agents on the clinical isolates in Madani Heart Hospital, Tabriz, Iran. Methods: The minimum bactericide concentration (MBC of disinfectants including chlorhexidine (Fort, peracetic acid (Micro and an alcohol based compound (Deconex on selected bacteria at various dilutions were determined by the standard suspension technique. Results: MBC of Micro, Fort and Deconex were 2-128 mg/L, 2-64 mg/L and 4 - 32 mg/L, respectively. The Gram negative bacteria were more resistance to disinfectant relation to Gram positive bacteria. Conclusion: The results showed that these agents are able to eradicate the bacteria and they can be used lonely.

  3. Comparison of an alcohol-based hand rub and water-based chlorhexidine gluconate scrub technique for hand antisepsis prior to elective surgery in horses

    Science.gov (United States)

    da Silveira, Eduardo Almeida; Bubeck, Kirstin A.; Batista, Edisleidy Rodriguez; Piat, Perrine; Laverty, Sheila; Beauchamp, Guy; Archambault, Marie; Elce, Yvonne

    2016-01-01

    This prospective clinical study evaluates the effectiveness of an alcohol-based hand rub (Avagard™) for pre-surgical hand antisepsis in an equine hospital and compares it with traditional scrubbing technique using 4% chlorhexidine gluconate sponges and water. Prior to elective surgery, 3 board-certified surgeons were randomly assigned to hand antisepsis with either technique. Culture samples of each hand were taken at 4 times: before and after neutral soap hand wash, after scrub or rubbing technique, and after surgery. There was no significant difference in mean bacterial colony forming units between scrub and rub techniques over the 3 time periods (P = 0.6), controlling for initial counts. One horse from the scrub group had a skin incision infection following stifle arthroscopy; this was resolved with medical treatment. The alcohol-based hand rub is equivalent in efficacy for pre-surgical hand antisepsis to traditional water-based scrubs in an equine hospital setting. PMID:26834268

  4. Cell Based Drug Delivery: Micrococcus luteus Loaded Neutrophils as Chlorhexidine Delivery Vehicles in a Mouse Model of Liver Abscesses in Cattle.

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    Sebastian O Wendel

    Full Text Available The recent WHO report on antibiotic resistances shows a dramatic increase of microbial resistance against antibiotics. With only a few new antibiotics in the pipeline, a different drug delivery approach is urgently needed. We have obtained evidence demonstrating the effectiveness of a cell based drug delivery system that utilizes the innate immune system as targeting carrier for antibacterial drugs. In this study we show the efficient loading of neutrophil granulocytes with chlorhexidine and the complete killing of E. coli as well as Fusobacterium necrophorum in in-vitro studies. Fusobacterium necrophorum causes hepatic abscesses in cattle fed high grain diets. We also show in a mouse model that this delivery system targets infections of F. necrophorum in the liver and reduces the bacterial burden by an order of magnitude from approximately 2•106 to 1•105.

  5. Comparison of an alcohol-based hand rub and water-based chlorhexidine gluconate scrub technique for hand antisepsis prior to elective surgery in horses.

    Science.gov (United States)

    da Silveira, Eduardo Almeida; Bubeck, Kirstin A; Batista, Edisleidy Rodriguez; Piat, Perrine; Laverty, Sheila; Beauchamp, Guy; Archambault, Marie; Elce, Yvonne

    2016-02-01

    This prospective clinical study evaluates the effectiveness of an alcohol-based hand rub (Avagard™) for pre-surgical hand antisepsis in an equine hospital and compares it with traditional scrubbing technique using 4% chlorhexidine gluconate sponges and water. Prior to elective surgery, 3 board-certified surgeons were randomly assigned to hand antisepsis with either technique. Culture samples of each hand were taken at 4 times: before and after neutral soap hand wash, after scrub or rubbing technique, and after surgery. There was no significant difference in mean bacterial colony forming units between scrub and rub techniques over the 3 time periods (P = 0.6), controlling for initial counts. One horse from the scrub group had a skin incision infection following stifle arthroscopy; this was resolved with medical treatment. The alcohol-based hand rub is equivalent in efficacy for pre-surgical hand antisepsis to traditional water-based scrubs in an equine hospital setting.

  6. Cell Based Drug Delivery: Micrococcus luteus Loaded Neutrophils as Chlorhexidine Delivery Vehicles in a Mouse Model of Liver Abscesses in Cattle.

    Science.gov (United States)

    Wendel, Sebastian O; Menon, Sailesh; Alshetaiwi, Hamad; Shrestha, Tej B; Chlebanowski, Lauren; Hsu, Wei-Wen; Bossmann, Stefan H; Narayanan, Sanjeev; Troyer, Deryl L

    2015-01-01

    The recent WHO report on antibiotic resistances shows a dramatic increase of microbial resistance against antibiotics. With only a few new antibiotics in the pipeline, a different drug delivery approach is urgently needed. We have obtained evidence demonstrating the effectiveness of a cell based drug delivery system that utilizes the innate immune system as targeting carrier for antibacterial drugs. In this study we show the efficient loading of neutrophil granulocytes with chlorhexidine and the complete killing of E. coli as well as Fusobacterium necrophorum in in-vitro studies. Fusobacterium necrophorum causes hepatic abscesses in cattle fed high grain diets. We also show in a mouse model that this delivery system targets infections of F. necrophorum in the liver and reduces the bacterial burden by an order of magnitude from approximately 2•106 to 1•105.

  7. Palifermin and Chlorhexidine Mouthwashes in Prevention of Chemotherapy-Induced Mucositis in Children with Acute Lymphocytic Leukemia: a Randomized Controlled Trial

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    Narges Gholizadeh

    2016-12-01

    Full Text Available Statement of the Problem: Over the past three decades, significant improvements have been achieved in the survival of children with cancer. However, the considerable morbidity which occurs as a result of chemotherapy often restricts the treatment intensity. One of the important dose-limiting and costly adverse effects of cancer therapy is mucositis. Children with hematological malignancies are greatly at risk of developing mucositis. Purpose: This study aimed to assess the effectiveness of palifermin in preventing mucositis in children with acute lymphocytic leukemia (ALL who undergo chemotherapy. Materials and Method: In this clinical trial, 90 children with ALL were randomized to receive chlorhexidine (n=45 or palifermin (n=45. One group received 60 μg/ kg/ day palifermin as an intravenous bolus once daily for 3 days before and 3 days after the chemotherapy. Chlorhexidine mouthwash was administered once daily for 3 days before and 3 days after the chemotherapy. The world health organization (WHO oral toxicity scale was employed for grading the mucositis. The data were analyzed by using two-way ANOVA. Results: The two groups were matched for age and gender. The study groups were significantly different in terms of mucositis grading (P values after 1 and 2 week therapy were 0.00. Palifermin decreased the incidence and severity of chemotherapy-induced mucositis. Conclusion: Palifermin reduces the oral mucositis in children with ALL. Several mechanisms of action are suggested for keratinocyte growth factor (such as palifermin including promotion of cell proliferation and cytoprotection, restraining the apoptosis, and changing the cytokine profile. Keywords ● Oral Mucositis ● Palifermin ● Leukemia

  8. Low compliance with alcohol gel compared with chlorhexidine for hand hygiene in ICU patients: results of an alcohol gel implementation program.

    Science.gov (United States)

    Camargo, Luis Fernando Aranha; Marra, Alexandre Rodrigues; Silva, Cláudia Vallone; Laselva, Cláudia Regina; Moura Junior, Denis Faria; Cal, Ruy Guilherme G; Yamashita, Maria Aparecida; Knobel, Elias

    2009-10-01

    Although the introduction of alcohol based products have increased compliance with hand hygiene in intensive care units (ICU), no comparative studies with other products in the same unit and in the same period have been conducted. We performed a two-month-observational prospective study comparing three units in an adult ICU, according to hand hygiene practices (chlorhexidine alone-unit A, both chlorhexidine and alcohol gel-unit B, and alcohol gel alone-unit C, respectively). Opportunities for hand hygiene were considered according to an institutional guideline. Patients were randomly allocated in the 3 units and data on hand hygiene compliance was collected without the knowledge of the health care staff. TISS score (used for measuring patient complexity) was similar between the three different units. Overall compliance with hand hygiene was 46.7% (659/1410). Compliance was significantly higher after patient care in unit A when compared to units B and C. On the other hand, compliance was significantly higher only between units A (32.1%) and C (23.1%) before patient care (p=0.02). Higher compliance rates were observed for general opportunities for hand hygiene (patient bathing, vital sign controls, etc), while very low compliance rates were observed for opportunities related to skin and gastroenteral care. One of the reasons for not using alcohol gel according to health care workers was the necessity for water contact (35.3%, 12/20). Although the use of alcohol based products is now the standard practice for hand hygiene the abrupt abolition of hand hygiene with traditional products may not be recommended for specific services.

  9. Effect of Different Obturation Materials on Residual Antimicrobial Activity of 2% Chlorhexidine in Dentin at Different Time Intervals: An Ex Vivo Study

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    Behnam Bolhari

    2016-03-01

    Full Text Available Objectives: The aim of this study was to evaluate the effect of gutta percha/AH26 and Resilon/RealSeal SE on residual antimicrobial activity of chlorhexidine (CHX in human root dentin and suggest the best filling material when CHX is used as final irrigant.Materials and Methods: One-hundred and forty-four single-rooted human teeth were selected for this study. Canals were instrumented to the apical size #35. Smear layer was removed using 5.25% NaOCl and 17% EDTA and then 108 teeth were irrigated with 2% CHX and randomly divided into three groups of gutta percha/AH26, Resilon/RealSeal SE and positive controls. Each group was divided into three subgroups for different time intervals (one, three and six weeks. Thirty-six teeth, as negative controls, were irrigated with saline and obturated with gutta percha/AH26 and Resilon/RealSeal SE. Dentin powder was prepared at the afore-mentioned intervals. After exposure to Enterococcus faecalis for 24 hours, colony forming units (CFUs were counted and residual antimicrobial activity was calculated. The data were analyzed using the Kruskal Wallis test and one-way ANOVA. The significance level was set at P<0.05.Results: The antimicrobial activity of CHX gradually decreased in a time-dependent manner but it maintained over 95% of its antimicrobial activity after six weeks. Moreover, Resilon/RealSeal SE significantly decreased the antimicrobial activity of CHX in comparison with gutta-percha/AH26 (P<0.05.Conclusion: After a final irrigation with CHX, gutta-percha/AH26 is a better choice for root canal obturation.Key words: Chlorhexidine; Gutta-Percha; Epoxy resin AH-26; Resilon sealer. 

  10. Effect Of 2% Chlorhexidine Application on the Bonding Effectiveness of Different Dentin Adhesives in Normal and Caries Affected Dentin in Primary Teeth: an in Vitro Study

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    Elham Farrokh gisour

    2016-03-01

    Full Text Available Background and Objective:The bond strength of adhesives to dentin is one of the most important parameters for evaluating the efficacy of dental adhesives.The aim of this study was to evaluate the effect of 2% chlorhexidine on 24 hour shear bond strength of different adhesives in normal and caries affected dentin in primary teeth. Materials and Methods:Sixty extracted human primary molars were selected and sectioned in two halves and after preparing a flat surface of superficial dentin, were randomly divided into 12 groups; according to dentin condition (normal and caries affected, type of adhesive (Clearfil SE Bond [SE], Clearfil S3Bond [S3 ], Single Bond2 [S2 ] and treatment (with chlorhexidine [2%CHX] and without 2%CHX . In S2 group, after etching, CHX were applied and in SE and S3 groups were applied before use of bonding agents. Then composite was attached to the prepared surfaces and cured. The samples were maintained in distilled water at 37 ˚C for 24 hours and then thermocycled. Shear bond strength was calculated. Mode of failures was examined by stereomicroscope. Data were analyzed using t-test and ANOVA with p<0.05 as the level of significance. Results:There were no significant differences in shear bond strength between the different types of adhesives (P=0.9, use of CHX (P=0.22 and type of dentin (P=0.9. The dominant fracture pattern was mixed. Conclusion:2% CHX had no effect on 24 hour shear bond strength of adhesive systems to normal and caries affected dentin in primary teeth.

  11. Higiene bucal com clorexidina na prevenção de pneumonia associada à ventilação mecânica Oral hygiene with chlorhexidine in preventing pneumonia associated with mechanical ventilation

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    Carolina Contador Beraldo

    2008-09-01

    Full Text Available A pneumonia associada à ventilação mecânica (PAVM é uma infecção freqüente nas unidades de terapia intensiva (UTI, e anti-sépticos bucais são utilizados preventivamente. Revisamos metanálises e ensaios clínicos randomizados indexados no Medical Literature Analysis and Retrieval System e Cumulative Index to Nursing and Allied Health Literature sobre o uso tópico da clorexidina na prevenção da PAVM. Oito publicações foram avaliadas. Em sete (87,5%, a clorexidina diminuiu a colonização da orofaringe, e em quatro (50% houve redução de PAVM. A clorexidina parece diminuir a colonização, podendo reduzir a incidência da PAVM.Ventilator-associated pneumonia (VAP is a common infection in intensive care units (ICUs, and oral antiseptic is used as a preventive measure. We reviewed meta-analyses and randomized clinical trials indexed in the Medical Literature Analysis and Retrieval System and Cumulative Index to Nursing and Allied Health Literature databases regarding the topical use of chlorhexidine in the prevention of VAP. Eight publications were analyzed. In seven (87.5% chlorhexidine diminished the colonization of the oropharynx, and in four (50% there was a reduction of VAP. Chlorhexidine seems to reduce colonization, thus reducing the incidence of VAP.

  12. Perubahan warna lempeng resin akrilik yang direndam dalam larutan desinfektan sodium hipoklorit dan klorhexidin (The color changes of acrylic resins denture base material which are immersed in Sodium hypochlorite and chlorhexidine

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    David David

    2006-03-01

    Full Text Available One of the acrylic resins properties is the water absorption including color fluids and chemically fluids that affect on the color changes of the acrylic resins. This laboratory experiments studied sodium hypochlorite and chlorhexidine effect on the color changes of acrylic denture base resins material. The study was conducted by immersing heat cured acrylic plate samples of 26 mm of diameter and 0.4 mm of thickness in sodium hypochlorite for 10; 70 and 140 minutes and chlorhexidine for 15; 105 and 210 minutes. Seven samples were used for each experiment. An optical spectrometer BPX-47 type photo cell and a digital microvoltage were used for the color changes observation. The statistical test used were t-test, One-way ANOVA and LSD with 0.05 significance degree level. The results of the studied showed that the color of acrylic resins denture base plate changed after immersion in sodium hypochlorite for 70 and 140 minutes and chlorhexidine for 105 and 210 minute of immersion.

  13. Comparative Evaluation of Antimicrobial Activity of QMiX, 2.5% Sodium Hypochlorite, 2% Chlorhexidine, Guava Leaf Extract and Aloevera Extract Against Enterococcus faecalis and Candida albicans – An in-vitro Study

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    Krishnamma, Shoba; Peedikayil, Faizal; Aman, Shibu; Tomy, Nithya; Mariodan, Jithin Pulickal

    2016-01-01

    Introduction Debridement and disinfection of the root canal system is a critical step in endodontic treatment. Most of the irrigants presently used in the endodontic treatment can have an impact on the microbes surviving in the biofilm but none of them are able to do all of the required tasks. Researches are going on its full swing in order to produce an endodontic irrigant having ideal properties. Aim To compare the antimicrobial efficacy of different irrigants like QMiX, guava leaf extract, aloevera extract, 2.5% sodium hypochlorite and 2% chlorhexidine gluconate against Enterococcus faecalis and Candida albicans. Materials and Methods The antimicrobial activity was determined using agar diffusion test. The solutions were divided into five groups: Group I- QMiX, Group II- Guava leaf extract and Group III-Aloevera extract, Group IV–2.5% Sodium hypochlorite and Group V-2% Chlorhexidine. The zones of inhibition of growth were recorded. Results Statistical analysis was performed using one way ANOVA with post-hoc Tukey’s HSD. Values obtained were statistically analyzed (pEnterococcus faecalis and Candida albicans followed by, 2% chlorhexidine, 2.5% sodium hypochlorite, guava leaf extract and aloevera extract. Results obtained were statistically significant. Conclusion Guava leaf extract showed significant inhibitory effects against Enterococcus faecalis and Candida albicans. QMiX demonstrated the best results among the tested solutions and can be considered as a potential alternative to existing root canal irrigants. PMID:27437354

  14. Comparative evaluation of the cytotoxicity of 5.25% sodium hypochlorite, 2% chlorhexidine and mixture of a tetracycline isomer, an acid and a detergent on human red blood corpuscles: An in-vitro study

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    Krishna Prasad Shetty

    2014-01-01

    Full Text Available Aim: The aim of this study was to analyze the cytotoxicity of various volumes of 5.25% of sodium hypochlorite, 2% of chlorhexidine gluconate and mixture of a tetracycline isomer, an acid and a detergent (MTAD by checking for hemolysis of human red blood corpuscles. Materials and Methods: A total volume of 100 μl of diluted red blood corpuscles obtained through centrifugation was added to three irrigating solutions (5.25% of sodium hypochlorite, 2% of chlorhexidine and MTAD of six test tubes each. Individual irrigants per group were added in increasing volume starting from the second test tube keeping the first one as the control. After incubation for 3 min hemoglobin content was measured using an automated hemoanalyzer data was analyzed using one sample t-test. Results: Sodium hypochlorite is the most cytotoxic solution followed by MTAD and chlorhexidine. Conclusions: This study suggests that the three irrigating solutions do cause detrimental effects on the diluted red blood corpuscles. A great deal of care should therefore be exercised when using 5.25% sodium hypochlorite during endodontic irrigation.

  15. Comparative evaluation of antimicrobial efficacy of QMix TM 2 in 1, sodium hypochlorite, and chlorhexidine against Enterococcus faecalis and Candida albicans

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    Soujanya Elakanti

    2015-01-01

    Full Text Available Aim/Objective: The aim of this study is to compare the antimicrobial efficacy of QMix TM 2 in 1, sodium hypochlorite (NaOCl, and chlorhexidine (CHX against Enterococcus faecalis and Candida albicans. Materials and Methods: Eighty freshly extracted, single-rooted human mandibular premolar teeth were instrumented and autoclaved. Samples were divided into two groups of 40 teeth each based on the type of microorganism used. Group I was inoculated with E. faecalis and Group II with C. albicans and incubated for 3 days. Each group was subdivided into four subgroups based on the type of irrigant used. Group IA, IIA, 5.25% NaOCl; Group IB, IIB, 2% CHX; Group IC, IIC, QMix TM 2 in 1; and Group ID, IID, 0.9% saline (the control group. Ten microliters of the sample from each canal was taken and was placed on Brain Heart Infusion agar and Sabouraud dextrose agar. The plates were incubated at 37°C for 24 h and colony forming units (CFUs that were grown were counted. Data was analyzed with analysis of variance (ANOVA followed by post-hoc Games-Howell test. Results: The greatest antimicrobial effects were observed in samples treated with QMix TM 2 in 1 (P 0.001 against E. faecalis and C. albicans. Conclusion: QMix TM 2 in 1 demonstrated significant antimicrobial efficacy against E. faecalis and C. albicans.

  16. Effect of the hand antiseptic agents benzalkonium chloride, povidone-iodine, ethanol, and chlorhexidine gluconate on atopic dermatitis in NC/Nga mice.

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    Sadakane, Kaori; Ichinose, Takamichi

    2015-01-01

    Antiseptic agents can cause skin irritation and lead to severe problems, especially for individuals with atopic diatheses. We investigated the effect of 4 different antiseptic agents using an atopic dermatitis (AD) model mouse. NC/Nga mice were subcutaneously injected with mite allergen (Dp) to induce AD-like skin lesions (ADSLs), and an application of 0.2% (w/v) benzalkonium chloride (BZK), 10% (w/v) povidone-iodine (PVP-I), 80% (v/v) ethanol (Et-OH), or 0.5% (v/v) chlorhexidine gluconate (CHG) was applied to the ear envelope. BZK induced a significant increase in the severity of the clinical score, infiltration of inflammatory cells, local expression of inflammatory cytokines in subcutaneous tissue, and total serum immunoglobulin (Ig) E. PVP-I increased the clinical score, number of mast cells, and production of inflammatory cytokines, and total serum IgE. Et-OH increased the clinical score and number of inflammatory cells, but showed no effect on serum IgE levels. No differences in any parameters were observed between CHG and the vehicle. Collectively, the results suggest the severity of the ADSL was related in part to the strength of the immunoreaction. These findings suggest that CHG could offer the lowest risk of inducing ADSL in individuals with atopic dermatitis and that medical staff and food handlers with AD could benefit from its use.

  17. Antibacterial efficacy of Melaleuca alternifolia (Tea tree oil, Curcuma longa (Turmeric, 2% chlorhexidine, and 5% sodium hypochlorite against Enterococcus faecalis: An in vitro study

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    Dakshita Joy Sinha

    2015-01-01

    Full Text Available Aim: To evaluate and compare the antibacterial efficacy of Melaleuca alternifolia (tea tree oil, Curcumalonga (turmeric, 2% chlorhexidine (CHX, and 5% sodium hypochlorite (NaOCl against Enterococcus faecalis. Materials and Methods: Agar plates were prepared using tryptone soya agar. Cultures of E. faecalis were grown in tryptone soya broth. Agar well diffusion method was performed and the plates were incubated at 37΀C for 24 h. The zones of inhibition were recorded. The readings were subjected to statistical analysis using analysis of variance (ANOVA and Tukey′s post hoc test. P-value was considered significant at P < 0.05. Results: Maximum antibacterial efficacy was exhibited by 2% CHX, followed by 5% NaOCl and C. longa with no statistically significant difference between them. It was followed by M. alternifolia (Tea tree oil. Ethanol and saline showed the least antibacterial action. Conclusion: According to the results of this study, C. longa and M. alternifolia can be used as an alternative root canal irrigant, although long-term in vivo studies are warranted.

  18. Essential Oil from Berries of Lebanese Juniperus excelsa M. Bieb Displays Similar Antibacterial Activity to Chlorhexidine but Higher Cytocompatibility with Human Oral Primary Cells

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    Barbara Azzimonti

    2015-05-01

    Full Text Available Chlorhexidine (CHX, one of the most effective drugs administered for periodontal treatment, presents collateral effects including toxicity when used for prolonged periods; here, we have evaluated the bactericidal potency and the cytocompatibility of Juniperus excelsa M. Bieb essential oil (EO in comparison with 0.05% CHX. The EO was extracted from berries by hydrodistillation and components identified by gas chromatography and mass spectrometry. Bacterial inhibition halo analysis, quantitative cell viability 2,3-bis(2-methoxy-4-nitro-5-sulphophenyl-5-[(phenyl amino carbonyl]-2H-tetrazolium hydroxide assay (XTT, and colony forming unit (CFU count were evaluated against the two biofilm formers Aggregatibacter actinomycetemcomitans and Streptococcus mutans. Finally, cytocompatibility was assessed with human primary gingival fibroblasts (HGF and mucosal keratinocytes (HK. The resulting EO was mainly composed of monoterpene hydrocarbons and oxygenated monoterpenes. An inhibition halo test demonstrated that both bacteria were sensitive to the EO; XTT analysis and CFU counts confirmed that 10-fold-diluted EO determined a statistically significant (p < 0.05 reduction in bacteria count and viability towards both biofilm and planktonic forms in a comparable manner to those obtained with CHX. Moreover, EO displayed higher cytocompatibility than CHX (p < 0.05. In conclusion, EO exhibited bactericidal activity similar to CHX, but a superior cytocompatibility, making it a promising antiseptic alternative to CHX.

  19. Comparative evaluation of the efficacy of two controlled release devices: Chlorhexidine chips and indigenous curcumin based collagen as local drug delivery systems

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    Sruthima N. V. S. Gottumukkala

    2014-01-01

    Full Text Available Aim: To comparatively evaluate the therapeutic efficacy of chlorhexidine (CHX chips (Periocol-CG and indigenous curcumin (CU based collagen as adjuncts to scaling and root planning in the nonsurgical management of chronic periodontitis. Materials and Methods: A total of 120 sites from 60 patients presenting with chronic periodontitis (age group 25-55 years of both sexes, with pocket depth of ≥5 mm with radiographic evidence of bilateral bone loss were earmarked for the study. A split mouth design was employed, and all the clinical parameters-plaque index, gingival index, probing pocket depth (PPD and clinical attachment levels (CAL were recorded at baseline, 1 month, 3 months, and 6 months. However, the microbiological parameters, i.e., N-benzoyl-DL-arginine-β-naphthylamide (BANA test and microbial colony count were recorded at baseline, 3 months and 6 months postoperatively. Results: Significant reduction in plaque and gingival index scores were observed in both groups at the end of the study period, i.e., 6 months. The microbiological parameters (BANA test, microbial colony count, PPD and CAL levels also showed significant improvement in both groups. However, at the end of the study period CHX group showed greater improvement in all of these parameters compared to CU collagen group. Conclusion: Future directions of this study should include targeting the beneficial effects of these local drug delivery systems at varied concentrations so that they could be utilized to achieve the maximum beneficial therapeutic effects in the nonsurgical treatment of periodontal disease.

  20. An in vitro evaluation of the antimicrobial efficacy of Curcuma longa, Tachyspermum ammi, chlorhexidine gluconate, and calcium hydroxide on Enterococcus faecalis

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    Hemanshi Kumar

    2013-01-01

    Full Text Available Aim and Objectives: This in vitro study was designed to comparatively evaluate the antimicrobial efficacy of Curcuma longa (turmeric - T 1 -10%, T 2 -20%; Tachyspermum ammi (ajwain - A 1 -10%, A 2 -20%; chlorhexidine (CHX gluconate gel (hexigel - 1%; and calcium hydroxide (10% as intracanal medicaments against Enterococcus faecalis. Materials and Methods: Agar plates were prepared using brain-heart infusion (BHI agar. Cultures of E. faecalis were grown in BHI broth at 37°C. Well diffusion method was used to derive results. Plates were inoculated for 72 h at 37°C and microbial zones of inhibition were recorded. Statistical analysis was performed with repeated measures analysis of variance. Results: C. longa (T 2 -20% and CHX gluconate gel (hexigel - CHX-1% showed larger zones of microbial inhibition than C. longa (T 1 -10% that were statistically significant (P < 0.05 and were highly significant when compared to T. ammi (ajwain - A 1 and A 2 and calcium hydroxide. Conclusion: C. longa can be used as intracanal medicament in endodontic failure cases.

  1. Multiple applications of flurbiprofen and chlorhexidine chips in patients with chronic periodontitis: a randomized, double blind, parallel, 2-arms clinical trial

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    Machtei, Eli E; Hirsh, Ilan; Falah, Maher; Shoshani, Eyal; Avramoff, Avi; Penhasi, Adel

    2011-01-01

    Aim The aim of the present randomized, double blind, parallel, 2-arm clinical study was to examine the safety and efficacy of frequent applications of chlorhexidine chip (CHX) and flurbiprofen chip (FBP) in patients with chronic periodontitis. Methods Sixty patients were randomized into CHX and FBP groups. Following OHI and scaling and root planing (SRP), baseline pocket depth (PD) measurements, gingival recession and bleeding on probing (BOP) were performed and repeated at week 4 and 8. The assigned chip was placed at weeks 0, 1, 2, 3, 5, 7. Results Mean PD reduction in the CHX group was 2.08 mm (7.17 to 5.09, p < 0.0001). Mean PD reduction in the FBP group was 2.27 mm (6.72 to 4.45, p < 0.0001). Ninety-seven percentage and 95% of these sites exhibited PD reduction ≥1 mm, while 38% and 34% of the sites exhibited PD ≥3 mm (FBP and CHX, respectively). Clinical attachment level gain (1.66 and 1.95 mm, respectively) was statistically significant (p < 0.0001). Baseline BOP dropped from 98% and 100% to 24% and 30% for the CHX and FBP groups, respectively (p < 0.0001). Conclusion Frequent applications of CHX and FBP chips resulted in a significant improvement in the periodontal condition in these sites. Furthermore studies will be required to compare this new treatment regimen to SRP or SRP with single chip application. PMID:22092475

  2. An in vitro evaluation of the antimicrobial efficacy of Curcuma longa, Tachyspermum ammi, chlorhexidine gluconate, and calcium hydroxide on Enterococcus faecalis

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    Kumar, Hemanshi

    2013-01-01

    Aim and Objectives: This in vitro study was designed to comparatively evaluate the antimicrobial efficacy of Curcuma longa (turmeric – T1-10%, T2-20%); Tachyspermum ammi (ajwain – A1-10%, A2-20%); chlorhexidine (CHX) gluconate gel (hexigel – 1%); and calcium hydroxide (10%) as intracanal medicaments against Enterococcus faecalis. Materials and Methods: Agar plates were prepared using brain-heart infusion (BHI) agar. Cultures of E. faecalis were grown in BHI broth at 37°C. Well diffusion method was used to derive results. Plates were inoculated for 72 h at 37°C and microbial zones of inhibition were recorded. Statistical analysis was performed with repeated measures analysis of variance. Results: C. longa (T2-20%) and CHX gluconate gel (hexigel – CHX-1%) showed larger zones of microbial inhibition than C. longa (T1-10%) that were statistically significant (P < 0.05) and were highly significant when compared to T. ammi (ajwain – A1 and A2) and calcium hydroxide. Conclusion: C. longa can be used as intracanal medicament in endodontic failure cases. PMID:23716967

  3. Effect of 0.2% Chlorhexidine Gel on Frequency of Dry Socket Following Mandibular Third Molar Surgery: A Double-Blind Clinical Trial Clinical Trial

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    Baratollah Shaban

    2014-09-01

    Full Text Available Introduction: Alveolar osteitis (AO is one of the most common postoperative complications after third molar surgery. Various techniques have been used to reduce the risk of AO. The aim of the current study was to evaluate the effect of Chlorhexidine (CHX bioadhesive gel in preventing the development of AO. Methods: Patients with bilateral impacted mandibular third molars underwent surgical extraction of both teeth. One socket was randomly received CHX gel and the contralateral socket served as the control. The outcome variable was development of AO and the CHX gel application was the predictor variable. Data were analyzed using chi-square test with the confidence interval of 95%. Results: 41 patients (27 females and 14 males with mean age of 24.15 ± 5.02 years underwent 82 surgeries. Total of 11 sockets (13.41% developed AO. The frequency of AO in CHX gel (2 cases, 4.87% side was significantly lower than control (9 cases, 21.95% side (P-value < 0.05. No side effects observed following CHX gel application. Conclusion: Application of CHX gel could be an effective approach to reduce the risk of developing AO following mandibular third molar surgery.

  4. Clinical efficacy of a 1% Matricaria chamomile L. mouthwash and 0.12% chlorhexidine for gingivitis control in patients undergoing orthodontic treatment with fixed appliances.

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    Goes, Paula; Dutra, Caio S; Lisboa, Mário R P; Gondim, Delane V; Leitão, Renata; Brito, Gerly A C; Rego, Rodrigo O

    2016-01-01

    This pilot study evaluated the clinical efficacy of a mouthwash containing 1% Matricaria chamomilla L. (MTC) extract in reducing gingival inflammation and plaque formation in patients undergoing orthodontic treatment with fixed appliances. This randomized, double-blind, placebo-controlled study enrolled a total of 30 males and females (age, 10-40 years) with fixed orthodontic appliances and a minimum of 20 natural teeth. The participants were allocated to three groups (n = 10 each) and asked to rinse with 15 mL of a placebo, 0.12% chlorhexidine (CHX), or 1% MTC mouthwash, immediately after brushing for 1 min, in the morning and evening, for 15 days. Data (mean ± SD) on visible plaque index (VPI) and gingival bleeding index (GBI) were recorded on days 1 and 15. The placebo group exhibited increases in VPI and GBI (10.2% and 23.1%, respectively) from day 1 to day 15. As compared with placebo, VPI and GBI significantly decreased in the MTC group (-25.6% and -29.9%, respectively) and the CHX group (-39.9% and -32.0%, respectively). In summary, MTC reduced biofilm accumulation and gingival bleeding in patients with gingivitis, probably because of its antimicrobial and anti-inflammatory activities.(J Oral Sci 58, 569-574, 2016).

  5. Evaluation of the substantivity of chlorhexidine in association with sodium fluoride in vitro Avaliação da substantividade da clorexidina na associação com fluoreto de sódio in vitro

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    Carolina Saliba de Freitas

    2003-03-01

    Full Text Available The efficacy of the fluoride-chlorhexidine association in the prevention of gingivitis and caries has been advocated for a number of years5,7,14. The objective of the association of these therapeutic agents is a synergistic action. The aim of the present study was to determine the substantivity of chlorhexidine associated or not to sodium fluoride at different intervals of time, in vitro. Bovine enamel surfaces were treated with 0.12% chlorhexidine gluconate (Periogard® - Colgate® or 0.05% sodium fluoride with 0.12% chlorhexidine (Duplak® - Dentsply® solutions for one minute. Fragments were placed in distilled water and samples were collected at intervals of 5, 30 and 360 minutes and analyzed by spectrophotometry in the visible ultraviolet region. Substantivity was evaluated by the measurement of chlorhexidine desorption from the treated slabs. The mean values obtained were statistically analyzed by Student's t-test. The results showed that the concentration of chlorhexidine decreased when it was used in association with sodium fluoride. The difference between the groups was statistically significant (p A efetividade da associação fluoreto-clorexidina na prevenção da gengivite e da cárie vem sendo defendida há alguns anos5,7,14. O propósito dessa associação é obter um desempenho sinérgico. O objetivo do presente estudo foi avaliar a substantividade da clorexidina em associação ou não ao fluoreto de sódio em diferentes intervalos de tempo, in vitro. Foram tratadas superfícies de esmalte bovino com soluções de digluconato de clorexidina 0,12% (Periogard® - Colgate® ou fluoreto de sódio 0,05% com clorexidina 0,12% (Duplak® - Dentsply®, durante um minuto. A substantividade foi medida pela dessorção da clorexidina a partir dos fragmentos previamente imersos nas soluções teste e colocados em água destilada. Alíquotas foram removidas em intervalos de 5 minutos, 30 minutos e 6 horas e analisadas através de

  6. The postantifungal effect and phospholipase production of oral Candida albicans from smokers, diabetics, asthmatics, denture wearers and healthy individuals following brief exposure to subtherapeutic concentrations of chlorhexidine gluconate.

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    Ellepola, Arjuna N B; Joseph, Bobby K; Khan, Z U

    2014-09-01

    Candida albicans is the major aetiological agent of oral candidosis and one of its important virulent factors is the production of extracellular phospholipases, which can be modulated by subtherapeutic concentrations of antifungal agents thus decreasing their pathogenicity. Hence, considering that chlorhexidine gluconate (CG) is a common antimicrobial mouthwash used in dentistry and that its concentration in the mouth reaches subtherapeutic levels during dosage intervals due to the diluent effect of saliva and cleansing effect of the oral musculature, the postantifungal effect (PAFE) and the phospholipase production of oral C. albicans following brief exposure to subtherapeutic concentrations of CG was studied. Fifty C. albicans planktonic oral isolates obtained from smokers, diabetics, asthmatics using steroid inhalers, partial denture wearers and healthy individuals were exposed to three subtherapeutic concentrations of CG (0.005%, 0.0025% and 0.00125%) for 1 h. Isolates unexposed to CG was the control group. Thereafter the antiseptic was removed and the PAFE and phospholipase production was determined by a turbidometric method and a plate assay using an egg yolk agar medium respectively. Mean PAFE (hours) of 50 oral isolates of C. albicans following 1-h exposure to 0.005%, 0.0025% and 0.00125% CG was 6.97, 1.85 and 0.62 respectively. The phospholipase production of these isolates was significantly suppressed with a percentage reduction of 21.68, 18.20 and 14.04% following exposure to 0.005%, 0.0025% and 0.00125% CG respectively. Brief exposure of C. albicans isolates to subtherapeutic concentrations of CG would wield an antifungal effect by suppressing growth and phospholipase production, thereby quelling its pathogenicity.

  7. Real-time microsensor measurement of local metabolic activities in ex vivo dental biofilms exposed to sucrose and treated with chlorhexidine.

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    von Ohle, Christiane; Gieseke, Armin; Nistico, Laura; Decker, Eva Maria; DeBeer, Dirk; Stoodley, Paul

    2010-04-01

    Dental biofilms are characterized by structural and functional heterogeneity. Due to bacterial metabolism, gradients develop and diverse ecological microniches exist. The aims of this study were (i) to determine the metabolic activity of microorganisms in naturally grown dental biofilms ex vivo by measuring dissolved oxygen (DO) and pH profiles with microelectrodes with high spatial resolution and (ii) to analyze the impact of an antimicrobial chlorhexidine (CHX) treatment on microbial physiology during stimulation by sucrose in real time. Biofilms were cultivated on standardized human enamel surfaces in vivo. DO and pH profiles were measured in a flow cell system in sterile human saliva, after sucrose addition (10%), again after alternative treatment of the sucrose exposed biofilms with CHX (0.2%) for 1 or 10 min or after being killed with paraformaldehyde (4%). Biofilm structure was visualized by vitality staining with confocal microscopy. With saliva as the sole nutrient source oxygen consumption was high within the superficial biofilm layers rendering deeper layers (>220 mum) anoxic. Sucrose addition induced the thickness of the anaerobic zone to increase with a concurrent decrease in pH (7.1 to 4.4). CHX exposure reduced metabolic activity and microbial viability at the biofilm surface and drove metabolic activity deeper into the biofilm. CHX treatment led to a reduced viability at the biofilm surface with minor influence on overall biofilm physiology after 1 min; even after 10 min there was measurable respiration and fermentation inside the biofilm. However, the local microenvironment was more aerated, less acidogenic, and presumably less pathogenic.

  8. Counteraction of reactive oxygen species and determination of antibacterial efficacy of proanthocyanidin and lycopene when mixed with calcium hydroxide and chlorhexidine mixture: An in vitro comparative study

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    T A Mageshwaran

    2012-01-01

    Full Text Available Aim: The objective of the study was to determine the neutralizing effect of proanthocyanidin (grape seed extract and lycopene (tomato extract on reactive oxygen species (ROS generated by the mixture when used as an intracanal medicament. The study also evaluated the effect of proanthocyanidin and lycopene on the antibacterial efficacy of a mixture of chlorhexidine (CHX and calcium hydroxide [Ca(OH 2 ] against Enterococcus feacalis. Materials and Methods: Four sample groups were prepared as follows. Group I: 2% CHX gluconate (control group and group II: a mixture of 125 mg of Ca(OH 2 with 2% CHX gluconate solution. Group III was a mixture of 125 mg of Ca(OH 2 with 1 mL of 2% CHX gluconate solution and 1 mL of 5% proanthocyanidin solution and group IV, a mixture of 125 mg of Ca(OH 2 with 1 mL of 2% CHX gluconate solution and 1 mL of 5% lycopene solution. The groups were analyzed for ROS formation using the mass spectrometer (JEOL GC MATE II immediately after preparation. The antibacterial property was evaluated by using agar diffusion method and the results were statistically analyzed using one-way analysis of variance (ANOVA and Tukey-Kramer multiple comparison tests. Results: The peak value of 196.96 denotes ROS formation. Group II shows a higher peak value than other groups. Group IV shows a drastic reduction in the peak value. Group IV shows a drastic reduction in ROS formation when compared with group II, group III, and the control group. Antibacterial efficacy was higher in group IV, followed by group III, group II, and group I. Conclusion: Lycopene and proanthocyanidin reduce the ROS significantly by virtue of their antioxidant property. Lycopene shows more antioxidant property when compared with proanthocyanidin.

  9. Chlorhexidine bathing for the prevention of colonization and infection with multidrug-resistant microorganisms in a hematopoietic stem cell transplantation unit over a 9-year period

    Science.gov (United States)

    Mendes, Elisa Teixeira; Ranzani, Otavio T.; Marchi, Ana Paula; da Silva, Mariama Tomaz; Filho, José Ulysses Amigo; Alves, Tânia; Guimarães, Thais; Levin, Anna S.; Costa, Silvia Figueiredo

    2016-01-01

    Abstract Health care associated infections (HAIs) are currently among the major challenges to the care of hematopoietic stem cell transplantation (HSCT) patients. The objective of the present study was to evaluate the impact of 2% chlorhexidine (CHG) bathing on the incidence of colonization and infection with vancomycin-resistant Enterococcus (VRE), multidrug-resistant (MDR) gram-negative pathogens, and to evaluate their CHG minimum inhibitory concentration (MIC) after the intervention. A quasi-experimental study with duration of 9 years was conducted. VRE colonization and infection, HAI rates, and MDR gram-negative infection were evaluated by interrupted time series analysis. The antibacterial susceptibility profile and mechanism of resistance to CHG were analyzed in both periods by the agar dilution method in the presence or absence of the efflux pump inhibitor carbonyl cyanide-m-chlorophenyl hydrazone (CCCP) and presence of efflux pumps (qacA/E, qacA, qacE, cepA, AdeA, AdeB, and AdeC) by polymerase chain reaction (PCR). The VRE colonization and infection rates were significantly reduced in the postintervention period (P = 0.001). However, gram-negative MDR rates in the unit increased in the last years of the study. The CHG MICs for VRE increased during the period of exposure to the antiseptic. A higher MIC at baseline period was observed in MDR gram-negative strains. The emergence of a monoclonal Pseudomonas aeruginosa clone was observed in the second period. Concluding, CHG bathing was efficient regarding VRE colonization and infection, whereas no similar results were found with MDR gram-negative bacteria. PMID:27861350

  10. Vitamin D Can Ameliorate Chlorhexidine Gluconate-Induced Peritoneal Fibrosis and Functional Deterioration through the Inhibition of Epithelial-to-Mesenchymal Transition of Mesothelial Cells

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    Yi-Che Lee

    2015-01-01

    Full Text Available Background. Peritoneal dialysis (PD can induce fibrosis and functional alterations in PD patients’ peritoneal membranes, due to long-term unphysiological dialysate exposure, partially occurring via triggering of epithelial-to-mesenchymal transition (EMT in peritoneal mesothelial cells (MCs. Vitamin D can ameliorate these negative effects; however, the mechanism remains unexplored. Therefore, we investigated its possible links to MCs EMT inhibition. Methods. Peritoneal fibrosis was established in Sprague-Dawley rats by chlorhexidine gluconate (CG intraperitoneal injection for 21 days, with and without 1α,25(OH2D3 treatment. Morphological and functional evaluation and western blot analysis of EMT marker were performed upon peritoneum tissue. In vitro study was also performed in a primary human peritoneal MC culture system; MCs were incubated with transforming growth factor-β1 (TGF-β1 in the absence or presence of 1α,25(OH2D3. EMT marker expression, migration activities, and cytoskeleton redistribution of MCs were determined. Results. 1α,25(OH2D3 ameliorated CG-induced morphological and functional deterioration in animal model, along with CG-induced upregulation of α-SMA and downregulation of E-cadherin expression. Meanwhile, 1α,25(OH2D3 also ameliorated TGF-β1-induced decrease in E-cadherin expression, increase in Snai1 and α-SMA expression, intracellular F-actin redistribution, and migration activity in vitro. Conclusion. 1α,25(OH2D3 can ameliorate CG-induced peritoneal fibrosis and attenuate functional deterioration through inhibiting MC EMT.

