Joanna Verran

Retention of Candida albicans on acrylic resin and silicone of different surface topography

STATEMENT OF PROBLEM The adhesion of microorganisms to a denture surface is a prerequisite for colonization. PURPOSE This study compared the retention of Candida albicans on smooth and rough acrylic resin and silicone surfaces after a washing procedure to determine the effect of surface roughness on prosthesis infection and hygiene. MATERIAL AND METHODS Standardized cell suspensions of C. albicans were incubated with smooth and rough acrylic resin and silicone surfaces for 1 hour at 24 degrees C. After washing, cells that had been retained on the surface were stained with acridine orange and examined with incident beam fluorescent microscopy. RESULTS There was no significant difference in cell numbers on either of the smooth surfaces. Significantly higher numbers of cells (p > 0.0005) were observed on roughened surfaces (silicone > acrylic resin) than on smooth surfaces. The fitting surface of the maxillary denture was not polished. CONCLUSIONS Silicones used in prostheses were processed against dental stone. The resultant surface roughness may facilitate microbial retention and infection and should therefore be kept to a minimum.

Review of mobile communication devices as potential reservoirs of nosocomial pathogens

Innovation in mobile communication technology has provided novel approaches to the delivery of healthcare and improvements in the speed and quality of routine medical communication. Bacterial contamination of mobile communication devices (MCDs) could be an important issue affecting the implementation of effective infection control measures and might have an impact on efforts to reduce cross-contamination. This review examines recent studies reporting bacterial contamination of MCDs, most demonstrating that 9-25% of MCDs are contaminated with pathogenic bacteria. We examine previously investigated risk factors for MCD contamination in addition to work on surface decontamination of the device. Recommendations to reduce contamination risks include staff education, strict hand hygiene measures, guidelines on device cleaning and consideration of the restrictions regarding use of mobile phone technology in certain high risk areas, for example, operating theatres, intensive care units and burns units. Further work is required to evaluate the benefit of such interventions on MCD contamination and to determine whether a link exists between contamination and subsequent patient infection.

Potential pathogenic aspects of denture plaque.

Abstract Oral health status declines with age and as a result the need for removable prostheses increases. Oral health is a reflection of one’s general health, affecting the ability of an individual to eat and speak, and contributes significantly to a sense of confidence and well-being. Currently, there are 15 million denture wearers in the UK, representing a significant consumer base and a special healthcare consideration. The microbiology of denture plaque has received little attention in comparison with dental plaque, yet it differs in location and composition. Denture plaque and poor denture hygiene is associated with stomatitis (Candida infection), may also serve as a reservoir of potentially infectious pathogens, and may contribute to oral malodour and to caries and periodontitis in people who have remaining natural teeth. Oral bacteria have been implicated in bacterial endocarditis, aspiration pneumonia, gastrointestinal infection and chronic obstructive pulmonary disease, among others, and dentures offer a reservoir for microorganisms associated with these infections. An effective oral hygiene regimen is important to control denture plaque biofilm and contributes to the control of associated oral and systemic diseases.

Photocatalytic Coatings for Environmental Applications

Abstract A series of nano- and micronparticle-grade anatase and rutile titanium dioxide pigments have been prepared with various densities of surface treatments, particle size and surface area. Their photocatalytic activites have been determined in a series of paint films by FTIR, chalking, color, gloss change and weight loss after artifical weathering. The pigments have also been examined by rapid assessment methodologies using photodielectric microwave spectroscopy, 2-propanol oxidation and hydroxyl analysis. The microwave response under light and dark cycles provides an extended timescale probe of charge-carrier dynamics in the pigments. Pigment particle size, surface area and properties clearly play an important role in dispersion and any polymer–pigment interactions. Photooxidation studies on several types of paint films show a clear demarcation between nanoparticle- and pigmentary-grade titanium dioxide, with the former being more active because of their greater degree of catalytic surface activity. The photosensitivity of titanium dioxide is considered to arise from localized sites on the crystal surface (i.e. acidic OH), and occupation of these sites by surface treatments inhibits photoreduction of the pigment by ultraviolet radiation; hence, the destructive oxidation of the binder is inhibited. Coatings containing 2–5% by weight alumina or alumina and silica are satisfactory for general-purpose paints. If greater resistance to weathering is desired, the pigments are coated more heavily to about 7–10% weight. The coating can consist of a combination of several materials, e.g. alumina, silica, zirconia, aluminum phosphates of other metals. For example, the presence of hydrous alumina particles lowers van der Waals forces between pigments particles by several orders of magnitude, decreasing particle–particle attractions. Hydrous aluminum oxide phases appear to improve dispersibility more effectively than most of the other hydroxides and oxides. Coated nanoparticles are shown to exhibit effective light stabilization in various water- and oil-based paint media in comparison with conventional organic stabilizers. Hindered piperidine stabilizers are shown to provide no additional benefits in this regard, often exhibiting strong antagonism. The use of photocatalytic titania nanoparticles in the development of self-cleaning paints and microbiological surfaces is also demonstrated in this study. In the former case, surface erosion is shown to be controlled by varying the ratio of admixture of durable pigmentary-grade rutile (heavily coated) and a catalytic-grade anatase nanoparticle. For environmental applications in the development of coatings for destroying atmospheric pollutants such as nitrogen oxide gases (NOX), stable substrates are developed with photocatalytic nanoparticle-grade anatase. In this study, porosity of the coatings through calcium carbonate doping is shown to be crucial in the control of the effective destruction of atmospheric NOX gases. For the development of microbiological substrates for the destruction of harmful bacteria, effective nanoparticle anatase titania is shown to be important, with hydrated high surface area particles giving the greatest activity.

