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A la flexibilidad del proyecto y producción siguen también las ilustres colaboraciones que SOLTEC realiza con los principales Institutos y Entes de Investigación Italianos e Internacionales, como el reciente estudio efectuado en colaboración con el Departamento de Ciencias Ambientales y de Farmacología de la Universidad de Milán. En efecto, utilizando un aparato de la línea SONICA® y un detergente desinfectante al efecto, se ha llevado a cabo una importante investigación sobre la descontaminación, detersión y desinfección de los instrumentos quirúrgicos.
P. DI GENNARO1, G. BESTETTI1*, A. RADAELLI2,M. PAGANINI3, C. DE GIULI MORGHEN3, M. NERI3
1Department of Environmental Sciences, University of Milano-Bicocca, 20126 Milano; 2Department of Pharmacological Sciences, 3Department of Medical Pharmacology,University of Milan, 20129 Milano, Italy
Received 20 January 2004 / Accepted 25 February 2004
The efficiency of a decontamination procedure by sonication for different dental instruments after experimental microbial and viral contamination was tested. Both germicidal and virucidal activity of sonication in the presence or absence of a cationic biobiguanid disinfectant was assessed following three different disinfection/sterilisation protocols. Dental instruments were contaminated with a mixed culture of Enterococcus faecium, Staphylococcus sp., Pseudomonas aeruginosa, Mycobacterium sp., Escherichia coli and Bacillus subtilis, or with Poliovirus type 1 and Herpesvirus simplex type 1 (HHV-1), exposed to ultrasonic treatment in an ultrasonic bath and the surviving microorganisms titered. The results showed that an effective disinfection of dental instruments, expressed by an equal or higher than 4 logs microbial and viral reduction, can be obtained after 15 min or 10 min sonication in an ultrasonic cleaner equipped with a Sweep System Technology. Conversely, by the combined action of chemical disinfection and ultrasonic treatment in the same device, a sterilising effect was obtained after only 5 min for microbial and 10-15 min for virally contaminated instruments. The synergistic effect of chemical and physical means, as already accepted as an effective cleaning procedure of medical instruments, can therefore be applied to obtain a safe and effective sterilisation of dental instruments potentially contaminated by organic fluids and dental material harbouring pathogenic microbes and viruses.
Key words: disinfection, sterilisation, ultrasounds, dental instruments, ultrasonic cleaner.