  11. Effects of Two Fluoride Varnishes and One Fluoride/Chlorhexidine Varnish on Streptococcus mutans and Streptococcus sobrinus Biofilm Formation in Vitro

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    Arzu Pinar Erdem, Elif Sepet, Güven Kulekci, Sule Can Trosola, Yegane Guven

    2012-01-01

    Full Text Available Aims: The aim of this study was to evaluate and to compare the effect of two fluoride varnishes and one fluoride/chlorhexidine varnish on Streptococcus mutans and Streptococcus sobrinus biofilm formation, in vitro.Study design: Standard acrylic discs were prepared and divided into groups based on the varnish applied to the disc surface: Fluor Protector, Bifluoride 12, and Fluor Protector + Cervitec (1:1. Untreated discs served as controls. In the study groups, biofilms of S. mutans and S. sobrinus were formed over 24 h, 48 h, and 5 days. The fluoride concentrations in the monospecies biofilms and viable counts of S. mutans and S. sobrinus were investigated.Results: In all study groups, a statistically significant increase in the viable number of S. mutans and S. sobrinus cells was observed between 24 h and 5 days. In both monospecies biofilms, the greatest antibacterial efficacy was detected in the Fluor Protector and Fluor Protector + Cervitec groups at 24 h. For all groups, the amount of fluoride released was highest during the first 24 h, followed by a significant decrease over the next 4 days. A negative correlation was detected between fluoride concentration and antibacterial effect in those groups with biofilms containing both species. Despite the release of high levels of fluoride, the greatest number of viable S. mutans and S. sobrinus cells was detected in the Bifluoride 12 group.Statistics: The data were analyzed using GraphPad Prism software (ver. 3.Conclusions: The Fluor Protector + Cervitec varnish exerted prolonged antibacterial effects on S. mutans and S. sobrinus biofilms compared to the other varnishes tested.

  12. STUDY ON THE GERMICIDAL EFFECT AND TOXICITY OF A CHLORHEXIDINE GLUCO-NATE COMPOUND DISINFECTANT SOLUTION%一种葡萄糖酸氯己定复方消毒液杀菌效果与毒性观察

    Institute of Scientific and Technical Information of China (English)

    银燕; 张倩; 贾兴真; 张聿为

    2014-01-01

    目的:观察一种葡萄糖酸氯己定复方消毒液的杀菌效果与毒性。方法采用悬液定量杀菌试验和动物毒性试验方法,对该葡萄糖酸氯己定复方消毒液相关性能进行了实验室观察。结果该复方消毒液原液含葡萄糖酸氯己定4840 mg/L、乙醇含量为体积分数40%。以该复方消毒液原液对悬液内金黄色葡萄球菌、大肠杆菌、铜绿假单胞菌作用1.0 min,平均杀灭对数值均﹥5.00;对白色念珠菌杀灭对数值﹥4.00。用该消毒液原液擦拭消毒1.0 min,对手和前臂皮肤上自然菌的杀灭对数值均﹥1.00。该复方消毒液对小鼠急性经口毒性LD50值﹥5000 mg/kg(体重),对家兔皮肤无刺激性;1000~5000 mg/kg(体重)剂量范围,该复方消毒液对小鼠骨髓嗜多染红细胞微核试验结果为阴性。结论该葡萄糖酸氯己定复方消毒液对细菌繁殖体和真菌杀菌效果良好,属实际无毒级物质,无致突变作用,对皮肤无刺激性。%Objective To observe the germicidal effect and toxicity of the chlorhexidine gluconate compound disinfect-ant. Methods The suspension quantitative germicidal test and animal toxicity test were used to observe the related effi-ciency of the chlorhexidine gluconate compound disinfectant in lab. Results This compound disinfectant contained chlo-rhexidine gluconate 4 840 mg/L and the ethanol 40%( v/v). The average killing logarithm values of Staphylococcus au-reus,Escherichia coli and Pseudomonas aeruginosa exposed to the chlorhexidine gluconate compound disinfectant for 1. 0 min were all above 5. 00 while that of Candida albicans was above 4. 00. The killing logarithm value of the natural bac-teria on the skin of hand and forearm was above 1. 00 while wiping with the compound disinfectant for 1 min. The LD50 of the mouse acute oral toxicity with the compound disinfectant was 5 000 mg/kg·bw,and this disinfectant had no skin irrita-tion to rabbit. The result of

  13. Efficacy of Triple Antibiotic Paste, Moxifloxacin, Calcium Hydroxide And 2% Chlorhexidine Gel In Elimination of E. Faecalis: An In vitro Study

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    Sekhar, K.S; Gupta, Pankaj; Tejolatha, Bellam; Gupta, Anjali; Kashyap, Shruti; Desai, Veena; Farista, Shanin

    2017-01-01

    Introduction Root canal treatment is incomplete without usage of intra canal medicaments. They help in the reduction of bacterial count and its by-products, making canals clean and decreasing postoperative pains. Aim The aim of this study was to evaluate and compare the antimicrobial activity of triple antibiotic paste, Moxifloxacin, calcium hydroxide and 2% Chlorhexidine (CHX) gel in elimination of Enterococcous faecalis (E. faecalis). Materials and Methods Seventy-five root blocks were obtained from extracted single rooted human teeth. The canal diameter was increased using Gates- Glidden drill up to size 3 and then contaminated with E. faecalis for 21 days. The contaminated samples were then divided into following 5 groups. Group 1: Saline (negative group), Group 2: Calcium hydroxide Ca(OH)2, Group 3: 2% CHX gel, Group 4: Triple Antibiotic Paste (TAP) (50 μg – metronidazole of 400 mg, 50 μg – minocycline of 100 mg, 50 μg – ciprofloxacin of 100 mg) and Group 5: Moxifloxacin (50 μg – moxifloxacin of 400 mg). Dentin debris was obtained at the end of first, 7th, and 10th day using Gates Glidden drill sizes 4 and 5. The bacterial load was assessed by counting the number of Colony Forming Units (CFUs). The data were analyzed with the ANOVA and Post-Hoc tests to assess the differences in antibacterial efficacy between groups (p=<0.001). Results A 2% CHX gel alone completely inhibited the growth of E. faecalis after one, seven and 10 days. The 2% CHX gel was the most effective medicament against E. faecalis, as it showed significant differences with normal saline, calcium hydroxide, Moxifloxacin or triple antibiotic paste at all time intervals. The triple antibiotic paste group showed a moderate antibacterial effect as its difference with all group was significantly better at all days. Moxifloxacin was more effective than calcium hydroxide on 7th and 10th day. Conclusion Best antimicrobial efficacy was shown by 2% CHX gel. Moxifloxacin was equally efficient

  14. COMPOUND CHLORHEXIDINE GARGLE ORAL CARE TO REDUCE THE INCIDENCE OF VAP%复方氯已定含漱液口腔护理对降低VAP发生率的疗效观察

    Institute of Scientific and Technical Information of China (English)

    林相彬

    2011-01-01

    Objective To evaluate the effect of compound chlorhexidine gargle oral care to reduce the incidence of ventilator - associated pneumonia ( VAP ). Methods A total of 110 cases of intubation with mechanical ventilation were randomly divided into two groups,the observation group and the control group with 55 cases in each group. Control group received oral care with normal saline, while the observation group with compound chlorhexidine rinse for oral care. The incidence of halitosis, oral inflammation,lung infection was observed between the two groups. Results The incidence of halitosis, oral inflammation, and cases of pulmonary infection was significantly lower in observation group than the control group, the difference was statistically significant ( P < 0. 05 ). Conclusion The compound chlorhexidine gargle for oral care with scrubbing method can reduce and control the number of oropharyngeal bacteria, prevent and reduce the incidence of VAP in patients with orotracheal intubation.%目的 探讨复方氯已定含漱液口腔护理对降低呼吸机相关肺炎(ventilator-associated pneumonia,VAP)发生率的疗效观察.方法 选择经口气管插管行机械通气患者110例随机分为观察组和对照组,各55例.对照组按常规用生理盐水进行口腔护理,观察组用复方氯已定含漱液进行口腔护理,观察2组发生口臭、口腔炎症、肺部感染的情况.结果 观察组发生口臭、口腔炎症、肺部感染的例数明显低于对照组,差异有统计学意义(P<0 05).结论 用复方氯已定含漱液对经口气管插管患者以擦洗法进行口腔护理,可减少或控制口咽部细菌寄居数,预防或降低VAP的发生率.

  15. Preparation and Quality Evaluation of Compound Dexamethasone and Chlorhexidine Pharyngitis Spray%复方地氯咽炎喷雾剂的制备与质量评价

    Institute of Scientific and Technical Information of China (English)

    靳芳庆; 吴燕; 张福成; 陈雄

    2011-01-01

    目的 制备复方地氯咽炎喷雾剂并评价其质量.方法 以地塞米松磷酸钠和醋酸氯己定为主药,蒸馏水为主要溶剂制备喷雾剂.采用高效液相色谱法测定主药含量.按照2010年版对喷雾剂的要求和方法对制剂进行检测.结果 所制喷雾剂为无色透明液体,每瓶总喷次、每喷量、每喷主药含量等均符合规定.地塞米松磷酸钠质量浓度在10~200μg/mL范围内与峰面积线性关系良好(r=0.999 5),平均回收率100.30%,RSD=1.76%(n=6);醋酸氯己定质量浓度在10~200μg/mL范围内与峰面积线性关系良好(r=0.999 6),平均回收率98.53%,RSD=3.26%(n=6).结论 该制剂制备工艺简单可行,含量测定方法简便可靠,有望开发成治疗急慢性咽炎的新制剂.%Objective To prepare the compound pharyngitis spray of dexameihasone and chlorhexidine, then establish Its quality controlmethod. Methods The compound pharyngitis spray was prepared using dexamethasone sodium phosphate and chlorhexidine acetate as principal agents and distilled water as primary solvent. The test was conducted according to China Pharmacopoeia in 2010 edition of the spray of the requirements and methods. The content of dexamethasone sodium phosphate and chlorhexidine acetate was determined by TTPT.C. Results The compound pharyngitis spray was colorless clearing solution. The total spray bottle,each spray volume and the uniformity of delivered dose was all according to relative regulate. The dexamethasone concentration was linear within the range of 10-200 μg/mL (r-0. 9995), the average recovery rate was 100.30%, RSD was 1. 76% ( n ~ 6} ;the chlorhexidine acetate concentration was linear within the range of 10-200μg/ml,( r - 0.9996) .the average recovery rate was 98. 53% , RSD was 3. 26% (n - 6). Conclusion The preparation technology is simple.feasible and reproducible. The determination method is simple and reliable.lt is expected to be a new preparation for the treatment of acute and

  16. CLINICAL EVALUATION OF PREOPERATIVE SKIN PREPARATION WITH AQUEOUS POVIDONE IODINE ONLY AND IN COMBINATION WITH ALCHOLIC CHLORHEXIDINE IN PATIENTS UNDERGOING ELECTIVE AND EMERGENCY SURGERIES

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    Latchu

    2015-10-01

    Full Text Available INTRODUCTION: Many techniques are there for skin preparation before surgery, the commonest being initial scrub with antiseptic soap solution, followed by painting the prepared area with antiseptic paint solution. But degerming of the skin can be done with antiseptics us ed for less than one minute which is as effective as five minute scrub with germicidal soap solution followed by painting with antiseptics . AIMS AND OBJECTIVES : 1. To evaluate the efficacy of povidone iodine alone and antiseptic agent containing alcoholic chlorhexidine with povidone iodine in preoperative skin preparation by taking swab culture. 2. To compare the rate of postoperative wound infection in both the groups . METHODS: STUDY DESIGN: Comparative study conducted on 100 patients in two groups. STUDY SETTING: Sri Venkateswara Medical College Tirupathi SOURCE OF DATA: 100 Patients (50 in each Group undergoing elective and emergency surgery admitted in the Department of General Surgery in S.V.R.R. Government General Hospital, Tirupati from 2013 to 2014. INCLUSION CRITERIA: 1. Patients undergoing elective & emergency surgery in department of general surgery. 2. Patients with no focus of infection anywhere on the body. 3. Patients irrespective of their age and sex. 4. Patients neither immunocompromised nor on any long term steroids. 5. Patients undergoing mes h repair of hernia are also included. EXCLUSION CRITERIA: 1. Immuno compromised patients and patients on long term steroids. 2. Patients with septicemia. 3. Patients suffering from malignancies or undergoing chemotherapy or radiation therapy. 4. Contaminat ed surgeries in which viscus was opened were excluded from the study. 5. Patients with co - morbid medical conditions like diabetes, hypertension etc. METHOD OF COLLECTION OF DATA: In each case preoperatively, detailed history was taken and routine investiga tions like haemoglobin, total count, differential count, ESR, RBS and chest X - ray, ultrasound were done to

  17. Effect of a 0.5% chlorhexidine gel on dental plaque superinfecting microorganisms in mentally handicapped patients Efeito do gel de clorexidina a 0,5% em microrganismos superinfectantes da placa bacteriana de portadores de necessidades especiais

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    Cláudio Mendes Pannuti

    2003-09-01

    Full Text Available A randomized clinical trial was conducted to investigate the effect of a 0.5% chlorhexidine (CHX gel on dental plaque superinfecting microorganisms in mentally handicapped patients. Thirty inmates from the institution "Casas André Luiz" were assigned to either test group (CHX gel, n = 15 or control group (placebo gel, n = 15. The gel was administered over a period of 8 weeks. Supragingival plaque samples were collected at baseline, after gel use (8 weeks and 16 weeks after baseline. The presence of Gram-negative Enterobacteriaceae, Staphylococcus and yeasts was evaluated. No significant growth of any superinfecting microorganism was observed in the CHX group, when compared to the placebo group. The results indicated that the 0.5% chlorhexidine gel did not produce an undesirable shift in these bacterial populations.Foi conduzido um ensaio clínico aleatório com objetivo de investigar o efeito do gel de clorexidina (CHX a 0,5% sobre microorganismos superinfectantes da placa bacteriana de pacientes especiais. Trinta internos da instituição "Casas André Luiz" foram aleatoriamente divididos em grupo teste (gel de CHX, n = 15 e controle (gel placebo, n = 15. O gel foi utilizado por oito semanas. Amostras de placa supragengival foram coletadas no início do estudo, após o uso do gel (oito semanas e 16 semanas após o início do estudo. Foi avaliada a presença de bacilos entéricos Gram-negativos, Staphylococcus e leveduras. Não houve diferença entre os grupos quanto à presença desses microorganismos em qualquer momento do estudo. Os resultados indicam que o gel de CHX não provocou mudanças significativas na composição desses microorganismos.

  18. [Bacterial contamination of infant urine samples obtained from filter papers used in neuroblastoma-screening tests. (6) Protective effects of preaddition of chlorhexidine digluconate in filter papers or containers for urine on bacterial break-down of creatinine, vanillylmandelic acid and homovanillic acid].

    Science.gov (United States)

    Imai, J; Iwata, H; Gotoh, K; Mori, H; Kawai, M

    1992-10-01

    The effects of chlorhexidine digluconate preadded to urine samples for a neuroblastoma-screening test in preventing the break-down of creatinine (Cre), vanillylmandelic acid (VMA), and homovanillic acid (HVA) by creatinine-cleaving bacteria and the influence of the added disinfectant on the HPLC determination of urinary Cre, VMA, vanillillactic acid (VLA) and HVA. Laboratory or field experiments showed that preadded disinfectant (0.02% volume) nearly completely inhibited the growth of the bacteria and satisfactorily protected urinary Cre, VMA, and HVA from bacterial decomposition. Chlorhexidine digluconate was comparable to benzalkonium chloride in its inhibitory effects on the growth and activities of creatinine-cleaving bacteria. Unlike benzalkonium chloride, chlorhexidine digluconate added to urine samples gave no troubles in subsequent analytical processes. Addition of the disinfectant (0.02% volume) to standard Cre, VMA, VLA, and HVA solution did not affect retention times and sensitivities in HPLC analyses. To estimate influences of the added disinfectant on the serial HPLC determinations of VMA, VLA, and HVA on a large number of urine samples (40, 80, 120, 160, 200, or 5, 500), HPLC analyses were performed on standard VMA, VLA, and HVA solution with repeated injection of the disinfectant in great amounts into a column. The results showed no appreciable changes in the retention times and sensitivities of VMA, VLA, and HVA, and almost complete elution of the disinfectant retained on the column were possible with water-methanol (1:1, 2:8) or methanol washing.(ABSTRACT TRUNCATED AT 250 WORDS)

  19. Application of different concentrations of chlorhexidine oral care solution in patients with orotracheal intubation%不同浓度氯己定口腔护理液在经口气管插管患者中的应用

    Institute of Scientific and Technical Information of China (English)

    陆舞英; 雍萱; 孙四美

    2016-01-01

    Objective To study application effectiveness of different concentrations of chlorhexidine oral care solu-tion in patients with orotracheal intubation.Methods A total of 120 patients who were admitted to the general in-tensive care unit (ICU)of a hospital and undergoing mechanical ventilation via orotracheal intubation for >48 hours between January 2012 and December 2013 were included in the study,they were divided randomly into three groups,40 in each group.Trial group,control group I,and control group II were provided with 2%,0.2%,and 0.12% chlorhexidine oral care solution,respectively.Differences in halitosis,oral mucosal infection,onset time and incidence of ventilator-associated pneumonia (VAP ) among three groups were observed and compared. Results There were significant difference in incidence of VAP and early-onset VAP between trial group and control group I,trial group and control group II,respectively(both P <0.05 );incidence of VAP in control group II was higher than trial group(47.50% vs 20.00%,P =0.009).Conclusion 2% chlorhexidine oral rinsing and swabbing can effectively reduce incidence of VAP in patients with orotracheal intubation.%目的:探讨不同浓度氯己定口腔护理液在经口气管插管患者中的应用效果。方法2012年1月—2013年12月某院综合 ICU 收治的经口气管插管行机械通气时间>48 h 以上患者,共纳入120例符合条件患者,随机分为3组,每组各40例。使用不同浓度氯己定口腔护理液应用于各组患者:试验组(2%)、对照组Ⅰ(0.2%)、对照组Ⅱ(0.12%)。观察并比较3组患者在口臭、口腔黏膜感染、呼吸机相关肺炎(VAP)发生时间及 VAP 发病率的差异。结果试验组与对照组Ⅰ、对照组Ⅱ患者的 VAP、早发 VAP 的发病率比较差异有统计学意义(均 P <0.05);进一步两两比较,对照组Ⅱ患者 VAP 发病率高于试验组(47.50% VS 20.00%,P =0.009

  20. A Report of At-Scale Distribution of Chlorhexidine Digluconate 7.1% Gel for Newborn Cord Care to 36,404 Newborns in Sokoto State, Nigeria: Initial Lessons Learned.

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    Nosakhare Orobaton

    Full Text Available With an annual estimated 276,000 neonatal deaths, Nigeria has the second highest of any country in the world. Global progress in accelerating neonatal deaths is hinged to scaled-up interventions in Nigeria. We used routine data of chlorhexidine digluconate 7.1% gel utilized by 36,404 newborns delivered by 36,370 mothers, to study lessons associated with at-scale distribution in Sokoto State, North West Nigeria.Under state government leadership, a community-based distribution system overseen by 244 ward development committees and over 3,440 community-based health volunteers and community drug keepers, was activated to deliver two locally stored medicines to women when labor commenced. Newborns and their mothers were tracked through 28 days and 42 days respectively, including verbal autopsy results. 36,404 or 26.3% of expected newborns received the gel from April 2013 to December 2013 throughout all 244 wards in the State. 99.97% of newborns survived past 28 days. There were 124 pre-verified neonatal deaths reported. Upon verification using verbal autopsy procedures, 76 deaths were stillborn and 48 were previously live births. Among the previous 48 live births, the main causes of death were sepsis (40%, asphyxia (29% and prematurity (8%. Underuse of logistics management information by government in procurement decisions and not accounting for differences in LGA population sizes during commodity distribution, severely limited program scalability.Enhancements in the predictable availability and supply of chlorhexidine digluconate 7.1% gel to communities through better, evidence-based logistics management by the state public sector will most likely dramatically increase program scalability. Infections as a cause of mortality in babies delivered in home settings may be much higher than previously conceived. In tandem with high prevalence of stillborn deaths, delivery, interventions designed to increase mothers' timely and regular use of quality

  1. A pilot study of the efficacy of wipes containing chlorhexidine 0.3%, climbazole 0.5% and Tris-EDTA to reduce Malassezia pachydermatis populations on canine skin

    Science.gov (United States)

    Cavana, Paola; Peano, Andrea; Petit, Jean-Yanique; Tizzani, Paolo; Perrot, Sébastien; Bensignor, Emmanuel; Guillot, Jacques

    2015-01-01

    Background Wipes containing chlorhexidine and azole derivates have been recommended for veterinary use. No study has been published about their activity against Malassezia pachydermatis. Hypothesis/Objectives To evaluate the in vivo and in vitro activity of wipes soaked in a chlorhexidine, climbazole and Tris-EDTA solution against Malassezia pachydermatis. Animals Five research colony shar-pei dogs. Methods Wipes were applied once daily onto the left axilla, left groin and perianal area (protocol A), and twice daily on the right axilla, right groin and umbilical region (protocol B) for 3 days. In vivo activity was evaluated by quantifying Malassezia colonies through contact plates on the selected body areas before and after wipe application. The activity of the solution in which the wipes were soaked was assessed in vitro by contact tests following the European Standard UNI EN 1275 guidelines. Results Samples collected after wipe application showed a significant and rapid reduction of Malassezia yeast CFU. No significant difference in the Malassezia reduction was found between protocols A and B. In vitro assay showed 100% activity against Malassezia yeasts after a 15 min contact time with the wipe solution. Conclusions and clinical importance Wipes containing chlorhexidine, climbazole and Tris-EDTA substantially reduced the M. pachydermatis population on the skin of dogs. The results, although this was an uncontrolled study performed on a small number of dogs, suggest that these wipes may be useful for topical therapy of Malassezia dermatitis involving the lips, paws, perianal area and skin folds. Résumé Contexte Des lingettes contenant de la chlorhexidine et des dérivésazolés ont été recommandés en médicine vétérinaire. Aucune étude n'a été publiée sur leur activité contre Malassezia pachydermatis. Hypothèses/Objectifs Evaluer l'activité in vivo et in vitro de lingettes imprégnées d'une solution de chlorhexidine, climbazole et Tris

  2. 阴道冲洗配合双唑泰栓治疗滴虫阴道炎疗效观察%Observation on the Effects of Vaginal Douche Combining with Metronidazole Clotrimazole and Chlorhexidine Aceta on Treating Trichomonal Vaginitis

    Institute of Scientific and Technical Information of China (English)

    张惠琴

    2011-01-01

    Objective:To observe the clinical effects and safety of Jie Eryin lotion vaginal douche combining with metronidazole clotrimazole and chlorhexidine acetate on treating trichomonal vaginitis Methods:96 cases with trichomonal vaginitis were selected from the patients admitting outpatient gynecology department of our hospital from July 2007 to July 2009 and they were divided into two groups of control group and observation group with 48 cases in each group.The patients in control group were given one piece of metronidazole clotrimazole and chlorhexidine acetate each which was placed at posterior fornix of vagina every night before sleeping;the patients in observation group were given Jie Eryin vaginal douche besides the treatment in control group.The stock solution of Jie Eryin was diluted by warm water with the percentage of 10% and the patients should wash their vaginas every morning and night.All the patients should be treated for 7 days and reviewed 5~7 days after the finishing of treatment course,and then the effects would be evaluated.Results:The total effective rate of Jie Eryin lotion vaginal douche combining with metronidazole clotrimazole and chlorhexidine acetate was 85.42% which was higher than 66.67% of control group and the difference was statistically significant (P<0.05).The clearance rate of vaginal trichomoniasis in observation group was 87.50% which was higher than 70.83% of control group and the difference was statistically significant (P<0.05).In the process of treating all the 96 patients with trichomonal vaginitis accepting drug treatment, there were no obvious adverse events and severe adverse events.Conclusions:Jie Eryin lotion vaginal douche combining with metronidazole clotrimazole and chlorhexidine acetate may improve the clinical effects and the clearance rate and the treatment has much better safety and tolerance which is worth to be used widely.%目的:观察洁尔阴阴道冲洗联合双唑泰栓治疗滴虫阴道炎的

  3. Detection of Acanthamoeba on the ocular surface in a Spanish population using the Schirmer strip test: pathogenic potential, molecular classification and evaluation of the sensitivity to chlorhexidine and voriconazole of the isolated Acanthamoeba strains.

    Science.gov (United States)

    Rocha-Cabrera, Pedro; Reyes-Batlle, María; Martín-Navarro, Carmen María; Dorta-Gorrín, Alexis; López-Arencibia, Atteneri; Sifaoui, Ines; Martínez-Carretero, Enrique; Piñero, José E; Martín-Barrera, Fernando; Valladares, Basilio; Lorenzo-Morales, Jacob

    2015-08-01

    Pathogenic strains of Acanthamoeba are causative agents of a sight-threatening infection of the cornea known as Acanthamoeba keratitis, which is often associated with the misuse of contact lenses. However, there is still a question remaining to be answered, which is whether these micro-organisms are present on the ocular surface of healthy individuals. Therefore, the aim of this study was to determine the presence of Acanthamoeba on the ocular surface in healthy patients and also in those with other ocular surface infections. Sterile Schirmer test strips were used to collect samples from a group of patients who attended an ophthalmology consultation at the Hospital del Norte, Icod de los Vinos, Tenerife, Canary Islands. Most of the patients (46 individuals, 79.31  %) presented ocular surface pathologies such as blepharitis or conjunctivitis; the rest did not present any pathology. None of the patients included in the study wore contact lenses. The collected samples were cultured in 2  % non-nutrient agar plates and positive plates were then cultured in axenic conditions for further analyses. Molecular analysis classified all isolated strains as belonging to Acanthamoeba genotype tbl4, and osmotolerance and thermotolerance assays revealed that all strains were potentially pathogenic. Furthermore, all strains were assayed for sensitivity against voriconazole and chlorhexidine. Assays showed that both drugs were active against the tested strains. In conclusion, the Schirmer strip test is proposed as an effective tool for the detection of Acanthamoeba on the ocular surface.

  4. Sealing ability of white and gray mineral trioxide aggregate mixed with distilled water and 0.12% chlorhexidine gluconate as a root end filling material: An ex vivo evaluation

    Directory of Open Access Journals (Sweden)

    Sreegowri

    2013-01-01

    Full Text Available Aim: The aim of this study was to evaluate the sealing ability of white and gray mineral trioxide aggregate (MTA mixed with distilled water and 0.12% chlorhexidine (CHX gluconate when used as a root-end filling material using the dye-penetration technique. Materials and Methods: A total of 48 single-rooted human teeth were cleaned, shaped, and obturated with gutta-percha and AH Plus sealer. The apical 3 mm of each root was resected, and 3-mm deep root-end cavity preparations were made. The teeth were randomly divided into 4 experimental groups, each containing 8 teeth, and 2 negative and positive control groups, each containing 8 teeth. Root-end cavities in the experimental groups were filled with the experimental materials. After application of nail polish, the teeth were exposed to India ink for 72 h and longitudinally sectioned, and the extent of dye penetration was measured with a stereomicroscope. Results : No statistically significant differences were observed in the sealing ability of gray and white MTA mixed with distilled water and 0.12% CHX. Conclusion : CHX appears to be a good alternative to replace distilled water, as a solution to be mixed with MTA.

  5. Efecto comparativo de nuevo colutorio-gel de clorhexidina con colutorios comerciales en el crecimiento de placa en 24 horas Comparative effect again mouthrinses-gel of chlorhexidine with commercial mouthrinses in the growth of plaque in 24 hours

    Directory of Open Access Journals (Sweden)

    S. Rivera

    2006-12-01

    Full Text Available Introducción. Las soluciones de clorhexidina (CHX, estándares en prevención de formación de placa presentan algunos efectos indeseados como el dolor por alcohol. Objetivos. El propósito de este estudio fue determinar la eficacia clínica de colutorio-gel acuoso de clorhexidina al 0,1% y compararla con colutorios al 0,12% y 0,1% con alcohol, evaluando el crecimiento de placa bacteriana. Materiales y métodos. En un estudio cruzado, doble ciego y randomizado, 25 alumnos de buena salud oral, participaron de cuatro estudios con abstención de limpieza oral por 24 horas, separados entre si por 4 semanas. Los alumnos se enjuagaron por una vez con uno de los siguientes colutorios: CHX 0,12% + alcohol (Oralgene®, CHX 0,12% + alcohol (Perio.Aid®, CHX 0,1%+ alcohol (Dentilim® y CHX 0,1% + HMC 2,5% (Colutoriogel®, acuoso nueva formula. Después de un día se midió formación de placa, se completo y registro el cuestionario de parámetros clínicos Resultados. Las formulaciones de CHX 0,12% + alcohol y CHX 0,1% + HMC 2,5% se mostraron eficientes en retardar el crecimiento de placa dental de novo, esto obtenido de las mediciones clínicas, y siempre superior (pThe chlorhexidine solutions (CHX standars in prevention of plaque formation present some undesired effects like the pain by alcohol. The aim of this study was to determine the clinical effectiveness of Colutoriogel® (new formulation of chlorhexidine to the 0,1% and to compare with mouthrinses to the 0,12% and 0,1% with alcohol being evaluated growth of bacterial plaque. In double-blind, randomised, cross-over study, 25 young dental students with a healthy periodontium, abolished all means of mechanical plaque control during 4 experimental periods of 1 day (separated from each other by a washout period of 4 weeks. During each experimental period, they rinsed 1 daily with one of the following mouthrinses in a randomised order: CHX 0,12% + alcohol (Oralgene ®, CHX 0,12% + alcohol (Perio

  6. 氯己定口腔护理预防呼吸机相关性肺炎中文文献的Meta分析%Oral Care with Chlorhexidine in Preventing Ventilator Associated Pneumonia among Chinese Patients:A Meta-anal-ysis

    Institute of Scientific and Technical Information of China (English)

    杨志兰; 柴建华; 舒红文; 周建芳; 彭文涛

    2015-01-01

    目的 系统评价国内使用氯己定口腔护理预防呼吸机相关性肺炎的有效性. 方法 计算机联机检索CNKI、VIP、万方数据库(各数据库检索时间为创建至2014年12月)中关于使用氯己定口腔护理预防呼吸机相关性肺炎的随机对照试验( RCT) ,用RevMan5. 3软件对数据进行Meta分析. 结果 共纳入15篇RCT,包括1909例患者. Meta分析结果显示:使用氯己定口腔护理预防呼吸机相关性肺炎的效果优于对照组[RR=0. 45,95%CI(0. 38,0. 54),P<0. 01].结论 基于现有临床证据,使用氯己定口腔护理预防呼吸机相关性肺炎的有效性较高. 但由于纳入研究质量较差,本结论尚需要更高质量临床RCT予以证实.%Objective To systematically evaluate the efficacy and safety of oral care with chlorhexidine in preventing ventilator associated pneumonia in Chinese patients. Methods Studies were identified through CNKI,VIP and WANFANG Data-bases. Eligible studies were randomized controlled trials(RCT)of oral care with chlorhexidine in preventing ventilator associated pneumonia among Chinese patients. Meta analysis was carried out by RevMan 5. 3 software. Results 15 RCTs were included (1909 patients). The Meta analyses showed that oral care with chlorhexidine in preventing ventilator associated pneumonia were superior to those of the control group[RR=0. 45,95%CI(0. 38,0. 54), P<0. 01]. Conclusion The present meta-analysis in-dicates a beneficial effect of oral care with chlorhexidine in preventing ventilator associated pneumonia. However, further studies with rigorous design and large sample size are needed in the future because of study heteogeneity.

  7. 葡萄糖酸氯己定醇皮肤消毒液对多药耐药菌的杀菌效果评价%Evaluation of germicidal efficacy of chlorhexidine digluconate ethanol skin disinfectant in multdrug-resistant bacteria

    Institute of Scientific and Technical Information of China (English)

    李春梅; 钟晓祝; 杨金城

    2013-01-01

    目的 评价葡萄糖酸氯己定醇皮肤消毒液对多药耐药菌的杀灭作用,为临床合理选用消毒剂提供依据.方法 采用悬液定量杀菌方法,设试验组:耐甲氧西林金黄色葡萄球菌、产ESBLs大肠埃希菌和泛耐药铜绿假单胞菌3种多药耐药菌;对照组:与试验组相对应的金黄色葡萄球菌、大肠埃希菌和铜绿假单胞菌3种非耐药菌;比较葡萄糖酸氯己定醇皮肤消毒液对耐药菌和非耐药菌的杀灭作用.结果 2%葡萄糖酸氯己定醇皮肤消毒液原液作用30 s、1、3 min对试验组和对照组的杀灭对数值均>5.0.结论 2%葡萄糖酸氯己定醇皮肤消毒液对多药耐药菌的杀灭作用与非耐药菌同样快速和有效.%OBJECTIVE To evaluate the germicidal efficacy of chlorhexidine digluconate ethanol skindisinfection solution in multidrug-resistant bacteria so as to provide basis for reasonable use of disinfectants. METHODS By means of suspension quantitative germicidal test, three species of multidrug-resistant bacteria including methicillin- resistant Staphylococcus aureus, ESBLs-producing Escherichia coli, and pan-drug resistant Pseudomonas pneu-moniae were set as the experiment group, and three species of non-drug resistant bacteria consisting of S. aureus, E.coli, and P. aeruginosa were set as the control group. The germicidal efficacy of chlorhexidine digluconate ethanol skin disinfectants in the drug resistant bacteria and non-drug resistant bacteria was compared. RESULTS The killing logarithm value of 2% chlorhexidine digluconate ethanol the disinfectant was more than 5. 0 after the exposure for 30 s, 1 min, and 3 min. CONCLUSION The germicidal efficacy of chlorhexidine digluconate ethanol skin disinfectant is as rapid and effective to the multidrug-resistant bacteria as to the non-drug resistant bacteria.

  8. Prevention and management guidelines to oral health care for patients with head and neck cancer: HCT20, Carisolv and Chlorhexidine varnish are suggested; Protocolo de prevencao e tratamento de sequelas bucais em pacientes submetidos a radioterapia: uso do HCT20, Carisolv e verniz de clorexidina

    Energy Technology Data Exchange (ETDEWEB)

    Silva Guerra, Eliete Neves da; Melo, N.S. de

    2004-06-01

    Orofacial complications are unfortunately common with all modalities used in the management of patients with head and neck cancer. It is well known that hypo salivation develops if radiation therapy involves the salivary glands. A significant decrease in salivary volume can adversely affect oral comfort, mucous health, dentition, deglutition and mastication. Xerostomia may lead to consumption of diet high in carbohydrates and make good oral hygiene difficult. The purpose of this study is to report a new prevention and management guidelines to oral and dental health care for patients with head and neck cancer who will treat with radiotherapy. New materials as HCT20, Carisolv and chlorhexidine varnish are suggested. (author)

  9. The study on chlorhexidine acetate against pathogens bacteria of acute and chronic pharyngitis in vitro%醋酸氯己定对急慢性咽炎主要致病菌的体外抑菌活性考察

    Institute of Scientific and Technical Information of China (English)

    吴燕; 靳芳庆; 张福成; 林敏; 陈雄

    2011-01-01

    Objective To evaluate the antibacterial activity of different concentrations of chlorhelxidine acatate against several pharyngitis pathogens. Methods MICs of chlorhelxidine acatate at different concentrations on against β-Streptococcus pyogens, Proteusbacillus vulgaris, Dneumococcus and Staphylococcus aureus were determined by 96-well plates method and the antibacterial activity were determined by driling method. Results Chlorhexidine acetate can inhibit or kill the four acute and chronic pharyngitis bacteria effectively and the MICs of chlorhexidine acetate on β-Streptococcus pyogens, Proteusbacillus vulgaris, Dneumococcus and Staphylococcus aureus Rosenbach was 7.81 ×10-3, 0.0313, 3.91×10-3 and 1.96×l0-3mg/mL respectively. Conclusion The activity of chlorhexidine acetate against β-Streptococcus pyogens, Proteusbacillus vulgaris, Dneumococcus and Staphylococcus aureus Rosenbach was strong. Chlorhexidine acetate can be used to treat acute and chronic pharyngitis.%目的 考察不同浓度醋酸氯己定对引起急慢性咽炎的主要致病菌(乙型溶血型链球菌、变形菌、肺炎双球菌、金葡球菌)的体外抑菌作用.方法 采用96孔板测定醋酸氯己定对几种菌的最小抑菌浓度值(MIC),打孔法测定不同浓度醋酸氯己定对引起急慢性咽炎的几种主要致病菌的体外抑菌作用.结果 醋酸氯己定对乙型溶血型链球菌、变形菌、肺炎双球菌、金葡球菌均有明显的抑菌作用,且最小抑菌浓度分别7.81×10(-3)、0.0313、3.91×10(-3)和1.96×10(-3)mg/mL.结论 醋酸氯己定对引起急慢性咽炎的乙型溶血性链球菌、变形菌、肺炎双球菌以及金葡球菌等几种病原菌均有较强的抗菌活性,可用于急慢性咽炎的辅助治疗.

  10. A comparative evaluation of the effect of 5.25% sodium hypochlorite and 2% chlorhexidine on the surface texture of Gutta-percha and resilon cones using atomic force microscope

    Directory of Open Access Journals (Sweden)

    Mahima Tilakchand

    2014-01-01

    Full Text Available Aims & Objectives: The purpose of this study was to investigate the effects of 5.25% sodium hypochlorite (NaOCl and 2% chlorhexidine (CHX on Gutta-percha and Resilon cones using an atomic force microscope (AFM. Materials and Methods: Gutta-percha cones (n = 15 and Resilon cones (n = 15 were cut 3 mm from their tip, attached to a glass slide with cyanoacrylate glue and immersed in 5.25% NaOCl and CHX for 1, 5, 10, 20 and 30 min. Five each of Gutta-percha and Resilon cones not treated with any disinfectant were used as control. The analysis of the surface topography was performed on the region between 1 and 2 mm from the tip using the AFM. The root mean square (RMS parameters for contact mode imaging were measured. The differences between RMS values were tested by SPSS-16.0 version statistical software [IBM SPSS (Statistical Product and Service Solutions Data Software, Chicago, US] using Kruskal-Wallis ANOVA, Mann-Whitney U-test and Wilcoxon matched pairs test. Results: There was no deterioration in the surfac e topography of Gutta-percha and Resilon when treated with 2% CHX in comparison to baseline (P < 0.05. Resilon exhibited no deterioration in topography when immersed in 5.25% NaOCl. There was a significant decrease in the mean RMS values of Gutta-percha treated with NaOCl from the control at time intervals of 1, 5, 10, 20 and 30 min.

  11. Effectiveness of a controlled release chlorhexidine chip (PerioColTM‑CG as an adjunctive to scaling and root planing when compared to scaling and root planing alone in the treatment of chronic periodontitis: A comparative study

    Directory of Open Access Journals (Sweden)

    Kameswari Kondreddy

    2012-01-01

    Full Text Available Aims and objectives: The aim of this study is to evaluate the effectiveness of a controlled-release chlorhexidine chip as an adjunctive therapy to scaling and root planing when compared with scaling and root planing alone in the treatment of chronic periodontitis. Materials and Methods: 20 patients with a total number of 40 posterior sites were selected. These sites were divided into two groups in a split mouth design,: Group A (control site had 20 sites treated with scaling and root planing alone and Group B (test site had 20 sites treated with scaling and root planing and PerioCol TM -CG. The clinical parameters (Plaque index, bleeding on probing, probing pocket depth, clinical attachment level were recorded at baseline, 90 th and 180 th day for both the groups. Results: When both groups were compared the change in Plaque index was significantly higher in Group B when compared to Group A on the 90 th day and 180 th day. However, there was no statistically significant difference in the mean percentage of gingival bleeding sites between the two groups on the 90 th day, though Group B showed a statistically higher reduction in the mean percentage of gingival bleeding sites at the end of 180 th day. There was no statistically significant difference in probing pocket depth between the two groups on both 90 th and 180 th day. Gain in clinical attachment level was significantly higher in Group B when compared to Group A on the 90 th and 180 th day. Conclusion: From the results observed in this study, it can be concluded that the adjunctive use of PerioCol TM -CG was safe and provided significant improvement in both Plaque index and gingival bleeding index. It was also more favorable than scaling and root planing alone for gain in clinical attachment level.