Colonization and penetration of denture soft lining materials by Candida albicans

OBJECTIVES Colonization of denture soft lining materials by Candida albicans can result in clinical problems, and deterioration of the material. This study aimed to monitor this interaction by comparing the short-term adhesion of C. albicans to six denture lining materials and to monitor any longer term penetration of material by the yeast. METHODS Denture lining materials (Molloplast B, Flexor, Permaflex, Luci-soft, Eversoft and Ufi Gel hard C) were processed against glass slides or dental stone. Adhesion of yeast to surfaces was monitored after one hour incubation (37 degrees C) of standardized (2.8 x 10(6) cfu/ml) washed cell suspension with test materials. Attached cells stained with acridine orange were counted microscopically. Penetration of yeast into materials bonded onto acrylic after six weeks incubation (culture medium was replaced weekly) was observed through sections stained using acridine orange. Hyphal and yeast penetration was estimated (qualitatively and quantitatively, respectively) for three levels of the liner (subsurface, central section and adjacent to lining-acrylic junction). RESULTS None of the materials produced a zone of inhibition when compared with the nystatin control. There was no significant difference (p>0.5) in cell numbers on any of the smooth surfaces. Significantly, (p<0.001) higher numbers of cells were observed on roughened surfaces. Both hyphal and yeast forms were observed when penetration was monitored. Penetration was greatest into Ufi Gel hard C (no hyphae observed), but not at the acrylic-liner junction and least into Eversoft. SIGNIFICANCE Different denture lining materials exhibit different properties in terms of susceptibility to yeast penetration, although the initial attachment is comparable. Smoother surfaces retain fewer cells. The selection of appropriate materials for a given function, and their fabrication may affect performance.

The relationship between substratum surface roughness and microbiological and organic soiling: A review

Substratum surface roughness has a well documented effect on the retention of microorganisms. Implications of this encompass problems in hygiene, infection, fouling, equipment function, corrosion and cleanabil‐ity. This paper reviews methods used for visualising surface topography and measuring roughness which are pertinent to microbiologists, and notes limitations of some of the descriptors of surface roughness. A major issue is the scale on which the surface defects are examined: measurements may now be made in nanometers, but the significance of surface texture at this scale in terms of microbial retention has yet to be investigated in detail. Stainless steel and ceramics are commonly used as hygienic food preparation surfaces. Their wear has been visualised, with roughness measured on a nanometer scale using the atomic force microscope (AFM), and the effect on surface wear of cleanability using microbial and organic soil investigated. Surface analytical methods such as X‐ray photoelectron spectroscopy (XPS) and time of flight secondary ion mass spectroscopy (ToFSIMS) provided information on the chemical structure at the uppermost atomic layer and demonstrate that microorganisms were removed more rapidly than organic material from the worn surfaces, and that organic soil conditioned the surfaces prior to microbial contamination. On this scale, the dimensions of surface defects were more suited to soil retention than to microbial cell retention. Traditional microscopic methods were not able to differentiate adequately between soil and microbial removal. Surface analytical techniques provide the opportunity to measure and visualise surface roughness and its effect on microbial and organic soiling on a hitherto unavailable level of detection.

Retention of oral microorganisms on cobalt-chromium alloy and dental acrylic resin with different surface finishes

STATEMENT OF PROBLEM The effect of surface finish of dental materials on the subsequent contamination by microorganisms. PURPOSE This study compared the retention of Streptococcus oralis, Actinomyces viscosus, and Candida albicans on polished, sandblasted (fine and coarse) and electrobrightened cobalt-chromium alloy and dental acrylic resin to assess in vitro the effect of such techniques on prosthesis contamination. MATERIAL AND METHODS Standardized cell suspensions were incubated with test materials for 1 hour at 37 degrees C, after which retained cells were counted by using image analysis (percentage area of a microscopic field covered by cells). RESULTS Retention of bacterial cells was substantial (S oralis 12% to 20% and A viscosus 9% to 16%) irrespective of surface finish. Maximal retention was observed on cobalt-chromium alloy that had undergone fine sandblasting and electrobrightening (P < .01). For C albicans, an increase in surface roughness (0.15 to 3.53 microns) resulted in an increase in retention (3% to 9%). CONCLUSION Cell size and the type of roughening significantly affected the retention of microorganisms on surfaces. Electrobrightening of cobalt-chromium alloy did not reduce the surface roughness or subsequent cell attachment.

