Influence of type, concentration, exposure time, temperature, and presence of organic load on the antifungal efficacy of industrial sanitizers against Aspergillus brasiliensis (ATCC 16404).

Parameters such as type and concentration of the active compound, exposure time, application temperature, and organic load presence influence the antimicrobial action of sanitizers, although there is little data in the literature. Thus, this study aimed to evaluate the antifungal efficacy of different chemical sanitizers under different conditions according to the European Committee for Standardization (CEN). Aspergillus brasiliensis (ATCC 16404) was exposed to four compounds (benzalkonium chloride, iodine, peracetic acid, and sodium hypochlorite) at two different concentrations (minimum and maximum described on the product label), different exposure times (5, 10, and 15 min), temperatures (10, 20, 30, and 40 °C), and the presence or absence of an organic load. All parameters, including the type of sanitizer, influenced the antifungal efficacy of the tested compounds. Peracetic acid and benzalkonium chloride were the best antifungal sanitizers. The efficacy of peracetic acid increased as temperatures rose, although the opposite effect was observed for benzalkonium chloride. Sodium hypochlorite was ineffective under all tested conditions. In general, 5 min of sanitizer exposure is not enough and >10 min are necessary for effective fungal inactivation. The presence of organic load reduced sanitizer efficacy in most of the tested situations, and when comparing the efficacy of each compound in the presence and absence of an organic load, a difference of up to 1.5 log CFU was observed. The lowest concentration recommended on the sanitizer label is ineffective for 99.9% fungal inactivation, even at the highest exposure time (15 min) or under the best conditions of temperature and organic load absence. Knowledge of the influence exerted by these parameters contributes to successful hygiene since the person responsible for the sanitization process in the food facility can select and apply a certain compound in the most favorable conditions for maximum antifungal efficacy.

Compliance of commercial bleaches and stability of 1 g/L-dilutions using different sources of drinking water / Conformidad de lavandinas comerciales y estabilidad de diluciones 1g/L utilizando diferentes fuentes de agua potable

INTRODUCTION AND OBJECTIVES: In the context of COVID-19, the World Health Organization has recommended the use of extemporaneously prepared bleach solutions of 1 g/L, as a conservative concentration able to inactivate SARS-CoV-2 and the vast majority of other pathogens that may be present in the healthcare setting. Consequently, there is a renewed interest in conducting stability studies of these solutions. The goal of this work was to verify the available chlorine concentration in several bleach solutions trademarks and to propose a beyond use date for 1 g/L bleach solutions, obtained after dilution with drinking water from different sources. METHODS: Bleach trademarks, with nominal concentrations between 25-60 g/L, were subjected to iodometric titration to determine the available chlorine concentration. One trademark was used to prepare 1 g/L dilutions using water from different purification plants in Córdoba, Argentina. The samples were stored at room-temperature, both exposed or protected from light. The available chlorine concentration was determined by titration at preestablished time intervals. The beyond use date was reached when the available chlorine concentration dropped below 90 % of its initial. RESULTS: The concentration of active chlorine in the different trademark bleaches was within the values established by current regulations. Diluted solutions protected from light showed a decrease of less than 10 % in active chlorine concentration during the first 10 days of assay. However, one sample exceeded the acceptance limit after 14 days. In contrast, in the samples exposed to light, the concentration of active chlorine dropped to 96.4 % at 24 hours and 79.3 % after 48 hours. No differences related to drinking water sources were observed. CONCLUSIONS: Compliance of the nominal available chlorine concentration in trademark bleach solutions was confirmed. Regardless the water source used for dilution, 1 g/L bleach solutions were stable for 10 days when stored at room temperature and protected from light. Instead, solutions exposed to light maintain their available chlorine concentration for only 24 hours

INTRODUCCIÓN Y OBJETIVOS: En el contexto de COVID-19, la Organización Mundial de la Salud recomienda el uso de soluciones de hipoclorito de sodio 1 g/L, como una concentración capaz de inactivar el SARS-CoV-2 y la gran mayoría de patógenos presentes en el entorno sanitario. En consecuencia, hay un renovado interés en realizar estudios de estabilidad de estas disoluciones. El objetivo de este trabajo es verificar la concentración de cloro activo en varias marcas comerciales de hipoclorito de sodio y proponer una fecha límite de uso para soluciones de 1 g/L, obtenidas por dilución con agua potable proveniente de diferentes fuentes. MÉTODOS: La concentración de cloro activo de preparaciones comerciales con concentración nominal entre 25-60 g/L fue valorada por titulación iodométrica. A partir de una de las marcas comerciales se prepararon diluciones de 1 g/L usando agua proveniente de diferentes plantas potabilizadoras en Córdoba, Argentina. Las disoluciones se almacenaron a temperatura ambiente, tanto expuestas como protegidas de la luz y fueron posteriormente tituladas a intervalos de tiempo preestablecidos. La fecha límite de uso se alcanzó cuando la concentración de cloro activo cayó por debajo del 90 % de la inicial. RESULTADOS: La concentración de cloro activo en las soluciones comerciales estuvo dentro de los valores establecidos por la normativa vigente. Las diluciones protegidas de la luz mostraron una disminución menor al 10 % en la concentración de cloro activo durante los primeros 10 días de ensayo. Sin embargo, una muestra superó el límite de aceptación luego de 14 días. En contraste, en las muestras expuestas a la luz, la concentración de cloro activo cayó a 96.4 % a las 24 horas y 79.3 % después de 48 horas. No se observaron diferencias relacionadas con las fuentes de agua potable. CONCLUSIONES: se confirmó la concentración nominal de cloro activo en todas las marcas comerciales evaluadas. Independientemente de la fuente de agua potable utilizada para la dilución, las soluciones de 1 g/L fueron estables durante 10 días cuando se almacenaron a temperatura ambiente y protegidas de la luz. En contraste, las soluciones expuestas a la luz mantienen la concentración de cloro activo durante solo 24 horas