  12. Anti-microbial efficacy of green tea and chlorhexidine mouth rinses against Streptococcus mutans, Lactobacilli spp. and Candida albicans in children with severe early childhood caries: A randomized clinical study

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    Ann Thomas

    2016-01-01

    Full Text Available Introduction: Green tea is a beverage which is consumed worldwide and is reported to have anti-cariogenic effect. So, if it was as effective as chlorhexidine (CHX mouth rinse against cariogenic microbes it could be considered a natural, economical alternative. The purpose of this study was to evaluate and compare the anti-microbial efficacy of 0.5% green tea and 0.2% CHX mouth rinses against Streptococcus Mutans, Lactobacilli spp. and Candida Albicans. Materials and Methods: 30 children aged 4-6 years with S-ECC (based ondefs score were selected. Children were divided randomly into 2 equal groups and were asked to rinse with the prescribed mouth rinse once daily for 2 weeks after breakfast under supervision. A base-line and post rinsing non-stimulated whole salivary sample (2 ml was collected and tested for the number of colony forming units. The data was statistically analyzed using SPSS v16.0 software with one-way ANOVA and Tukey′sPOSTHOC test. Results: A statistically significant fall in colony count was found with both the mouth rinses in Streptococcus Mutans (P < 0.001, P < 0.001 and lactobacilli (P < 0.001, P < 0.001 but not against Candida albicans (P = 0.264, P = 0.264. Against Streptococcus Mutans, green tea mouth rinse was found to be significantly better than CHX mouth rinse (P = 0.005. Against lactobacilli spp, CHX mouth rinse was significantly better than green tea mouth rinse (P < 0.001. Conclusion: Green tea mouth rinse can be considered safe, economical and used without much concern. However, further studies are recommended.

  13. Efeito da clorexidina na mucosite induzida por radioterapia em câncer de cabeça e pescoço Effects of chlorhexidine mouthwash on radiation induced mucosistis in head and neck cancer

    Directory of Open Access Journals (Sweden)

    Rogério Labbate

    2003-06-01

    Full Text Available A radioterapia em pacientes com neoplasias de Cabeça e Pescoço causa alterações na mucosa oral comprometendo a execução terapêutica e o resultado final. OBJETIVO: Avaliar o efeito protetor do gluconato de clorexidina, sobre a mucosa oral, durante o tratamento actínico fracionado e o seu reflexo na qualidade de vida referida pelos pacientes. FORMA DE ESTUDO: Clínico prospectivo. MATERIAL E MÉTODO: Foram selecionados 21 portadores de câncer de Cabeça e Pescoço alocados em dois grupos: grupo Placebo (n=11, 9H e 2M, idade média 58 anos água destilada - dois bochechos diários e grupo Medicação (n=10, 7H e 2M, idade média 52 anos gluconato de clorexidina a 0,12% - dois bochechos diários. Os pacientes foram avaliados semanalmente com exame local para detecção das alterações de mucosa (classificação de acordo com a WHO e Grupo de Terapia por Radiação em Oncologia - graus 0 a IV e preenchimento de questionário de qualidade de vida ressaltando os aspectos de dor, apetite, paladar e hábitos alimentares. A análise estatística realizada pelo teste exato de Fisher. RESULTADOS: A graduação da mucosite foi mais intensa no grupo Placebo em 6 das 10 semanas de avaliação. A freqüência e intensidade das dores foram piores no grupo Placebo na 4ª semana de radioterapia e a modificação de paladar foi mais intensa nos indivíduos que não usavam o medicamento apenas na 7ª semana. Não foram encontradas diferenças nos outros parâmetros de qualidade de vida. CONCLUSÃO: Podemos concluir que o gluconato de clorexidina não eliminou as lesões de mucosa mas diminuiu, significativamente, os seus efeitos deletérios e intensidade sem apresentar um reflexo persistente na qualidade de vida dos pacientes.The radiotherapy in patients with neoplasias of Head and Neck causes alterations in the oral mucous membrane interfering with the therapeutic execution and the final result. AIM: To evaluate the protective effect of the chlorhexidin

  14. Assessment of the effectiveness of silver-coated dressing, chlorhexidine acetate (0.5%), citric acid (3%), and silver sulfadiazine (1%) for topical antibacterial effects against the multi-drug resistant Pseudomonas aeruginosa infecting full-skin thickness burn wounds on rats.

    Science.gov (United States)

    Yabanoglu, Hakan; Basaran, Ozgur; Aydogan, Cem; Azap, Ozlem Kurt; Karakayali, Feza; Moray, Gokhan

    2013-01-01

    The aim of this study was to compare the effects of four different topical antimicrobial dressings on a multi-drug resistant Pseudomonas aeruginosa contaminated full-thickness burn wound rat model. A total of 40 adult male Wistar albino rats were used. The control group (group 1), silver sulfadiazine (1%) group 2, chlorhexidine acetate (0.5%) group 3, citric acid (3%) group 4, and silver-coated dressing group 5 were compared to assess the antibacterial effects of a daily application to a 30% full-skin thickness burn wound seeded 10 minutes earlier with 10(8) CFU (colony forming unit)/0.5 mL of a multi-drug resistant Pseudomonas aeruginosa strain. Five groups (1 control group and 4 treatment groups) were compared. The administration of third-degree burns to all rats was confirmed based on histopathologic data. The tissue cultures from groups 2 and 5 exhibited significant differences compared to those of the other 3 groups, whereas no significant differences were observed between groups 1, 3, and 4. The effectiveness of the treatments was as follows: 1% silver sulfadiazine > silver-coated dressing > 3% citric acid > 0.5% chlorhexidine acetate > control group. Our results supported the efficacy of topical therapy by silver sulfadiazine and silver-coated dressing on infections caused by multi-drug resistant Pseudomonas spp.

  15. 复方氯己定联合苦丁茶对呼吸机相关性肺炎口腔的护理效果%Effect of the compound of chlorhexidine and"Kuding"tea on the oral hygiene and prevention of ventilator -associated pneumonia

    Institute of Scientific and Technical Information of China (English)

    李磊

    2014-01-01

    目的:探讨复方氯己定联合苦丁茶对机械通气患者预防呼吸机相关性肺炎口腔的护理效果。方法选取机械通气患者162例,随机分为A组、B组、C组。 A组患者采用复方氯己定擦洗联合苦丁茶冲洗,B组患者采用复方氯己定擦洗,C组患者采用苦丁茶冲洗。连续7d观察三组患者口腔霉菌、口臭、口腔溃疡、咽部和气管内细菌定植数、VAP的发生率,不良反应、口腔护理效果。结果口咽部细菌定植发生率A组患者明显低于B组(P<0.05),A组和B组均明显低于C组(均P<0.05);VAP发生率A组患者明显低于B组( P<0.05),A组和B组均明显低于C组(均P<0.05);牙齿、舌苔发黄等发生率A组和C组均明显低于B组(均P<0.05),A组患者明显低于C组(P<0.05)。结论采用复方氯己定冲洗、擦洗联合苦丁茶液冲洗对VAP患者进行口腔护理可以起到很好地抗菌消炎作用,降低VAP的发生率。%Objective To study the clinical effect of the compound comprising chlorhexidine and "Kuding"tea ( Folium Ilicis Latifoliae) in preventing patients who are connected to ventilator machines from contracting ventilator -associated pneumonia ( VAP) .Methods A total of 162 patients who were on ventilator machines were divided randomly into three groups , A, B, and C.Group A used a compound of chlorhexidine and "Kuding"tea ( Folium Ilicis Latifoliae ) for oral washing; Group B used chlorhexidine for oral washing;Group C used"Kuding"tea ( Folium Ilicis Latifoliae ) for oral washing.The effect on the oral hygiene of the patients were observed.Results The incidence of bacterial colonization in the pharynx oralis and trachea , VAP, and adverse effect of the oral cavity in group A patients were lower than that of group B and group C.Conclusions Using the compound of chlorhexidine and "Kuding"tea ( Folium Ilicis Latifoli-ae) for oral washing is better than using chlorhexidine or "Kuding

  16. Uso de clorexidina 2% gel e escovação mecânica na higiene bucal de pacientes sob ventilação mecânica: efeitos na pneumonia associada a ventilador The use of 2% chlorhexidine gel and toothbrushing for oral hygiene of patients receiving mechanical ventilation: effects on ventilator-associated pneumonia

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    Maria Cristina de Avila Meinberg

    2012-12-01

    Full Text Available OBJETIVO: Avaliar os efeitos da higiene bucal com clorexidina 2% e escovação mecânica sobre a taxa de pneumonia associada a ventilador em uma população mista de pacientes sob ventilação mecânica prolongada. MÉTODOS: Estudo piloto prospectivo, aleatório e placebo-controlado. Foram incluídos pacientes sob ventilação mecânica, com menos de 24 horas de internação e cuja perspectiva de duração da ventilação mecânica era a de um período >72 horas. Os pacientes foram randomizados para o grupo clorexidina (gel com clorexidina a 2% e escovação mecânica ou grupo placebo (gel da mesma coloração e consistência e escovação mecânica na higiene bucal. RESULTADOS: A análise interina planejada foi realizada quando 52 pacientes foram incluídos, e o estudo foi interrompido precocemente. Um total de 28 pacientes foi incluído no grupo clorexidina/escovação mecânica e 24 no grupo placebo. As taxas de pneumonia associada a ventilador foram de 45,8% no grupo placebo e de 64,3% no grupo clorexidine/escovação mecânica (RR=1,4; IC95%=0,83-2,34;p=0,29. CONCLUSÃO: Devido a interrupção precoce por futilidade, não foi possível avaliar o impacto do uso de clorexidina a 2% e escovação mecânica na higiene bucal na incidência de pneumonia associada a ventilador nessa população heterogênea de pacientes críticos sob ventilação mecânica prolongada, não tendo sido evidenciado nenhum efeito benéfico dessa intervenção.OBJECTIVE: To evaluate the effects of oral chlorhexidine hygiene with toothbrushing on the rate of ventilator-associated pneumonia in a mixed population of critically ill patients under prolonged mechanical ventilation. METHODS: Prospective, randomized, and placebo-controlled pilot study. Patients who were receiving mechanical ventilation, had been admitted less than 24 hours prior, and were anticipated to require mechanical ventilation for more than 72 hours were included in the study. The patients were randomly

  17. Comparative analysis of hyaluronan gel and xanthan-based chlorhexidine gel, as adjunct to scaling and root planing with scaling and root planing alone in the treatment of chronic periodontitis: A preliminary study

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    Avinash Singh Chauhan

    2013-01-01

    Full Text Available Aim : The aim of this study was to evaluate the effects of hyaluronan (HA and chlorhexidine (CHX gels as adjunct to scaling and root planing (SRP in the treatment of chronic periodontitis. Materials and Methods: Sixty patients within the age group of 30-65 years recruited to participate in the study were randomly equally divided into three groups. Complete SRP and subgingival debridement were performed within 6 h in all the patients. For control (Group I patients, SRP was the only treatment modality given; for Group II and III patients, at least 8 teeth with 4-8 mm probing pocket depth (PPD were selected for subgingival application of HA gel and CHX gel, respectively. Clinical periodontal parameters such as gingival index, PPD, and clinical attachment level (CAL were recorded at baseline and 3 months, whereas plaque index was recorded at baseline, 1 month, and 3 months. For measuring systemic/hematological parameters, blood samples for laboratory tests for total leucocyte count (TLC, differential leucocyte count (DLC, and C-reactive protein (CRP were obtained using standard 2-mL syringe from each subject in all the three groups at baseline, 24 h, and on the 1 month and 3 months post-baseline. Results: In all the three groups, a significant reduction in PPD and gain in CAL were observed between baseline and 3 months follow-up ( P < 0.05; however, at 3 months, change in PPD and CAL was more in Group II than Group III, but the difference was non-significant, and Group I (control showed less changes in PPD and CAL than both experimental groups. Only one patient revealed positive value for CRP at baseline only, and hence could not be statistically analyzed. In all the three groups, the peak values for TLC count were observed at 24 h. At 1-month and 3-month intervals, a significant improvement in TLC and DLC counts was observed among the experimental (HA gel/SRP and Xan-CHX gel groups as compared to control group (SRP alone.

  18. 不同类别护手霜对洗必泰类外科手消毒剂消毒效果的影响%Influence of different hand lotions on the efficacy of chlorhexidine surgical hand disinfectant

    Institute of Scientific and Technical Information of China (English)

    陈红; 葛妍麟; 仇海荣

    2012-01-01

    Objective To evaluate the influence of different hand lotions on the efficacy of chlorhexidine surgical hand disinfectant. Methods Sixty health care workers were randomly divided into group A, B, and C. All subjects washed their hands for 1 minute according to six-step hand washing technique, and hands were dried with sterile paper towels. Group A didn't use hand lotion, group B and C used 3M 9260 hand lotion (water-in-oil emulsion) and certain brand vaseline hand lotion (oil-in-water emulsion) respectively. Bacterial cultures of hands in three groups were performed after washing hands, using hand lotions 30 minutes later and disinfecting with surgical hand disinfectant, bacterial colonies were counted. Results After washing hands, the difference in colony count was not significantly different among three groups (PX). 05). Thirty minutes after using hand lotions, colony count in group A, B, and C was (3. 33 ± 0. 64) CFU/cm2, (3. 32 ± 0. 97) CFU/cm2, and (4. 05 ± 1. 78) CFU/cm2 respectively, colony count in group C was significantly higher than group A and B (P0. 05). After surgical hand disinfection, both group A and B met requirements for surgical hand disinfection, the difference was not significantly different (PX). 05) ; two subjects in group C didn't meet requirements for surgical hand disinfection, and the colony count ([1. 28 ± 1. 45]CFU/cm2) was significantly higher than group A ([0. 07 ± 0. 10]CFU/cm2) and B ([0. 06 ± 0. 12]CFU/cm2) (P<0. 05). Conclusion Hand lotion containing latex and chlorhexidine can protect hand skin and doesn't reduce efficacy of surgical hand disinfection.%目的 探讨不同护手霜对洗必泰类外科手消毒剂消毒效果的影响.方法 将60名手术室医护人员随机分成A、B、C三组.受试者均按六步洗手法洗手1 min,用无菌擦手纸擦干双手.A组不使用护手霜,B、C组分别使用3M爱护佳9260护手霜(水包油乳化液)及某品牌凡士林护手霜(油包水乳化液).分别采集各组

  19. A comparative study of baicalein and chlorhexidine mouthrinses on the oral health of physically disabled patients%黄芪素和氯己定漱口水对无生活自理能力病人的口腔卫生维护的比较研究

    Institute of Scientific and Technical Information of China (English)

    杨立钰; 庞红霞; 陈向琼; 戴海燕

    2011-01-01

    AIM: To evaluate the effects of baicalein on oral malodor, dental plaque formation and gingivi-tis prevention in physically disabled patients. METHODS: Fifty-one patients were included in this clinical study. The subjects were randomly divided into 0.05 baicalein mouthrince group, 2 g/L chlorhexidine group and placebo group. The effects of baicalein on malodor was evaluated by measuring organoleptic scores and volatile sulfide compound (VSC) levels 30 min before and 8 hours after a single mouthrinse. To evaluate the effects on plaque formation, dental plaque index and bleeding index were recorded at baseline, 7 days and 14 days after a twice-daily mouthrinsing with respective mouthrinses. RESULTS: Compared with chlorhexidine, baicalein was less effective in reducing organoleptic scores and VSC levels as well as in plaque control. However, it was similar to chlorhexidine in preventing gingival inflammation both at day 7 and day 14. CONCLUSION: Baicalein is effective as a prophylactic mouthrinse in maintaining gingival health and its effect may be due to a combination of its anti-plaque and anti-inflammatory properties.%目的:评估黄芪素对无生活自理能力病人抗口臭、抗菌斑和预防牙龈炎的效果.方法:以2g/L氯己定漱口水为阳性对照,通过测试0.5g/L黄芪素漱口后8h嗅觉法计分和挥发性硫化物水平的变化来评估黄芪素的抗口臭效果,通过每天2次、共14d用0.5g/L黄蔑素漱口后菌斑指数和出血指数的变化来评估黄芪素的抗菌斑和预防牙龈炎效果.结果:与氯己定相比,黄芪素在嗅觉法计分和挥发性硫化物水平以及菌斑指数方面不如氯己定,但预防牙龈炎的效果在第7天和第14天与氯己定相似.结论:作为预防性应用,黄芪素漱口水可预防牙龈炎的发生,其效应可能是抗炎和抗菌作用的综合体现.

  20. Avaliação da atividade antimicrobiana de adesivo ortodôntico associado a verniz de clorexidina e timol na colagem de braquetes Evaluation of antimicrobial activity of orthodontic adhesive associated with chlorhexidine-thymol varnish in bracket bonding

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    Carolina Freire de Carvalho Calabrich

    2010-08-01

    Full Text Available OBJETIVO: avaliar a atividade antimicrobiana da associação de um adesivo ortodôntico com um verniz de clorexidina e timol. MÉTODOS: foram utilizados 32 pré-molares humanos divididos em 4 grupos. O grupo 1 consistiu do grupo controle, no qual o adesivo utilizado para a colagem do braquete não estava associado a nenhum agente antimicrobiano. Os grupos 2, 3 e 4 foram colados com um sistema adesivo associado a um verniz de clorexidina e timol. Os grupos 3 e 4 foram armazenados em água por 7 dias e 30 dias, respectivamente, enquanto os corpos de prova do grupo 2 foram, logo depois da colagem, colocados em ágar semeado com Streptococcus mutans por 48h a 37ºC. RESULTADOS: os grupos experimentais, com exceção do grupo controle, apresentaram atividade antimicrobiana com tendência de redução do seu potencial de ação com maior tempo de imersão em água. CONCLUSÃO: a associação do verniz de clorexidina a um sistema adesivo utilizado em Ortodontia apresenta-se vantajosa pela sua atividade antimicrobiana.OBJECTIVE: To assess the antimicrobial activity resulting from the association of an orthodontic adhesive with chlorhexidine-thymol varnish. METHODS: Thirty-two extracted human premolars were used, divided into four groups. In Group 1, the control group, the adhesive used to bond the bracket was not associated with any antimicrobial agent. Groups 2, 3 and 4 were bonded with an adhesive system associated with chlorhexidine-thymol varnish. Groups 3 and 4 were stored in water for 7 days and 30 days, respectively, while the specimens from group 2 were, soon after bonding, placed on agar seeded with Streptococcus mutans for 48 hours, at 37º C. RESULTS: The experimental groups, with the exception of the control group, showed antimicrobial activity whose action tended to decline commensurately with the amount of time that they remained immersed in water. CONCLUSIONS: The association of chlorhexidine-thymol varnish with an adhesive system used in

  1. Effect observation of compound chlorhexidine gargle in oral nursing for orotracheal intubation patients%复方氯己定含漱液用于经口气管插管患者口腔护理的效果观察

    Institute of Scientific and Technical Information of China (English)

    沈碧强; 姚娟

    2015-01-01

    Objective To analyze and investigate the effect of compound chlorhexidine gargle in oral nursing for orotracheal intubation patients. Methods A total of 120 orotracheal intubation patients were randomly divided into group Ⅰ, group Ⅱ, and group Ⅲ. Group Ⅰ with 40 cases received oral nursing by compound chlorhexidine gargle, groupⅡreceived normal saline combined with vacuum aspiration toothbrush for oral nursing, and groupⅢwas given oral nursing by compound chlorhexidine gargle combined with vacuum aspiration toothbrush. Comparisons were made on bacteria detection rate, incidences of halitosis and ventilator-associated pneumonia (VAP) between the two groups. Results GroupⅢhad incidence of halitosis as 22.5%and incidence of VAP as 5.0%. Those in groupⅠwere 47.5%and 27.5%, and in groupⅡwere 50.0%and 32.5%. The incidences of halitosis and VAP were obviously lower in groupⅢthan in groupⅠand groupⅡ, and groupⅢhad remarkably lower bacteria detection rate than groupⅠand groupⅡ. The differences had statistical significance (P<0.05). Conclusion Combination of compound chlorhexidine gargle and vacuum aspiration toothbrush in oral nursing for orotracheal intubation patients can reduce oral bacterial colonization and incidence of ventilator-associated pneumonia. This method is worthy of clinical promotion and application.%目的:对复方氯己定含漱液用于经口气管插管患者口腔护理的效果进行分析探讨。方法120例经口气官插管患者,随机分为Ⅰ组、Ⅱ组、Ⅲ组,Ⅰ组40例患者采用复方氯己定含漱液进行口腔护理;Ⅱ组40例患者以生理盐水联合负压吸引牙刷进行口腔护理;Ⅲ组40例患者采用复方氯己定含漱液联合负压吸引牙刷进行口腔护理,对比三组患者的细菌检出率、口腔异味及呼吸机相关性肺炎(VAP)的发生率。结果Ⅲ组患者的口腔异味发生率为22.5%, VAP发生率为5.0%,Ⅰ组患者为47.5%,27.5%,Ⅱ组患者为50

  2. Avaliação da resistência adesiva e do padrão de descolagem de diferentes sistemas de colagem de braquetes associados à clorexidina Evaluation of the bond strength and debonding pattern of different bracket bonding systems associated with chlorhexidine

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    Jorge Luís de Oliveira Ribeiro

    2008-08-01

    Full Text Available OBJETIVOS: o objetivo deste estudo in vitro foi avaliar a resistência adesiva e o padrão de descolagem de diferentes sistemas de colagem de braquetes (Sistema Transbond XT / 3M-Unitek e Sistema Enlight / Ormco cujos respectivos adesivos foram pré-misturados ao verniz de clorexidina (Cervitec / Ivoclar-Vivadent. METODOLOGIA: a amostra utilizada foi constituída por 60 pré-molares humanos, extraídos por indicações ortodônticas, incluídos em cilindros de PVC e divididos aleatoriamente em quatro grupos: grupo 1 - Sistema Transbond XT conforme prescrito pelo fabricante; grupo 2 - Sistema Transbond XT associado a verniz de clorexidina; grupo 3 - Sistema Enlight conforme prescrito pelo fabricante; grupo 4 - Sistema Enlight associado a verniz de clorexidina. A resistência adesiva foi avaliada pelo teste de cisalhamento na máquina de ensaios universal EMIC (0,5mm/min; o padrão de descolagem foi avaliado, através da lupa estereoscópica STEMI 2000-C / Zeiss (20x, pela observação do Índice de Adesivo Remanescente (IAR na superfície do esmalte dentário, após a descolagem dos braquetes. RESULTADOS: não houve diferença estatisticamente significante (p AIM: The objective of this in vitro study was to evaluate the bond strength and the debonding pattern of different bracket bonding systems (Transbond XT System / 3M-Unitek and Enlight System / Ormco whose respective adhesives were pre-mixed with chlorhexidine varnish (Cervitec / Ivoclar-Vivadent. METHODS: The sample used consisted of sixty human pre-molars extracted for orthodontic purposes, included in PVC cylinder and randomly divided in four experimental groups: group 1 - Transbond XT System according to the manufacturer’s instructions; group 2 - Transbond XT System combined with chlorhexidine varnish; group 3 - Enlight System according to the manufacturer’s instructions; group 4 - Enlight System combined with chlorhexidine varnish. The bond strength evaluation was obtained through

  3. 氯己定醇皮肤消毒液在预防导管相关血流感染中的效果研究%Effect of chlorhexidine skin disinfectant on prevention of catheter-related bloodstream infections

    Institute of Scientific and Technical Information of China (English)

    吴晓琴; 李兰云; 郭晶; 何金; 李琳; 徐莉; 杜永川

    2014-01-01

    目的:探讨2%葡萄糖酸氯己定(CHG)醇皮肤消毒液对预防经外周静脉导入中心静脉置管(PICC)导管相关血流感染(CRBSI)的消毒效果。方法对2013年1-12月行PICC置管的肿瘤患者进行前瞻性随机对照研究,将64例PICC置管的患者进行随机分组,观察组34例使用2% CHG醇进行皮肤消毒,对照组30例使用5%聚维酮碘进行皮肤消毒,分别于各组患者进行PICC置管前及置管后48 h对置管周围部位的皮肤采样,进行细菌监测并比较两组间的差异。结果观察组在 PICC置管前和置管后较对照组48h皮肤菌落数低、干燥时间短(P<0.05),观察组总置管日2356 d ,无CRBSI发生;对照组总置管日1970 d ,CRBSI 4例,2% CHG醇消毒液能降低CRBSI的发生率(P<0.05)。结论2% CHG醇皮肤消毒液可降低PICC导管相关血流感染的发生率,并可减少皮肤表面的暂居菌,抑制其生长从而降低CRBSI风险。%OBJECTIVE To explore the effect of 2% chlorhexidine gluconate (CHG) on prevention of peripherally inserted central venous catheter-related bloodstream infections .METHODS The prospective randomized control study was conducted for the tumor patients who underwent PICC from Jan 2013 to Dec 2013;the 64 PICC patients were randomly divided into the observation group with 34 cases and the control group with 30 cases , the observation group was treated with 2% CHG for skin disinfection ,while the control group was given 5% povidone iodine for skin disinfection .The skins around the catheter insertion sites were respectively sampled before the PICC catheterization and at 48 hours after the PICC catheterization ;the bacterial species were monitored and compared between the two groups .RESULTS The bacterial colony counts in the skin were less in the observation group than in the control group before and after the PICC catheterization ,and the drying time of the observation group was shorter

  4. Estudio clínico comparativo entre colutorio de p-clorofenol y peróxido de hidrógeno con colutorio de clorhexidina al 0.12% en el crecimiento de placa microbiana y gingivitis Mouthwash comparative study between p-chlorophenol and hydrogen peroxide with chlorhexidine mouthwash 0.12% in the growth of microbial plaque and gingivitis

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    PD Jaña

    2010-08-01

    Full Text Available Se formuló un colutorio a base de p-clorofenol alcanforado y peróxido de hidrógeno, y considerando que no se disponían de antecedentes de eficacia y seguridad del colutorio, se realizó un ensayo clínico para medirlas utilizando un modelo de formación de placa microbiana y gingivitis en un período de cuatro días, como control positivo se uso un colutorio de clorhexidina al 0.12%. Participaron 26 sujetos en un estudio doble ciego cruzado y con distribución aleatoria. El colutorio en base a p-clorofenol alcanforado y peróxido de hidrógeno y el de clorhexidina tuvieron un similar efecto en el control de la formación de placa y antigingivitis. No hubo diferencias entre los acontecimientos adversos observados para el colutorio y el control. Por consiguiente, el colutorio en estudio podría ser una alternativa para el control químico de la placa microbiana y gingivitis en el tratamiento de la enfermedad periodontal.A camphorated p-chlorophenol and hydrogen peroxide-based mouthwash was prepared, and a clinical trial to measure the efficiency and safety records of the mouthwash -considering the lack of them- was carried out using a formation model of microbial plaque and gingivitis over a 4-day period, with a 0.12% chlorhexidine mouthwash as positive control. Twenty-six individuals participated in the randomized double-blind crossover study. The camphorated p-chlorophenol and hydrogen peroxide-based and chlorhexidine mouthwash had a similar effect in controlling the formation of plaque and antigingivitis. There was no difference between the adverse events observed for the mouthwash and the control. Therefore, the mouthwash in study might be an alternative to the chemical control of microbial plaque and gingivitis in the periodontal desease treatment.

  5. 21 CFR 524.402 - Chlorhexidine.

    Science.gov (United States)

    2010-04-01

    ... Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) ANIMAL DRUGS.... See Nos. 000856 and 058829 in § 510.600(c) of this chapter. (c) Conditions of use in dogs, cats, and...) Limitations. Do not use in horses intended for human consumption....

  6. Effect of 0.12%Chlorhexidine with Negative Pressure Suction Toothbrush in Orotracheal Intubation Patients%经口气管插管患者0.12%氯己定联合负压吸引式牙刷刷牙的效果观察

    Institute of Scientific and Technical Information of China (English)

    刘晓玲; 李亚洁; 向素英; 王婉洁

    2014-01-01

    目的:探讨0.12%氯己定联合负压吸引式牙刷刷牙在经口气管插管机械通气患者口腔护理中的效果。方法采用抽签法随机分组原则将2012年10月-2013年11月在我科行气管插管机械通气治疗的70例患者分为观察组和对照组各35例,其中观察组有2例被剔除,实际为33例。两组均采用0.12%氯己定作为标准口腔护理液,观察组联合应用负压吸引式牙刷刷牙进行口腔护理,对照组采用传统的口腔擦拭法进行口腔护理,均4次/d,观察7 d。比较两组患者口腔护理前后口咽部细菌培养检出率、口腔护理后2h口腔异味及呼吸机相关性肺炎的发生率。结果观察组口咽部细菌培养检出率、口腔异味及呼吸机相关性肺炎的发生率均低于对照组(P<0.05),差异有统计学意义。结论经口气管插管机械通气患者采用0.12%氯己定联合负压吸引式牙刷刷牙能更好地减少口腔细菌定植,消除口腔异味,降低呼吸机相关性肺炎的发生率。%Objective To explore the effect of 0.12% chlorhexidine with negative pressure suction toothbrush in patients with mechanical ventilation through orotracheal intubation. Methods Seventy patients undergoing mechanical ventilation through orotracheal intubation from October 2012 to November 2013 were randomly divided into observation group ( n=35, but 2 patients were removed) and control group (n=35). With 0.12%chlorhexidine as standard oral care solution, negative pressure toothbrush was applied in observation group for oral care while in control group traditional mouth scrubbing was used for 4 times/d for seven days. Oropharyngeal bacterial culture detection rate before and after oral care was compared and the incidence of oral odor two hours after oral care and ventilator-associated pneumonia (VAP) were recorded. Results The oropharyngeal bacterial culture detection rate and incidence of oral odor and VAP in observation group were

  7. The efficacy of electric toothbrush with suction combined with chlorhexidine mouthwash in oral care for patients with severe traumatic brain injury on mechanical ventilation%电动带吸引牙刷结合洗必泰在重症颅脑损伤机械通气患者口腔护理的临床效果

    Institute of Scientific and Technical Information of China (English)

    周玉华; 朱蔚仪; 许美卿; 魏晓玲; 刘明发; 许海雄

    2013-01-01

    Objective To investigate the clinical efficacy of electric toothbrush with suction combined with chlorhexidine mouthwash in oral care for patients with severe traumatic brain injury on mechanical ventilation.Methods 85 patients with severe head injury on mechanical ventilation were randomized into a study group (43 patients) and a control group (42 patients).The study group received oral care with electric toothbrush with suction combined with chlorhexidine mouthwash; while the control group received traditional oral care with cotton scrubs plus rinsing.The incidence rates of oral odor,mouth ulcers,and ventilator-associated pneumonia (VAP),and the plaque index were compared between the two groups.Results The rates of mouth odor,mouth ulcers,and VAP and the plaque index were significantly lower in the study group than in the control group [4 patients vs.12 patients,3 patients vs.10 patients,12% vs.45%,and (1.20 ± 0.18) vs.(1.88 ± 0.22); P<0.05].Conclusions Electric toothbrush with suction combined with chlorhexidine mouthwash in oral care for patients with severe traumatic brain injury on mechanical ventilation can effectively reduce oral odor,mouth ulcers,and plaque index,thus lowering the incidence of ventilatorassociated pneumonia.%目的 探讨电动带吸引牙刷结合洗必泰(氯已定)漱口液在重症颅脑损伤机械通气患者口腔护理的临床效果.方法 将85例重症颅脑损伤机械通气患者随机分为观察组43例和对照组42例.观察组采用电动带吸引牙刷结合洗必泰漱口液冲洗法进行口腔护理,对照组采用传统棉球擦洗法+冲洗法行口腔护理.对两组患者口腔异味、口腔炎、牙菌斑指数、呼吸机相关性肺炎(VAP)发生率进行对比研究.结果 观察组患者口腔异味4例(9%)、口腔炎3例(7%)、牙菌斑指数(1.20±0.18)、VAP发生率12%,较对照组[12例、10例、(1.88±0.22)、45%]明显下降,差异有统计学意义(P<0.05).结论 电动带吸引

  8. 洗必泰擦浴对预防成人重症监护病房病人导管相关性尿路感染效果的系统评价%Systemic evaluation on efficacy of chlorhexidine sponge bath for preventing catheter associated urinary tract infec-tions for adult patients in intensive care unit

    Institute of Scientific and Technical Information of China (English)

    黄华平; 陈斌; 王海燕

    2016-01-01

    [目的]评价每日洗必泰(氯己定)擦浴预防成人重症监护病房病人导管相关性尿路感染发生的效果。[方法]通过系统检索PUBMED,EMBASE,Cochrane Library 以及中国知网(CNKI)数据库,检索时间从建库到2015年3月,两名评价者独立地评价符合标准的随机临床研究和类实验研究并提取所需数据,使用 Review Manager 5.3对提取到的数据进行分析。[结果]共计7篇文献纳入研究,包含2篇随机临床试验和5篇类实验研究。试验组应用洗必泰每日擦浴,共观察39136例病人,共出现471例次导管相关性尿路感染,对照组共观察43689例病人,共出现804例次导管相关性尿路感染,两组间导管相关性尿路感染发生率差异具有统计学意义(RR为0.68,95%CI为0.52~0.88,P=0.004)。[结论]每日洗必泰擦浴可以明显降低重症监护病房成年病人发生导管相关性尿路感染的风险,但该结论仍需更高质量的临床试验来进一步验证。%Objective:To evaluate the effect of daily chlorhexidine sponge bath for preventing catheter associat-ed urinary tract infections(CAUTI)in adult patients in the intensive care unit(ICU).Methods:Systematically searched PUBMED,EMBASE,the Cochrane Library and China National Knowledge Infrastructure(CNKI)from their inception to March 2015.Two reviewers independently evaluated and extracted data from included standard randomized clinical studies and experimental studies.Review Manager 5 .3 was applied to extract data for analy-sis.Results:Total of 7 papers were included in the study,including 2 randomized clinical trials and 5 experimen-tal studies.The result revealed that 471 infections were detected in a total of 39 136 patients in chlorhexidine sponge bath group.And 804 infections were detected in a total of 43 689 patients in control group.The differ-ence between two groups on CAUTI rate were statistical significant(RR=0.68,95%CI was 0.52 0.88,P=0.004). Conclusions:Daily chlorhexidine sponge

  9. 复方氯己定取代双氧水为气管插管患者行口腔护理的可行性研究%The Research about the Feasibility of the Chlorhexidine Solution of Compound to Replace the Hydrogen Peroxide Solution in the Oral Care to Patients with Orotracheal Intubation

    Institute of Scientific and Technical Information of China (English)

    杨婷; 南国莉; 于波; 张臻; 汤淼; 关金凤

    2013-01-01

    Objective:The study on the feasibility of the chlorhexidine solution of compound to replace the hydrogen peroxide Solution.Methods:During from October 2009 to January 2011,the number of patients with orotracheal intubation is 101,Patients were randomly divided into the experimental group and the control group.The compound chlorhexidine gargle was used in the 51 patients in experimental group,while the 3% hydrogen peroxide gargle was used in the 50 patients in in the control group.2 times per day for a special oral care continue 3 days.Results:There is no significant differences in the oral infections control,the oral mucosa protection and the bad breath treatment comparing between the experimental group and the control group,P>0.05.Conclusion:The effect of the compound Chlorhexidine gargle is same as that of the 3% hydrogen peroxide gargle without causing harmful macromolecular radicals to human health,and has less stimulus or anaphylactic reaction.Thus,it is an oral nursing gargle which can replace the 3% hydrogen peroxide gargle for the patients with orotracheal intubation.%目的:研究复方氯己定含漱液取代过氧化氢口腔护理液的可行性.方法:将我科2009年10月-2010年10月101名经口气管插管住院患者随机分成实验组和对照组两组,其中实验组51例患者采用复方氯己定含漱液为口腔护理液,对照组50例患者采用3%过氧化氢为口腔护理液,每天进行2次特殊口腔护理,连续3天,比较两组患者在口腔炎症、黏膜改变、口腔异味三项指标上的差异.结果:实验组与对照组在控制口腔感染、保护黏膜完整、治疗口腔异味各项比较中均没有显著性差异,P>0.05.结论:复方氯己定含漱液拥有与3%过氧化氢同样的效果,且使用中不会产生危害人体健康的大分子自由基,且刺激和过敏反应较少,是能够取代3%过氧化氢溶液为经口气管插管患者进行口腔护理的溶液.