The Microbiological Origin of Fluorescence Observed in Plaque on Dentures during QLF Analysis

The aim of this study was to determine the microbiological origin of plaque fluorescence observed during quantitative light-induced fluorescence (QLF) analysis. Plaque was sampled from dentures, because of easy accessibility and the homogeneous background provided by the denture tooth during imaging, and the acknowledged comparability to occlusal plaque. Forty removable poly(methyl methacrylate) dentures were screened for the presence of fluorescent plaque deposits during QLF analysis. Dentures were photographed, QLF images were recorded and samples of fluorescent plaque were taken. Plaque samples were cultured on fastidious anaerobe agar, Wilkins Chalgren agar and Sabourauds dextrose agar. Plates were screened under QLF and fluorescent colonies were subcultured and identified. Areas of red, orange and green fluorescence were detected on the fitting and non-fitting surfaces of dentures. The red and orange fluorescing species were Prevotella melaninogenica, Actinomyces israelii and Candida albicans, which are generally acknowledged to be secondary colonisers, present in more mature plaque. Green fluorescence was observed in streptococcal species (early colonisers) and Fusobacterium nucleatum (important organism in plaque development). Non-fluorescent colonies were also cultured. Plaque which accumulates on susceptible surfaces tends to be associated with caries, but it may be its maturity, rather than the presence of cariogenic streptococci, that is more likely to provide a microbiological link between red fluorescence and caries.

Modulation of bacterial adhesion to hydrogel contact lenses by albumin

Purpose. The purpose of this investigation was to measure the abilities of Pseudomonas aeruginosa and Staphylococcus epidermidis strains to adhere to two hydrogel lens materials and measure the effect of a protein-coated surface on the number of adhered bacteria. Methods. Proteins absorbed to contact lenses during sleep were extracted, subjected to sodium dodecylsulphate polyacrylamide gel electrophoresis (SDS-PAGE), and probed for the presence of albumin. Bacterial adhesion was measured by counting bacteria adherent to contact lenses coated in vitro in increasing concentrations of albumin, examining the ability of albumin in solution to prevent adhesion to albumin-coated lenses, and examining the topography of bacterial adhesion by electron microscopy. Results. Albumin adsorbed to lenses during overnight wear. In vitro studies demonstrated that Polymacon lenses adsorbed more albumin than Etafilcon A lenses. In general, the numbers of adherent bacteria increased with increasing concentration of albumin. Bacteria adhered in higher numbers to Polymacon lenses than Etafilcon A (p<0.05). P. aeruginosa showed an increased adhesion as the amount of albumin on Etafilcon A lenses increased. There was a decrease in numbers of bacteria adhering per milligram of albumin as the level of albumin increased on Polymacon lenses. Cells tended to adhere to “deposits” on albumin-coated lenses. Discussion. Albumin adsorbed onto the surface of contact lenses modulated the ability of P. aeruginosa and S. epidermidis to adhere. P. aeruginosa is commonly associated with contact lens-associated microbial keratitis, where bacterial adhesion to contact lenses is believed to be an important first step in the pathogenesis of the disease.

The detection of food soils and cells on stainless steel using industrial methods: UV illumination and ATP bioluminescence.

Open food contact surfaces were subjected to organic soiling to provide a source for transfer of microbial cells. Rapid industrial methods used for the detection of residual cells and soil e.g. ATP (adenosine triphosphate) bioluminescence and an ultraviolet (UV) light detection method were assessed for their ability to detect organic soils, or organic soil-cell mix on surfaces. A range of soils (complex [meat extract, fish extract, cottage cheese extract]; oils [cholesterol, fish oil, mixed fatty acids]; proteins [bovine serum albumin, fish peptones casein]; carbohydrates [glycogen, starch, lactose]); was used. Under UV, oily soils, mixed fatty acids, cholesterol and casein were detected at low concentrations, with detection levels ranging from 1% to 0.001% for different substances. Glycogen was the most difficult substance to detect at lower concentrations. Using UV wavelength bands (lambda) of 330-380 nm, 510-560 nm and 590-650 nm, wavelength bands of 330-380 nm, illuminated most of the soils well, whilst the wavelength band of 510-560 nm illuminated the fish extract, cholesterol and fatty acids; the 590-650 nm wavelength band illuminated the lactose. Soils at all concentrations were detected by the ATP bioluminescence method; the complex soils gave the highest readings. When complex soils were combined with Listeria monocytogenes Scott A or a non-pathogenic Escherichia coli O157:H7, ATP measurements increased by 1-2 logs. For UV illumination, the L. monocytogenes and cheese combination was the most intensely illuminated, with E. coli and meat the least. UV illumination is a simple well established method for detecting food soil, with little change in findings when microorganisms are included. Performance can be enhanced in certain circumstances by altering the wavelength. ATP bioluminescence is a proven system for hygienic assessment being especially useful in the presence of microorganisms rather than organic soil alone.