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Mikrobiološka ustreznost vode v vodovodnem omrežju zobozdravniških stolov : magistrsko delo
ID Erdela, Martina (Author), ID Oder, Martina (Mentor) More about this mentor... This link opens in a new window, ID Blažun Vošner, Helena (Comentor), ID Fink, Rok (Reviewer)

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Abstract
Uvod: Mikrobiološka neustreznost vode v sistemu zobozdravniškega stola je lahko vir okužbe pri zobozdravstveni obravnavi, tako za pacienta kot za zaposlene. Voda v sistemu zobozdravniškega stola v času nedelovanja zastaja v ozkih ceveh, zato imajo mikroorganizmi idealne pogoje za razrast in tvorbo biofilmov, ki so odporni proti dezinfekcijskim sredstvom. Osnovna ukrepa za preprečevanje rasti biofilmov v vodovodnem omrežju zobozdravniškega stola sta dosledno izvajanje izpiranja in dezinfekcija vodovodnega omrežja zobozdravniškega stola. Z ustreznim in doslednim vzdrževanjem je mogoče nadzorovati in zagotavljati, da zobozdravniški stol ne predstavlja vira kontaminacije in razmnoževanja patogenih mikroorganizmov. Namen: Namen raziskave je bil ugotoviti mikrobiološko ustreznost vode v vodovodnem omrežju zobozdravniških stolov v različnih zobozdravstvenih ambulantah. Želeli smo preveriti učinkovitost avtomatske dezinfekcije v primerjavi z vzorci iz zobozdravniških stolov brez avtomatske dezinfekcije. Metode dela: V obdobju od decembra 2021 do aprila 2022 smo vzorčili vodo iz vseh vodovodnih bičev na zobozdravniškem stolu in na vodovodni izlivki v šestih zobnih ambulantah v izbrani zdravstveni ustanovi. Ob vzorčenju smo izvedli terenske meritve. Vzorce vode smo analizirani na skupno število mikroorganizmov pri 22 °C in 37 °C ter ugotavljali prisotnost E. coli in enterokokov v vzorcih vode. Rezultati: Vzorci vode iz treh zobozdravniških stolov z avtomatsko dezinfekcijo v zobozdravstvenih ambulantah A, C in F so bili ves čas ustrezni. Na zobozdravniškem stolu z avtomatsko dezinfekcijo v zobozdravstveni ambulanti E je bilo neustreznih 37 % vzorcev. Vzorci vode iz zobozdravniških stolov brez avtomatske dezinfekcije so bili ves čas trajanja raziskave mikrobiološko neustrezni. Na zobozdravniškem stolu zobozdravstvene ambulante B je bilo neustreznih kar 87 % vzorcev, na zobozdravniškem stolu zobozdravstvene ambulante C pa 78 % vzorcev. V nobenem vzorcu vode ni bilo prisotnosti E. coli in enterokokov. Razprava in zaključek: Vzorci vode iz zobozdravniških stolov z avtomatsko dezinfekcijo so bistveno boljši v primerjavi z vzorci vode iz zobozdravniških stolov, ki te funkcije nimajo. Po posameznih vodovodnih bičih je bila mikrobiološka ustreznost vzorcev med seboj primerljiva. Z zagotavljanjem mikrobiološko ustrezne vode v zobozdravniškem stolu lahko zagotovimo varno in kakovostno obravnavo pacientov ter preprečimo tveganje za morebitno okužbo pri pacientih in zobozdravniškem osebju.

Language:Slovenian
Keywords:magistrska dela, sanitarno inženirstvo, zobozdravniški stol, voda, okužbe, zdravstvena tveganja, biofilmi, aerosoli, dezinfekcija
Work type:Master's thesis/paper
Typology:2.09 - Master's Thesis
Organization:ZF - Faculty of Health Sciences
Place of publishing:Ljubljana
Publisher:[M. Erdela]
Year:2024
Number of pages:70, [1] str., [1] str. pril.
PID:20.500.12556/RUL-159739 This link opens in a new window
UDC:614
COBISS.SI-ID:202378243 This link opens in a new window
Publication date in RUL:21.07.2024
Views:288
Downloads:75
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Secondary language

Language:English
Title:Microbiological quality of water in the water supply network of dental chairs : master thesis
Abstract:
Introduction: Microbiological inadequacy of water in the dental chair system can be a source of infection during dental treatment, both for the patient and for the staff. Water in the dental chair system stagnates in narrow pipes during downtime, therefore microorganisms have ideal conditions for the growth and formation of biofilms that are resistant to disinfectants. The basic measures to prevent the growth of biofilms in the plumbing network of the dental chair is the consistent implementation of rinsing and disinfection of the plumbing network of the dental chair. With appropriate and consistent maintenance, it is possible to control and ensure that the dental chair does not represent a source of contamination and reproduction of pathogenic microorganisms. Purpose: The purpose of the research was to determine the microbiological adequacy of water in the water network of dental chairs in various dental clinics. We wanted to check the effectiveness of automatic disinfection compared to samples from dental chairs without automatic disinfection. Work methods: In the period from December 2021 to April 2022, we sampled water from all water taps on the dental chair and on the water spout in six dental clinics in the selected medical institution. At the time of sampling, field measurements were carried out. The water samples were analysed for the total number of microorganisms at 22 °C and 37 °C and to determine if there is presence of E. coli and enterococci in the water samples. Results: Water samples from three dental chairs with automatic disinfection in dental clinics A, C and F were adequate at all times. In the dental chair with automatic disinfection in dental clinic E, 37% of samples were inadequate. Water samples from dental chairs, without automatic disinfection, were microbiologically inadequate throughout the duration of the research. As many as 87% of the samples were inadequate on the dental chair of dental clinic B, and 78% of the samples were inadequate in the dental chair of dental clinic C. E. coli and enterococci were not present in any of the water samples. Discussion and conclusion: Water samples from dental chairs with automatic disinfection are significantly better compared to water samples from dental chairs that don’t have this feature. The microbiological adequacy of the samples, according to the individual water taps, was comparable to each other. By providing microbiologically appropriate water in the dental chair, we can ensure safe and quality treatment of patients and prevent the risk of possible infection in patients and dental staff.

Keywords:master's theses, sanitary engineering, dental chair, water, infections, health risks, biofilms, aerosols, disinfection

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