  10. 双唑泰泡腾片治疗真菌性外耳道炎的临床疗效观察%The Clinical Curative Effect Observation of Metronidazole,Clotrimazole and Chlorhexidine Acetate Effervescent Tablets in the Treatment of Fungal Externa Otitis

    Institute of Scientific and Technical Information of China (English)

    黄秀花; 朱怀文; 阮奕劲; 杨如香

    2016-01-01

    Objective:To discuss the clinical efficacy of Metronidazole,Clotrimazole and Chlorhexidine Acetate effervescent tablets for external use to treat fungal otitis externa.Method:From March 2014 to April 2015,50 cases of fungal external otitis in our hospital were selected as the research objects,they were randomly divided into the control group and the treatment group,each group had 25 cases.The control group was treated with fluconazole ear drops drip cleaning meatus,the treatment group was given Metronidazole,Clotrimazole and Chlorhexidine Acetate effervescent tablets into powder coating canal,the external auditory canal rehabilitation and fungal clearance rate in two groups were compared after 1 course of treatment.Result:The total effective rate of treatment group was 96.0% and the fungal clearance rate was 80.0%,respectively higher than the control group of 76.0% and 52.0%,the differences were statistically significant(P<0.05).Two groups of patients during treatment were no serious adverse reactions.Conclusion:Metronidazole,Clotrimazole and Chlorhexidine Acetate effervescent tablets powder topical treatment of fungal otitis externa is better,has advantage of fungus overcast rate is high,the side effects is small,treatment cost economic benefits and patients can adhere to the drug,has a broad application prospect,it is worthy of clinical promotion.%目的:探讨双唑泰泡腾片研粉外用治疗真菌性外耳道炎的临床疗效。方法:选取2014年3月-2015年4月本院收治的真菌性外耳道炎患者50例作为研究对象,随机分为对照组和治疗组,每组25例。对照组给予氟康唑滴耳液滴注清洗外耳道治疗,治疗组给予双唑泰泡腾片研粉涂布外耳道治疗,1个疗程结束后,比较两组患者外耳道的康复情况和真菌转阴率。结果:治疗组治疗总有效率为96.0%,真菌转阴率为80.0%,分别高于对照组的76.0%和52.0%,比较差异均有统计学意义(P<0.05);两组

  11. 复方氯己定含漱液联合碘甘油治疗急性智齿冠周炎的临床观察%Clinical Observation of Compound Chlorhexidine Gargle With Iodine Glycerol in the Treatment of Acute Wisdom Teeth Pericoronitis

    Institute of Scientific and Technical Information of China (English)

    刘润梅

    2014-01-01

    Objective Clinical curative effect observation of Compound chlorhexidine gargle with iodine glycerol in treat-ment of acute wisdom teeth pericoronitis. Method 200 Acute wisdom teeth pericoronitis patients of outpatients in our hospital from 2010 to 2012 was selected. Firstly, according to without or with restriction of mouth opening were divided into group A and group B . Group A and group B were then randomly divided into A1、A2 group and B1、B2 group. The patients of A1、B1 group were rinsed blind bag with compound chlorhexidine gargle and probed the iodine glycerol into blind bag. The patients of A2、B2 group were rinsed blind bag with 3% hydrogen peroxide, iodine glycerol then were probed into blind bag with the same methods. A、B groups of patients were not systemic or topical medication within 3 days before the visit. Result In the early stageof acute wisdom tooth pericoronitis(A group),effective rate of compound chlorhexidine gargle with iodine glycerol treatment was 96% ,3%hydrogen peroxide combined with iodine glycerol was 82% . The differences between the two groups were significant( = 5. 005, P < 0. 05). With the development of the disease, just as in the B group, effective rates of B1 group and B2 group were obviously reduced (76% ,56% ). Conclusion Clinical curative effect of compound chlorhexidine gargle with iodine glycerol in treatment of early acute wisdom tooth pericoronitis is good,and it was worthy of promotion.%目的:观察复方氯己定含漱液联合碘甘油治疗急性智齿冠周炎的临床治疗效果。方法选择2010年1月至2012年12月我院口腔科门诊就诊的急性智齿冠周炎患者200例。根据患者疾病的严重程度,将无张口受限分为 A组,有张口受限分为 B 组;再将 A、B 两组患者分别随机分为 A1、A2组和 B1、B2组。 A1、B1组采用复方氯己定含漱液冲洗盲袋,再以探针将碘甘油导入盲袋内。 A2、B2组用3%双氧水冲洗盲袋,同样方法

  12. Desenvolvimento de metodologia para determinação de 4-cloroanilina em frangos por cromatografia gasosa - espectrometria de massas: análise em tecidos tratados com digluconato de clorhexidina após o processamento térmico Methodology for 4-chloroaniline determination in poultry by GC-MS: analisys in chlorhexidine digluconate treated tissues after termical processing

    Directory of Open Access Journals (Sweden)

    Eduardo Vicente

    2003-12-01

    Full Text Available A degradação do antimicrobiano digluconato de clorhexidina (DGCH durante armazenamento ou processamento térmico pode formar a 4-cloroanilina (CA, um composto potencialmente carcinogênico. Conseqüentemente, o uso deste sanitizante para descontaminação de carcaças de frangos representa uma fonte de risco para o consumidor, devendo ser avaliada a presença da CA no produto tratado. Um método foi desenvolvido para determinação de resíduos de CA em tecidos de frangos. Após a extração com diclorometano, foi feita a limpeza do extrato em cartucho C18 e quantificação por cromatografia gasosa-espectrometria de massas (CG-EM, sem derivação. A recuperação média (89,2% - CV 9,9%. e o limite de detecção (1,8ng/g foram considerados satisfatórios para os propósitos do estudo. Em amostras tratadas com DGCH e não submetidas a processamento térmico, a quantidade de CA detectada foi relativamente baixa, e provavelmente se originou da solução de tratamento. A fritura e a cocção em forno convencional resultaram em níveis elevados de CA, enquanto que a cocção em panela de pressão não alterou os níveis de CA presentes na amostra crua. Em vista destes resultados e, considerando-se o potencial tóxico da CA, recomenda-se que estes dados sejam levados em consideração quando avaliada a utilização de DGCH como sanitizante de carcaças em abatedouros de aves.The degradation of the antimicrobial agent chlorhexidine digluconate (CHDG during storage or thermal process originates 4-chloroaniline (CA, a compound which is potentially carcinogenic. As the use of this sanitizing agent to decontaminate poultry carcasses in processing plants may represent a risk to the consumers, it is important to search for the presence of CA residues in the treated products. A method was developed to quantify CA in poultry tissues. After dichloromethane extraction, the extract was cleaned on a C18 cartridge and the quantitation was performed, without

  13. Effect of rotary instrumentation and of the association of calcium hydroxide and chlorhexidine on the antisepsis of the root canal system in dogs Efeito da instrumentação automatizada e da associação hidróxido de cálcio e clorexidina na anti-sepsia de canais radiculares de cães

    Directory of Open Access Journals (Sweden)

    Janir Alves Soares

    2006-04-01

    Full Text Available This study aimed at evaluating the antisepsis of the root canal system (RCS and periapical region (PR provided by rotary instrumentation associated with chlorhexidine + calcium hydroxide as intracanal medicament. Chronic periapical lesions were induced in 26 pre-molar roots in two dogs. After microbiological sampling, automatic instrumentation using the Profile system and irrigation with 5.25% sodium hypochlorite solution, with a final rinse of 14.3% EDTA followed by profuse irrigation with physiological saline were carried out in 18 root canals. After drying the canals, a paste based on calcium hydroxide associated with a 2% chlorhexidine digluconate solution was placed inside them. After 21 days, the medication was removed, leaving the root canals empty and coronally sealed. After 96 hours, a final microbiological sample was obtained, followed by histomicrobiological processing by the Brown & Brenn method. Eight untreated root canals represented the control group (C-G. Based on the Mann-Whitney test at a confidence level of 5% (p Este estudo objetivou avaliar a anti-sepsia do sistema de canais radiculares (SCR e da região periapical (RP proporcionada pela instrumentação automatizada associada a medicação intracanal à base de hidróxido de cálcio + clorexidina. Lesões periapicais crônicas foram induzidas em 26 raízes de pré-molares de dois cães. Após amostragem microbiológica, procedeu-se à instrumentação automatizada de 18 canais radiculares (CR utilizando-se o sistema Profile e a solução de hipoclorito de sódio a 5,25%, com irrigação final com EDTA a 14,3%, seguida de irrigação profusa com soro fisiológico. Após se secarem os canais, foi colocada em seu interior uma pasta à base de hidróxido de cálcio P.A. associada à solução de digluconato de clorexidina a 2%. Transcorridos 21 dias, removeu-se a medicação, deixando-se os CR vazios e selados coronariamente. Após 96 horas, obteve-se a amostra microbiol

  14. Simultaneous determination of chlorhexidine acetate and benzalkonium chloride in compound chemical disinfectants by capillary electrophoresis%毛细管电泳法同时测定复方化学消毒剂中醋酸洗必泰和苯扎氯铵

    Institute of Scientific and Technical Information of China (English)

    宋宝花; 丁晓静; 李佳; 王志

    2012-01-01

    Benzalkonium chloride (BAC) is a mixture of alkyl substituted benzyl dimethylam-monium chloride homologs (C12-BAC, C14-BAC and C,6-BAC). Chlorhexidine acetate is a widely used effective component in compound chemical disinfectants. A method for the simultaneous determination of chlorhexidine acetate and benzalkonium chloride in compound chemical disinfectants by capillary electrophoresis (CE) was established. The CE analysis was carried out using an uncoated capillary with 50 |xm i. d. and 37 cm total length. The running buffer was 150 mmol/L NaH2PO4-62. 5 mmol/L H3PO4(pH 2.5) containing 40% (v/v) acetonitrile. The sample medium was 50 mmol/L acetic acid-acetonitrile (is I, v/v). The detection wavelength was 214 nm. The factors such as the buffer concentration and pH, the content of acetonitrile, which influenced the separation and accurate assay of compound chemical disinfectants were investigated in detail. The intra-day and inter-day precisions of the method were below 3. 0% and 3. 7%, respectively. The limits of detection (LOD, signal to noise ratio (S/N) =3) for chlorhexidine acetate, C12-BAC, C14-BAC and CI6-BAC were 0.3, 0.5, 0.5 and 0.5 mg/L, respectively. The limits of quantification (LOQ, S/N = 10) were 1.0, 1.5, 1.5, and 1. 5 mg/L, respectively. The corrected peak area and the mass concentration of the four components mentioned above showed good linear relationships within the ranges of 1. 0 - 400 mg/L ,1.5- 200 mg/L, 1. 5 -200 mg/L and 1. 5 -200 mg/L, with linear correlation coefficients (r) of 0. 999 5,0. 999 8 , 0. 999 7 and 0. 999 8, respectively. The established method was used for the determination of the four disinfectants in the compound chemical disinfectants. The results were in good agreement with those obtained by the high performance liquid chromatographic method.%建立了复方化学消毒剂中常用有效成分醋酸洗必泰和苯扎氯铵(C12-BAC、C14-BAC及C16-BAC)同时分离测定的毛细管电泳(CE)方法.以37 cm×50 μm未涂

  15. 氯己定龈下冲洗辅助牙周基础治疗对冠心病伴牙周炎患者血清IL-10和TNF-α水平的影响%Effect on serum IL-10 and TNF-α levels of subgingival Chlorhexidine rinse aiding periodontal basic treatment in patients of coronary artery disease with periodontitis

    Institute of Scientific and Technical Information of China (English)

    翁旭; 王友山

    2015-01-01

    Objective To investigate the efficacy of subgingival Chlorhexidine rinse aiding periodontal basic treatment in patients of coronary artery disease with periodontitis and its effect on serum IL-10 and TNF-α levels. Methods 62 cases of stable coronary artery disease with moderate to severe chronic periodontitis patients were collected,all patients were given base periodontal treatment,including subgingival scaling therapy,oral health guidance,curettage and root planing subgingival,and were given subgingival Chlorhexidine rinse under adjuvant therapy at the same time.The probe depth,periodontal attachment loss,sulcus bleeding index,IL-10,TNF-αlevels of patients were compared before and after the treatment. Results The probe depth,sulcus bleeding index and periodontal attachment loss of patient after treatment were lower than prior treatment.The differences were statistically significant (P<0.05).IL-10 level was higher than prior treatment.TNF-αlevel was lower than prior treatment,the differences were statistically significant (P<0.05). Conclusion Subgingival Chlorhexidine rinse aiding periodontal basic treatment in patients of coronary artery disease with periodon-titis can significantly improve periodontal index,elevate IL-10 levels,lower TNF-αlevel,and is conducive to the preven-tion,treatment and delaying of coronary heart disease.%目的:探讨氯己定龈下冲洗辅助牙周基础治疗对冠心病伴牙周炎患者的效果及对血清IL-10和TNF-α水平的影响。方法选择冠心病伴中重度慢性牙周炎患者62例,所有患者均给予牙周基础治疗,包括龈上洁治、口腔健康指导、龈下刮治术及根面平整术,同时给予氯己定龈下冲洗辅助治疗。比较治疗前后探针深度、牙周附着丧失、龈沟出血指数、白介素10(IL-10)、肿瘤坏死因子α(TNF-α)水平。结果治疗后探针深度、龈沟出血指数和牙周附着丧失低于治疗前,差异有统计学意义(P<0.05)

  16. O gluconato de clorexidina ou o álcool-iodo-álcool na anti-sepsia de campos operatórios em cães Chlorhexidine gluconate or alcohol-iodine-alcohol in the antisepsis of surgical area in dogs

    Directory of Open Access Journals (Sweden)

    Décio Adair Rebellatto da Silva

    2000-06-01

    Full Text Available Foi comparada a efetividade da anti-sepsia de sítios operatórios em vinte e quatro animais, subdivididos em três grupos, utilizando água destilada (grupo controle, álcool-iodo-álcool (grupo I e gluconato de clorexidina (grupo II. As amostras foram coletadas através de swab da pele, depois da tricotomia (T0, após anti-sepsia (T1 e duas horas após o uso do anti-séptico (T2, e submetidas à contagem de Unidades Formadoras de Colônia(UFC/ml. Nos três grupos, ocorreu crescimento bacteriano em T0; no T1 a redução média de UFC/ml foi de 26,70% para o grupo controle, 91,61% para o grupo I e 96,67% para o grupo II. No T2, as reduções nos respectivos grupos foram de 21,02%, 91,56% e 96,89%. As duas técnicas utilizando anti-sépticos reduziram significativamente o número de bactérias da pele, tanto no T1 quanto no T2 (pThe efficacy of the antisepsis in a surgical area was compared in twenty four mongrel dogs, divided in three groups, using sterile water, alcohol-iodine-alcohol and chlorhexidine gluconate. All samples of skin swab were collected after thricothomy, after antisepsis, and two hours after application of the antiseptic solution. Samples were collected with a sterile swab and the Colony Formation Unities/ml was determined. Bacterial growth were observed in samples from all groups during the first collection. However, at the first counting (T1, the average reduction of CFU/ml observed was 26.7% for the control group, 96.61% group one, and 96.67% group two. At the second counting (T2, reductions of 21.02%, 91.56%, and 96.89% for the respective groups were observed. The two antiseptic techniques utilized were able to reduced significantly the number of bacteria present on the skin, at T1 as well as T2 (p<0.05. The equality of these two antiseptic methods was demonstrated since no significant difference (p<0.05 between these treatments was observed.

  17. Time-Dependent Effect of Chlorhexidine Surgical Prep

    Science.gov (United States)

    2011-10-15

    skin prep prior to venous puncture for blood cultures has resulted in a lower false-positive ratewhen compared to non-alcoholic povidoneeiodine.9...vascular catheter-site care: a meta-analysis. Ann Intern Med 2002;136:792e801. 9. Caldeira D, David C, Sampaio C. Skin antiseptics in venous puncture -site...load throughout the entire duration of the study. Regarding skin preparation prior to insertion of central venous pressure catheters, the current

  18. Estudio sobre la prevención quimioterapéutica de la caries dental con barnices de clorhexidina y timol, en niños de 5-8 años de edad, con riesgo alto de caries.: Un reporte preliminar Study on the chemotherapeutic prevention of the caries with chlorhexidine/thymol varnish in children of 5-8 years old, with high caries risk.: A preliminary report

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    María C García-Santos

    2004-02-01

    Full Text Available Objetivos: el propósito de este estudio fue evaluar la posibilidad de reducir la caries de fisura en las caras oclusales de los primeros molares permanentes, a través de barnices antimicrobianos, en escolares con alta incidencia de caries. Se ha realizado un ensayo clínico aleatorio a doble ciego. Sujetos: 35 niños saludables con edades comprendidas entre los 6 y 8 años, con alto riesgo de caries, fueron seleccionados en un colegio de Madrid. Par ser incluidos en el estudio cada niño debería tener como mínimo dos primeros molares permanentes sanos, y presentar caries en dentina en sus molares temporales. Métodos: después de la profilaxis dental, el grupo de estudio se le aplicaba un barniz de clorhexidina 1% y timol 1% (Cervitec, y al grupo control un barniz de placebo. El barniz era colocado sobre todos los dientes (dentición temporal y permanente cada tres meses (al inicio a los 3,6 y 9 meses y el incremento de caries era comparado a los 12 meses. Resultados: al inicio del estudio no habían diferencias entre los grupos. Al año existía una diferencia significativa entre el grupo de estudio y el de control, en CAO-D P=0,001, CAO-S P=0,000 (en los primeros molares permanentes . Conclusión: la aplicación de Cervitec cada 3 meses, es efectiva previniendo la caries en los primeros molares permanentes de escolares con alta actividad de caries.Objective: the purpose of this study, was to evaluate the possibility of reducing occlusal fissures caries development, in permanent first molars, using an antimicrobial varnish, in schoolchildren with high caries activity. Randomised, a double-blind clinical trial was developed. Subjects: 35 healthy children aged 6-8 years with high caries risk, were selected from a schools in Madrid. To be included in the study, each child had to have least 2 sound permanent molars and primary molars with carious lesions in dentin. Methods: after prophylaxis, test groups received 1% chlorhexidine and 1% thymol

  19. 双胶束电动毛细管色谱测定复方化学消毒剂中聚六亚甲基单胍、聚六亚甲基双胍、醋酸洗必泰和苄索氯铵%Determination of polyhexamethylene guanide,polyhexamethylene biguanide,chlorhexidine acetate and benzethonium chloride in compound chemical disinfectants by micellar electrokinetic chromatography with bi-micelle

    Institute of Scientific and Technical Information of China (English)

    刘文叶; 乔宏; 赵珊; 李疆; 丁晓静

    2016-01-01

    A new method for the accurate assay of four components( polyhexamethylene gua-nide(PHMG),polyhexamethylene biguanide(PHMB),chlorhexidine acetate(CHA)and benzethonium chloride( BTC))in compound chemical disinfectants by micellar electrokinetic chromatography( MEKC ) with bi-micelle was developed. An uncoated fused-silica capillary with 50 μm i.d. and 50. 2 cm total length( effective length:40 cm)under a separation voltage of 24 kV was used. The separation buffer consisted of 20 mmol/L Na2B4O7,30 mmol/L sodium dodecyl sulfate(SDS),5 mmol/L sodium deoxycholate(SD)and 0. 8 g/L polyethyleneglycol ( PEG)20000. A 1∶10 dilution of the running buffer with ultrapure water was used as the sample buffer. The injection pressure and time were 3. 448 kPa and 12 s,respectively. Liquid samples could be directly injected after dilution with sample buffer. Solid samples were extracted with 10 mL of sample buffer twice and the two extracted solutions were merged together and then di-rectly injected. The factors such as the buffer concentration and pH,the concentrations of SDS and SD,the concentration of PEG 20000 and the sample extraction solution which influence the separation were investigated in detail. The corrected peak areas versus the concentrations of the four components showed good linear relationships within the range from 3 mg/L to 140 mg/L with correlation coefficients( r)greater than 0. 999. The limits of detection( LODs)and the limits of quantification( LOQs)of the four components were all 1 mg/L and 3 mg/L,respec-tively. The average recoveries at three spiked levels were in the range of 84. 1%-109. 6% with RSDs all less than 6%. Eleven samples were analyzed and the results met well with the specified content. The PHMG could be easily discriminated from PHMB. The MEKC method is suitable for the supervision of compound chemical disinfectants.%建立了双胶束电动毛细管色谱(MEKC)分离测定复方化学消毒剂中有效成分聚六亚甲基单胍(PHMG

  20. Drug: D01345 [KEGG MEDICUS

    Lifescience Database Archive (English)

    Full Text Available AA04 Chlorhexidine D01345 Chlorhexidine hydrochloride (JP16/USAN) USP drug classification [BR:br08302] Den...tal and Oral Agents Chlorhexidine D01345 Chlorhexidine hydrochloride (JP16/USAN) CA

  1. Microbiological evaluation of different antiseptic povidone-iodine and chlorhexidine formulations after intentional contamination of containers Evaluación microbiológica de las diferentes formulaciones antisépticas, polivinil-pirrolidona-yodo y clorexidina, después de la contaminación intencional de los recipientes Avaliação microbiológica das diferentes formulações anti-sépticas, polivinilpirrolidona-iodo e clorexidina, após contaminação intencional das almotolias

    Directory of Open Access Journals (Sweden)

    Christiane Moreira Padovani

    2008-12-01

    Full Text Available This study aimed to evaluate the survival rate of microorganisms within different antiseptic formulations - povidone-iodine (PVP-I and chlorhexidine (CHX - after intentional contamination, and to establish the minimum care necessary to ensure sterilization of non-disposable antiseptic solution containers. A laboratory study was performed with 180 antiseptic containers, which were contaminated with Serratia marcescens [1 x 105 UFC/mL]. The containers were closed and stored, at room temperature, during seven days and shaken daily. The antiseptic cultures were evaluated to be 100% negative to Serratia marcescens in all of the non-disposable containers. These results suggested that antiseptic solutions inactivate microorganisms [1 x 105 UFC/mL]. Since cleaned antiseptic containers have around 102 UFC coming from tap water, it can be inferred that cleansing is a safe minimum procedure to ensure reuse of containers for distribution of CHX and PVP-I solutions in aqueous, detergent and alcoholic formulations.Los objetivos de este estudio fueron evaluar la sobre vivencia de los micro organismos en las diferentes formulaciones de los antisépticos clorexidina (CHX y polivinil-pirrolidona-yodo (PVP-Y, después de una contaminación intencional de los recipientes y extrapolar los resultados de los laboratorios para el cuidado mínimo a ser dispensado a los recipientes de múltiple uso para el envase de los antisépticos probados. Para esto, fue desarrollado un estudio de laboratorio, en que 180 recipientes fueron contaminados con 1 x 105 UFC/mL de suspensión conteniendo S.marcescens. Después de la contaminación, seis diferentes formulaciones de antisépticos (clorexidina y PVP-Y en los vehículos alcohólico, detergente y acuoso fueron distribuidos y sometidos a la cultura diaria durante siete días, a fin de verificar se hubo crecimiento del microorganismo. Los resultados de esta investigación permiten recomendar la limpieza como el procedimiento m

  2. Clinical implementation of a scrubless chlorhexidine/ethanol pre-operative surgical hand rub.

    Science.gov (United States)

    Marchand, Richard; Theoret, Sylvie; Dion, Danielle; Pellerin, Michel

    2008-06-01

    The objective of surgical scrubbing is to reduce the bioburden on the hands of the surgical team in hope that if gloves are punctured or torn, the number of bacteria released at the operation site will be minimal and therefore reduce the risk of site infection. Long procedures with scrubbing and soaping can, however, be counterproductive because with repetition they tend to cause skin abrasions, damages and injuries without further reducing the risk of bacterial release. Within a general review of OR processes, it was decided to substitute to the standard surgical scrub a "new" scrubless pre-op surgical hand rub procedure. This article summarizes the results.

  3. Comparison of the Antimicrobial Effect of Chlorhexidine and Saline for Irrigating a Contaminated Open Fracture Model

    Science.gov (United States)

    2012-12-01

    prokaryotic cell membranes7 while exhibiting low toxicity to mammalian tissue.8 For this reason, CHG is used extensively in healthcare as a surgical scrub ,9...of contaminated open fracture. Accepted for publication July 27, 2012. From the *Extremity Trauma-Bone Group, US Army Institute of Surgical Research...United States Army Institute of Surgical Research, JBSA Fort Sam Houston, TX 8. PERFORMING ORGANIZATION REPORT NUMBER 9. SPONSORING/MONITORING

  4. Cytotoxicity of chlorhexidine-hydrogen peroxide combination in different concentrations on cultured human periodontal ligament fibroblasts

    Directory of Open Access Journals (Sweden)

    Hosein Mirhadi

    2014-01-01

    Conclusion: H 2 O 2 affected the cytotoxicity of CHX in a variable concentration-dependent manner. Based on the results of this study, it can be concluded that 2% CHX alone and in combination with either 1 or 3% H 2 O 2 are significantly more toxic than 0.2% CHX alone and in combination with 1 and 3% H 2 O 2 . Therefore, to benefit from the synergistic antimicrobial effect between CHX and H 2 O 2 , with a minimal cytotoxicity, it is recommended to use 0.2% concentration of CHX combined with 3% H 2 O 2 .

  5. Oral decontamination with chlorhexidine reduces the incidence of ventilator-associated pneumonia.

    NARCIS (Netherlands)

    Koeman, M.; Ven, A.J.A.M. van der; Hak, E.; Joore, H.C.; Kaasjager, K.A.; Smet, A.G. de; Ramsay, G.; Dormans, T.P.J.; Aarts, L.P.H.J.; Bel, E.E. de; Hustinx, W.; Tweel, I. van de; Hoepelman, A.M.; Bonten, M.J.M.

    2006-01-01

    RATIONALE: Ventilator-associated pneumonia (VAP) is the most frequently occurring nosocomial infection associated with increased morbidity and mortality. Although oral decontamination with antibiotics reduces incidences of VAP, it is not recommended because of potential selection of antibiotic-resis

  6. Chlorhexidine Gluconate Dressings Reduce Bacterial Colonization Rates in Epidural and Peripheral Regional Catheters

    Directory of Open Access Journals (Sweden)

    Klaus Kerwat

    2015-01-01

    Full Text Available Introduction. Bacterial colonization of catheter tips is common in regional anesthesia and is a suspected risk factor for infectious complications. This is the first study evaluating the effect of CHG-impregnated dressings on bacterial colonization of regional anesthesia catheters in a routine clinical setting. Methods. In this prospective study, regional anesthesia catheter infection rates were examined in two groups of patients with epidural and peripheral regional catheters. In the first group, regional anesthesia was dressed with a conventional draping. The second group of patients underwent catheter dressing using a CHG-impregnated draping. Removed catheters and the insertion sites were both screened for bacterial colonization. Results. A total of 337 catheters from 308 patients were analysed. There was no significant reduction of local infections in either epidural or peripheral regional anesthesia catheters in both CHG and conventional groups. In the conventional group, 21% of the catheter tips and 41% of the insertion sites showed positive culture results. In the CHG-group, however, only 3% of the catheter tips and 8% of the insertion sites were colonised. Conclusion. CHG dressings significantly reduce bacterial colonization of the tip and the insertion site of epidural and peripheral regional catheters. However, no reductions in rates of local infections were seen.

  7. Drug: D10301 [KEGG MEDICUS

    Lifescience Database Archive (English)

    Full Text Available D10301 Mixture, Drug Chlorhexidine gluconate - alcohol mixt; Prevantics (TN) Chlorh...ISINFECTANTS D08AC Biguanides and amidines D08AC52 Chlorhexidine, combinations D10301 Chlorhexidine gluconate - alcohol mixt PubChem: 163312332 ...

  8. Comparative evaluation of the effect of chlorhexidine and Aloe barbadensis Miller (Aloe vera on dentin stabilization using shear bond testing

    Directory of Open Access Journals (Sweden)

    Dakshita Joy Sinha

    2016-01-01

    Conclusion: CHX and A. barbadensis Miller, as pretreatment agents of acid demineralized dentin collagen, has no adverse effect on the immediate shear bond strength of a two-step etch and rinse adhesive to dentin.

  9. The effects of propidium monoazide treatment on the measured composition of polymicrobial biofilms after treatment with chlorhexidine

    NARCIS (Netherlands)

    R.A.M. Exterkate; E. Zaura; M.J. Buijs; J. Koopman; W. Crielaard; J.M. ten Cate

    2014-01-01

    Background: The treatment of polymicrobial biofilms with antimicrobial compounds results in not only an overall loss of viability, but also compositional shifts. While DNA-based technologies may be more appropriate for the assessment of bacterial composition than culturing, these techniques amplify

  10. Exploratory Development of an Ultra fast-Curing Wound Dressing

    Science.gov (United States)

    1990-11-30

    EFFECT OF GAMMA RADIATION ON A 6 MIL THICK CHLORHEXIDINE GLUCONATE ADD ............ 15 5...40 60 80 Time in Hours 0 Non irradiated + Irradiated Figure 4. Effect of Gamma Radiation on a 6 Mil Thick Chlorhexidine Gluconate ADD (Note the... EFFECT OF ELECTRON rEAM RADIATION ON A 12 MIL THICK CHLORHEXIDINE GLUCONATE ADD ............ 16 6. RELEASE PROFILE OF 304 CHLORHEXIDINE GLUCONATE

  11. The Comparative Efficacy of 0.12% Chlorhexidine and Amoxicillin to Reduce the Incidence and Magnitude of Bacteremia During Third Molar Extractions: A Prospective, Blind, Randomized Clinical Trial

    Science.gov (United States)

    2012-03-30

    hypersensitivity or allergic reaction  Exclusion criteria: o Poorly controlled systemic disease with an ASA III or IV o Known penicillin , amoxicillin...Hall et al. (2002) report 56% of viridans group streptococci isolates were penicillin -resistant. The decreased use of short-term antibiotic...al. (1968) found 11% of patients that died from an anaphylactic allergic 10 response to penicillin were administered the antibiotic for surgical

  12. Prevention of nosocomial infection in cardiac surgery by decontamination of the nasopharynx and oropharynx with chlorhexidine gluconate - A randomized controlled trial

    NARCIS (Netherlands)

    P. Segers; R.G.H. Speekenbrink; D.T. Ubbink; M.L. van Ogtrop; B.A. de Mol

    2006-01-01

    Context Nosocomial infections are an important cause of morbidity and mortality after cardiac surgery. Decolonization of endogenous potential pathogenic microorganisms is important in the prevention of nosocomial infections. Objective To determine the efficacy of perioperative decontamination of the

  13. Effect of topical applications of a novel chlorhexidine-thymol varnish formula on mutans streptococci and caries development in occlusal fissures of permanent molars

    DEFF Research Database (Denmark)

    Sköld-Larsson, Kerstin; Sollenius, Ola; Petersson, Lars G;

    2009-01-01

    to adhesive properties. The varnishes were applied in the fissures at baseline, and then every sixth week throughout the 48-week study period. Endpoints were MS colonization (CRT test) and occlusal laser fluorescence (LF, DIAGNOdent) recordings carried out regularly during follow-up. RESULTS: A significant...

  14. CLINICAL EVALUATION OF PREOPERATIVE SKIN PREPARATION WITH AQUEOUS POVIDONE IODINE ONLY AND IN COMBINATION WITH ALCHOLIC CHLORHEXIDINE IN PATIENTS UNDERGOING ELECTIVE AND EMERGENCY SURGERIES

    OpenAIRE

    Latchu; Sareen Babu; Balachandra; Madhusudhan; Lokesh; Mahesh Babu

    2015-01-01

    INTRODUCTION: Many techniques are there for skin preparation before surgery, the commonest being initial scrub with antiseptic soap solution, followed by painting the prepared area with antiseptic paint solution. But degerming of the skin can be done with antiseptics us ed for less than one minute which is as effective as five minute scrub with germicidal soap solution followed by painting with antiseptics . AIMS AND OBJECTIVES : 1. To evaluate the effic...

  15. Clinical effects of a new mouthrinse containing chlorhexidine, cetylpyridinium chloride and zinc-lactate on oral halitosis - A dual-center, double-blind placebo-controlled study

    NARCIS (Netherlands)

    Winkel, EG; Roldan, S; Van Winkelhoff, AJ; Herrera, D; Sanz, M

    2003-01-01

    Objectives: The aim of this double-blind, parallel study was to test the clinical efficacy of a newly developed mouthrinse in the treatment of oral halitosis in patients without periodontitis. Material and methods: Forty volunteers, recruited in two centers, participated in this study. Patients were

  16. Influence of temperature and concentration on the dynamic viscosity of sodium hypochlorite in comparison with 17% EDTA and 2% chlorhexidine gluconate: An in vitro study

    Directory of Open Access Journals (Sweden)

    Velayutham Gopikrishna

    2014-01-01

    Statistical Analysis Used: The tests used for the statistical analysis were Kolmogorov- Smirnov and Shapiro Wilk tests, one-way ANOVA, and independent sample t-test. Results: Viscosity statistically increased with NaOCl concentration and decreased with increasing temperature. Amongst the tested NaOCl groups, 5.25% NaOCl at room temperature was significantly the most viscous (μ =1.5300 Cps while 1.25% NaOCl at 60°C was significantly the least viscous (μ =1.1800 Cps. Conclusions: 5.25% NaOCl and 17% EDTA are significantly viscous at room temperature. Elevating the temperature of 1.25% NaOCl to 60°C significantly reduces the viscosity of the NaOCl.

  17. An evaluation of antibacterial efficacy of 3% sodium hypochlorite, high-frequency alternating current and 2% chlorhexidine on Enterococcus faecalis: An in vitro study

    Directory of Open Access Journals (Sweden)

    Rupali Karale

    2011-01-01

    Materials and Methods : Eighty extracted, single rooted permanent upper anterior teeth were instrumented up to size 50, teeth were sterilized and inoculated with E.faecalis, subcultured in BHI broth which had its optical density adjusted to approximately 1.5×10 8 colony forming units (CFUs ml -1 by comparing its turbidity to a McFarland 0.5 BaSO 4 standard solution. After incubation for 24 h, the contaminated root canals were divided into four groups and subjected to action of NaOCl 3%, CHX 2%, and HFAC with physiological saline as a positive control. Sterile paper points were selected to take the sample of the bacteria and transferred to tubes containing 5ml of BHI broth and then incubated for 24 and 48 h, followed by agar plating of the resultant broth turbidity on Enterococcus confirmatory agar. Results : Data obtained were analyzed statistically for differences using chi-squared test, comparing different groups, with a significance level established at P<0.05 and 3% NaOCl showed no growth postoperatively, CHX and HFAC showed reduction of postoperative growth compared to physiological saline and, were statistically significant (P<0.05. Conclusion : In the present study, sodium hypochlorite, CHX, HFAC all were significantly effective in eliminating E. faecalis and sodium hypochlorite showed the maximum anti-bacterial activity against E. faecalis.

  18. Multivariate analysis of surface physico-chemical properties controlling biofilm formation on orthodontic adhesives prior to and after fluoride and chlorhexidine treatment

    NARCIS (Netherlands)

    Chin, Yeen; Sandham, John; Pratten, Jonathan; de Vries, Jacob; van der Mei, Henny C.; Busscher, Henk J.

    2006-01-01

    Biofilm formation on orthodontic adhesives is a serious clinical problem, as it leads to enamel demineralization around fixed orthodontic appliances, often leaving white spot lesions after their removal. The aim of this work was to determine the influence of surface physico-chemical properties of fo

  19. Efetividade in vitro de Aloe Vera in natura, gel de clorexidina a 0,12% e gel de clorexidina a 2% sobre Enterococccus faecalis = In vitro effectiveness of Aloe vera in natura, 0.12% chlorhexidine gel, and 2% chlorhexidine gel against Enterococccus faecalis

    Directory of Open Access Journals (Sweden)

    Semenoff, Tereza Aparecida Delle Vedove

    2008-01-01

    Full Text Available Objetivo: Comparar a ação de gel de Aloe vera in natura, gel de clorexidina a 0,12% e gel de clorexidina a 2% sobre Enterococccus faecalis. Metodologia: Utilizaram-se 40 placas Petri contendo o meio de cultura Ágar Sangue. Em 10 placas foram feitos poços no centro, com o auxílio do fundo de uma pipeta de vidro, onde foram depositados discos de papel absorvente embebidos em água destilada esterilizada (controle negativo. Em outras 10 placas, semearam-se os microrganismos Enterococccus faecalis (controle positivo. Nas 20 placas restantes, realizaram-se 4 poços nos diferentes quadrantes da placa e semearam-se os microrganismos, distribuíndo-se 4 discos umedecidos em cada substância, a saber: 1 em água destilada, 1 em gel de clorexidina a 2%, 1 em gel de clorexidina a 0,12% e 1 com gel de Aloe vera in natura. Os grupos foram analisados após 60h, comparando-se os halos de inibição de crescimento dos microrganismos. Resultados: Houve diferença estatística significativa de inibição para Enterococccus faecalis entre as substâncias, em ordem decrescente: gel de clorexidina a 2%, gel de clorexidina a 0,12%, gel de Aloe vera in natura e água destilada (P < 0,05. Conclusão: O gel de Aloe vera in natura teve efetividade antimicrobiana menor que as duas concentrações de clorexidina testadas

  20. Determination the content of metronidazole, clotrimazole and chlorhexidine acetate effervescent tablets by HPLC%HPLC测定双唑泰阴道泡腾片三组分的含量

    Institute of Scientific and Technical Information of China (English)

    徐莉

    2007-01-01

    目的 建立HPLC法测定双唑泰阴道泡腾片三组分的含量.方法 采用Waters XTerra (R)RP18(250mm×4.6mm,5μm),以甲醇-水-三乙胺(70:30:0.3)(含庚烷磺酸钠10mmol·L-1,用磷酸调pH值至4.0)为流动相,检测波长260nm.结果 甲硝唑、克霉唑和醋酸氯己定分别在0.05~0.5 mg·mL-1、0.04~0.4 mg·mL-1和2~20 μg·mL-1浓度范围内,与峰面积呈良好的相关性(r=0.9999、r=0.9999和r=0.9996),平均回收率为100.3%,RSD为0.38%(n=9);100.3%,RSD为0.48%(n=9);100.3%,RSD为0.67%(n=9).结论 该方法简便、准确、重现性好,可作为该制剂的质量控制标准.

  1. Determination of chlorhexidine gluconate in absorbent wound pad paste by RP-HPLC%RP-HPLC法测定创口贴吸水垫中葡萄糖酸氯己定的含量

    Institute of Scientific and Technical Information of China (English)

    张晓栋; 丁建

    2009-01-01

    目的 采用RP-HPLC法测定创口贴吸水垫中葡萄糖酸氯己定的含量.方法 本实验采用Waters XTerra*RP18色谱柱(250mm×4.6mm,5μm),流动相:甲醇-水-三乙胺(56:44:0.1,用磷酸调pH至3.0),流量为1.0mL·min-1,柱温30℃,检测波长为254nm,用外标法测定.结果 葡萄糖酸氯己定在4~24μg·mL-1范围内呈良好线性(r=0.9998),平均回收率为100.9%,RSD为0.6%.结论 该方法简便、准确、可靠,适用于该制剂的含量测定.

  2. Efecto de colutorio-gel de clorhexidina sobre el crecimiento de placa en 24 horas = Effect of chlorhexidine mouthrinses-gel on de novo plaque formation in 24 hours

    Directory of Open Access Journals (Sweden)

    Rivera, Tânia

    2006-01-01

    Full Text Available En un estudio cruzado, doble ciego y randomizado, 25 alumnos de Odontologia de buena salud oral, participaron de cuatro estudios donde ellos se abtuvieron de toda limpieza mecanica oral por 24 horas, los estudios estuvieron separados entre si por 4 semanas. Durante los estudios los alumnos en un randomizado orden, se enjuagaron por una vez con uno de los siguientes colutorios: CHX 0.12% + alcohol (Oralgene®, CHX 0.12% + alcohol (Perio.Aid®, CHX 0.1% + alcohol (Dentilim® y CHX 0.1% + HMC 2.5% (Colutoriogel®, nueva formula. Despues de un dia se midio formación de placa, se completo y registro el cuestionario de parametros clinicos. Las formulaciones de CHX 0.12% + alcohol y CHX 0.1% + HMC 2.5% se mostraron eficientes en retardar el crecimiento de placa dental de novo, esto obtenido de las observaciones clinicas, y siempre superior (p < 0.05 a la formulación del colutorio de CHX 0.1%+ alcohol (Dentilim®. Los resultados de este estudio demuestran el potencial clinico de este nuevo colutorio-gel sin alcohol de CHX 0.1% + HMC 2.5% (Colutoriogel® como un efectivo agente antiplaca y con reducidas efectos secundarios registrados

  3. HPLC Detemination of Benzocaine, Dexamethasone Sodium Phosphate and Chlorhexidine Acetate in Pishi Cream%HPLC测定皮湿霜中苯佐卡因、地塞米松磷酸钠和醋酸氯己定含量

    Institute of Scientific and Technical Information of China (English)

    姜韧; 柯可; 刘刚; 张丽红; 薛克昌; 史宁

    2005-01-01

    目的:建立HPLC测定皮湿霜中苯佐卡因、地塞米松磷酸钠和醋酸氯己定含量的方法.方法:色谱柱:YWG C18分析色谱柱(4.6 mm×250 mm,10 μm);流动相:甲醇-水(62:37,含0.3%三乙胺,磷酸调pH 3.0);流速1 mL·min-1;检测波长240 nm.结果:苯佐卡因、地塞米松磷酸钠和醋酸氯己定的理论板数分别为5600,3500,3200;回归方程分别为:Y=1.382×107+1.550 ×107X(r=0.9998),Y=6.563×104+3.220×107X(r=0.9995),Y=-2.032×106+6.168×107X(r=0.9999);线性范围分别为6~18,0.09~0.27,0.6~1.8μg;平均回收率分别为97.6%(RSD=2.3%),96.8%(RSD=3.3%),102.4%(RSD=2.1%).结论:本法操作简便,结果准确可靠,可用于皮湿霜中苯佐卡因、地塞米松磷酸钠和醋酸氯己定的含量测定.

  4. The effects of a new mouthrinse containing chlorhexidine, cetylpyridinium chloride and zinc lactate on the microflora of oral halitosis patients : a dual-centre, double-blind placebo-controlled study

    NARCIS (Netherlands)

    Roldan, S; Winkel, EG; Herrera, D; Sanz, M; Van Winkelhoff, AJ

    2003-01-01

    Aim: This study evaluated the microbial effects of a newly formulated mouthwash (Halita((R)) ) on oral halitosis patients. Methods: Forty subjects were included in this dual-centre, double-blind, placebo-controlled parallel study. Inclusion and exclusion criteria were used to select patients. At bas

  5. Allergic urticaria: A case report of rare skin allergy with a common mouthwash

    Directory of Open Access Journals (Sweden)

    Viresh Chopra

    2013-01-01

    Full Text Available Chlorhexidine is a widely used antiseptic and disinfectant in medical and non-medical environments. Compared to its ubiquitous use, allergic contact dermatitis from chlorhexidine has rarely been reported and so its sensitization rate seems to be low. Chlorhexidine has been used for more than 50 years but it was only in the last two decades, that reports of immediate- type reactions to chlorhexidine were seen. Reactions ranging from localized urticaria to anaphylactic shock and hypersensitivity reactions, including delayed hypersensitivity reactions such as contact dermatitis, fixed drug eruptions, and photosensitivity reactions, began to appear more frequently. However the prevalence of contact urticaria and anaphylaxis due to chlorhexidine remains to be unknown. In this case report we have reported a case of urticaria due to oral use of chlorhexidine. The adverse reaction was confirmed by a skin prick test.

  6. Prevalence of delayed-type and immediate-type hypersensitivity in healthcare workers with hand eczema

    DEFF Research Database (Denmark)

    Ibler, Kristina S; Jemec, Gregor B E; Garvey, Lene H

    2016-01-01

    in the study. Patch tests included baseline series plus selected allergens, and prick tests included standard inhalational allergens plus natural rubber latex and chlorhexidine. Levels of IgE specific for latex, chlorhexidine and ethylene oxide were measured. RESULTS: Of the participants, 53% had positive...... patch test reactions. The most frequent positive patch test reactions were to nickel, thiomersal, fragrances, rubber chemicals, and colophonium. The prevalence of natural rubber latex allergy as diagnosed by prick testing was 2.5%, and chlorhexidine allergy (both contact allergy and IgE-mediated allergy......) was found in natural rubber latex allergy is still important, but increased risks of chlorhexidine and ethylene oxide...

  7. Drug: D04425 [KEGG MEDICUS

    Lifescience Database Archive (English)

    Full Text Available D04425 Mixture, Drug Diphenhydramine salicylate - hydrocortisone acetate - benzalko...nium chloride - chlorhexidine hydrochloride mixt; Despa (TN) Diphenhydramine salicylate [DR:D02419], Hydrocortison...ts affecting individual organs 23 Digestive organ agents 239 Miscellaneous 2399 Others D04425 Diphenhydramine salicylate - hydrocorti...sone acetate - benzalkonium chloride - chlorhexidine hydrochloride mixt PubChem: 17398102 ...

