Antimicrobial Photodynamic Therapy (aPDT) for decontamination of high-speed handpieces: A comparative study.

BACKGROUND: Cross-transmission is a major concern in dental offices. Various disinfection methods have been frequently used to reduce its incidence. Standard procedures include decontamination and sterilization. Traditional decontamination methods include: Alcohol 70 % and chlorhexidine digluconate, however, antimicrobial photodynamic therapy (aPDT) could be added as an option. The objective was to evaluate the effectiveness of aPDT on decontamination of high-speed handpieces, contaminated by Staphylococcus aureus (SA) and Escherichia coli (EC), and compare it to autoclave sterilized and to conventional chemical decontamination methods. METHODS: Sterilized, SA and EC contaminated high-speed handpieces were divided in 7 groups: G1- sterilized in an autoclave. G2- contaminated untreated control. G3- contaminated and decontaminated using Alcohol 70 %. G4- contaminated and decontaminated using chlorhexidine digluconate 2%. G5- contaminated and laser treated. G6- contaminated and photosensitizer treated. G7- contaminated and photodynamic therapy. RESULTS: The groups G3, G4, G7 did not show bacterial growth, G5 and G6 showed bacterial growth similar to G2. The study did not find SA or EC sensible to laser irradiation only, differently from some authors and did not consider biofilm in our experiments. CONCLUSION: Our experiment showed that, laser and photosensitizer isolated were not effective to inhibit Staphylococcus aureus (SA) and Escherichia coli (EC) growth, but when associated in aPDT technique, can be compared to chemical disinfection agents that are traditionally used and effective against this pathogen.

Single-aliquot, non-bronchoscopic bronchoalveolar lavage in the diagnosis of metastatic mammary tumours in dogs.

OBJECTIVE: To evaluate the use of bronchoalveolar lavage as an auxiliary tool for the diagnosis of neoplastic lung metastasis from mammary tumours in dogs. METHODS: A single-institution prospective observational study including 20 healthy dogs and 30 with mammary tumours. Thoracic radiography and single-aliquot, non-bronchoscopic bronchoalveolar lavage with cytology interpretation was performed in all animals and the results compared between groups. RESULTS: Dogs with mammary gland tumours and radiographic evidence of pulmonary metastasis had significantly higher relative neutrophil counts in bronchoalveolar lavage fluid than dogs with tumours without evidence of metastasis. In only one dog, in which thoracic radiographs were normal, were malignant cells identified in bronchoalveolar lavage fluid. CLINICAL SIGNIFICANCE: Inflammatory bronchoalveolar lavage fluid in dogs with mammary gland tumours may suggest metastatic disease. Bronchoalveolar lavage does not appear to be sensitive for identifying malignant cells.

Infrared Thermography in Dogs with Mammary Tumors and Healthy Dogs.

BACKGROUND: Infrared thermography is a painless, noninvasive, nonionizing diagnostic imaging exam used in human medicine as an auxiliary tool for breast cancer diagnosis in women. HYPOTHESIS/OBJECTIVES: Define thermographic mean temperatures of healthy mammary glands and compare these temperatures with those of mammary glands with tumors in dogs. ANIMALS: Fifty client-owned female dogs were evaluated, including 20 with histopathologically confirmed mammary tumor and 30 clinically healthy (control). METHODS: A randomized study using infrared thermography analyzed each mammary gland of the animals from the control group and mammary glands with tumors from the tumor group, then the thermographic temperatures obtained were compared. Thermographic exam was performed in a temperature-controlled room with a cooled thermographic camera-Flir E-40 (Flir Systems(®) ) RESULTS: There was significantly a higher temperature in the caudal abdominal and inguinal mammary glands than the other glands in the healthy group (P < .05). Dogs with mammary tumors had significantly higher thermographic temperature compared with unaffected glands regardless of the tumor size and the location (P < .05). CONCLUSIONS AND CLINICAL IMPORTANCE: The technique seems to be able to assess for the presence of neoplasia within the mammary tissue in bitches. Further investigation is necessary to determine the impact of this technique when adopted clinically.