  8. Minder beademingspneumonieën door orale decontaminatie met chloorhexidine : gerandomiseerde trial

    NARCIS (Netherlands)

    Koeman, M; van der Ven, A J A M; Hak, E; Joore, J C A; Kaasjager, H A H; de Smet, A M G A; Ramsay, G; Dormans, T P J; Aarts, L P H J; de Bel, E E; Hustinx, W N M; van der Tweel, I; Hoepelman, I M; Bonten, M J M

    2008-01-01

    OBJECTIVE: To determine the effect of oral decontamination with either chlorhexidine (CHX, 2%) or the combination chlorhexidine-colistin (CHX-COL, 2%-2%) on the frequency and the time to onset of ventilator-associated pneumonia in Intensive Care patients. DESIGN: Double blind, placebo-controlled, mu

  9. Evaluation of the antimicrobial and physical properties of an orthodontic photo-activated adhesive modified with an antiplaque agent: An in vitro study

    Directory of Open Access Journals (Sweden)

    Chanjyot Singh

    2013-01-01

    Results: The findings indicated that (1 addition of chlorhexidine to the orthodontic composite resin enhanced its antimicrobial properties, (2 there was no significant difference between the bond strengths of the control and the experimental resins tested after 24 h and 25 days and (3 maximum release of chlorhexidine from the modified resin was much higher than the minimum inhibitory concentration level.

  10. Evaluation of properties of irreversible hydrocolloid impression materials mixed with disinfectant liquids

    Directory of Open Access Journals (Sweden)

    Arul Amalan

    2013-01-01

    Conclusion: Chlorhexidine solution can be used to mix irreversible hydrocolloid impression materials in regular dental practice as it did not significantly alter the properties. This may ensure effective disinfection of impressions.

  11. A Double-Blind, Randomized, Controlled Trial of Topical Polysporin Triple Compound Versus Topical Mupirocin for the Eradication of Colonization with Methicillin-Resistant Staphylococcus aureus in a Complex Continuing Care Population

    Directory of Open Access Journals (Sweden)

    S O’Grady

    2009-01-01

    Full Text Available BACKGROUND: Intranasal mupirocin or Polysporin Triple (PT ointment (polymyxin B, bacitracin, gramicidin, in combination with chlorhexidine body washes, have been used for eradicating methicillin-resistant Staphylococcus aureus (MRSA, but no comparative studies have been done.

  12. Near Infra-Red Spectroscopy to Reduce Prophylactic Fasciotomies for and Missed Cases of Acute Compartment Syndrome in Soldiers Injured in OEF/OIF

    Science.gov (United States)

    2013-10-01

    originally conceived in the US Army Institute of Surgical Research. This demonstrated that NIRS accurately detected a critical hypoperfusion that...positioned in dorsal (supine) recumbency. Surgical cut downs exposed a median femoral artery 89 for direct arterial pressure measurement, and the right...cleaned with 4% chlorhexidine scrub (2% Chlorhexidine Gluconate, First 92 Priority Inc., Eglin, IL 60123-1146) and alcohol (70%). NIRS self-adhesive

  13. Micellar properties and surface activity of some bolaform drugs in aqueous solution.

    Science.gov (United States)

    Attwood, D; Natarajan, R

    1980-07-01

    The micellar properties of a series of dicationic drugs with structures resembling those of the bolaform electrolytes have been examined using light scattering, surface tension and conductivity techniques. The compounds investigated included, demecarium bromide, ambenonium chloride, dequalinium acetate, distigmine bromide and chlorhexidine acetate. Demecarium and dequalinium formed micelles at critical concentrations of 9 x 10(-3) and 4 x 10(-3) mol kg-1 respectively. No significant association of chlorhexidine acetate could be detected, contrary to previous reports.

  14. Effect of ozone water rinse on wound healing in rats withPseudomonas aeruginosa infection

    Institute of Scientific and Technical Information of China (English)

    Ju-Hua Ye; Jun-Wu Huang; Hong-Yun Shi

    2016-01-01

    Objective:To study the promoting effect of ozone water rinse on wound healing in rats with Pseudomonas aeruginosa infection.Methods:Wistar male rats were selected as experimental animals and randomly divided into control group, chlorhexidine group and ozone water group,Pseudomonas aeruginosa-infected wounds were made and cleaned with normal saline, chlorhexidine and ozone water respectively; would healing of three groups was observed, wound tissue was collected and contents of inflammatory factors, apoptosis molecules and autophagy markers were detected.Results:Wound healing rates of chlorhexidine group and ozone water group were higher than that of control group and wound healing time was shorter than that of control group, wound healing rate of ozone water group was higher than that of chlorhexidine group and wound healing time was shorter than that of chlorhexidine group; TNF-α, IL-1, IL-2, Fas, FasL and Beclin-1 contents and LC3Ⅱ/LC3Ⅰ ratios in wound tissue of chlorhexidine group and ozone water group were lower than those of control group, and TNF-α, IL-1, IL-2, Fas, FasL and Beclin-1 contents and LC3Ⅱ/LC3Ⅰ ratios in wound tissue of ozone water group were lower than those of chlorhexidine group.Conclusions:Compared with normal saline and chlorhexidine, ozone water rinse helps to promote wound healing, improve wound healing rate and shorten wound healing time in rats withPseudomonas aeruginosa infection, and meanwhile it can inhibit cell apoptosis and autophagy in the wounds.

  15. The Effects of a Sanquinarine Mouthrinse after Periodontal Surgery.

    Science.gov (United States)

    1987-01-01

    used for gingivectomy wounds, it decreases pocket formation (Addy & Dolby, 1976). Also, chlorhexidine, when mixed with periodontal dressings, results...1981. Langbaek, J. and Bay, L.: The effect of chlorhexidine mouth- rinse on healing after gingivectomy . Scand. J. Dent. Res. 84:224-228, 1976. Levin...B.: Alterations in crevicular fluid flow during healing following gingivectomy and flap procedures. J. Periodont. Res. 4:314-318, 1969. Sandham, H.J

  16. Comparison of the sensitivities of the Buehler test and the guinea pig maximization test for predictive testing of contact allergy

    DEFF Research Database (Denmark)

    Frankild, S; Vølund, A; Wahlberg, J E;

    2001-01-01

    dose-response model. To compare the sensitivity of the 2 test procedures the test conditions were kept identical and the following chemicals with a range of sensitization potentials were tested: chloraniline, chlorhexidine, eugenol, formaldehyde, mercaptobenzothiazole and neomycin sulphate....... Formaldehyde and neomycin sulphate were strong sensitizers in both tests. Mercaptobenzothiazole, eugenol and chloraniline were all strong sensitizers in the GPMT, eugenol and mercaptobenzothiazole were negative in the Buehler test and equivocal results were obtained with chloraniline. Chlorhexidine...

  17. Comparative inflammatory effect of antiseptic irrigating solutions against conventional irrigation with sodium chloride in rats.

    OpenAIRE

    Rodríguez Alfaro, Miguel; Profesor Asociado del Departamento Académico de Ciencias Básicas de la Facultad de Odontología de la UNMSM.; Chumpitaz Cerrate, Víctor; Profesor Auxiliar del Departamento Académico de Ciencias Básicas de la Facultad de Odontología de la UNMSM.; Burga Sánchez, Jonny; Profesor Auxiliar del Departamento Académico de Ciencias Básicas de la Facultad de Medicina de la UCSUR.; Arroyo Acevedo, Jorge; Profesor Principal del Departamento Académico de Ciencias Básicas de la Facultad de Medicina de la UNMSM.; Ramón Rosales, Jorge; Profesor Auxiliar del departamento Académico de Ciencias Básicas de la Facultad de Estomatología de la UCSUR.; Aguirre Siancas, Elías; Profesor Auxiliar del Departamento Académico de Ciencias Básicas de la Facultad de Odontología de la UNMSM.; Cabrejos Álvarez, José; Profesor de la Catedra de Cirugia Bucal y Máxilofacial de la Facultad de Estomatología de la UIGV.; Zegarra Cuya, Juan; Ex-Profesor del Departamento Académico de Ciencias Básicas de la Facultad de Odontología de la UNMSM.

    2014-01-01

    The aim of this study was to demonstrate that the use of irrigating solutions in surgical procedures does not alter both inflammation processes and tissue repair. Four (04) groups were formed containing 15 rats each. After being dosed with general anaesthesia, they underwent osteotomy in the tibia with tungsten carbide burs and irrigation for 15 seconds, using the following solutions in each group: A) 0,12 % chlorhexidine with cetylpyridinium 0,05 %, B) 0,12 % chlorhexidine with aspartame; C)...

  18. Estudio clínico comparativo entre colutorio de p-clorofenol y peróxido de hidrógeno con colutorio de clorhexidina al 0.12% en el crecimiento de placa microbiana y gingivitis Mouthwash comparative study between p-chlorophenol and hydrogen peroxide with chlorhexidine mouthwash 0.12% in the growth of microbial plaque and gingivitis

    OpenAIRE

    PD Jaña; LI Yévenes; AS Rivera

    2010-01-01

    Se formuló un colutorio a base de p-clorofenol alcanforado y peróxido de hidrógeno, y considerando que no se disponían de antecedentes de eficacia y seguridad del colutorio, se realizó un ensayo clínico para medirlas utilizando un modelo de formación de placa microbiana y gingivitis en un período de cuatro días, como control positivo se uso un colutorio de clorhexidina al 0.12%. Participaron 26 sujetos en un estudio doble ciego cruzado y con distribución aleatoria. El colutorio en base a p-cl...

  19. Prevention and management guidelines to oral health care for patients with head and neck cancer: HCT20, Carisolv and chlorhexidine varnish are suggested; Protocolo de prevencao e tratamento de sequelas bucais em pacientes submetidos a radioterapia: uso deo HCT20, Carisolv e verniz de clorexidina

    Energy Technology Data Exchange (ETDEWEB)

    Guerra, Eliete Neves da Silva; Melo, Nilce Santos de [Brasilia Univ., DF (Brazil). Faculdade de Ciencias da Saude. Dept. de Odontologia]. E-mail: elieteneves@terra.com.br

    2004-07-01

    Orofacial complications are unfortunately common with all modalities used in the management of patients with head and neck cancer. It is well known that hypo salivation develops if radiation therapy involves the salivary glands. A significant decrease in salivary volume can adversely affect oral comfort, mucosal health, dentition, deglutition and mastication. Xerostomia may lead to consumption of diet high in carbohydrates and make good oral hygiene difficult. (author)

  20. Efeito de gomas de mascar contendo clorofenol / peróxido de hidrogênio, xilitol ou clorexidina no fluxo salivar, pH, capacidade tampão e escores salivares de Streptococcus mutans = Effects of chlorophenol / hydrogen peroxide versus xylitol or chlorhexidine as chewing gum on salivary flow rate, pH, buffer capacity and salivary Streptococcus mutans scores

    Directory of Open Access Journals (Sweden)

    Yévenes López, Ismael

    2014-01-01

    Full Text Available Objetivos: Gomas de mascar medicadas são preparações sólidas, de dose única, que devem ser mastigadas por um determinado período de tempo a fim de que um ou mais agentes farmacológicos sejam admnistrados. Neste contexto, gomas de mascar medicadas com três ingredientes farmacêuticos ativos – cânfora, p-clorofenol e peróxido de hidrogênio – foram avaliadas como agentes terapêuticos para cárie dentária. O objetivo deste estúdio foi comparar o efeito de gomas de mascar contendo chlorophenol / peróxido de hidrogênio, xilitol ou clorexidina sobre Streptococos mutans salivares, pH, capacidade tampão, a taxa de secreção salivar. Métodos: Foi realizado estudo duplo-cego, com deliamento de randomização cruzada de tratamento em 24 pacientes. Esses foram submetidos a seis sequências diferentes de tratamento. Gomas de mascar foram administradas três vezes ao dia durante 20 minutos, pela manhã, tarde e noite. No início e no final das três fases de amostras de saliva experimentais foram obtidas para a determinação de pH, capacidade tampão, fluxo salivar e enumeração quantitativa de S. mutans. Resultados: O uso de goma medicado de cânfora com p-clorofenol e peróxido de hidrogénio não modificaram os parâmetros químicos salivares medidos, e reduziram o número de S. mutans, após 7 dias. Gomas de mascar contendo clorexidina reduziram significativamente a contagem quantitativa de S. mutans e a taxa de fluxo salivar em um período de 7 dias. Conclusões: O uso de gomas de mascar medicadas com base de cânfora / p-clorofenol ou com peróxido de hidrogênio não altera significativamente os parâmetros químicos salivares e não reduz significativamente o número de S. mutans após a utilização por período de 7 dias

  1. Preparation and evaluation of antimicrobial activity of nanosystems for the control of oral pathogens Streptococcus mutans and Candida albicans

    Science.gov (United States)

    Pupe, Carolina Gonçalves; Villardi, Michele; Rodrigues, Carlos Rangel; Rocha, Helvécio Vinícius Antunes; Maia, Lucianne Cople; de Sousa, Valeria Pereira; Cabral, Lucio Mendes

    2011-01-01

    Background Diseases that affect the buccal cavity are a public health concern nowadays. Chlorhexidine and nystatin are the most commonly used drugs for the control of buccal affections. In the search for more effective antimicrobials, nanotechnology can be successfully used to improve the physical chemical properties of drugs whilst avoiding the undesirable side effects associated with its use. Herein described are studies using nystatin and chlorhexidine with sodium montmorillonite (MMTNa), and chlorhexidine with β-cyclodextrin and two derivatives methyl-β-cyclodextrin and hydroxypropyl-β-cyclodextrin in the development of antimicrobial nanosystems. Methods The nanosystems were prepared by kneading and solubilization followed by freeze-drying technique. The nanosystems were characterized by X-ray powder diffraction (XRPD), differential scanning calorimetry (DSC), and Fourier transform infrared spectroscopy (FTIR). Nanosystem antimicrobial activity against Streptococcus mutans and Candida albicans strains was evaluated with inhibition halo analysis. Results The nanocarriers MMTNa and cyclodextrins showed good yields. XRPD, FTIR, and DSC analysis confirmed the proposed nanosystems formation and the suitability of the production methods. The nanosystems that showed best antimicrobial effect were chlorhexidine gluconate (CHX) and cyclodextrin inclusion complexes and CHX:MMTNa 60% cation exchange capacity – 24 hours. Conclusion The nanosystem formulations present higher stability for all chlorhexidine inclusion complexes compared with pure chlorhexidine. The nystatin nanosystems have the potential to mask the bitter taste, justifying subsequent in-vivo studies. For these reasons, further studies are being carried out to evaluate their application in professional formulations. PMID:22114490

  2. Efficacy of hand disinfectants against vancomycin-resistant enterococci in vitro.

    Science.gov (United States)

    Kampf, G; Höfer, M; Wendt, C

    1999-06-01

    Vancomycin-resistant enterococci (VRE) may be spread within a hospital via the contaminated hands of the healthcare worker. Effective hand disinfectants are necessary to break chains of transmission. We determined the bactericidal activity of 1-propanol, chlorhexidine digluconate (0.5 and 4%). Sterillium (45% 2-propanol, 30% 1-propanol and 0.2% mecetronium etilsulphate), Skinsept F (70% 2-propanol, 0.5% chlorhexidine digluconate and 0.45% hydrogen peroxide) and Hibisol (70% 2-propanol and 0.5% chlorhexidine gluconate) against 11 clonally distinct enterococcal isolates in a quantitative suspension test. Four isolates were vancomycin susceptible, four were vanA and the remainder vanB positive. Eight isolates were identified as Enterococcus faecium, two as Enterococcus faecalis and one as Enterococcus gallinarum. The investigator was blinded to the species and the genotype. Four parallel experiments were carried out for each isolate, each preparation, each dilution and each reaction time. 1-Propanol (60%), Sterillium, Skinsept F and Hibisol were all highly bactericidal after 15 and 30 s against VRE and vancomycin-susceptible enterococci (VSE) with reduction factors (RF) > 6.4, even in dilution of 50% (v/v). No significant difference was observed between vanA isolates, vanB isolates and VSE. Chlorhexidine digluconate (0.5% and 4%) was found to be less bactericidal after 30, 60 and 300 sec (RF < or = 2.5). The vanB genotype isolates were found to be significantly more susceptible to chlorhexidine (0.5%) than the vanA isolates (60 sec; one-way ANOVA model; P = 0.05). After 300 sec the vanB genotype isolates were found to be significantly more susceptible to chlorhexidine (0.5%) than the other two genotype isolates (P = 0.016). The vanA isolates were found to be significantly more susceptible to chlorhexidine (4%) than the vanB isolates (300 s; P = 0.024). E. faecium was found to be less susceptible to chlorhexidine than E. faecalis at all concentrations and reaction

  3. Preparation and evaluation of antimicrobial activity of nanosystems for the control of oral pathogens Streptococcus mutans and Candida albicans

    Directory of Open Access Journals (Sweden)

    Pupe CG

    2011-10-01

    Full Text Available Carolina Gonçalves Pupe1, Michele Villardi1, Carlos Rangel Rodrigues1, Helvécio Vinícius Antunes Rocha2, Lucianne Cople Maia3, Valeria Pereira de Sousa1, Lucio Mendes Cabral11Depto de Medicamentos, Faculdade de Farmácia, UFRJ, Rio de Janeiro, 2Farmanguinhos/FIOCRUZ, Rio de Janeiro, 3Faculdade de Odontologia, UFRJ, Rio de Janeiro, BrazilBackground: Diseases that affect the buccal cavity are a public health concern nowadays. Chlorhexidine and nystatin are the most commonly used drugs for the control of buccal affections. In the search for more effective antimicrobials, nanotechnology can be successfully used to improve the physical chemical properties of drugs whilst avoiding the undesirable side effects associated with its use. Herein described are studies using nystatin and chlorhexidine with sodium montmorillonite (MMTNa, and chlorhexidine with ß-cyclodextrin and two derivatives methyl-β-cyclodextrin and hydroxypropyl-β-cyclodextrin in the development of antimicrobial nanosystems.Methods: The nanosystems were prepared by kneading and solubilization followed by freeze-drying technique. The nanosystems were characterized by X-ray powder diffraction (XRPD, differential scanning calorimetry (DSC, and Fourier transform infrared spectroscopy (FTIR. Nanosystem antimicrobial activity against Streptococcus mutans and Candida albicans strains was evaluated with inhibition halo analysis.Results: The nanocarriers MMTNa and cyclodextrins showed good yields. XRPD, FTIR, and DSC analysis confirmed the proposed nanosystems formation and the suitability of the production methods. The nanosystems that showed best antimicrobial effect were chlorhexidine gluconate (CHX and cyclodextrin inclusion complexes and CHX:MMTNa 60% cation exchange capacity – 24 hours.Conclusion: The nanosystem formulations present higher stability for all chlorhexidine inclusion complexes compared with pure chlorhexidine. The nystatin nanosystems have the potential to mask the

  4. Maintaining periodontal health in patients undergoing orthodontic treatment

    Directory of Open Access Journals (Sweden)

    Shobhana Misra

    2012-01-01

    Full Text Available Presence of fixed orthodontic appliances in the mouth leads to accumulation of food debris and an elevation in the amount of plaque. It also hinders plaque removal by tooth brushing alone. Chemical agents may be used during the active phase of orthodontic treatment to reduce the bacterial plaque accumulation and decrease the occurrence of periodontal disease in these patients. The present study was therefore done to compare the efficacy of chemical plaque control by chlorhexidiene in patients undergoing orthodontic treatment. Forty five subjects for this double blind study were assigned randomly into three groups of 15 each. Gingival inflammation, plaque accumulation, and bleeding on probing, were recorded at baseline (10 days after prophylaxis, and at the end of one month in all the three groups. The data obtained was subjected to stastical analysis. Anova test showed significant difference among all the three groups for bleeding index, modified gingival index and plaque index. Paired t test showed significant differences in bleeding index for pre and post treatment recordings for chlorhexidine group. Modified gingival index showed significant difference in the chlorhexidine group. For plaque index significant difference was found for chlorhexidine, and control groups. Chlorhexidine mouthrinse 0.12% was found to be the most effective in reducing the bleeding scores, modified gingival index scores and the plaque index scores. It can therefore be said that chlorhexidine mouthrinse 0.12% provides greater benefits to the patients undergoing fixed orthodontic treatment.

  5. Dentinal Tubule Disinfection with Propolis & Two Extracts of Azadirachta indica Against Candida albicans Biofilm Formed on Tooth Substrate

    Science.gov (United States)

    Joy Sinha, Dakshita; Garg, Paridhi; Verma, Anurag; Malik, Vibha; Maccune, Edgar Richard; Vasudeva, Agrima

    2015-01-01

    Aim: This study evaluates the disinfection of dentinal tubules using Propolis, Azadirachta indica (alcoholic and aqueous extracts), 2% chlorhexidine gel and calcium hydroxide against Candida albicans biofilm formed on tooth substrate. Materials & Method: One hundred and five human teeth were infected with Candida albicans for 2 days. Samples were divided into 7 groups. Group I- Propolis, Group II- Alcoholic extract of Azadirachta indica, Group III- Aqueous extract of Azadirachta indica, Group IV- 2% Chlorhexidine, Group V- Calcium hydroxide, Group VI- Ethanol and Group VII- Saline (negative control). At the end of 1,3 and 5 days, the antimicrobial efficacy of medicaments against Candida albicans was assessed at the depths of 200 µm and 400 µm. Results: The overall percentage inhibition of fungal growth (at 200 µm and 400 µm depth) was 99.2% with 2% chlorhexidine gel. There was no statistical difference between propolis, alcoholic extract of Azadirachta indica (neem) and 2% chlorhexidine. Conclusion: Propolis and alcoholic extract of Azadirachta indica performed equally well as that of 2% Chlorhexidine. PMID:26962368

  6. Brushes and picks used on nails during the surgical scrub to reduce bacteria: a randomised trial.

    Science.gov (United States)

    Tanner, J; Khan, D; Walsh, S; Chernova, J; Lamont, S; Laurent, T

    2009-03-01

    Though brushes are no longer used on the hands and forearms during the surgical scrub, they are still widely used on the nails. The aim of this study was to determine whether nail picks and nail brushes are effective in providing additional decontamination during a surgical hand scrub. A total of 164 operating department staff were randomised to undertake one of the following three surgical hand-scrub protocols: chlorhexidine only; chlorhexidine and a nail pick; or chlorhexidine and a nail brush. Bacterial hand sampling was conducted before and 1h after scrubbing using a modified version of the glove juice method. No statistically significant differences in bacterial numbers were found between any two of the three intervention groups. Nail brushes and nail picks used during surgical hand scrubs do not decrease bacterial numbers and are unnecessary.

  7. Cu(II AND Zn(II COMPLEX COMPOUNDS WITH BIGUANIDES AROMATIC DERIVATIVES. SYNTHESIS, CHARACTERIZATION, BIOLOGICAL ACTIVITY

    Directory of Open Access Journals (Sweden)

    Ticuţa Negreanu-Pîrjol

    2011-05-01

    Full Text Available In this paper we report the synthesis, physical-chemical characterization and antimicrobial activity of some new complex compounds of hetero-aromatic biguanides ligands, chlorhexidine base (CHX and chlorhexidine diacetate (CHXac2 with metallic ions Cu(II and Zn(II, in different molar ratio. The synthesized complexes were characterized by elemental chemical analysis and differential thermal analysis. The stereochemistry of the metallic ions was determined by infrared spectra, UV-Vis, EPR spectroscopy and magnetic susceptibility in the aim to establish the complexes structures. The biological activity of the new complex compounds was identified in solid technique by measuring minimum inhibition diameter of bacterial and fungal culture, against three standard pathogen strains, Escherichia coli ATCC 25922, Staphilococcus aureus ATCC 25923 and Candida albicans ATCC 10231. The results show an increased specific antimicrobial activity for the complexes chlorhexidine:Cu(II 1:1 and 1:2 compared with the one of the Zn(II complexes.

  8. A comparative study of two mouthrinses on plaque and gingivitis in school children in the age group of 13-16 years in Bangalore city.

    Science.gov (United States)

    Jayaprakash, K; Veeresha, K L; Hiremath, S S

    2007-01-01

    Research and clinical evidence indicate that most forms of plaque associated periodontal disease start as inflammatory lesions of the gingiva which if left untreated, may progress and eventually involve and compromise the entire periodontal attachment apparatus of the affected teeth. A study was conducted to assess the effect of a mouthrinse containing chlorhexidine and sodium fluoride on plaque accumulation and gingivitis in comparison with a chlorhexidine mouthrinse alone in a group of school children aged 13-16 years in Bangalore city. This combination along with the well established effect of fluoride in the prevention of caries presents an important contribution to dental public health. The results suggest that the chlorhexidine-sodium fluoride mouthrinse potentially possesses a significant effect on inhibition of plaque accumulation and gingivitis. This combination along with the well-established effect of fluoride in the prevention of caries, presents an important contribution to dental public health.

  9. A comparative study of two mouthrinses on plaque and gingivitis in school children in the age group of 13-16 years in Bangalore city

    Directory of Open Access Journals (Sweden)

    Jayaprakash K

    2007-09-01

    Full Text Available Research and clinical evidence indicate that most forms of plaque associated periodontal disease start as inflammatory lesions of the gingiva which if left untreated, may progress and eventually involve and compromise the entire periodontal attachment apparatus of the affected teeth. A study was conducted to assess the effect of a mouthrinse containing chlorhexidine and sodium fluoride on plaque accumulation and gingivitis in comparison with a chlorhexidine mouthrinse alone in a group of school children aged 13-16 years in Bangalore city. This combination alongwith the well established effect of fluoride in the prevention of caries presents an important contribution to dental public health. The results suggest that the chlorhexidine-sodium fluoride mouthrinse potentially possesses a significant effect on inhibition of plaque accumulation and gingivitis. This combination along with the well-established effect of fluoride in the prevention of caries, presents an important contribution to dental public health.

  10. Double-Biguanide Therapy for Resistant Acanthamoeba Keratitis

    Directory of Open Access Journals (Sweden)

    Giulio Ferrari

    2011-11-01

    Full Text Available Aims: To report the clinical and diagnostic findings of a patient with Acanthamoeba keratitis resistant to both polyhexamethylene biguanide (PHMB-hexamidine and chlorhexidine-hexamidine treatment. Methods: Slit-lamp biomicroscopy, corneal cell scraping and histopathology were performed on a 39-year-old woman presenting with corneal ulcer in her left eye. Results: The patient was successfully treated with PHMB-chlorhexidine association therapy. Subsequent perforating keratoplasty remained clear at the last follow-up visit after 7 months and increased visual acuity to 20/20 with correction. Conclusions: This case emphasizes the proteiform aspects of Acanthamoeba drug resistance, and suggests that PHMB-chlorhexidine association might represent an additional option for cases resistant to standard therapy.

  11. Antimicrobial activity of Eucalyptus globulus oil, xylitol and papain: a pilot study

    Directory of Open Access Journals (Sweden)

    Valéria de Siqueira Mota

    2015-04-01

    Full Text Available OBJECTIVE To evaluate the in vitro antimicrobial activity of the Eucalyptus globulus essential oil, and of the xylitol and papain substances against the following microorganisms: Pseudomonas aeruginosa; Samonella sp.; Staphylococus aureus; Proteus vulgaris; Escherichia coli and Candida albicans. METHOD The in vitro antimicrobial evaluation was used by means of the agar diffusion test and evaluation of the inhibition zone diameter of the tested substances. Chlorhexidine 0.5% was used as control. RESULTS The Eucalyptus globulus oil showed higher inhibition than chlorhexidine when applied to Staphylococcus aureus, and equal inhibition when applied to the following microorganisms: Escherichia coli, Proteus vulgaris and Candida albicans. Papain 10% showed lower antimicrobial effect than chlorhexidine in relation to Candida albicans. Xylitol showed no inhibition of the tested microorganisms. CONCLUSION The Eucalyptus globulus oil has antimicrobial activity against different microorganisms and appears to be a viable alternative as germicidal agent hence, further investigation is recommended.

  12. Effectiveness of sanitizing agents in inactivating Escherichia coli (ATCC 25922 in food cutting board surfaces. Removal E. coli using different sanitizers

    Directory of Open Access Journals (Sweden)

    CEZAR AUGUSTO BELTRAME

    2016-03-01

    Full Text Available The objective of this study was to investigate Escherichia coli adhesion on new and used polyethylene cutting board surface and evaluate it’s removal using different sanitizer (peracetic acid,chlorhexidine, sodium hypochlorite and organic acids. Results indicated that the number of adherent cells increased with time in both surfaces evaluated. Evaluating the sanitizer action, 0.5%peracetic acid was more effective in removal E. coli than chlorhexidine and organic acids at same concentration in both surfaces. Peracetic acid and sodium hypochlorite also showed effectiveness at concentrations of 0.2% and 0.5% on new surfaces, respectively. 0.8% of chlorhexidine and 2.0% of organic acids showed similar effectiveness in the removal E. coli on new and used surfaces, respectively.These results suggest that peracetic acid is considerable promise sanitizer for application in surfaces of the food processing industry.

  13. Oral health: something to smile about!

    Science.gov (United States)

    Munro, Cindy L

    2014-07-01

    Oral health is integrally linked to overall well-being. This article describes a research program focused on the contribution of poor oral health to systemic illness. Initial investigations examined factors related to streptococcal virulence that were important in dental caries and endocarditis and led to development of immunization strategies in animal models to reduce risk of endocarditis. Clinical investigations related to critically ill adults began with descriptive and observational studies that established the importance of dental plaque in development of ventilator-associated pneumonia (VAP) and examined existing nursing practices in oral care. Subsequent intervention studies sponsored by the National Institutes of Health (NIH) to test oral care protocols in critically ill adults have built on that foundation. The group's first NIH-funded randomized clinical trial tested the effects of toothbrushing and use of chlorhexidine in reducing risk of VAP in critically ill adults and showed that VAP was reduced by topical application of chlorhexidine initiated after intubation, although toothbrushing did not reduce VAP. The study had a rapid and dramatic effect on clinical practice. Results of the study were published in September 2009 in the American Journal of Critical Care, and in May 2010, the Institute for Health-care Improvement updated the recommendations for the care of patients receiving mechanical ventilation (the ventilator bundle) to include daily oral care with chlorhexidine, referencing the results of that study as evidence for the change. Chlorhexidine is now the standard of care for adults receiving mechanical ventilation. Because the effects of chlorhexidine after intubation were so beneficial, a second recently completed NIH-funded randomized clinical trial investigated the impact of chlorhexidine applied before intubation compared with after intubation. Currently a large randomized clinical trial is being launched to determine the optimal

  14. [Comparison of the efficacy of 2 antiseptic solutions in the prevention of infection from peridural catheters].

    Science.gov (United States)

    Adam, M N; Dinulescu, T; Mathieu, P; Giacomini, T; Le Pennec, M P

    1996-01-01

    Two antiseptic solutions (iodine polyvidone and chlorhexidine) were compared-in a prospective non-randomized study including 294 parturient women. This study aimed to assess their efficacy against infections through epidural catheters. All catheters were subsequently cultivated. Cultures were significantly positive in 3% of cases after iodine polyvidone and 1% after chlorhexidine decontamination (not significant). No clinical or biological infections were detected. Notwithstanding some apparently unavoidable but moderate contaminations, prevention of infections post epidural analgesia depends principally on a complete adherence to asepsia rules.

  15. In vitro antibacterial activity of ethanolic extract of Morus alba leaf against periodontal pathogens

    Directory of Open Access Journals (Sweden)

    Shilpa Gunjal

    2015-01-01

    Results: P. gingivalis was the most sensitive organism against the M. alba extract with an MIC value of 1.95 mg/ml; while T. forsythia and P. gingivalis both were most sensitive organisms against chlorhexidine gluconate with MIC values of 0.00781 mg/ml. Conclusion: M. alba possess good antibacterial activity against A. actinomycetemcomitans, P. gingivalis and T. forsythia and thus would be beneficial for the prevention and treatment of periodontal disease. However, chlorhexidine gluconate was found to be more effective when compared to M. alba.

  16. Resistance of Streptococcus sanguis biofilms to antimicrobial agents

    DEFF Research Database (Denmark)

    Larsen, T; Fiehn, N E

    1996-01-01

    of Streptococcus sanguis 804 and ATCC 10556 to amoxicillin, doxycycline and chlorhexidine was determined by a broth dilution method. Subsequently, S. sanguis biofilms established in an in vitro flow model were perfused with the antimicrobial agents for 48 h at concentrations equal to and up to 500 times the MIC...

  17. The short-term treatment effects on the microbiota at the dorsum of the tongue in intra-oral halitosis patients-a randomized clinical trial

    NARCIS (Netherlands)

    Ademovski, Seida Erovic; Persson, G. Rutger; Winkel, Edwin; Tangerman, Albert; Lingstrom, Peter; Renvert, Stefan

    2013-01-01

    This study aims to assess the effects of rinsing with zinc- and chlorhexidine-containing mouth rinse with or without adjunct tongue scraping on volatile sulfur compounds (VSCs) in breath air, and the microbiota at the dorsum of the tongue. A randomized single-masked controlled clinical trial with a

  18. Comparison of different treatment modalities for oral halitosis

    NARCIS (Netherlands)

    Ademovski, Seida Erovic; Lingstrom, Peter; Winkel, Edwin; Tangerman, Albert; Persson, G. Rutger; Renvert, Stefan

    2012-01-01

    Objectives. To assess the effects on intra-oral halitosis by a mouth rinse containing zinc acetate (0.3%) and chlorhexidine diacetate (0.025%) with and without adjunct tongue scraping. Materials and methods. Twenty-one subjects without a diagnosis of periodontitis were randomized in a cross-over cli

  19. Chemical Decontamination of Campylobacter jejuni on Chicken Skin and Meat

    DEFF Research Database (Denmark)

    Riedel, Charlotte Tandrup; Brøndsted, Lone; Rosenquist, Hanne

    2009-01-01

    .6%), and chlorhexidine diacetate salt hydrate (1%). The most effective compounds were cetylpyridinium chloride (0.5%) and benzalkonium chloride (1%) (>4.2 log). However, when these treated samples were stored for 24 h at 5°C, cetylpyridinium chloride, benzalkonium chloride, and grapefruit seed extract were less...

  20. Phytotherapeutic inhibition of supragingival dental plaque.

    Science.gov (United States)

    Shayegh, Shojaedin; Rasooli, Iraj; Taghizadeh, Massoud; Astaneh, Shakiba Darvish Alipoor

    2008-03-20

    Antimicrobial activities and biofilm-formation preventive properties of Mentha piperita and Cuminum cyminum essential oils and chlorhexidine were assessed against Streptococcus mutans and Streptococcus pyogenes. Gas chromatography (GC) and gas chromatography-mass spectrometry (GC-MS) analysis led to the identification of 26 and 32 compounds in the essential oils of M. piperita and C. cyminum, respectively. Minimal bactericidal concentrations (MBC) of the oils and chlorhexidine and microbial decimal reduction time (D value) were determined. Antibacterial and in vivo biofilm preventive efficacies of all the concentrations of M. piperita oil were significantly (p chlorhexidine > C. cyminum order. In vivo experiments conducted on male and female volunteers who brushed with essential oil blended toothpastes indicated that lower concentrations of the oils, in particular the M. piperita oil, were significantly higher (p<0.001) and effective during the course of the study as compared to chlorhexidine. In conclusion, there may be a potential role for essential oils in the development of novel anticaries treatments.

  1. Differential effect of CLK SR Kinases on HIV-1 gene expression: potential novel targets for therapy

    Directory of Open Access Journals (Sweden)

    Dobson Wendy

    2011-06-01

    Full Text Available Abstract Background RNA processing plays a critical role in the replication of HIV-1, regulated in part through the action of host SR proteins. To explore the impact of modulating SR protein activity on virus replication, the effect of increasing or inhibiting the activity of the Cdc2-like kinase (CLK family of SR protein kinases on HIV-1 expression and RNA processing was examined. Results Despite their high homology, increasing individual CLK expression had distinct effects on HIV-1, CLK1 enhancing Gag production while CLK2 inhibited the virus. Parallel studies on the anti-HIV-1 activity of CLK inhibitors revealed a similar discrepant effect on HIV-1 expression. TG003, an inhibitor of CLK1, 2 and 4, had no effect on viral Gag synthesis while chlorhexidine, a CLK2, 3 and 4 inhibitor, blocked virus production. Chlorhexidine treatment altered viral RNA processing, decreasing levels of unspliced and single spliced viral RNAs, and reduced Rev accumulation. Subsequent experiments in the context of HIV-1 replication in PBMCs confirmed the capacity of chlorhexidine to suppress virus replication. Conclusions Together, these findings establish that HIV-1 RNA processing can be targeted to suppress virus replication as demonstrated by manipulating individual CLK function and identified chlorhexidine as a lead compound in the development of novel anti-viral therapies.

  2. Predictors of Staphylococcus aureus Colonization and Results after Decolonization

    Directory of Open Access Journals (Sweden)

    Tennison L. Malcolm

    2016-01-01

    Full Text Available Protocols for the screening and decolonization of Staphylococcus aureus prior to total joint arthroplasty (TJA have become widely adopted. The goals of this study were to determine: (1 whether implementation of a screening protocol followed by decolonization with mupirocin/vancomycin and chlorhexidine reduces the risk of revision compared with no screening protocol (i.e., chlorhexidine alone and (2 whether clinical criteria could reliably predict colonization with MSSA and/or MRSA. Electronic medical records of primary patients undergoing TJA that were screened (n=3,927 and were not screened (n=1,751 for Staphylococcus aureus at least 4 days prior to surgery, respectively, were retrospectively reviewed. All patients received chlorhexidine body wipes preoperatively. Patients carrying MSSA and MRSA were treated preoperatively with mupirocin and vancomycin, respectively, along with the standard preoperative antibiotics and chlorhexidine body wipes. Screened patients were 50% less likely to require revision due to prosthetic joint infection compared to those not screened (p=0.04. Multivariate regression models were poorly accurate in predicting colonization with MSSA (AUC = 0.58 and MRSA (AUC = 0.62. These results support the routine screening and decolonization of S. aureus prior to TJA.

  3. Evidence of Effectiveness of Current Therapies to Prevent and Treat Early Childhood Caries

    DEFF Research Database (Denmark)

    Twetman, Svante; Dhar, Vineet

    2015-01-01

    and Evaluation) system. RESULTS: There was moderate and limited quality of evidence in support of fluoride toothpaste and fluoride varnish for ECC prevention, while the evidence for fluoride tablets/drops was insufficient. The support for the use of silver diamine fluoride, xylitol, chlorhexidine varnish...

  4. ANTIMICROBIAL EFFECT OF A DENTAL VARNISH, INVITRO

    NARCIS (Netherlands)

    PETERSSON, LG; EDWARDSSON, S; ARENDS, J

    1992-01-01

    The effects of a polymer based antimicrobial releasing varnish Cervitec(R) were investigated against different grampositive and gramnegative bacterial strains as well as a yeast using the agar diffusion inhibitory test (ADT-test in vitro). As positive controls a 1 % chlorhexidine gel and 1 % aqueous

  5. A case of methicillin-resistant Staphylococcus pseudintermedius (MRSP) pyoderma in a Labrador retriever dog

    Science.gov (United States)

    Wan, Jennifer

    2014-01-01

    An 8-year-old, neutered male Labrador retriever dog with generalized pruritis had a history of recurring atopic dermatitis and superficial pyoderma. Cocci and yeast were found on cytology and methicillin-resistant Staphylococcus pseudintermedius was cultured. A regimen of marbofloxacin, dexamethasone, ketoconazole, and cyclosporine in addition to bathing with 2% chlorhexidine shampoo resulted in marked improvement. PMID:25392557

  6. Mouthwashes for the control of supragingival biofilm and gingivitis in orthodontic patients: evidence-based recommendations for clinicians

    Directory of Open Access Journals (Sweden)

    Alex Nogueira HAAS

    2014-01-01

    Full Text Available Properly performed daily mechanical biofilm control is the most important prevention strategy for periodontal diseases. However, proper mechanical biofilm control is not performed effectively by the majority of the population, mainly due to lack of motivation and of manual dexterity. Local biofilm retention factors may aggravate home oral hygiene quality. For this reason, patients wearing fixed orthodontic appliances comprise a group that may benefit from the daily use of mouthwashes. The purpose of this review was to perform a systematic search in the literature on antiseptics used to control supragingival biofilm and gingivitis in orthodontic patients. Six studies investigating the effect of chlorhexidine and 5 studies evaluating the effect of the daily use of antiseptics were found. Chlorhexidine showed better results in reducing plaque and gingivitis. However, because of its adverse effects after continuous use, it should not be indicated for long-term periods. Among the agents considered for daily use, the fixed combination of essential oils was the only one evaluated in a clinical trial, in which a comparative group presented a statistically significant clinical impact. There is no direct evidence supporting the indication of antiseptic agents for orthodontic patients other than chlorhexidine and essential oils. It can be concluded that, for patients undergoing orthodontic treatment, chlorhexidine should be considered for treating acute gingival inflammation, whereas essential oils should be indicated for long-term daily use in controlling supragingival biofilm.

  7. Comparative assessment of the effectiveness of different cleaning methods on the growth of Candida albicans over acrylic surface

    Science.gov (United States)

    Gantait, Subhajit; Bhattacharyya, Jayanta; Das, Samiran; Biswas, Shibendu; Ghati, Amit; Ghosh, Soumitra; Goel, Preeti

    2016-01-01

    Context: This study evaluated the efficacy of denture adhesive, cleanser, chlorhexidine, and brushing against Candida albicans biofilm developed on an acrylic surface and predicted the most effective, simple, and inexpensive way to maintain denture health, thereby preventing denture stomatitis. Aims: To find the best possible method for maintaining denture hygiene. Settings and Design: This retrospective analysis was conducted in the Guru Nanak Institute of Dental Sciences and Research, Kolkata, and this in vitro study was designed to minimize denture stomatitis among denture wearing population. Subjects and Methods: Sixty acrylic discs of equal dimensions after exposure to C. albicans were treated for a duration of 24 h with denture adhesive, cleanser, 0.2% chlorhexidine individually, or in combinations simulating clinical conditions dividing in six groups, ten samples each (n = 10). Statistical Analysis Used: After treatment, colony count was evaluated and statistically analyzed by post hoc Tukey's test and Dunnett's test to determine the most effective way of prevention. Results: The statistical post hoc analysis (Tukey's test and Dunnett's test) showed high significance (P Denture adhesive increases the adherence of C. albicans to denture surface. Other cleaning chemicals such as cleanser and chlorhexidine decrease the adherence. Moreover, among the all denture cleaning protocol, chlorhexidine drastically inhibit the adherence, as well as growth of C. albicans over denture surface. PMID:27630498

  8. In vitro antimicrobial effects of two antihalitosis mouth rinses on oral pathogens and human tongue microbiota

    NARCIS (Netherlands)

    Raangs, G. C.; Winkel, E. G.; van Winkelhoff, A. J.

    2013-01-01

    Objectives: The aim of the study was to compare the antimicrobial activity of a mouth rinse containing chlorhexidine and cetylpyridinium chloride (MR1) with a stannous fluoride-based mouth rinse (MR2) in vitro. Materials and methods: Samples of the tongues from 10 subjects with and 10 subjects witho

  9. Implant decontamination during surgical peri-implantitis treatment : a randomized, double-blind, placebo-controlled trial

    NARCIS (Netherlands)

    de Waal, Yvonne C. M.; Raghoebar, Gerry M.; Huddleston Slater, James J. R.; Meijer, Henny J. A.; Winkel, Edwin G.; van Winkelhoff, Arie Jan

    2013-01-01

    Aim The objective of this randomized, double-blind, placebo-controlled trial was to study the effect of implant surface decontamination with chlorhexidine (CHX)/cetylpyridinium chloride (CPC) on microbiological and clinical parameters. Material & Methods Thirty patients (79 implants) with peri-impla

  10. Implant decontamination during surgical peri-implantitis treatment : a randomized, double-blind, placebo-controlled trial

    NARCIS (Netherlands)

    de Waal, Yvonne C.M.; Raghoebar, Gerry M; Huddleston Slater, James J R; Meijer, Hendrikus; Winkel, Edwin G; van Winkelhoff, Arie Jan

    2013-01-01

    AIM: The objective of this randomized, double-blind, placebo-controlled trial was to study the effect of implant surface decontamination with chlorhexidine (CHX)/cetylpyridinium chloride (CPC) on microbiological and clinical parameters. MATERIAL & METHODS: Thirty patients (79 implants) with peri-imp

  11. Antiseptic properties of two calix[4]arenes derivatives on the human coronavirus 229E.

    Science.gov (United States)

    Geller, C; Fontanay, S; Mourer, M; Dibama, H Massimba; Regnouf-de-Vains, J-B; Finance, C; Duval, R E

    2010-12-01

    Facing the lack in specific antiviral treatment, it is necessary to develop new means of prevention. In the case of the Coronaviridae this family is now recognized as including potent human pathogens causing upper and lower respiratory tract infections as well as nosocomial ones. Within the purpose of developing new antiseptics molecules, the antiseptic virucidal activity of two calix[4]arene derivatives, the tetra-para-sulfonato-calix[4]arene (C[4]S) and the 1,3-bis(bithiazolyl)-tetra-para-sulfonato-calix[4]arene (C[4]S-BTZ) were evaluated toward the human coronavirus 229E (HCoV 229E). Comparing these results with some obtained previously with chlorhexidine and hexamidine, (i) these two calixarenes did not show any cytotoxicity contrary to chlorhexidine and hexamidine, (ii) C[4]S showed as did hexamidine, a very weak activity against HCoV 229E, and (iii) the C[4]S-BTZ showed a stronger activity than chlorhexidine, i.e. 2.7 and 1.4log₁₀ reduction in viral titer after 5min of contact with 10⁻³mol L⁻¹ solutions of C[4]S-BTZ and chlorhexidine, respectively. Thus, the C[4]S-BTZ appeared as a promising virucidal (antiseptic) molecule.

  12. Anti-biofilm and bactericidal effects of magnolia bark-derived magnolol and honokiol on Streptococcus mutans.

    Science.gov (United States)

    Sakaue, Yuuki; Domon, Hisanori; Oda, Masataka; Takenaka, Shoji; Kubo, Miwa; Fukuyama, Yoshiyasu; Okiji, Takashi; Terao, Yutaka

    2016-01-01

    Dental caries affects people of all ages and is a worldwide health concern. Streptococcus mutans is a major cariogenic bacterium because of its ability to form biofilm and induce an acidic environment. In this study, the antibacterial activities of magnolol and honokiol, the main constituents of the bark of magnolia plants, toward planktonic cell and biofilm of S. mutans were examined and compared with those of chlorhexidine. The minimal inhibitory concentrations of magnolol, honokiol and chlorhexidine for S. mutans were 10, 10 and 0.25 µg/mL, respectively. In addition, each agent showed bactericidal activity against S. mutans planktonic cells and inhibited biofilm formation in a dose- and time-dependent manner. Magnolol (50 µg/mL) had greater bactericidal activity against S. mutans biofilm than honokiol (50 µg/mL) and chlorhexidine (500 µg/mL) at 5 min after exposure, while all showed scant activity against biofilm at 30 s. Furthermore; chlorhexidine (0.5-500 µg/mL) exhibited high cellular toxicity for the gingival epithelial cell line Ca9-22 at 1 hr, whereas magnolol (50 µg/mL) and honokiol (50 µg/mL) did not. Thus; it was found that magnolol has antimicrobial activities against planktonic and biofilm cells of S. mutans. Magnolol may be a candidate for prevention and management of dental caries.

  13. A case of methicillin-resistant Staphylococcus pseudintermedius (MRSP) pyoderma in a Labrador retriever dog.

    Science.gov (United States)

    Wan, Jennifer

    2014-11-01

    An 8-year-old, neutered male Labrador retriever dog with generalized pruritis had a history of recurring atopic dermatitis and superficial pyoderma. Cocci and yeast were found on cytology and methicillin-resistant Staphylococcus pseudintermedius was cultured. A regimen of marbofloxacin, dexamethasone, ketoconazole, and cyclosporine in addition to bathing with 2% chlorhexidine shampoo resulted in marked improvement.

  14. In vitro study of the effect of an essential oil and a delmopinol mouth rinse on dental plaque bacteria

    Directory of Open Access Journals (Sweden)

    Henrique Soares Luís

    2016-01-01

    Conclusions: Essential oils and chlorhexidine are statistically similar and better than delmopinol for aerobic bacteria growth inhibition. For the other bacteria, essential oils and delmopinol are not statistically promising. Results show that essential oils only may help patients to maintain good oral health as a complement to daily brushing and interproximal cleaning.

  15. A randomized, double‑blind clinical study to assess the antiplaque and antigingivitis efficacy of Aloe vera mouth rinse

    Directory of Open Access Journals (Sweden)

    Bathini Chandrahas

    2012-01-01

    Full Text Available Aims: To evaluate the efficacy of Aloe Vera mouth rinse on experimental plaque accumulation and gingivitis. Materials and Methods: In this randomized, controlled, and double-blind study, a total of 148 systemically healthy subjects were screened in the age group of 18-25 years. Finally, 120 subjects were requested to abstain from oral hygiene (tooth brushing for 14 days and used a specially fabricated plaque guard. Following cessation of tooth brushing in the specified area, the subjects were randomly divided into Group A (test group who received 100% Aloe vera, Group B (negative control group who received placebo (distilled water, and Group C (positive control group who received 0.2% chlorhexidine. The rinse regimen began on the 15 th day and continued for 7 days. Plaque accumulation was assessed by Plaque Index (PI and gingivitis was assessed by Modified Gingival Index (MGI and Bleeding Index (BI at baseline (0, 7 th , 14 th , and 22 nd days. Results: There was statistically significant decrease in PI, MGI, and BI scores after the rinse regimen began in both Group A (test group and Group C (chlorhexidine compared with Group B. Mouth wash containing Aloe vera showed significant reduction of plaque and gingivitis but when compared with chlorhexidine the effect was less significant. Conclusion: Aloe vera mouthwash can be an effective antiplaque agent and with appropriate refinements in taste and shelf life can be an affordable herbal substitute for chlorhexidine.

  16. Biofilm-Forming Capability of Highly Virulent, Multidrug-Resistant Candida auris

    Science.gov (United States)

    Sherry, Leighann; Ramage, Gordon; Kean, Ryan; Borman, Andrew; Johnson, Elizabeth M.; Richardson, Malcolm D.

    2017-01-01

    The emerging multidrug-resistant yeast pathogen Candida auris has attracted considerable attention as a source of healthcare–associated infections. We report that this highly virulent yeast has the capacity to form antifungal resistant biofilms sensitive to the disinfectant chlorhexidine in vitro. PMID:28098553

  17. Formulation and evaluation of antimicrobial activity of Morus alba sol-gel against periodontal pathogens

    Directory of Open Access Journals (Sweden)

    Shilpa Gunjal

    2015-01-01

    Full Text Available Background: Periodontitis has a multifactorial etiology, with primary etiologic agents being pathogenic bacteria that reside in the subgingival area. Recent advances in the field of alternative medicine introduced various herbal products for the treatment of periodontitis. Aim: To assess and compare the antimicrobial activity of Morus alba sol-gel with chlorhexidine sol-gel against ATCC standard strains of Aggregatibacter actinomycetemcomitans, Porphyromonas gingivalis, and Tannerella forsythia. Materials and Methods: Crude extract of Morus alba leaves was prepared by Soxhlet method by using ethanol as a solvent. Phytochemical screening of the crude extract of M. alba was performed to check the various chemical constituents. M. alba sol-gel and chlorhexidine sol-gel were formulated using Pluronic f127 and Pluronic f108 and compared for their antimicrobial activity. The minimum inhibitory concentration of both the gels was performed using agar well diffusion technique. Results: The minimum inhibitory concentration of M. alba sol-gel and chlorhexidine sol-gel against A. actinomycetemcomitans is 19 and 17 mm, T. forsythia is 12 and 21 mm, and P. gingivalis is 16 and 18 mm, respectively. Conclusion: Both M. alba and chlorhexidine sol-gel exhibited potent antimicrobial activity against periodontal pathogens.

  18. Long-term effect of maternal xylitol exposure on their children's caries prevalence

    DEFF Research Database (Denmark)

    Thorild, I; Lindau, B; Twetman, S

    2012-01-01

    Aim: To evaluate the long-term outcome of a motherchild project in which mothers (n=173) with high counts of salivary mutans streptococci were randomly assigned to daily chewing gums containing xylitol (A), chlorhexidine/ xylitol/sorbitol (B), or sodium fluoride/xylitol/sorbitol (C) for one year...

  19. Selektion og spredning af antibiotikaresistente bakterier

    DEFF Research Database (Denmark)

    Frimodt-Møller, Niels; Kolmos, Hans Jørn

    2011-01-01

    and disinfectants. Therefore, abundant use of metals, e.g. copper and zinc for growth promotion in animals used for food, may also co-select for antibiotic resistance. The same applies to disinfectants, e.g. silver and chlorhexidine. Prudent use of antibiotics and these other agents is essential to control...

  20. Evaluating EDTA as a substitute for phosphoric acid-etching of enamel and dentin.

    Science.gov (United States)

    Imbery, Terence A; Kennedy, Matthew; Janus, Charles; Moon, Peter C

    2012-01-01

    Matrix metalloproteinases (MMPs) are proteolytic enzymes released when dentin is acid-etched. The enzymes are capable of destroying unprotected collagen fibrils that are not encapsulated by the dentin adhesive. Chlorhexidine applied after etching inhibits the activation of released MMPs, whereas neutral ethylenediamine tetra-acetic acid (EDTA) prevents the release of MMPs. The purpose of this study was to determine if conditioning enamel and dentin with EDTA can be a substitute for treating acid-etching enamel and dentin with chlorhexidine. A column of composite resin was bonded to enamel and dentin after conditioning. Shear bond strengths were evaluated after 48 hours and after accelerated aging for three hours in 12% sodium hypochlorite. Shear bond strengths ranged from 15.6 MP a for accelerated aged EDTA enamel specimens to 26.8 MPa for dentin conditioned with EDTA and tested after 48 hours. A three-way ANOVA and a Tukey HSD test found statistically significant differences among the eight groups and the three independent variables (P EDTA was successfully substituted for phosphoric acid-etched enamel and dentin treated with chlorhexidine. Interactions of conditioning agent and aging were significant for dentin but not for enamel. In an effort to reduce the detrimental effects of MMPs, conditioning enamel and dentin with EDTA is an alternative to treating acid-etched dentin and enamel with chlorhexidine.

  1. Evaluation of antibacterial effects of different calcium hydroxide compositions on planktonic Enterococcus faecalis

    Directory of Open Access Journals (Sweden)

    Mahdi Tabrizizadeh

    2012-01-01

    Full Text Available Background and Aims: Calcium hydroxide has a pronounced antimicrobial activity against most of the bacterial species found in infected root canals and endodontic infections. It is one of the most frequently used intracanal medications in endodontic therapy. The objective of this study was to determine the antimicrobial efficacy of six calcium hydroxide formulations (mixed with saline, lidocaine 2%, chlorhexidine 2%, chlorhexidine 0.2%, Iodine Potassium iodide (IKI 2%, and glycerin on Enterococcus faecalis using agar diffusion test.Materials and Methods: Twelve culture plates were incubated with Enterococcus faecalis. Five cavities were made in each plate with 5 mm diameter and 4 mm depth. Two plates were randomly considered for each calcium hydroxide formulation and filled completely with creamy mixture of tested materials. The plates were incubated at 37ºC for 48 hours. The diameter of inhibition zone around each well was recorded in millimetres and data were submitted to ANOVA and Tukey tests.Results: The results of this study showed that all tested calcium hydroxide pastes had good antimicrobial activity. The antimicrobial activity of calcium hydroxide mixed with lidocaine, chlorhexidine 2% and IKI 2% were significantly greater than that of calcium hydroxide mixed with saline (P0.01.Conclusion: Considering the results of this study, lidocaine 2%, chlorhexidine 2% and IKI 2% are suggested to be used for preparation of calcium hydroxide paste. Further studies with different methods are needed for confirming these results.

  2. [Endodontic microbiology: antimicrobial canal medications].

    Science.gov (United States)

    Seltzer, S; Farber, P A

    1989-06-01

    Medicaments used for reducing or eliminating microorganisms from infected root canals include: irrigating solutions, such as sodium hypochlorite, urea peroxide and hydrogen peroxide, chloramine, iodine-potassium-iodide solution, and chlorhexidine solution. In addition, various intracanal drugs, such as calcium hydroxide and antibiotics, are in use. The characteristics of these drugs are discussed.

  3. The effectiveness of commonly used mouthwashes for the prevention of chemotherapy-induced oral mucositis: A systematic review

    NARCIS (Netherlands)

    C.M.J. Potting (C. M J); R. Uitterhoeve (R.); W.J.M. Scholte op Reimer (Wilma); T. van Achterberg (Theo)

    2006-01-01

    textabstractDaily chlorhexidine mouthwash is often recommended for preventing chemotherapy-induced oral mucositis. Povidone-iodine, NaCl 0.9%, water salt soda solution and chamomile mouthwash are also recommended. However, the effectiveness of these mouthwashes is unclear. Therefore, we performed a

  4. The effectiveness of commonly used mouthwashes for the prevention of chemotherapy-induced oral mucositis: a systematic review.

    NARCIS (Netherlands)

    Potting, C.M.J.; Uitterhoeve, R.J.; Reimer, W.S. op; Achterberg, T. van

    2006-01-01

    Daily chlorhexidine mouthwash is often recommended for preventing chemotherapy-induced oral mucositis. Povidone-iodine, NaCl 0.9%, water salt soda solution and chamomile mouthwash are also recommended. However, the effectiveness of these mouthwashes is unclear. Therefore, we performed a systematic r

  5. On-demand antimicrobial release from a temperature-sensitive polymer - comparison with ad libitum release from central venous catheters.

    Science.gov (United States)

    Sjollema, Jelmer; Dijkstra, Rene J B; Abeln, Caroline; van der Mei, Henny C; van Asseldonk, Dirk; Busscher, Henk J

    2014-08-28

    Antimicrobial releasing biomaterial coatings have found application for instance in the fixation of orthopedic joint prostheses and central venous catheters. Most frequently, the release kinetics is such that antimicrobially-effective concentrations are only reached within the first days to weeks after implantation, leaving no local antimicrobial release available when a biomaterial-associated infection occurs later. Here we compare the ad libitum release of chlorhexidine and silver-sulfadiazine from a central venous catheter with their release from a new, on-demand release coating consisting of a temperature-sensitive copolymer of styrene and n-butyl (meth)acrylate. The copolymer can be loaded with an antimicrobial, which is released when the temperature is raised above its glass transition temperature. Ad libitum release of chlorhexidine and silver-sulfadiazine from a commercially-purchased catheter and associated antimicrobial efficacy against Staphylococcus aureus was limited to 16days. Consecutive temperature-triggers of our on-demand coating yielded little or no antimicrobial efficacy of silver-acetate release, but antimicrobially-effective chlorhexidine concentrations were observed over a time period of 60-80days. This attests to the clear advantage of on-demand coatings above ad libitum releasing coatings, that may have released their antimicrobial content before it is actually needed. Importantly, glass transition temperature of chlorhexidine loaded copolymers was lower (48°C) than of silver loaded ones (61°C), facilitating their clinical use.

  6. Effect of Veillonella parvula on the antimicrobial resistance and gene expression of Streptococcus mutans grown in a dual-species biofilm

    NARCIS (Netherlands)

    Luppens, S.B.I.; Kara, D.; Bandounas, L.; Jonker, M.J.; Wittink, F.R.A.; Bruning, O.; Breit, T.M.; ten Cate, J.M.; Crielaard, W.

    2008-01-01

    Introduction: Our previous studies showed that Streptococcus mutans and Veillonella parvula dual-species biofilms have a different acid production profile and a higher resistance to chlorhexidine than their single-species counterparts. The aim of the current study was to test whether the susceptibil

  7. Diversity of Streptococcus mutans strains in bacterial interspecies interactions

    NARCIS (Netherlands)

    Li, X.; Hoogenkamp, M.A.; Ling, J.; Crielaard, W.; Deng, D.M.

    2014-01-01

    Biofilms are matrix-enclosed microbial population adhere to each other and to surfaces. Compared to planktonic bacterial cells, biofilm cells show much higher levels of antimicrobial resistance. We aimed to investigate Streptococcus mutans strain diversity in biofilm formation and chlorhexidine (CHX

  8. Shear bond strength of composite resin to dentin after application of cavity disinfectants - SEM study

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    Vivek Sharma

    2011-01-01

    Full Text Available Aim: The aim was to evaluate the effect of different cavity disinfectants on dentin bond strengths of composite resin applied with two different adhesive systems. Materials and Methods: Two-hundred mandibular molars were sectioned parallel to the occlusal surface to expose dentin in the midcoronal one-third. The dentinal surfaces were polished with waterproof-polishing papers. The specimens were randomly divided into five groups of 40 teeth each as follows: group 1(control -- specimens were not treated with any cavity disinfectants. Groups 2--5 (experimental groups -- dentin surfaces were treated with the following cavity disinfectants, respectively; 2% chlorhexidine solution, 0.1% benzalkonium chloride-based disinfectant, 1% chlorhexidine gel, and an iodine potassium iodide/copper sulfate-based disinfectant. The specimens were then randomly divided into two subgroups including 20 teeth each to evaluate the effect of different bonding systems. Dentin bonding systems were applied to the dentin surfaces and the composite buildups were done. After the specimens were stored in an incubator for 24 hours, the shear bond strength was measured at a crosshead speed of 1 mm/min. The specimens were then statistically analyzed. Statistical Analysis Used: One way analysis of variance and Tukey-HSD tests were used. Results: There was no significant difference between chlorhexidine gel and control groups regardless of the type of the bonding agent used (P>0.05. On the other hand, pretreatment with benzalkonium chloride-based, iodine potassium iodide/copper sulfate-based disinfectants or chlorhexidine solutions had a negative effect on the shear bond strength of self-etching bonding systems. Conclusions: The findings of this study suggest that when benzalkonium chloride-based, iodine potassium iodide/copper sulfate-based disinfectants or chlorhexidine solutions are used as a cavity disinfectant, an etch-and-rinse bonding system should be preferred.

  9. Antibacterial effect of an herbal product persica on porphyromonas gingivalis and aggregatibacter actinomycetemcomitans: an in-vitro study.

    Directory of Open Access Journals (Sweden)

    Zahra Jelvehgaran Esfahani

    2014-08-01

    Full Text Available The plant Salvadora persica is used for oral hygiene in many parts of the world. It has been suggested that it has antibacterial properties, in addition to its ability to mechanically remove plaques. The aim of this study was to assess the antimicrobial activity of the herbal product Persica containing Salvadora persica against periodontopathogens Porphyromonas gingivalis and Aggregatibacter actinomycetemcomitans in vitro.Fifty patients with moderate and severe periodontitis were recruited. Using paper points, subgingival plaque samples were taken from pockets with attachment loss ≥ 3mm. The samples were subjected to microbial culture to yield P. gingivalis and A. actinomycetemcomitans. The ditch plate method was used for antimicrobial susceptibility testing of the bacteria to Persica compared to chlorhexidine and distilled water. The growth inhibition zones of microorganisms around the ditches were measured in millimeters. The data were analyzed using SPSS 16. Freidman test and Wilcoxon signed ranks test with Bonferroni adjustment were used for analysis of variance with 5% significance level. P<0.05 for main comparisons and P< 0.017 for multiple comparisons were considered statistically significant.P. gingivalis was sensitive to chlorhexidine and persica. There was a significant difference (P=0.001 between antimicrobial activity of chlorhexidine (mean 28.733mm, SD 5.216 and Persica (mean 16.333mm, SD 5.259 compared to water against P. gingivalis. There was a significant difference (P< 0.001 between the antimicrobial activity of chlorhexidine (24.045mm, SD 3.897 and Persica (0.545mm, SD 2.558 with respect to A. actinomycetemcomitans. There was no significant difference (P=0.317 between the antimicrobial activity of Persica and water against A. actinomycetemcomitans.The herbal product Persica had significant antimicrobial activity against P. gingivalis and negligible antimicrobial activity against A. actinomycetemcomitans compared to 0

  10. The effectiveness of a pre-procedural mouthrinse in reducing bacteria on radiographic phosphor plates

    Energy Technology Data Exchange (ETDEWEB)

    Hunter, Allison; Kalathingal, Sajitha; Shrout, Michael; Plummer, Kevin; Looney, Stephen [Georgia Regents University, College of Dental Medicine, Augusta (United States)

    2014-06-15

    This study assessed the effectiveness of three antimicrobial mouthrinses in reducing microbial growth on photostimulable phosphor (PSP) plates. Prior to performing a full-mouth radiographic survey (FMX), subjects were asked to rinse with one of the three test rinses (Listerine, Decapinol, or chlorhexidine oral rinse 0.12%) or to refrain from rinsing. Four PSP plates were sampled from each FMX through collection into sterile containers upon exiting the scanner. Flame-sterilized forceps were used to transfer the PSP plates onto blood agar plates (5% sheep blood agar). The blood agar plates were incubated at 37 degree C for up to 72 h. An environmental control blood agar plate was incubated with each batch. Additionally, for control, 25 gas-sterilized PSP plates were plated onto blood agar and analyzed. The mean number of bacterial colonies per plate was the lowest in the chlorhexidine group, followed by the Decapinol, Listerine, and the no rinse negative control groups. Only the chlorhexidine and Listerine groups were significantly different (p=0.005). No growth was observed for the 25 gas-sterilized control plates or the environmental control blood agar plates. The mean number of bacterial colonies was the lowest in the chlorhexidine group, followed by the Decapinol, Listerine, and the no rinse groups. Nonetheless, a statistically significant difference was found only in the case of Listerine. Additional research is needed to test whether a higher concentration (0.2%) or longer exposure period (two consecutive 30 s rinse periods) would be helpful in reducing PSP plate contamination further with chlorhexidine.

  11. The effects of biocides (antiseptics and disinfectants on the endospores of Rhinosporidium seeberi

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    Arseculeratne S

    2006-01-01

    Full Text Available No data exists on the activity of biocides (antiseptics and disinfectants on Rhinosporidium seeberi that causes rhinosporidiosis in humans and animals. On account of the inability to culture R. seeberi, in vitro , dyes were used to assess the morphological integrity and viability of biocide-treated endospores that are considered to be the infective stage of this pathogen. Evan′s Blue (EvB identifies the morphological integrity of the endospores while MTT (3-[4, 5-dimethylthiazol-2yl]-2, 5-diphenyl tetrazolium bromide identifies metabolic activity through its reduction by cellular dehydrogenases to microscopically visible deposits of insoluble formazan. MTT-negativity has earlier been shown to correlate with absence of growth of yeast and mycelial fungi in culture and could thus indicate the loss of viability of MTT-negative rhinosporidial endospores. Hydrogen peroxide, glutaraldehyde, chloroxylenol, chlorhexidine, cetrimide, thimerosal, 70% ethanol, iodine in 70% ethanol, 10% formalin, povidone-iodine, sodium azide and silver nitrate were tested on freshly-harvested endospores and all biocides caused metabolic inactivation with or without altered structural integrity as shown by absence of MTT-staining after 3, 24 or 36 hour after exposure, while EvB stained only the endospores treated with sodium azide, ethanol, thimerosal, chloroxylenol, glutaraldehyde and hydrogen peroxide. With clinically useful biocides - chlorhexidine, cetrimide-chlorhexidine, 70% ethanol, povidone-iodine and silver nitrate, a total period of exposure of endospores to the biocide, for seven minutes, produced metabolic inactivation of the endospores. Anti-rhinosporidial antiseptics that could be used in surgery on rhinosporidial patients include povidone-iodine in nasal packs for nasal and naso-pharyngeal surgery, chlorhexidine and cetrimide-chlorhexidine on the skin, while povidone-iodine and silver nitrate could have application in ocular rhinosporidiosis.

  12. Comparative assessment of the effectiveness of different cleaning methods on the growth of Candida albicans over acrylic surface

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    Subhajit Gantait

    2016-01-01

    Full Text Available Context: This study evaluated the efficacy of denture adhesive, cleanser, chlorhexidine, and brushing against Candida albicans biofilm developed on an acrylic surface and predicted the most effective, simple, and inexpensive way to maintain denture health, thereby preventing denture stomatitis. Aims: To find the best possible method for maintaining denture hygiene. Settings and Design: This retrospective analysis was conducted in the Guru Nanak Institute of Dental Sciences and Research, Kolkata, and this in vitro study was designed to minimize denture stomatitis among denture wearing population. Subjects and Methods: Sixty acrylic discs of equal dimensions after exposure to C. albicans were treated for a duration of 24 h with denture adhesive, cleanser, 0.2% chlorhexidine individually, or in combinations simulating clinical conditions dividing in six groups, ten samples each (n = 10. Statistical Analysis Used: After treatment, colony count was evaluated and statistically analyzed by post hoc Tukey′s test and Dunnett′s test to determine the most effective way of prevention. Results: The statistical post hoc analysis (Tukey′s test and Dunnett′s test showed high significance (P < 0.0001. The group treated with adhesive showed high fungal growth compared to the control group, whereas chlorhexidine showed high potency to prevent C. albicans, whereas adhesive increased the adhesion of C. albicans to acrylic surface. Conclusions: Denture adhesive increases the adherence of C. albicans to denture surface. Other cleaning chemicals such as cleanser and chlorhexidine decrease the adherence. Moreover, among the all denture cleaning protocol, chlorhexidine drastically inhibit the adherence, as well as growth of C. albicans over denture surface.

  13. Reduction of Salivary Streptococcus mutans Colonies in Children After Rinsing with 2.5% Green Tea Solution

    Directory of Open Access Journals (Sweden)

    Fajriani Fajriani

    2015-05-01

    Full Text Available Dental caries is a problematic area in pediatric dentistry, with Streptococcus mutans as the dominant bacterial cause. Green tea solution and chlorhexidine were effective in reducing the number of Streptococcus mutans. But study about the differences of these two materials has not been done. Objective: The aim of this study was to determine differences in the effectiveness of rinsing with 0.2% chlorhexidine and 2.5% green tea solution in reducing the number of Streptococcus mutans. Methods: This study is quase experimental study with cross-over design. Thirty children aged 6-12 years with poor OHI-S index were participated. Samples of saliva were taken respectively before rinsing for 3 seconds with 0.2% chlorhexidine solution and a solution of 2.5% green tea and 15 minutes followed 30 minutes after rinsing intervention. Saliva samples were taken to the laboratory then the number of Streptococcus mutans count were evaluated. The statistical analysis were performed by SPSS version 18.0 with ANOVA, t-paired and LSD test. Results: ANOVA test result showed that the decrease generated by each mouthwash is a significant reduction. T-paired test result showed that there is no difference in the number of Streptococcus mutans colonies significantly between chlorhexidine and green tea solution at 15 minutes dan 30 minutes after rinsing. Conclusion: There is no significant difference between chlorhexidine and green tea solution in reducing the number of Streptococcus mutans.DOI: 10.14693/jdi.v21i3.211

  14. STUDY TO ASSESS THE DISINFECTION OF DENTAL PROSTHESES TO CLEAR LOCALLY PREVALENT MICROBIAL STRAINS

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    Lavanya

    2015-11-01

    Full Text Available The following study was carried out to assess the effectiveness of four disinfectant solutions (Sodium hypochlorite 1%, chlorhexidine gluconate 2%, 100% vinegar and sodium perborate 3.8% in making acrylic resin specimens free of locally prevalent strains of three different micro-organisms. The organisms tested were Staphylococcus aureus, Escherichia coli and Candida albicans. The study was conducted following a request by the Prosthodontics Department in the college, as part of the annual quality appraisal. One hundred and fifty samples of the standardized acrylic resin specimens were participated in the study, of which, 30 specimens were run as controls. It was concluded that 1% sodium hypochlorite, 2% chlorhexidine, 100% vinegar and 3.8% sodium perborate are all useful as disinfectants of acrylic resin, to make it free from local strains of Staphylococcus aureus, Escherichia coli and Candida albicans.

  15. A randomized, controlled trial of tea tree topical preparations versus a standard topical regimen for the clearance of MRSA colonization.

    Science.gov (United States)

    Dryden, M S; Dailly, S; Crouch, M

    2004-04-01

    Two topical MRSA eradication regimes were compared in hospital patients: a standard treatment included mupirocin 2% nasal ointment, chlorhexidine gluconate 4% soap, silver sulfadiazine 1% cream versus a tea tree oil regimen, which included tea tree 10% cream, tea tree 5% body wash, both given for five days. One hundred and fourteen patients received standard treatment and 56 (49%) were cleared of MRSA carriage. One hundred and ten received tea tree oil regimen and 46 (41%) were cleared. There was no significant difference between treatment regimens (Fisher's exact test; P = 0.0286). Mupirocin was significantly more effective at clearing nasal carriage (78%) than tea tree cream (47%; P = 0.0001) but tea tree treatment was more effective than chlorhexidine or silver sulfadiazine at clearing superficial skin sites and skin lesions. The tea tree preparations were effective, safe and well tolerated and could be considered in regimens for eradication of MRSA carriage.

  16. Voriconazole as a first-line treatment against potentially pathogenic Acanthamoeba strains from Peru.

    Science.gov (United States)

    Cabello-Vílchez, Alfonso Martín; Martín-Navarro, Carmen M; López-Arencibia, Atteneri; Reyes-Batlle, María; Sifaoui, Ines; Valladares, Basilio; Piñero, José E; Lorenzo-Morales, Jacob

    2014-02-01

    Pathogenic strains of Acanthamoeba genus are the causative agents of fatal granulomatous amoebic encephalitis and a serious sight-threatening infection of the eye known as Acanthamoeba keratitis. In a previous study, Acanthamoeba strains were isolated from nasal swabs collected from healthy individuals in Peru. In the present study, the pathogenic potential of the isolated strains was established based on temperature and osmotolerance assays as well as the secretion rate of extracellular proteases. Based on these experiments, four strains that showed the highest pathogenic potential were selected for sensitivity assays against two molecules (voriconazole and chlorhexidine) which are currently used for the treatment of Acanthamoeba infections. After performing sensitivity and activity assays, it was found that both drugs were active against the tested strains. However, voriconazole showed higher activity against the studied strains compared to chlorhexidine. Therefore, voriconazole should be established as a first-line treatment against Acanthamoeba infections at least in the studied region of Peru.

  17. Influence of subinhibitory concentrations of antimicrobials on hydrophobicity, adherence and ultra-structure of Fusobacterium nucleatum

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    Okamoto Ana C.

    2002-01-01

    Full Text Available Fusobacterium nucleatum is considered a bridge organism between earlier and later colonizers in dental biofilms and a putative periodontopathogen. In Dentistry, antimicrobial agents are used for treatment and control of infectious diseases associated with dental plaque. Antiseptics have been used in association with antibiotics to reduce infections after oral surgeries. In this study, the influence of subinhibitory concentrations (SC of chlorhexidine, triclosan, penicillin G and metronidazole, on hydrophobicity, adherence to oral epithelial cells, and ultra-structure of F. nucleatum was examined. All isolates were susceptible to chlorhexidine, triclosan, and metronidazole; however, most of the isolates were susceptible to penicillin G, and all of them were hydrophilic when grown with or without antimicrobials. Adherence was decreased by all antimicrobials. Results suggest that adherence of F. nucleatum was influenced by adhesins because structures such as fimbries or capsule were not observed by transmission electronic microscope.

  18. Effectiveness of different chemical agents in rapid decontamination of gutta-percha cones

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    Cardoso Celso Luíz

    2000-01-01

    Full Text Available The effectiveness of seven disinfectant compounds used in dentistry for a rapid decontamination of 32 gutta-percha cones adhered with Staphylococcus aureus, Enterococcus faecalis, Escherichia coli strains or Bacillus subtilis spores was compared. Cones were treated with 2% glutaraldehyde, 1% sodium hypochlorite, 70% ethyl alcohol, 1% and 0.3% iodine alcohol, 2% chlorhexidine, 6% hydrogen peroxide, and 10% polyvinylpyrrolidone-iodine, for 1, 5, 10, and 15 minutes. After treatment, each cone was transferred to thioglycollate broth and incubated at 37ºC for 7 days. The products were bactericidal after 1 to 5 minutes and, with exception of ethyl alcohol and iodine-alcohol, sporicidal after 1 to 15 minutes of exposure. Results suggest that chlorhexidine, sodium hypochlorite, polyvinylpyrrolidone-iodine, hydrogen peroxide, and glutaraldehyde were the most effective products in the decontamination of gutta-percha cones.

  19. Central line-associated bloodstream infections: prevention and management.

    Science.gov (United States)

    Weber, David J; Rutala, William A

    2011-03-01

    Approximately 80,000 central venous line-associated bloodstream infections (CLA-BSI) occur in the United States each year. CLA-BSI is most commonly caused by coagulase-negative staphylococci, Staphylococcus aureus, Candida spp, and aerobic gram-negative bacilli. These organisms commonly gain entrance in into the bloodstream via the catheter-skin interface (insertion site) or via the catheter hub. Use of strict aseptic technique for insertion is the key method for the prevention of CLA-BSI. Various methods can be used to reduce unacceptably high rates of CLA-BSI, including use of an antiseptic- or antibiotic-impregnated catheter, daily chlorhexidine baths/washes, and placement of a chlorhexidine-impregnated sponge over the insertion site.

  20. Pilot study to evaluate 3 hygiene protocols on the reduction of bacterial load on the hands of veterinary staff performing routine equine physical examinations.

    Science.gov (United States)

    Traub-Dargatz, Josie L; Weese, J Scott; Rousseau, Joyce D; Dunowska, Magdalena; Morley, Paul S; Dargatz, David A

    2006-07-01

    Reduction factors (RFs) for bacterial counts on examiners' hands were compared when performing a standardized equine physical examination, followed by the use of one of 3 hand-hygiene protocols (washing with soap, ethanol gel application, and chlorohexidine-ethanol application). The mean RFs were 1.29 log10 and 1.44 log10 at 2 study sites for the alcohol-gel (62% ethyl alcohol active ingredient) protocols and 1.47 log10 and 1.94 log10 at 2 study sites for the chlorhexidine-alcohol (61% ethyl alcohol plus 1% chlorhexidine active ingredients) protocols, respectively. The RFs were significantly different (P bacterial load on the hands of people after they perform routine physical examinations.

  1. Use of the Malthus-AT system to assess the efficacy of permeabilizing agents on the activity of antibacterial agents against Pseudomonas aeruginosa.

    Science.gov (United States)

    Ayres, H M; Payne, D N; Furr, J R; Russell, A D

    1998-06-01

    The Malthus-AT system provided a satisfactory method for examining the effects of permeabilizing agents on the activity of sub-inhibitory concentrations of antibacterial agents against Pseudomonas aeruginosa G48. Under this system, disodium edetate potentiated the activity of chlorhexidine diacetate (CHA), cetylpyridinium chloride, para-chlorometaxylenol and triclosan. Nitrilotriacetic acid enhanced the activity of some of the antibacterials tested, whereas sodium polyphosphate markedly reduced the efficacy of CHA.

  2. Standardized method for evaluation of hand disinfection by surgical scrub formulations.

    OpenAIRE

    Crémieux, A; Reverdy, M.E.; Pons, J. L.; Savage, C; Chevalier, J.; Fleurette, J; Mossé, M

    1989-01-01

    A standardized protocol for the evaluation of hand disinfection by surgical scrub formulations was applied to volunteers in a multicenter trial. Povidone iodine (PVI), chlorhexidine (CHX), and a nonmedicated soap (NMS) were tested. The scrubbing procedure involved three daily hand washings for five consecutive days; surviving bacteria were counted daily after being collected in a suitable neutralizing solution. Immediate efficacy (IE), cumulative efficacy (CE), and remanent effect (RE) were c...

  3. Evaluation of Antimicrobial and Antifungal efficacy of Chitosan as endodontic irrigant against Enterococcus Faecalis and Candida Albicans Biofilm formed on tooth substrate

    Science.gov (United States)

    Yadav, Pankaj; Saxena, Rajendra K.; Talwar, Sangeeta; Yadav, Sudha

    2017-01-01

    Background Bacterial biofilms formed on the root canal wall are often difficult to remove. This study aimed to evaluate the cytotoxic effect and antibacterial efficacy of chitosan when used as root canal irrigant against E. Faecalis and Candida albicans biofilm formed on tooth substrate. Material and Methods The present study evaluated antibacterial effect of 0.25% Chitosan, 0.5% Chitosan, 2% chlorhexidine and 3% sodium hypochlorite against Enterococcus faecalis and Candida Albicans. Agar-well diffusion methods, minimal inhibitory concentration tests and biofilm susceptibility assays were used to determine antibacterial activity. Teeth specimens were sectioned to obtain a standardized tooth length of 12mm. Specimens were inoculated with 10 mL of the freshly prepared E. Faecalis suspension and Candida albicans for 4 weeks. The specimens were then instrumented with ProTaper rotary files F3 size. After irrigation with test solution, three sterile paper points were placed into one canal, left for 60 s and transferred to a test tube containing 1 mL of reduced transport fluid. The number of CFU in 1 mL was determined. Results 3-week biofilm qualitative assay showed complete inhibition of bacterial growth with 3% Sodium hypochlorite, 2% Chlorhexidine and Chitosan except saline, which showed presence of bacterial growth. Significant reduction of colony forming units (CFU)/mL was observed for the chitosan groups and the antibacterial activity of the chitosan groups was at par with 3% NaOCl and 2% Chlorhexidine. It was observed that the chitosan showed no cytotoxicity at 3mg/ml and 10% cytotoxicity at 6mg/ml. Conclusions The use of chitosan as a root canal irrigant might be an alternative considering the various undesirable properties of NaOCl and chlorhexidine. Key words:Biofilm, Candida albicans, Chitosan, Cytotoxicity, Enterococcus faecalis. PMID:28298975

  4. Comparison the Effects of Different Root Canal Irrigants on the Retention of Quarts Fiber Posts Cemented by Resin Cement

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    Mehdi Shirinzad

    2012-01-01

    Full Text Available Introduction: Root canal irrigants could change the structure of root dentin and affect the posts retention the purpose of this study was to compare the effects of three different endodontic irrigants on the retention of quarts fiber posts cemented by different resin cements. Materials & Methods: In this in-vitro study, 10 mm long post spaces were prepared in root canals of 120 premolars after endodontic therapy and cutting the crowns at the cementoenamel junction. The teeth were randomly divided into four equal groups based on the irrigants as follows: distilled water, 2% chlorhexidine, 0.25% iodine and 1% NaOCl. Quarts fiber posts were cemented by Panavia F2. Samples were stored at 370c and humidity of 100% for one week. After thermocycling, the retention of fiber posts were measured by tensile test and modes of failure were reported. Data were analyzed by One-Way ANOVA, Tukey and Fisher's exact tests.Results: The mean and standard deviation of the posts retention were 367.08±63.07, 377.59±72.02, 363.11±68.53 and 342.89±74.94 for distilled water, chlorhexidine 2%, iodine 0.25% and sodium hypochlorite, respectively. One-way ANOVA showed that there was a significant difference among the groups (P<0.001. The results of Tukey test showed that posts retention was significantly higher after rinsing by chlorhexidine (P<0.01Conclusion: According to the results of this study, chlorhexidine rinse had a favorable effect on retention of posts cemented by resin cement.

  5. A Comparison between Antibacterial Activity of Propolis and Aloe vera on Enterococcus faecalis (an In Vitro Study)

    OpenAIRE

    Ehsani, Maryam; Amin Marashi, Mahmood; Zabihi, Ebrahim; Issazadeh, Maryam; Khafri, Soraya

    2013-01-01

    Removing the bacteria, including Enterococcus faecalis, from the root canal is one of the important aims in endodontic treatment.We aimed to compare the antibacterial activity of Chlorhexidine with two natural drugs. The antibacterial activities of three different propolis extracts (alcohol concentrations: 0, 15, 40%) and Aloe vera gel on E. faecalis were compared using three methods: disk diffusion, microdilution and direct contact test. In addition to the above bacterium, the Aloe vera gel ...

  6. Effectiveness of Halogen-Based Disinfectants Against Acinetobacter Baumannii: Wound Care and Environmental Decontamination

    Science.gov (United States)

    2006-11-01

    heavily contaminated hands than plain soap or 4% chlorhexidine gluconate. CONCLUSION Chlorine dioxide containing agents may offer a new...superior disinfection of the wound. However, chlorine containing compounds are used extensively as sanitizing agents, with elemental chlorine being one of...neutralizing potential, "stacks the deck" against disinfectant efficacy . Long chain amphipathic lipids and protein-binding interaction(s), e.g

  7. Conservative Treatment of a Patient with Epidermolysis Bullosa Presenting as Bart Syndrome: A Case Report

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    Samet Vasfi Kuvat

    2010-01-01

    Full Text Available We presented a case of a newborn male with aplasia cutis congenita on the lower limb. The case was treated with conservative method. As for the conservative treatment, daily hydrodebridement with 1/200 diluted povidone-iodine and serum physiologic was performed, followed by closure of the wound with a dexpanthenol + chlorhexidine + fusidic acid-impregnated sterile gauze bandage. the followup that occured after three weeks, the wound was completely epithelialized, but a hypopigmented scar remained in the limb.

  8. In-Vitro Archaeacidal Activity of Biocides against Human-Associated Archaea

    OpenAIRE

    2013-01-01

    BACKGROUND: Several methanogenic archaea have been detected in the human intestinal microbiota. These intestinal archaea may contaminate medical devices such as colonoscopes. However, no biocide activity has been reported among these human-associated archaea. METHODOLOGY: The minimal archaeacidal concentration (MAC) of peracetic acid, chlorhexidine, squalamine and twelve parent synthetic derivatives reported in this study was determined against five human-associated methanogenic archaea inclu...

  9. Field Applicable Method to Reduce Dental Emergencies.

    Science.gov (United States)

    1987-07-31

    antibacterial activity. An example of an antiplaque agent being more effective on smooth surfaces caries is chlorhexidine gluconate , which In a rodent...pruclinical insusiiganions. including radiation arhsortied dose: upon admnititation to a nitnla) hCetig studies maude tin lahinrator\\ animals, on the baist of...presious human studies to allow a reasonable calerilatun til radiation absorbed dose upon administration to a human being. 16. A %tatemt Ihat all noni

  10. US Army Institute of Surgical Research Annual Research Progress Report FY 1982.

    Science.gov (United States)

    1982-10-01

    previous reporting periods. The possibility that residual chlorhexidine gluconate from wound washing lowers recoveries is being investigated. Organisms...Philippine College of Surgeons, Manila 7-11 Dec 81. McManus WF: Lasers and Radiation Burns. Academy of Health Sciences, Fort Sam Houston, TX 8 Dec 81. McManus...Treatment of Infections. Philippine College of Surgeons, Manila, Philippines, 7-11 December 1981 McManus WF: Lasers and Radiation Burns. Academy of

  11. In vitro effects of Melaleuca alternifolia essential oil on growth and production of volatile sulphur compounds by oral bacteria

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    Talita Signoreti GRAZIANO

    Full Text Available ABSTRACT Objective Halitosis can be caused by microorganisms that produce volatile sulphur compounds (VSCs, which colonize the surface of the tongue and subgingival sites. Studies have reported that the use of natural products can reduce the bacterial load and, consequently, the development of halitosis. The aim of this study was to evaluate the antimicrobial activity of the essential oil of Melaleuca alternifolia on the growth and volatile sulphur compound (VSC production of oral bacteria compared with chlorhexidine. Material and Methods The effects of these substances were evaluated by the Minimum Inhibitory Concentration (MIC and Minimum Bactericidal Concentration (MBC in planktonic cultures of Porphyromonas gingivalis and Porphyromonas endodontalis. In addition, gas chromatography analyses were performed to measure the concentration of VSCs from bacterial cultures and to characterize M. alternifolia oil components. Results The MIC and MBC values were as follows: M. alternifolia - P. gingivalis (MIC and MBC=0.007%, P. endodontalis (MIC and MBC=0.007%=0.5%; chlorhexidine - P. gingivalis and P. endodontalis (MIC and MBC=1.5 mg/mL. M. alternifolia significantly reduced the growth and production of hydrogen sulfide (H2S by P. gingivalis (p<0.05, ANOVA-Dunnet and the H2S and methyl mercaptan (CH3SH levels of P. endodontalis (p<0.05, ANOVA-Dunnet. Chlorhexidine reduced the growth of both microorganisms without altering the production of VSC in P. endodontalis. For P. gingivalis, the production of H2S and CH3SH decreased (p<0.05, ANOVA-Dunnet. Conclusion M. alternifolia can reduce bacterial growth and VSCs production and could be used as an alternative to chlorhexidine.

  12. Development of Colorimetric Microtiter Plate Assay for Assessment of Antimicrobials against Acanthamoeba

    OpenAIRE

    McBride, James; Ingram, Paul R.; Henriquez, Fiona L.; Roberts, Craig W.

    2005-01-01

    We have developed and optimized a 96-well microtiter plate assay, based on the reduction of alamarBlue, to assess the efficacies of much needed new antimicrobials against Acanthamoeba species. This assay has been optimized for determination of drug efficacy against two potentially pathogenic species, Acanthamoeba castellanii and Acanthamoeba polyphaga, and has been validated by comparison of their relative susceptibilities to chlorhexidine, a drug widely used to treat Acanthamoeba keratitis. ...

  13. Morphological effects of MMPs inhibitors on the dentin bonding

    OpenAIRE

    Li, He; Li, Tianbo; LI, XIUYING; Zhang, Zhimin; Li, Penglian; Li, Zhenling

    2015-01-01

    Matrix metalloproteinases (MMPs) have been studied extensively, and MMP inhibitors have been used as dental pretreatment agents prior to dentin bonding because they reduce collagen fiber degradation and improve bonding strength. However, morphologic characteristics of the collagen network after etching and of the post-adhesive dentin hybrid layers (DHL) after MMP inhibitors pretreatment have not been evaluated. Thus, we investigated demineralized dentin pretreated with chlorhexidine (CHX) and...

  14. Current and new strategies for the delivery of antiseptic agents.

    Science.gov (United States)

    Constant, Hélène; Falson, Françoise; Pirot, Fabrice

    2006-07-01

    The present mini-review explores the current methods used for the delivery of antiseptics and topical antimicrobials. Relevance of hand scrub with antiseptic liquid soap (e.g. chlorhexidine, PVP-iodine, triclosan) and alcohol-based hand rub is discussed and compared in terms of bactericidal activity, skin tolerance, and medical staff observance. New strategies for antibacterial delivery focus on the challenge of colloidal drug carrier such as liposomes, micro- and nanoparticles enabling sustained bactericidal effect and effective bacterial targeting.

  15. The antimicrobial sensitivity of Streptococcus mutans and Streptococcus sangius to colloidal solutions of different nanoparticles applied as mouthwashes

    Directory of Open Access Journals (Sweden)

    Farzaneh Ahrari

    2015-01-01

    Full Text Available Background: Metal nanoparticles have been recently applied in dentistry because of their antibacterial properties. This study aimed to evaluate antibacterial effects of colloidal solutions containing zinc oxide (ZnO, copper oxide (CuO, titanium dioxide (TiO 2 and silver (Ag nanoparticles on Streptococcus mutans and Streptococcus sangius and compare the results with those of chlorhexidine and sodium fluoride mouthrinses. Materials and Methods: After adding nanoparticles to a water-based solution, six groups were prepared. Groups I to IV included colloidal solutions containing nanoZnO, nanoCuO, nanoTiO 2 and nanoAg, respectively. Groups V and VI consisted of 2.0% sodium fluoride and 0.2% chlorhexidine mouthwashes, respectively as controls. We used serial dilution method to find minimum inhibitory concentrations (MICs and with subcultures obtained minimum bactericidal concentrations (MBCs of the solutions against S. mutans and S. sangius. The data were analyzed by analysis of variance and Duncan test and P < 0.05 was considered as significant. Results: The sodium fluoride mouthrinse did not show any antibacterial effect. The nanoTiO 2 -containing solution had the lowest MIC against both microorganisms and also displayed the lowest MBC against S. mutans (P < 0.05. The colloidal solutions containing nanoTiO 2 and nanoZnO showed the lowest MBC against S. sangius (P < 0.05. On the other hand, chlorhexidine showed the highest MIC and MBC against both streptococci (P < 0.05. Conclusion: The nanoTiO 2 -containing mouthwash proved to be an effective antimicrobial agent and thus it can be considered as an alternative to chlorhexidine or sodium fluoride mouthrinses in the oral cavity provided the lack of cytotoxic and genotoxic effects on biologic tissues.

  16. Influência do tempo de exposição ao meio ambiente, da desinfecção química e da pigmentação sobre a estabilidade dimensional e a manutenção da reprodução de detalhes de silicones nacionais para uso em prótese facial

    OpenAIRE

    Guiotti, Aimée Maria

    2003-01-01

    The purpose of this study was to analyse the influence of time exposure to the environmental factors, chemical disinfection with 2% chlorhexidine-based solution and two distincts pigments about dimensional changing and maintenance of details of two silicones for use in maxillofacial prosthesis. Thirty specimens were fabricated for each silicone using a matrix, conformed closely to the specifications for nonaqueous, elastomeric dental impression materials established by the Revised American De...

  17. Antimicrobial and plaque inhibitory potential of herbal and probiotic oral rinses in children: A randomized clinical trial

    Directory of Open Access Journals (Sweden)

    Rahul Mishra

    2014-01-01

    Conclusion: Based on observations done during the course of study herbal rinse proved equally effective as 0.2% chlorhexidine digluconate in reducing S. viridans counts and plaque accumulation after 1 week of intervention, whereas probiotic rinse was least effective. However, long-term clinical trial with larger sample size needs to be undertaken, especially to evaluate beneficial effects of biogenic agents such as herbal and probiotic rinses.

  18. The metabolically active subpopulation in Pseudomonas aeruginosa biofilms survives exposure to membrane-targeting antimicrobials via distinct molecular mechanisms

    DEFF Research Database (Denmark)

    Chiang, Wen-Chi; Pamp, Sünje Johanna; Nilsson, Martin

    2012-01-01

    Biofilms are reported to be inherently refractory toward antimicrobial attack and, therefore, cause problems in industrial and medical settings. Pseudomonas aeruginosa biofilms contain subpopulations that exhibit high metabolic activity and subpopulations that exhibit low metabolic activity. We......-targeting compounds colistin, EDTA, SDS, and chlorhexidine resulted in the same spatial distribution of live and dead bacteria, we investigated whether tolerance to these compounds originated from the same molecular mechanisms. Development of colistin-tolerant subpopulations was found to depend on the pmr genes...

  19. Tissue Adhesives for Battlefield Hemorrhage Control. Phase II.

    Science.gov (United States)

    1997-04-01

    conducted by Microbiology Research Associates (Acton, MA). Silicone rubber disks loaded with 0, 1, 2, and 3% CHX were prepared. These were then used to...Consulting and Research Pg.2 Microbiology Research Associates, Inc. Whalen #007 4. After the contact time interval, each disc was aseptically placed in a...to the negative control disc. Pg.3 Microbiology Research Associates, Inc. Whalen #007 Conclusion continued: 4. In general, the 3% Chlorhexidine disc

  20. EFECTO INHIBIDOR DEL EXTRACTO ETANÓLICO DE CAESALPINIA SPINOSA (TAYA) EN COMPARACIÓN A HIDRÓXIDO DE CALCIO, PARAMONOCLOROFENOL ALCANFORADO Y CLORHEXIDINA EN GEL AL 2%, SOBRE CEPAS DE ENTEROCOCCUS FAECALIS. ESTUDIO IN VITRO

    OpenAIRE

    2016-01-01

    The aim of this experimental study was to compare the inhibitory effect in vitro of the etanolic extract Caesalpinia spinosa (taya) to calcium hidroxide, camphorated paramonochlorophenol, and 2% chlorhexidine against Enterococcus faecalis. The susceptibility test was made, using the method of dissemination in discs. The strains os e. faecalis were sown in plates containing culture médium Mueller Hinton, and placed discs with differents concentrations of etanolic extract, calcium hidroxide...

  1. Antimicrobial Activity of Endodontic Medicaments and Vehicles using Agar Well Diffusion Method on Facultative and Obligate Anaerobes

    Science.gov (United States)

    Bhat, Kishore G; Sogi, Suma

    2016-01-01

    Aims The aim of this study was to determine the relative antimicrobial effectiveness of these endodontic medicaments and various vehicles using an agar well diffusion assay. Materials and methods Double Antibiotic Paste(DAP), modified DAP, 2% Chlorhexidine gluconate and their combination with four vehicles namely Polyethylene glycol 400 (PEG), Propylene glycol (PG), combinations of PG with PEG and lastly Glycerine were tested using agar well diffusion assay. The minimum bactericidal concentration was noted against four standard strains of organisms ie Streptococcus mutans ATCC( American Type Culture Collection) 25175, Staphylococcus aureus ATCC 12598, Enterococcus faecalis ATCC 35550 and Eschericia coli ATCC 25922. Successful endodontic therapy depends upon thorough disinfection of root canals. In some refractory cases, routine endodontic therapy is not sufficient, so intracanal medicaments are used for proper disinfection of canals. Issues of resistance, limited spectrum of activity and lack of antifungal properties, the hunt for the ideal intracanal medicament continues. In this regard, the vehicles used to form the pastes play a supportive role by forming the appropriate consistency for placement and may dramatically influence their chemical characteristics like their solubility and diffusion. Thus, inorder to use safer and equally effective intracanal medicaments, Chlorhexidine gluconate is being unveiled in this study. Results The difference between the four vehicles when combined with the same endodontic medicament studied above is nonsignificant (NS) except against Porphyromonas gingivalis. Propylene glycol is significantly effective than Glycerine when used with DAP ie C+M medicament combination. (p = 0.029) Conclusion 2% chlorhexidine gluconate and modified DAP can definitely replace DAP and triple antibiotic paste as end-odontic medicaments with chlorhexidine having an added advantage of bactericidal action, substantivity, biocompatibility, low toxicity

  2. Effect of three commercial mouth rinses on cultured human gingival fibroblast: An in vitro study

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    Flemingson

    2008-01-01

    Full Text Available Aim: To examine the effect of three commercial mouth rinses (Hexidine 0.2%, Listerine Cool Mint, Betadine 1% upon cultured human gingival fibroblast proliferation. Materials and Methods: Human gingival fibroblasts were cultured and incubated in Dulbecco′s Minimum Eagle′s Medium containing Chlorhexidine, Listerine, Povidone-Iodine at varying concentrations (1%, 2%, 5%, 10%, 20% and 100% of the given solution at 37°C for 1, 5 and 15 min. Control cells received an equal volume of Dulbecco′s Minimum Eagle′s Medium without adding mouth rinses, for similar duration of exposure at 37°C. Following incubation the media were removed, cells were washed twice with medium, supplemented with 10% Fetal Bovine Serum, and fibroblasts in the test and control group were allowed to recover in the same media for 24 h. Results: In all the three groups, the proliferation inhibition was dependent on the concentration of solublized mouth rinses in the cell culture but independent of the duration of exposure to all three mouth rinses. The results showed that all three solutions were toxic to cultured human gingival fibroblasts, Chlorhexidine being the most cytotoxic. It was seen that at dilute concentrations (1% and 2% of given solutions Listerine was more cytotoxic than Chlorhexidine and Povidone-Iodine. Conclusion: These results suggest that Chlorhexidine, Listerine and Povidone-Iodine are capable of inducing a dose-dependent reduction in cellular proliferation of fibroblasts. The results presented are interesting, but to know the clinical significance, further studies are needed.

  3. Sonic versus ultrasonic activation for the cleaning of the root canal after post space preparation: an in vitro study.

    Directory of Open Access Journals (Sweden)

    René Carrasco

    2015-08-01

    Full Text Available Objective: To compare the efficacy of 3 intracanal cleaning protocols used before cementation of prosthetic posts. Material and Methods: 40 anterior teeth received endodontic treatment in hand, using lateral condensation technique. After two weeks, gutta-percha was appropriately removed from the teeth to get the necessary space to install a post. Then, teeth were randomly divided into groups; root surface was treated with chlorhexidine (CHX activated by ultrasound (US (group I, with chlorhexidine activated by sonic instrumentation (S (group II, chlorhexidine without activation (group III and without treatment (group IV. All teeth were fractured longitudinally getting 2 sections. The middle third of the root canal was microphotographed with a scanning electron microscope (SEM and the contaminated surface was measured using detritus with ImageJ 1.47. It was analyzed with Kruskal-Wallis-test using GraphPad Prism 5.01. Results: The median percentage of contaminated area of Group I was 20.06%, Group II, 19.3%; Group III, 36.05%; and Group IV, 56.45%. Conclusion: There are significant differences among different intracanal cleaning protocols in the removal efficiency of detritus from the root canal, being the activated protocols the most effective ones.

  4. Recycling antibiotics into GUMBOS: a new combination strategy to combat multi-drug-resistant bacteria.

    Science.gov (United States)

    Cole, Marsha R; Hobden, Jeffery A; Warner, Isiah M

    2015-04-10

    The emergence of multi-drug-resistant bacteria, coupled with the lack of new antibiotics in development, is fast evolving into a global crisis. New strategies utilizing existing antibacterial agents are urgently needed. We propose one such strategy in which four outmoded β-lactam antibiotics (ampicillin, carbenicillin, cephalothin and oxacillin) and a well-known antiseptic (chlorhexidine di-acetate) were fashioned into a group of uniform materials based on organic salts (GUMBOS) as an alternative to conventional combination drug dosing strategies. The antibacterial activity of precursor ions (e.g., chlorhexidine diacetate and β-lactam antibiotics), GUMBOS and their unreacted mixtures were studied with 25 clinical isolates with varying antibiotic resistance using a micro-broth dilution method. Acute cytotoxicity and therapeutic indices were determined using fibroblasts, endothelial and cervical cell lines. Intestinal permeability was predicted using a parallel artificial membrane permeability assay. GUMBOS formed from ineffective β-lactam antibiotics and cytotoxic chlorhexidine diacetate exhibited unique pharmacological properties and profound antibacterial activity at lower concentrations than the unreacted mixture of precursor ions at equivalent stoichiometry. Reduced cytotoxicity to invasive cell types commonly found in superficial and chronic wounds was also observed using GUMBOS. GUMBOS show promise as an alternative combination drug strategy for treating wound infections caused by drug-resistant bacteria.

  5. Adjunctive Systemic and Local Antimicrobial Therapy in the Surgical Treatment of Peri-implantitis: A Randomized Controlled Clinical Trial.

    Science.gov (United States)

    Carcuac, O; Derks, J; Charalampakis, G; Abrahamsson, I; Wennström, J; Berglundh, T

    2016-01-01

    The aim of the present randomized controlled clinical trial was to investigate the adjunctive effect of systemic antibiotics and the local use of chlorhexidine for implant surface decontamination in the surgical treatment of peri-implantitis. One hundred patients with severe peri-implantitis were recruited. Surgical therapy was performed with or without adjunctive systemic antibiotics or the local use of chlorhexidine for implant surface decontamination. Treatment outcomes were evaluated at 1 y. A binary logistic regression analysis was used to identify factors influencing the probability of treatment success, that is, probing pocket depth ≤5 mm, absence of bleeding/suppuration on probing, and no additional bone loss. Treatment success was obtained in 45% of all implants but was higher in implants with a nonmodified surface (79%) than those with a modified surface (34%). The local use of chlorhexidine had no overall effect on treatment outcomes. While adjunctive systemic antibiotics had no impact on treatment success at implants with a nonmodified surface, a positive effect on treatment success was observed at implants with a modified surface. The likelihood for treatment success using adjunctive systemic antibiotics in patients with implants with a modified surface, however, was low. As the effect of adjunctive systemic antibiotics depended on implant surface characteristics, recommendations for their use in the surgical treatment of peri-implantitis should be based on careful assessments of the targeted implant (ClinicalTrials.gov NCT01857804).

  6. Effect of selective elimination of the oral flora on mucositis in irradiated head and neck cancer patients

    Energy Technology Data Exchange (ETDEWEB)

    Spijkervet, F.K.; Van Saene, H.K.; Van Saene, J.J.; Panders, A.K.; Vermey, A.; Mehta, D.M.; Fidler, V. (Univ. of Groningen (Netherlands))

    1991-03-01

    Recently it has been reported that chlorhexidine 0.1% rinsing was not successful in eradication of gram-negative bacilli in patients who have head and neck cancer. These bacilli could play a role in irradiation mucositis. This study reports the effect of lozenges containing 2 mg polymyxin E, 1.8 mg tobramycin, and 10 mg amphotericin B qid on the oropharyngeal flora in 15 irradiated head and neck cancer patients. The results were compared with those of a previous study in two groups of 15 patients comparing chlorhexidine rinsing with placebo. In all patients using lozenges, eradication of gram-negative bacilli and yeasts was achieved within 3 weeks. A significant increase of enterococci was found. Mucositis was significantly reduced compared with the previous two groups. All patients showed erythema only, whereas 80% of both the placebo and chlorhexidine rinsing patients suffered from severe mucositis, with signs of pseudomembranes developing from the third week of conventional irradiation protocol. The effect of selective elimination of gram-negative bacilli from the oropharynx and the prevention of severe mucositis may be explained by the eradication of these bacteria and/or neutralization of salivary endotoxin, released by gram-negative bacilli, mediating the inflammatory processes.

  7. Self-etching adhesives increase collagenolytic activity in radicular dentin.

    Science.gov (United States)

    Tay, Franklin R; Pashley, David H; Loushine, Robert J; Weller, R Norman; Monticelli, Francesca; Osorio, Raquel

    2006-09-01

    Endogenous matrix metalloproteinases (MMPs) release from crown dentin and their activation results in degradation of hybrid layers created by dentin adhesives. This study tested the hypothesis that instrumented intraradicular dentin possesses latent collagenolytic activity that is activated by mild self-etching adhesives. Root dentin shavings were produced from 50 cleaned and shaped, saline-irrigated root canals using Gates Glidden drills and rinsed with sodium azide to prevent bacterial growth. Dried dentin powder aliquots were treated with two clinically-relevant MMP inhibitors, 2% chlorhexidine for 10 minutes and 17% EDTA for 1 minute. Additional dentin powder was mixed with Clearfil Liner Bond 2V or Clearfil Tri-S Bond for 1 minute followed by extracting the adhesives with acetone. Dentin powder was also treated with 2% chlorhexidine for 10 minutes before or after adhesive application. Collagenolytic activities of the nine groups were assayed with a fluorometer in 96-well plates, by recording the changes in fluorescence before and after addition of fluorescein-labeled type I collagen. Epoxy resin-embedded powders were examined with TEM for the extent of demineralization. Instrumented, mineralized intraradicular dentin possessed low but detectable collagenolytic activity that was inhibited by chlorhexidine (p dentin powder and activated latent MMPs, with 14- to 15-fold increases in collagenolytic activities (p MMPs without denaturing these enzymes, and may adversely affect the longevity of bonded root canal fillings and posts.

  8. Antiseptic effect of a novel alcohol-free mouthwash: a convenient prophylactic alternative for high-risk patients.

    Science.gov (United States)

    Bahna, Paul; Hanna, Hend A; Dvorak, Tanya; Vaporciyan, Ara; Chambers, Mark; Raad, Issam

    2007-02-01

    We developed an efficacious and non-irritant mouthwash that is alcohol-free and that has a low concentration of chlorhexidine, in order to be used for preventing oral cavity infections in immunocompromised and cancer patients. The novel mouthwash solution was tested for its antimicrobial efficacy against both free floating (planktonic) and the biofilm forms of Candida albicans. The solution was also tested against Klebsiella pneumoniae, Pseudomonas aeruginosa, and methicillin-resistant Staphylococcus aureus (MRSA), using a modification of a previously published method. The activity of the novel mouthwash was also compared with that of three commercially available mouthwashes. The experimental mouthwash showed efficacy against C. albicans, both in free-floating form and in biofilm. With higher concentration of chlorhexidine, the solution was also efficacious in inhibiting the growth of K. pneumoniae, P. aeruginosa, and MRSA. The antiseptic activity of the alcohol-free mouthwash against other bacterial organisms and C. albicans was comparable to other commercially available alcohol-based mouthwash solutions. A novel alcohol-free mouthwash solution, that has low concentration of chlorhexidine, showed antiseptic effect against planktonic and biofilm forms of C. albicans and against K. pneumoniae, P. aeruginosa, and MRSA.

  9. Effect of oil pulling on halitosis and microorganisms causing halitosis: A randomized controlled pilot trial

    Directory of Open Access Journals (Sweden)

    Sharath Asokan

    2011-01-01

    Full Text Available Background: Oil pulling therapy has been used extensively as a traditional Indian folk remedy for many years for strengthening teeth, gums, and jaws and to prevent decay, oral malodor, bleeding gums and dryness of throat, and cracked lips. Aims: The aims of this study were to evaluate the effect of oil pulling with sesame oil on halitosis and the microorganisms that could be responsible for it and to compare its efficacy with chlorhexidine mouthwash. Materials and Methods: Group I (oil pulling and group II (chlorhexidine included 10 adolescents each. The following parameters were assessed: marginal gingival index, plaque index, organoleptic breath assessment (ORG 1, self-assessment of breath (ORG 2, and BANA test from tongue coating samples on days 0 and 14 of the experimental period. Results : The comparisons of the pre and post therapy values of plaque and modified gingival index score showed a statistically significant difference (P = 0.005 and 0.007, respectively in group I and II. There was a definite reduction in the ORG 1, ORG 2, scores and BANA test score in both groups I and II. Conclusions: Oil pulling therapy has been equally effective like chlorhexidine on halitosis and organisms, associated with halitosis.

  10. Influence of preventive dental treatment on mutans streptococci counts in patients undergoing head and neck radiotherapy

    Directory of Open Access Journals (Sweden)

    Lívia Buzati Meca

    2009-01-01

    Full Text Available The aim of this study was to evaluate the influence of chlorhexidine gluconate, sodium fluoride and sodium iodine on mutans streptococci counts in saliva of irradiated patients. MATERIAL AND METHODS: Forty-five patients were separated into three experimental groups and received chlorhexidine (0.12%, sodium fluoride (0.5% or sodium iodine (2%, which were used daily during radiotherapy and for 6 months after the conclusion of the treatment. In addition, a fourth group, composed by 15 additional oncologic patients, who did not receive the mouthwash or initial dental treatment, constituted the control group. Clinical evaluations were performed in the first visit to dental clinic, after initial dental treatment, immediately before radiotherapy, after radiotherapy and 30, 60, 90 days and 6 months after the conclusion of radiotherapy. After clinical examinations, samples of saliva were inoculated on SB20 selective agar and incubated under anaerobiosis, at 37ºC for 48 h. Total mutans streptococci counts were also evaluated by using real-time PCR, through TaqMan system, with specific primers and probes for S. mutans and S. sobrinus. RESULTS: All preventive protocols were able to reduce significantly mutans streptococci counts, but chlorhexidine gluconate was the most effective, and induced a significant amelioration of radiotherapy side effects, such as mucositis and candidosis. CONCLUSION: These results highlights the importance of the initial dental treatment for patients who will be subjected to radiotherapy for head and neck cancer treatment.

  11. In vitro evaluation of wound healing and antimicrobial potential of ozone therapy.

    Science.gov (United States)

    Borges, Gabriel Álvares; Elias, Silvia Taveira; da Silva, Sandra Márcia Mazutti; Magalhães, Pérola Oliveira; Macedo, Sergio Bruzadelli; Ribeiro, Ana Paula Dias; Guerra, Eliete Neves Silva

    2017-03-01

    Although ozone therapy is extensively applied when wound repair and antimicrobial effect are necessary, little is known about cellular mechanisms regarding this process. Thus, this study aimed to evaluate ozone cytotoxicity in fibroblasts (L929) and keratinocytes (HaCaT) cell lines, its effects on cell migration and its antimicrobial activity. Cells were treated with ozonated phosphate-buffered saline (8, 4, 2, 1, 0.5 and 0.25 μg/mL ozone), chlorhexidine 0.2% or buffered-solution, and cell viability was determined through MTT assay. The effect of ozone on cell migration was evaluated through scratch wound healing and transwell migration assays. The minimum inhibitory concentrations for Candida albicans and Staphylococcus aureus were determined. Ozone showed no cytotoxicity for the cell lines, while chlorhexidine markedly reduced cell viability. Although no significant difference between control and ozone-treated cells was observed in the scratch assay, a considerable increase in fibroblasts migration was noticed on cells treated with 8 μg/mL ozonated solution. Ozone alone did not inhibit growth of microorganisms; however, its association with chlorhexidine resulted in antimicrobial activity. This study confirms the wound healing and antimicrobial potential of ozone therapy and presents the need for studies to elucidate the molecular mechanisms through which it exerts such biological effects.

  12. Zinc pyrithione in alcohol-based products for skin antisepsis: persistence of antimicrobial effects.

    Science.gov (United States)

    Guthery, Eugene; Seal, Lawton A; Anderson, Edward L

    2005-02-01

    Alcohol-based products for skin antisepsis have a long history of safety and efficacy in the United States and abroad. However, alcohol alone lacks the required antimicrobial persistence to provide for the sustained periods of skin antisepsis desired in the clinical environment. Therefore, alcohol-based products must have a preservative agent such as iodine/iodophor compounds, chlorhexidine gluconate, or zinc pyrithione, to extend its antimicrobial effects. Iodine, iodophors, and chlorhexidine gluconate are well-characterized antimicrobials and preservatives. The thrust of our effort was to examine the characteristics of the lesser-known zinc pyrithione and to evaluate its utility as a preservative in the formulation of alcohol-based products for skin antisepsis. This work includes a literature review of current zinc pyrithione applications in drugs and cosmetics, a safety and toxicity evaluation, consideration of the proposed mechanisms of antimicrobial action, in vitro and in vivo efficacy data, and a discussion of the mechanisms that confer the desired antimicrobial persistence. In addition, alcohol-based, zinc pyrithione-preserved, commercially available products of skin antisepsis are compared with other commercially available antimicrobials used for skin antisepsis and with additional alcohol-based products with different preservatives. The authors' conclusion is that zinc pyrithione is not only a safe and effective antimicrobial but that its use in certain alcohol-based formulations results in antimicrobial efficacy exceeding that of iodine and chlorhexidine gluconate.

  13. Inhibition of biofilm formation and antibacterial properties of a silver nano-coating on human dentine.

    Science.gov (United States)

    Besinis, Alexandros; De Peralta, Tracy; Handy, Richard D

    2014-11-01

    The survival of pathogenic bacteria in the oral cavity depends on their successful adhesion to dental surfaces and their ability to develop into biofilms, known as dental plaque. Bacteria from the dental plaque are responsible for the development of dental caries, gingivitis, periodontitis, stomatitis and peri-implantitis. Certain metal nanoparticles have been suggested for infection control and the management of the oral biofilm. Here, it is shown that application of a silver nano-coating directly on dentine can successfully prevent the biofilm formation on dentine surfaces as well as inhibit bacterial growth in the surrounding media. This silver nano-coating was found to be stable (>98.8%) and to maintain its integrity in biological fluids. Its antibacterial activity was compared to silver nitrate and the widely used clinical antiseptic, chlorhexidine. The bacterial growth and cell viability were quantitatively assessed by measuring the turbidity, proportion of live and dead cells and lactate production. All three bioassays showed that silver nanoparticles and silver nitrate dentine coatings were equally highly bactericidal (>99.5%), while inhibiting bacterial adhesion. However, the latter caused significant dentine discolouration (ΔE* = 50.3). The chlorhexidine coating showed no antibacterial effect. Thus, silver nanoparticles may be a viable alternative to both chlorhexidine and silver nitrate, protecting from dental plaque and secondary caries when applied as a dentine coating, while they may provide the platform for creating anti-biofilm surfaces in medical devices and other biomedical applications.

  14. Evaluation of efficacy of a commercially available herbal mouthwash on dental plaque and gingivitis: A double-blinded parallel randomized controlled trial

    Directory of Open Access Journals (Sweden)

    Sanjukta Bagchi

    2015-01-01

    Full Text Available Aim: To evaluate if a commercially available herbal mouthwash, can be a better choice as an anti-plaque and antigingivitis agent when compared with chlorhexidine. Materials and Methods: In a double-blind, parallel group randomized clinical trial 90 nursing students aged 18-25 years were randomly divided into three groups: A (chlorhexidine, B (HiOra and C (distilled water. These groups were asked to rinse with their respective mouthwash two times daily for 21 days. Plaque and gingivitis were evaluated by using Turesky et al. modification of Quigley Hein Plaque Index (1970 and Modified Gingival Index by Lobene et al. (1986 respectively. Statistical analysis was done using ANOVA test. Results: There was statistically significant reduction in plaque and gingival scores from baseline to 21 days in both the groups A and B. Conclusions: Although chlorhexidine group proved to be the best anti-plaque and antigingivitis agent, it was found that HiOra group also showed gradual improvement from baseline to 21 days. Whereas no improvement was seen in the Group C using distilled water over 21 days.

  15. The effect of 4% Lignocaine gel, 5% Amiloride HCl and 10% Chlorpromazine on E.faecalis

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    Udayakumar Jayasimha Raj

    2011-01-01

    Full Text Available Introduction : Thorough disinfection of the root canal system is essential for the success of root canal therapy. Enterococcus faecalis is the most frequently found species in persistent/secondary intracanal infection associated endodontic treatment failure. The aim of this study was to evaluate the disinfection of dentinal tubules using 10% Chlorpromazine, 4% Lignocaine gel, 5% Amiloride hydrochloride in comparison with 2% chlorhexidine gel. Materials and Methods : The antibacterial efficacy of the four medicaments against Enterococcus faecalis was assessed in vitro using extracted human first and second mandibular premolar teeth at the depths of 200 ΅m and 400 ΅m. Results : The overall percentage inhibition of bacterial growth was 100% with 2% chlorhexidine gel followed by 10% chlorpromazine (88.8%, 4% lignocaine gel (76.4% and 5% amiloride hydrochloride (71.4%. Conclusion : 2% chlorhexidine gel was most effective against E. faecalis followed by the newer non- antibiotic medicament 10% chlorpromazine when compared to the other medicaments tested.

  16. Type 2 diabetes mellitus and severe periodontal disease in an adult population; effect of a new local delivery approach

    Directory of Open Access Journals (Sweden)

    Mahmoud Helmy Belal

    2015-06-01

    Full Text Available Objective: The aim of this study is to clarify association between diabetes mellitus and periodontitis, and assess the effect of metronidazole and chlorhexidine mixture as a local delivery. Methods: Sixty patients constituted three groups: (I type 2 diabetes with advanced periodontitis; (II diabetes mellitus without periodontitis; and (III periodontitis without diabetes. Clinical attachment loss (CAL and bleeding index (BI were recorded. Periodontitis received first non-surgical therapy, and then metronidazole and chlorhexidine gel. Diabetics undertook blood analysis for diabetic factors. Results: Statistical differences were noticed between groups I and II at all periods (three and six month except few sites, and between groups I and III at all sites of CAL and most sites of BI. Group I had the worst measurements at baseline and 3 month which reversed with less measurements at 6 month (following therapy by demonstrating significant intergroup positive changes, without significance prior to therapy. No significant differences were noticed within groups I and III for CAL prior to therapy except few sites, but were present at 6 month at all sites in group III and except two sites in group I. For BI, no differences were noticed except three sites. Conclusion: The present study suggested evidence on improvement of periodontal parameters following treatment with the local mixture of metronidazole and chlorhexidine gel. [J Exp Integr Med 2015; 5(2.000: 93-99

  17. Correlation of compliance with central line associated blood stream infection guidelines and outcomes: a review of the evidence

    Directory of Open Access Journals (Sweden)

    Gerkin R

    2012-05-01

    Full Text Available Background Clinical practice guidelines are developed to assist in patient care but the evidence basis for many guidelines has been called into question. Methods We conducted a literature review using PubMed and analyzed the overall quality of evidence and made strength of recommendation behind 8 Institute of Health Care (IHI guidelines for prevention of central line associated blood stream infection (CLABSI. Quality of evidence was assessed by the American Thoracic Society (ATS levels of evidence (levels I through III. We also examined data from our intensive care units (ICUs for evidence of a correlation between guideline compliance and the development of VAP.Results None of the guidelines was graded at level I. Two of the guidelines were graded at level II and the remaining 6 at level III. Despite the lack of evidence, 2 of the guidelines (hand hygiene, sterile gloves were given a strong recommendation. Chlorhexidine and use of nonfemoral sites were given a moderate recommendation. In our ICUs compliance with the use of chlorhexidine correlated with a reduction in CLABSI (p<0.02 but the remainder did not.Conclusions The IHI CLABSI guidelines are based on level II or III evidence. Data from our ICUs supported the use of chlorhexidine in reducing CLABSI. Until more data from well-designed controlled clinical trials become available, physicians should remain cautious when using current IHI guidelines to direct patient care decisions or as an assessment of the quality of care.

  18. Antimicrobial and cytotoxic effects of phosphoric acid solution compared to other root canal irrigants

    Directory of Open Access Journals (Sweden)

    Maíra PRADO

    2015-04-01

    Full Text Available Phosphoric acid has been suggested as an irrigant due to its effectiveness in removing the smear layer. Objectives : The purpose of this study was to compare the antimicrobial and cytotoxic effects of a 37% phosphoric acid solution to other irrigants commonly used in endodontics. Material and Methods : The substances 37% phosphoric acid, 17% EDTA, 10% citric acid, 2% chlorhexidine (solution and gel, and 5.25% NaOCl were evaluated. The antimicrobial activity was tested against Candida albicans, Staphylococcus aureus, Enterococcus faecalis, Escherichia coli, Actinomyces meyeri, Parvimonas micra, Porphyromonas gingivalis, and Prevotella nigrescens according to the agar diffusion method. The cytotoxicity of the irrigants was determined by using the MTT assay. Results : Phosphoric acid presented higher antimicrobial activity compared to the other tested irrigants. With regard to the cell viability, this solution showed results similar to those with 5.25% NaOCl and 2% chlorhexidine (gel and solution, whereas 17% EDTA and 10% citric acid showed higher cell viability compared to other irrigants. Conclusion : Phosphoric acid demonstrated higher antimicrobial activity and cytotoxicity similar to that of 5.25% NaOCl and 2% chlorhexidine (gel and solution.

  19. 6. Oral care competency and practices among critical care nurses for mechanically ventilated patients

    Directory of Open Access Journals (Sweden)

    L. Abed-Eddin

    2016-07-01

    Result: A total of 131 nurses out of 150 completed the questioners, 100% were females, 86% of nurses are Baccalaureate degree, 93% with 7–9 years’ experience in critical care units, 80% of nurses have adequate time to provide oral care at least once a day, 20.4% only of the nurses are using a toothbrush with 2% Chlorhexidine Solution every 2–4 h for oral care at least Once a Day, 75.8% of nurses prefer to use oral swab with 2% Chlorhexidine Solution q 2–4 h, 98% has positive attitude toward mouth care practice.Conclusions The survey provided useful information on the oral care knowledge and practices of nurses caring for Mechanically Ventilated Patients. Almost all the nurses perceived oral care to be a high priority. Very low number of nurses are using the toothbrush with 2% Chlorhexidine Solution every 2–4 h, this figure must be studied for further action. The majority of nurses had some formal training in oral care, but would appreciate an opportunity to improve their knowledge and skills.

  20. In vitro susceptibility of Staphylococcus aureus strains isolated from cows with subclinical mastitis to different antimicrobial agents

    Science.gov (United States)

    Schlenker, Gerd; Szabo, Istvan; Roesler, Uwe

    2012-01-01

    Sensitivity to commercial teat dips (nonoxinol-9 iodine complex and chlorhexidine digluconate) of 56 Staphylococcus (S.) aureus strains isolated from quarter milk samples of various German dairy herds treated with different teat dipping schemes was investigated in this study. The minimum inhibitory concentration was determined using a broth macrodilution method according to the German Veterinary Association guidelines. The main objective of the current study was to induce in vitro resistance induction of S. aureus to chemical disinfectants. Ten different strains were repeatedly passed ten times in growth media with sub-lethal concentrations of disinfectants. Nine strains showed a significant reduction in susceptibility to the nonoxinol-9 iodine complex but only one strain developed resistance to chlorhexidine digluconate. Stability of the acquired resistance was observed in all S. aureus strains adapted to the nonoxinol-9 iodine complex and chlorhexidine digluconate. In contrast, simultaneous resistance to different antibiotics was not observed in any of the ten investigated S. aureus strains. However, the isolates exhibited a high degree of resistance to penicillin G. Based on these results, resistance of S. aureus to chemical disinfectants may be more likely to develop if the chemicals are used at concentrations lower than that required for an optimal biocidal effect. PMID:22705737

  1. 4种漱口液对白色念珠菌抑制效果的实验研究及临床观察%Clinical Observation on Bacteriostatic Effect of Four Kinds of Gargles on Candida Albicans

    Institute of Scientific and Technical Information of China (English)

    徐丽丽; 王国权; 葛永勤; 李雪芬; 刘敏; 吕亚; 何君

    2015-01-01

    Objective To investigate the bacteriostatic effect of four kinds of gargles on Candida albicans, and to observe clinical efficacy of gargles on cancer patients with oral Candida albicans infection undergoing chemoradiotherapy. Methods Four kinds of gargles including compound chlorhexidine mouthwash, 0.02%chlorhexidine acetate solution, 0.5%povidone-iodine solution, and 0.1%cetylpyridinium chloride were applied in experiment group while physiological saline was applied in control group then the antibacterial effect of four gargles was observed. The antibacterial gargles with obvious effect were applied among two groups involving 60 cases of cancer patients with oral Candida albicans infection undergoing chemoradiotherapy. R esults Good antibacterial effect was found in compound chlorhexidine mouthwash and 0.5% povidone -iodine solution when compared with that of 0.02%chlorhexidine acetate solution and 0.1% cetylpyridinium chloride and the difference was statistically significant ( P0.05). Clinically, 0.5% povidone-iodine solution group presented good effect in terms of duration of pain and average healing time when compared with compound chlorhexidine mouthwash, which indicated statistical significance ( P0.05)。临床观察:0.5%聚维酮碘溶液组患者在疼痛持续时间、平均愈合时间方面,与复方氯己定含漱液组比较,差异有统计学意义(P<0.05)。结论基础实验的数据说明,复方氯己定含漱液与0.5%聚维酮碘溶液和对白色念珠菌的抑菌效果最明显。临床试验的数据说明,0.5%聚维酮碘溶液组患者在疼痛持续时间、平均愈合时间方面优于与复方氯己定含漱液组的患者。

  2. Bactericidal and cytotoxic effects of Erythrina fusca leaves aquadest extract

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    Janti Sudiono

    2013-03-01

    Full Text Available Background: Empirically, Erythrina fusca has been used as traditional herb for its antibacterial and antiinflammation properties. Periodontal disease is one of the most oral infectious diseases with microorganism predominated as the contributing factors. Porphyromonas gingivalis (P. gingivalis is one of the main bacteria pathogen found in periodontal diseases. Purpose: The purpose of this study was to examine the bactericidal effect of Erythrina fusca Leaves Aquadest Extract (EFLAE at various concentrations on P. gingivalis and cytotoxic effect on fibroblast. Methods: Pure P. gingivalis was cultured in Brain Heart Infusion (BHI medium for 24 hours with or without various concentrations of treatment of EFLAE. Calculation and statistical analysis of remaining bacteria were performed by inhibitory zone method to evaluate the EFLAE bactericidal effect and compared to chlorhexidine as positive control. To evaluate the cytotoxic effect, NIH 3T3 cells were cultured in Dulbecco’s Modification of Eagle’s Medium (DMEM containing of 10% fetal bovine serum (FBS and 1% penicillin-streptomycin, pH 7.2, in 5% CO2, and stored in humidified incubator under temperature 370 C. Cells were treated with/without various concentrations of EFLAE for 48 hours. The viable cells were then counted using 3-(4,5- Dimethylthiazol-2-yl-2,5 diphenyl tetrazodium bromide (MTT method. Results: EFLAE have bactericidal effect on P. gingivalis in a concentration dependent manner starting from 78%. The concentration of 90% EFLAE had stronger bactericidal effect (35.004 ± 1.546 than those of chlorhexidine as positive control (32.313 ± 1.619. One-way ANOVA showed significant bactericidal effect differences among concentrations of EFLAE and chlorhexidine (p<0.05 while Tuckey HSD test showed significant difference only between lower concentration of EFLAE (78%, 79% and chlorhexidine. With the highest concentration of EFLAE (100% applied in the bactericidal test, no cytotoxic effect

  3. [Spanish disinfectants for the 21st century].

    Science.gov (United States)

    Herruzo Cabrera, R

    2000-01-01

    There are two chemical disinfectants patents from Spain that permit to obtain advantageous products on other disinfectants: Nduopropenide (two iodures of quaternary ammonium) and "Peroxidine" (hydrogen peroxide that active to lactic acid and a surfactant mixture). The first product is used as an antiseptic or disinfectant, but the second, only act as disinfectant. DISINFECTION: It is studied (by germ-carrier methods), the microbicide effect on different microorganisms (Gram positive cocci, Gram negative bacilli, fungus, Mycobacteria and B subtilis spores), comparing these two products with different disinfectants as 2% glutaraldehyde, 1/8 phenate-glutaraldehyde, peracetic acid compounds, 11% oxygen peroxide and 2% sodium hypoclorite. It is obtained that 1/4 Peroxidine in 5 minutes or 1/6 Peroxidine in 10 minutes, are the most effective disinfectant on all microorganisms used (includes the most resistant) since it produces destruction of 4 log-10 of spores and 5 log-10 of Mycobacteria. Moreover, it can destroy, completely, the inoculum of commercial spores, routinely used for sterilization process evaluation, in 20 minutes, when 2% glutaraldehyd needs 3-10 hours. ANTISEPSIE: It is studied the "hygienization" and surgical handwashing with Nduopropenide solution, in comparison with classical washing methods (neutral soap in routinely handwashing and 5% chlorhexidine or 10% iodine-povidone in surgical washing): 1) Nduopropenide and alcohol solution is more effective that routinely handwashing. 2) This product is more effective and persistent, after surgical washing that chlorhexidine or iodine-povidone. Moreover, it does not must be applied with brush. 3) The mixture Nduopropenide and chlorhexidine makes a synergy, then it can be used in hand or skin washing, on heath personnel or patient people, being advantageous on the other products.

  4. A comparative evaluation of working length with digital radiography and third generation apex locator (ProPex in the presence of various intracanal irrigants: An in vivo/ex vivo study

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    Irfana Khursheed

    2014-01-01

    Full Text Available Background: Accurate working length determination is a pre-requisite for a successful endodontic treatment. Even with improved systems of working length measurement, different readings may be recorded in different electrolytes present in the canal. The purpose of this in vivo/ex vivo comparative study was to determine the accuracy in measuring the working length of root canal using Direct Digital Radiographic Method (Radiovisiography or RVG and ProPex electronic apex locator in the presence of three different irrigating solutions: 0.9% normal saline, 2% chlorhexidine, 3% NaOCl solutions. Materials and Methods: Forty single-rooted human teeth scheduled for extraction with mature apices were selected for this study. Measurements were performed by using RVG and ProPex in the presence of irrigating solutions. After extraction of the teeth, light microscope was used to confirm visually the relationship of the tip of the endodontic file to the apical foramen, and actual lengths were determined by reducing 0.5 mm from this length. The statistical analysis was performed by one-way ANOVA test and Tukey-HSD post hoc procedure. P < 0.05 was considered as significant. Results: No significant difference was found between overall mean electronic working length and digital radiographic length; however, prediction error (P < 0.05 was significant with respect to different irrigants. Among the irrigating solutions, chlorhexidine gluconate had the smallest distance to the actual lengths, whereas NaOCl had the greatest. Conclusion: Electronic apex locator ProPex yielded best result in the presence of chlorhexidine, whereas the largest error was demonstrated with NaOCl indicating that higher electroconductive irrigating solutions affect the precision of multi-frequency apex locators.

  5. Investigation of photodynamic therapy on streptococcus mutans of oral biofilm

    Institute of Scientific and Technical Information of China (English)

    Zhaohui Zou; Ping Gao; Huijuan Yin; Yingxin Li

    2008-01-01

    We investigated the effect of photodynamic therapy (PDT) with hematoporphyrin monomethyl ether (HMME) on the viability of Streptococcus mutans (S. mutans) cells on biofilms in vitro. Streptococcus mutans is the primary etiological agent of human dental caries. Since dental caries are localized infections, such plaque-related diseases would be well suited to PDT. The diode laser used in this study had the wavelength of 635 nm, whose output power was 10 mW and the energy density was 12.74 J/cm2. HMME was used as photosensitizer. Samples were prepared and divided into five groups: (1) HMME; (2) Laser; (3) HMME+Laser; (4) Control group (+) with chlorhexidine; and (5) Control group (-) with sterile physiological saline. Inoculum of S. mutans incubated with HMME also examined with fluorescence microscopy. PDT exhibited a significantly (P < 0.05) increased antimicrobial potential compared with 20 μm/mL HMME only, laser only, 0.05% chlorhexidine, and 0.9% sterile physiological saline, which reduced the S. mutans of the biofilm most effectively. Laser and 0.05% chlorhexidine were caused reduction in the viable counts of S. mutans significantly different (P < 0.05) also, but these two test treatments did not statistically differ from each other. HMME group did not statistically differ with negative control group. Fluorescence microscopy indicated that HMME localized primarily in the S. mutans of the biofilm. It was demonstrated that HMME-mediated PDT was efficient at killing S. mutans of biofilms and a useful approach in the treatment of dental plaque-related diseases.

  6. High-level tolerance to triclosan may play a role in Pseudomonas aeruginosa antibiotic resistance in immunocompromised hosts: evidence from outbreak investigation

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    D'Arezzo Silvia

    2012-01-01

    Full Text Available Abstract Background and methods Pseudomonas aeruginosa is a major infectious threat to immunocompromised patients. We recently reported a fatal epidemic of multidrug-resistant P. aeruginosa in an onchoematology unit, linked to massive contamination of a triclosan-based disinfectant. The aim of this study is to evaluate the antimicrobial activity of triclosan and chlorhexidine digluconate against the epidemic strain of P. aeruginosa, to confirm the hypothesis that the soap dispenser acted as a continuous source of the infection during the outbreak, and to explore the potential role of triclosan in increasing the level of resistance to selected antibiotics. Susceptibility tests and time-kill assays for disinfectans were performed using two commercial formulations containing triclosan and chlorhexidine digluconate, respectively. Antibiotic susceptibility testing was performed by the broth microdilution method. Findings The P. aeruginosa epidemic strain exhibited an extremely high level of triclosan resistance (apparent MIC = 2,125 mg/L, while it was markedly susceptible to chlorhexidine digluconate (apparent MIC = 12.5 mg/L. Upon gradual adaptation to triclosan, the epidemic strain survived for a long period (> 120 h in the presence of 3,400 mg/L (equivalent to 1.6 × MIC of triclosan, concomitantly increasing the resistance to six antibiotics that are typical substrates of drug efflux pumps of the resistance nodulation division family. This effect was reversed by efflux pump inhibitors. Conclusions The epidemic P. aeruginosa strain was resistant to triclosan and its previous exposure to triclosan increases antibiotic resistance, likely through active efflux mechanisms. Since P. aeruginosa can become tolerant to elevated triclosan concentrations, the use of triclosan-based disinfectants should be avoided in those healthcare settings hosting patients at high risk for P. aeruginosa infection.

  7. How to deal with morning bad breath: A randomized, crossover clinical trial

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    Jeronimo M Oliveira-Neto

    2013-01-01

    Full Text Available Context: The absence of a protocol for the treatment of halitosis has led us to compare mouthrinses with mechanical oral hygiene procedures for treating morning breath by employing a hand-held sulfide monitor. Aims: To compare the efficacy of five modalities of treatment for controlling morning halitosis in subjects with no dental or periodontal disease. Settings and Design: This is a five-period, randomized, crossover clinical trial. Materials and Methods: Twenty volunteers were randomly assigned to the trial. Testing involved the use of a conventional tongue scraper, a tongue scraper joined to the back of a toothbrush′s head, two mouthrinses (0.05% cetylpyridinium chloride and 0.12% chlorhexidine digluconate and a soft-bristled toothbrush and fluoride toothpaste for practicing oral hygiene. Statistical Analysis Used: Data analysis was performed using SPSS version 17 for Windows and NCSS 2007 software (P < 0.05. The products and the periods were compared with each other using the Friedman′s test. When significant differences (P < 0.05 were determined, the products and periods were compared in pairs by using the Wilcoxon′s test and by adjusting the original significance level (0.05 for multiple comparisons by using the Bonferroni′s method. Results: The toothbrush′s tongue scraper was able to significantly reduce bad breath for up to 2 h. Chlorhexidine reduced bad breath only at the end of the second hour, an effect that lasted for 3 h. Conclusions: Mechanical tongue cleaning was able to immediately reduce bad breath for a short period, whereas chlorhexidine and mechanical oral hygiene reduced bad breath for longer periods, achieving the best results against morning breath.

  8. To evaluate the antigingivitis and antipalque effect of an Azadirachta indica (neem mouthrinse on plaque induced gingivitis: A double-blind, randomized, controlled trial

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    Anirban Chatterjee

    2011-01-01

    Full Text Available Background: Azadirachta indica (neem, a Meliaceae family tree, has been used in India for several decades for the treatment of several diseases in medicine and dentistry. Neem has been considered to have antiseptic activity, but still its use for the treatment of gingivitis and periodontitis is not very clear. Hence, the purpose of the present study was to assess the efficacy of neem based mouth rinse regarding its antigingivitis effect. Materials and Methods: Forty five subjects with plaque induced gingivitis were selected for the study. They were equally divided into three groups. Group I patients were asked to rinse with 15 ml of neem mouthwash twice daily, group II with 15 ml of chlorhexidine mouthwash twice daily, and group III with 15 ml of saline twice daily. The three groups were asked to perform the routine oral hygiene procedures thought out the study period. Bleeding on probing and gingivitis were evaluated by Muhlemann and Son′s Sulcus bleeding index (1971 and Loe and Sillness gingival index (1963, respectively, at base line, after every week till one month. Results: Our result showed that an A. indica mouthrinse is equally effective in reducing periodontal indices as Chlorhexidine. The results demonstrated a significant reduction of gingival, bleeding, and plaque indices in both groups over a period of 21 days as compared to placebo. Conclusion: A. indica-based mouth rinse is equally efficacious with fewer side effects as compared to chlorhexidine and may be used as an adjunct therapy in treating plaque induced gingivitis.

  9. Microbiological and biochemical effectiveness of an antiseptic gel on the bacterial contamination of the inner space of dental implants: a 3-month human longitudinal study.

    Science.gov (United States)

    D'Ercole, S; Tetè, S; Catamo, G; Sammartino, G; Femminella, B; Tripodi, D; Spoto, G; Paolantonio, M

    2009-01-01

    Microbial penetration inside the implants internal cavity produces a bacterial reservoir that is associated with an area of inflamed connective tissue facing the fixture-abutment junction. The aim of this clinical trial is to evaluate the effectiveness of a 1 percent chlorhexidine gel on the internal bacterial contamination of implants with screw-retained abutments and on the level of AST secreted in peri-implant crevicular fluid. Twenty-five patients (aged 29 to 58 years) each received one implant. Three months after the end of the restorative treatment, and immediately after a clinical and radiographic examination and the abutment removal, microbiological samples were obtained from the internal part of each fixture and biochemical samples were collected by peri-implant sulci. The patients were then divided into two groups: the control (CG; n=10) and test (TG; n=15) groups. The CG had the abutment screwed into place and the crown cemented without any further intervention. In contrast, before the abutment placement and screw tightening, the TG had the internal part of the fixture filled with a 1 percent chlorhexidine gel. Three months later, the same clinical, microbiological and biochemical procedures were repeated in both groups. Total bacterial count, specific pathogens and AST activity were detected. The clinical parameters remained stable throughout the study. From baseline to the 3-month examination, the total bacterial counts underwent a significant reduction only in the TG. In contrast, the AST activity showed a significant increase in the CG. The administration of a 1% chlorhexidine gel appears to be an effective method for the reduction of bacterial colonization of the implant cavity and for safeguarding the health status of peri-implant tissue over a 3-month administration period.

  10. Efficacy of guaco mouthwashes (Mikania glomerata and Mikania laevigata on the disinfection of toothbrushes

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    Fernanda C. R. Lessa

    2012-12-01

    Full Text Available Guaco Mikania glomerata Spreng. and M. laevigata Sch. Bip. ex Baker, Asteraceae, has antimicrobial activity and may be helpful in reducing the incidence of oral diseases. This double-blinded randomized clinical trial aimed to evaluate the efficacy of guaco mouthwashes on the disinfection of toothbrushes used by preschool children, tested positive for mutans streptococci (MS, as well as the quantification of its coumarin contents by high performance liquid chromatography. Ethanol extracts were obtained by percolation. The mouthwashes were prepared with 2.5% g/mL M. glomerata and M. laevigata ethanol extracts, standardized for their coumarin content (% mg/mg. Antimicrobial effect of the mouthwashes and extracts were assessed in vitro against Streptococcus mutans (ATCC 25175TM, using 2.4 to 500 µg/mL to calculate the minimum inhibitory concentration (MIC. For the in vivo study, 24 patients were randomly assigned to a 4-stage changeover system with a one-week interval between each stage. All solutions were used in all stages by a different group of children. After brushing without toothpaste, toothbrushes (n=96 were sprayed with water and solutions of M. glomerata (2.5%, M. laevigata (2.5% and chlorhexidine (0.12%. Microbiological analysis was carried out after 4 h and 30 days, respectively. MIC values were 400, 125 and 14 µg/mL, respectively, for both crude ethanol extracts, mouthwashes of M. glomerata and M. laevigata. Statistical analysis showed that all solutions decreased contamination of toothbrushes by mutans streptococci (chlorhexidine 50.7±17.7%; M. glomerata 37.3±23.7% and M. laevigata 28.7±25.1% of inhibition. Treatment with chlorhexidine and M. glomerata were statistically similar (p>0.05. M. glomerata mouthwash could be useful in herbal strategy programs against mutans streptococci and the marker coumarin may be not related to the activity observed.

  11. A comparative study of the effect of different topical agents on burn wound infections

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    Katara Gunjan

    2012-01-01

    Full Text Available Background: Topical agents are used to treat burn wound infections. Aims and Objective: The present work was aimed to find out the in vitro efficacy of different topical agents against burn wound pathogens. Settings and Design: Randomly selected gram-positive (29 and gram-negative bacterial (119 isolates from burn wound cases admitted in burn unit of Choithram Hospital and Research Centre, Indore, were included in the in vitro activity testing for silver nitrate, silver sulphadiazine (SSD, chlorhexidine, cetrimide, nitrofuran, soframycin, betadine, benzalkonium chloride and honey by growth inhibition on agar medium. Materials and Methods: Multidrug-resistant isolates of gram-positive and gram-negative bacteria were checked for different topical agents. 1% topical agent was mixed with Mueller-Hinton agar. Two microlitres of bacterial suspension adjusted to 0.5 McFarland turbidity standard was spread over the topical agent containing plates. The plates without the topical agent were used as control plates. The plates were incubated for 48 h at 37΀C. Results: SSD (148/148, silver nitrate (148/148 and chlorhexidine (148/148 showed excellent activity against all the pathogens. Neosporin had poor activity against Pseudomonas aeruginosa, (4/44 Proteus spp. (2/4 and group D streptococci (1/4. Betadine did not show activity against the bacterial isolates in the presence of organic matter. Honey did not exert any antimicrobial activity under the study conditions. Conclusion: SSD, silver nitrate and chlorhexidine have excellent activity against all the bacterial pathogens and could be used empirically, while identification of the infective agent is required for selecting the alternative topical agents such as nitrofuran, soframycin, and benzalkonium chloride.

  12. Assessing Odor Level when Using PrePex for HIV Prevention: A Prospective, Randomized, Open Label, Blinded Assessor Trial to Improve Uptake of Male Circumcision.

    Science.gov (United States)

    Mutabazi, Vincent; Bitega, Jean Paul; Ngeruka, Leon Muyenzi; Karema, Corine; Binagwaho, Agnes

    2015-01-01

    The PrePex is a WHO--prequalified medical device for adult male circumcision for HIV prevention. The Government of Rwanda was the first country to implement the PrePex device and acts as the leading center of excellence providing training and formal guidelines. As part of the Government's efforts to improve PrePex implementation, it made efforts to improve the psychological acceptability of device by men, thus increasing uptake with VMMC in sub-Saharan Africa. Some men who underwent the PrePex procedure complained of foreskin odor while wearing the PrePex 3-7 days after it was placed. This complaint was identified as potential risk for uptake of the device. Researchers from Rwanda assumed there is a possible relation between the level of foreskin odor and patient foreskin hygiene technique. The Government of Rwanda decided to investigate those assumptions in a scientific way and conduct a trial to test different hygiene-cleaning methods in order to increase the acceptability of PrePex and mitigate the odor concern. The main objective of the trial was to compare odor levels between three arms, having identical personal hygiene but different foreskin hygiene techniques using either clear water with soap during a daily shower, soapy water using a syringe, or chlorhexidine using a syringe. One hundred and one subjects were enrolled to the trial and randomly allocated into three trial arms. Using chlorhexidine solution daily almost completely eliminated odor, and was statistically significant more effective that the other two arms. The trial results suggest that odor from the foreskin, while wearing the PrePex device, could be related to the growth of anaerobic bacteria, which can be prevented by a chlorhexidine cleaning method. This finding can be used to increase acceptability by men when considering PrePex as one of the leading methods for HIV prevention in VMMC programs.

  13. The critical barrier to progress in dentine bonding with the etch-and-rinse technique

    Science.gov (United States)

    Brackett, M.G.; Li, N.; Brackett, W.W.; Sword, R.J.; Qi, Y.P.; Niu, L.N.; Pucci, C.R.; Dib, A.; Pashley, D.H.; Tay, F.R.

    2011-01-01

    Objectives The lack of durability in resin–dentine bonds led to the use of chlorhexidine as MMP-inhibitor to prevent the degradation of hybrid layers. Biomimetic remineralisation is a concept-proven approach in preventing the degradation of resin–dentine bonds. The purpose of this study is to examine the integrity of aged resin–dentine interfaces created with a nanofiller-containing etch-and-rinse adhesive after the application of these two approaches. Methods The more established MMP-inhibition approach was examined using a parallel in vivo and in vitro ageing design to facilitate comparison with the biomimetic remineralisation approach using an in vitro ageing design. Specimens bonded without chlorhexidine exhibited extensive degradation of the hybrid layer after 12 months of in vivo ageing. Results Dissolution of nanofillers could be seen within a water-rich zone within the adhesive layer. Although specimens bonded with chlorhexidine exhibited intact hybrid layers, water-rich regions remained in those hybrid layers and degradation of nanofillers occurred within the adhesive layer. Specimens subjected to in vitro biomimetic remineralisation followed by in vitro ageing demonstrated intrafibrillar collagen remineralisation within hybrid layers and deposition of mineral nanocrystals in nanovoids within the adhesive. Conclusions The impact was realized by understanding the lack of an inherent mechanism to remove water from resin–dentine interfaces as the critical barrier to progress in bonding with the etch-and-rinse technique. The experimental biomimetic remineralisation strategy offers a creative solution for incorporating a progressive hydration mechanism to achieve this goal, which warrants its translation into a clinically applicable technique. PMID:21215788

  14. Surface treatment influences electrochemical stability of cpTi exposed to mouthwashes

    Energy Technology Data Exchange (ETDEWEB)

    Beline, Thamara [Department of Prosthodontics and Periodontology, Piracicaba Dental School, University of Campinas (UNICAMP), Av Limeira, 901, Piracicaba, São Paulo 13414-903 (Brazil); IBTN/Br — Institute of Biomaterials, Tribocorrosion and Nanomedicine, Brazilian Branch (Brazil); Garcia, Camila S. [Department of Prosthodontics and Periodontology, Piracicaba Dental School, University of Campinas (UNICAMP), Av Limeira, 901, Piracicaba, São Paulo 13414-903 (Brazil); Ogawa, Erika S. [Department of Prosthodontics and Periodontology, Piracicaba Dental School, University of Campinas (UNICAMP), Av Limeira, 901, Piracicaba, São Paulo 13414-903 (Brazil); IBTN/Br — Institute of Biomaterials, Tribocorrosion and Nanomedicine, Brazilian Branch (Brazil); Marques, Isabella S.V. [Department of Prosthodontics and Periodontology, Piracicaba Dental School, University of Campinas (UNICAMP), Av Limeira, 901, Piracicaba, São Paulo 13414-903 (Brazil); Matos, Adaias O. [Department of Prosthodontics and Periodontology, Piracicaba Dental School, University of Campinas (UNICAMP), Av Limeira, 901, Piracicaba, São Paulo 13414-903 (Brazil); IBTN/Br — Institute of Biomaterials, Tribocorrosion and Nanomedicine, Brazilian Branch (Brazil); Sukotjo, Cortino [Department of Restorative Dentistry, University of Illinois at Chicago, College of Dentistry, 801 S Paulina, Chicago, IL 60612 (United States); IBTN — Institute of Biomaterials, Tribocorrosion and Nanomedicine (United States); Mathew, Mathew T. [IBTN — Institute of Biomaterials, Tribocorrosion and Nanomedicine (United States); Department of Orthopedic Surgery, Rush University Medical Center, 1611 W Harrison, Chicago, IL 60612 (United States); and others

    2016-02-01

    The role of surface treatment on the electrochemical behavior of commercially pure titanium (cpTi) exposed to mouthwashes was tested. Seventy-five disks were divided into 15 groups according to surface treatment (machined, sandblasted with Al{sub 2}O{sub 3}, and acid etched) and electrolyte solution (artificial saliva — control, 0.12% chlorhexidine digluconate, 0.05% cetylpyridinium chloride, 0.2% sodium fluoride, and 1.5% hydrogen peroxide) (n = 5). Open-circuit-potential and electrochemical impedance spectroscopy were conducted at baseline and after 7 and 14 days of immersion in each solution. Potentiodynamic test and total weight loss of disks were performed after 14 days of immersion. Scanning electron microscopy, energy dispersive spectroscopy, white light interferometry and profilometry were conducted for surface characterization before and after the electrochemical tests. Sandblasting promoted the lowest polarization resistance (R{sub p}) (P < .0001) and the highest capacitance (CPE) (P < .006), corrosion current density (I{sub corr}) and corrosion rate (P < .0001). In contrast, acid etching increased R{sub p} and reduced CPE, independent to the mouthwash; while hydrogen peroxide reduced R{sub p} (P < .008) and increased I{sub corr} and corrosion rate (P < .0001). The highest CPE values were found for hydrogen peroxide and 0.2% sodium fluoride. Immersion for longer period improved the electrochemical stability of cpTi (P < .05). In conclusion, acid etching enhanced the electrochemical stability of cpTi. Hydrogen peroxide and sodium fluoride reduced the resistance to corrosion of cpTi, independent to the surface treatment. Chlorhexidine gluconate and cetylpyridinium chloride did not alter the corrosive behavior of cpTi. - Highlights: • Acid etching enhanced the electrochemical stability of cpTi. • Hydrogen peroxide and sodium fluoride reduced the corrosion resistance of cpTi. • Chlorhexidine gluconate and cetylpyridinium chloride can be safely used.

  15. Assessing Odor Level when Using PrePex for HIV Prevention: A Prospective, Randomized, Open Label, Blinded Assessor Trial to Improve Uptake of Male Circumcision.

    Directory of Open Access Journals (Sweden)

    Vincent Mutabazi

    Full Text Available The PrePex is a WHO--prequalified medical device for adult male circumcision for HIV prevention. The Government of Rwanda was the first country to implement the PrePex device and acts as the leading center of excellence providing training and formal guidelines. As part of the Government's efforts to improve PrePex implementation, it made efforts to improve the psychological acceptability of device by men, thus increasing uptake with VMMC in sub-Saharan Africa. Some men who underwent the PrePex procedure complained of foreskin odor while wearing the PrePex 3-7 days after it was placed. This complaint was identified as potential risk for uptake of the device. Researchers from Rwanda assumed there is a possible relation between the level of foreskin odor and patient foreskin hygiene technique. The Government of Rwanda decided to investigate those assumptions in a scientific way and conduct a trial to test different hygiene-cleaning methods in order to increase the acceptability of PrePex and mitigate the odor concern. The main objective of the trial was to compare odor levels between three arms, having identical personal hygiene but different foreskin hygiene techniques using either clear water with soap during a daily shower, soapy water using a syringe, or chlorhexidine using a syringe. One hundred and one subjects were enrolled to the trial and randomly allocated into three trial arms. Using chlorhexidine solution daily almost completely eliminated odor, and was statistically significant more effective that the other two arms. The trial results suggest that odor from the foreskin, while wearing the PrePex device, could be related to the growth of anaerobic bacteria, which can be prevented by a chlorhexidine cleaning method. This finding can be used to increase acceptability by men when considering PrePex as one of the leading methods for HIV prevention in VMMC programs.

  16. Outbreak of long-term intravascular catheter-related bacteremia due to Achromobacter xylosoxidans subspecies xylosoxidans in a hemodialysis unit.

    Science.gov (United States)

    Tena, D; Carranza, R; Barberá, J R; Valdezate, S; Garrancho, J M; Arranz, M; Sáez-Nieto, J A

    2005-11-01

    Achromobacter xylosoxidans is a rare cause of bacteremia. Over a 2-week period, A. xylosoxidans subsp. xylosoxidans was isolated from blood cultures of four hemodialysis patients with long-term intravascular catheters. A culture from one atomizer that contained diluted 2.5% chlorhexidine, which had been used to disinfect the skin, yielded A. xylosoxidans subsp. xylosoxidans. No further cases were diagnosed once the use of this atomizer was discontinued. Five outbreak-related strains from the four patients and the atomizer were tested by pulsed-field gel electrophoresis (PFGE) under XbaI restriction. The isolates from the first three patients and the atomizer had identical PFGE patterns, confirming the atomizer as the source of the outbreak. The strain isolated from the fourth patient had six more bands than the outbreak strain and was considered possibly related to the outbreak strain. All patients were treated with intravenous levofloxacin. The catheter was removed in only one patient. The three patients in whom the catheter was left in place were also treated with antibiotic lock therapy with levofloxacin. All four patients were cured. This is believed to be the first reported outbreak of central venous catheter-related bacteremia due to A. xylosoxidans and the second reported outbreak with this organism associated with chlorhexidine atomizers. The use of diluted chlorhexidine via atomizers can be dangerous for the care of venous catheters and should be called into question. Patients with long-term intravascular catheter-related bacteremia due to this organism can be treated successfully with systemic antimicrobial therapy in addition to antibiotic lock therapy without catheter removal.

  17. 经口气管插管机械通气病人3种口腔护理方法的临床效果比较%Comparison of clinical efficacy of three kinds of oral care methods of mechanical ventilation patients with orotra-cheal intubation

    Institute of Scientific and Technical Information of China (English)

    林小清; 熊小兰; 沈碧强; 陈秋波

    2015-01-01

    Objective:To probe into the clinical efficacy of three kinds of oral care methods of mechanical ventila-tion patients.Methods:A total of 1 18 mechanical ventilation patients with orotracheal intubation in ICU were randomly divided into the compound chlorhexidine group(38 cases),negative pressure suction toothbrush group (40 cases)and chlorhexidine suction toothbrush group(40 cases).Patients in compound chlorhexidine group re-ceived oral care with the compound chlorhexidine gargle cotton.Patients in negative pressure suction toothbrush group received oral care with the physiological saline flushing,brushing their teeth with the negative pressure toothbrush and negative pressure suction at the same time.And the patients in chlorhexidine suction toothbrush group received oral care with the compound chlorhexidine gargle flushing,brushing their teeth with the negative pressure toothbrush and having negative pressure suction at the same time.They all had oral care twice a day. All patients’oral condition were observed in 3 groups on the third days after intubation,and to compare pa-tients’clinical pulmonary infection score(CPIS)among 3 groups on the first and the third day after admission. Results:The incidence rate of patients’halitosis of the chlorhexidine suction toothbrush group was the lowest on the third days after intubation(P <0.05).Patients’clinical pulmonary infection score(CPIS)of the chlorhexi-dine suction toothbrush group was the lowest on the third day after admission(P <0.01).Patients’clinical pul-monary infection score(CPIS)on the third day was higher than that on the first day after admission in negative pressure suction toothbrush group (P <0.05).Conclusion:The mechanical ventilation patients with orotracheal intubation should have oral care with the compound chlorhexidine gargle flushing,brushing their teeth with the negative pressure toothbrush and having negative pressure suction at the same time,which can achieve good effect of oral

  18. Clinical and forensic signs related to chemical burns: a mechanistic approach.

    Science.gov (United States)

    Dinis-Oliveira, Ricardo Jorge; Carvalho, Félix; Moreira, Roxana; Proença, Jorge Brandão; Santos, Agostinho; Duarte, José Alberto; Bastos, Maria de Lourdes; Magalhães, Teresa

    2015-06-01

    This manuscript highlights and critically analyses clinical and forensic signs related to chemical burns. Signs that may lead to suspicion of a particular chemical are thoroughly discussed regarding its underlying mechanisms. Burns due to sulfuric, hydrofluoric, nitric, hydrochloric (muriatic) and acetic (including derivatives) acids, hydrogen sulphide, sodium (caustic soda) and calcium (cement) hydroxides, paraquat, burns after inflation and rupture of airbags, povidone-iodine, chlorhexidine/alcohol (in preterm infants), laxatives, and vesicants (warfare agents), will be reviewed since these are the most common agents found in daily practice, for which relevant and timed information may be helpful in formulating an emergency treatment protocols and toxicological analysis.

  19. Antibacterial Activity of Various Antiseptics While The Experiment and Laparoscopy in Patients With Acute Pancreatitis

    Directory of Open Access Journals (Sweden)

    Azat Minvagizovich Zaynutdinov

    2016-11-01

    Full Text Available The aim of this study is to examine the effectiveness of different sanitation mediums, combined with physical factors of impact. Reference strains of nosocomial flora Escherichia coli (ATCC with a concentration of 107-108 CFU/ml were used to study the effectiveness of various antiseptics, on the basis of the Surgery Department of State Budget Educational Institution of Continuing Professional Education of Kazan State Medical Academy. The treatment of bacterial suspension was carried out during 5, 15, and 45 seconds by flushing of fresh growing cultures from agar plates by the jet of HCH (carbonated aqueous chlorhexidine 0.05%, CHX (aqueous chlorhexidine 0.05%, OSS (ozonated saline solution and by natural saline solution as a control. Treated by solutions bacterial suspension was taken into tests tubes aseptically, and was tested on initial concentration at abovementioned exposure. The number of microorganisms was determined by seeding on Petri dishes with nutrient agar, using a calibrated loop. After 20-22 hours of incubation at 370С the numbers of grown bacteria were counted, the degree of microbial seeding was determined by the table and was expressed in CFU/ml. According to data, obtained in the course of the study, the most effective means for the sanitation was an aqueous solution of carbonated chlorhexidine 0,05%, which at 45 second exposure inhibited growth of E.Coli- (5· 101 -102 CFU/ml. This antiseptic preceded the aqueous solution of chlorhexidine 0,05% - inhibited growth of E.Coli (5· 105 CFU/ml, and ozonated saline solution and natural saline solution wherein the concentration of E.Coli was (5· 107 -1·108 CFU/ml at 45 second exposure. So, the combination of antiseptics with physical factors of impact – saturation with gas components, in particular carbon dioxide, significantly inhibits the growth of E.Coli-(5· 101 - 102 CFU/ml compared to antiseptics without combining with the physical impact factors.

  20. Repair of apical root resorption associated with periodontitis using a new intracanal medicament protocol.

    Science.gov (United States)

    Herrera, Daniel R; Herrera, Carlos M; Lima, Augusto R; Nagata, Juliana Y; Pereira, Andrea C; Silva, Emmanuel J; Soares, Adriana J; Gomes, Brenda P

    2014-12-01

    Endodontic therapy is indicated for cases of traumatic tooth dislocation associated with pulp necrosis and/or inflammatory resorption. Here we describe the management of a maxillary left lateral permanent incisor that suffered lateral luxation, leading to pulp necrosis and root resorption, in a 13-year-old boy. The traumatized tooth was treated successfully by intracanal medication with calcium hydroxide, 2% chlorhexidine gel and zinc oxide for 12 months without any need to change the dressing, followed by conventional root canal filling. The postoperative course was uneventful and a stable clinical outcome was obtained with evidence of periapical lesion repair and stabilization of the resorption process.

  1. Diazepam submicron emulsions containing soya-bean oil and intended for oral or rectal delivery.

    Science.gov (United States)

    Gajewska, M; Sznitowska, M; Janicki, S

    2001-03-01

    Physically stable diazepam submicron emulsions were prepared using soya-bean oil. Diazepam concentration 4 mg/ml, suitable for rectal or oral delivery, was achieved in 20% emulsions. Mixture of egg lecithin (1.2%) and poloxamer (2.0%) has been chosen as the most suitable emulsifying agent. Composition of the emulsion may be supplemented with alpha-tocopherol and parabens. However, the system was not stable when either phenylethanol or chlorhexidine gluconate was added. Taste masking agents commonly used as food additives decreased stability of the preparation and were not efficient in elimination of a bitter taste of the drug-loaded emulsions.

  2. A Case Report of Successfully Treated Microsporidial Keratitis at a Tertiary Care Centre in Western India

    Directory of Open Access Journals (Sweden)

    Jagruti Jadeja

    2016-06-01

    Full Text Available A 43 year old male patient, who was initially diagnosed with chronic viral stromal keratitis but was refractory to conventional treatment, underwent a corneal biopsy on the basis of strong clinical suspicion. The biopsy revealed the presence of multiple microsporidial spores. Treatment with Polyhexamethylene Biguanide (PHMB and Chlorhexidine showed poor response. A therapeutic penetrating keratoplasty under the cover of Fluoroquinolones led to successful resolution of the infection. To our knowledge, this is the first case of microsporidial keratitis being reported from our region.

  3. Pilot study to evaluate 3 hygiene protocols on the reduction of bacterial load on the hands of veterinary staff performing routine equine physical examinations

    OpenAIRE

    Josie L Traub-Dargatz; Weese, J Scott; Rousseau, Joyce D.; Dunowska, Magdalena; Morley, Paul S.; Dargatz, David A.

    2006-01-01

    Reduction factors (RFs) for bacterial counts on examiners’ hands were compared when performing a standardized equine physical examination, followed by the use of one of 3 hand-hygiene protocols (washing with soap, ethanol gel application, and chlorohexidine-ethanol application). The mean RFs were 1.29 log10 and 1.44 log10 at 2 study sites for the alcohol-gel (62% ethyl alcohol active ingredient) protocols and 1.47 log10 and 1.94 log10 at 2 study sites for the chlorhexidine-alcohol (61% ethyl ...

  4. Do matrix metalloproteinase inhibitors improve the bond durability of universal dental adhesives?

    Science.gov (United States)

    Tekçe, Neslihan; Tuncer, Safa; Demirci, Mustafa; Balci, Sibel

    2016-11-01

    The aim of this study was to evaluate the effects of matrix metalloproteinases (MMPs) inhibitors on the microtensile bond strength (μTBS) and the adhesive-dentin interface of two universal dentin bonding agents, Single Bond Universal and All Bond Universal, after 12 months of water storage. Seventy extracted, caries-free, human third molars were used in this study. Of these, 50 were used for μTBS testing and 20 were used for scanning electron microscopy. The two bonding agents were applied to flat dentin surfaces in five different ways: self-etch mode, etch-and-rinse mode with 37% phosphoric acid, etch-and-rinse mode with phosphoric acid containing 1% benzalkonium chloride, etch-and-rinse mode with phosphoric acid and 2% chlorhexidine, and etch-and-rinse mode with 0.5 M ethylenediaminetetraacetic acid (EDTA) (n = 5 for each bonding agent in each group; N = 50). Half the specimens were subjected to μTBS tests at 24 h, while half were subjected to the tests after 12 months of water storage. For each bonding agent, inhibition, storage, and their interaction effects were tested by two-way analysis of variance and Bonferroni tests. For Single Bond Universal, the benzalkonium chloride (p = 0.024) and chlorhexidine groups (p = 0.033) exhibited significantly higher μTBS values at 24 h compared with the self-etch group. For All Bond Universal, all groups displayed similar bond strengths at 24 h (p > 0.05). After 12 months of water storage, the μTBS values decreased significantly in the benzalkonium chloride group for Single Bond Universal (p = 0.001) and the self-etch (p = 0.029), chlorhexidine (p = 0.046), and EDTA (p = 0.032) groups for All Bond Universal. These results suggest that the immediate dentin bond strength increases when universal bonding systems are applied in the etch-and-rinse mode, although the durability decreases. The use of chlorhexidine and EDTA can increase the bond durability of mild adhesives such as

  5. [Clinical-microbiological evaluation of the efficacy of combined use of chitosan, low intensity laser radiation and photosensitizer in treatment of patients with acute suppurative maxillofacial periostitis].

    Science.gov (United States)

    Shomina, S A; Bogatov, V V; Chervinets, V M

    2005-01-01

    Results are presented on treatment of 68 patients with acute suppurative periostitis of maxillofacial region. After surgical interventions in patients of the study group (48 patients) the wounds were cleansed by 1% chitosan on 0.2% HC1 in combination with methylene blue and irradiated by IR laser beam. The wounds healed in 2-3 days. In the control group (20 patients) for wound dressing chlorhexidine as a standard procedure was used, length of the healing process was 5-6 days. After combined treatment the number of microflora in the wound was reduced and microflora did not show the signs of pathogenicity.