Análise da concentração de cloro ativo em sanitizantes industrializados comercializados em Maceió, AL

No Brasil, do ano de 2000 a 2017, ocorreram 12.503 surtos de origem alimentar e os locais que sobressaíram como os mais frequentes na ocorrência destes surtos foram restaurantes e residências tendo como uma das causas principais, as superfícies de equipamentos, utensílios e objetos mal higienizados. O produto mais usado para realizar a higiene é o hipoclorito de sódio (água sanitária), sendo este utilizado tanto para serviços de alimentação como para uso residencial. O hipoclorito é comercializado industrialmente e este pode ser fabricado de forma impropria não correspondendo ao percentual de cloro contido em sua rotulagem. O objetivo deste estudo foi analisar o teor de cloro das marcas comerciais de águas sanitárias industrializadas comercializadas na cidade de Maceió/ AL. A metodologia utilizada para determinação de Cloro Ativo foi o método volumétrico, em solução de hipoclorito de sódio. Duas marcas comerciais apresentaram valores menores que 2% de cloro, sete com valores acima e três com valores entre 2 e 2,5%, valores estes preconizados pela legislação. Os resultados mostram que a fabricação deste produto precisa de fiscalização por órgãos competentes para que o teor de cloro esteja dentro do padrão da Legislação. Com essa inadequação a população será prejudicada, pois estará comprando um produto adulterado.

In Brazil, from the year 2000 to 2017, 12,503 foodborne outbreaks have occurred, and the other important local as the more frequent occurrence of these outbreaks was restaurants and residences having as one of the main causes, the surfaces of equipment, utensils and objects poorly sanitized. The product used to perform hygiene is sodium hypochlorite (bleach), which is used for both food service as for residential use. The hypochlorite is sold industrially and this can be manufactured in a manner unbecoming not corresponding to the percentage of chlorine contained in your labelling. The aim of this study was to analyze the chlorine content of the trademarks of sanitary water marketed in the industrialised city of Maceió/AL. The methodology used for the determination of active chlorine, was using the volumetric method, solution of sodium hypochlorite. Two trademarks presented values less than 2% chlorine, seven with values above and 3 with values between 2 and 2.5%, these values provided by the legislation. The results show that the manufacture of this product needs supervision by competent bodies so that the chlorine content is within the pattern of legislation. Whit this inadequacy to population will suffer, as will be buying and adulterated product.

Comprehensive assessment of microbial aggregation characteristics of activated sludge bioreactors using fuzzy clustering analysis.

Understanding microbial aggregation dynamics in response to the often violent environmental fluctuations is important for activated sludge wastewater biotreatment practice, yet remains poorly understood. We investigated microbial aggregation process of an activated sludge reactor in response to various operating conditions of resource limitations, disinfectant and pH stresses, and quantified aggregation characteristics by employing a fuzzy clustering analysis (FCA) method. The results revealed that the FCA provided a means for comprehensive assessment of microbial aggregation dynamics of the bioreactor relying solely on simple parameter estimation. Proper disinfectant stress (of NaClO 1.00% or 2.00%) is a promising strategy to improve the comprehensive performance of microbial aggregation and sludge settleability. Nitrogen- (of C/N ratio > 40) and dissolved oxygen-limitations (of DO < 0.2 mg/L) had medium influence on the comprehensive performance of the activated sludge system, while little impacts for acidic and alkaline conditions. These quantitative estimations offer insights into the underlying bio-physicochemical processes of an activated sludge bioreactor in response to practical fluctuations that is often beyond typical assessment practice. In addition, it may represent a step towards uncoupling the complex biophysical interactions that is essential for optimized designing and proper engineering practice of biological wastewater treatment reactors.

Antibacterial activity of amoxicillin in vitro and its oral bioavailability in broiler chickens under the influence of 3 water sanitizers.

The interaction of 3 water sanitizers (sodium hypochlorite, iodine-polyvinylpyrrolidone, and citrate) utilized in poultry production on antibacterial activity and bioavailability of amoxicillin trihydrate (AMX) were studied. Sanitizers were mixed with AMX in prepared water, the resulting substances were regarded as amoxicillin-sanitizer products (ASP). First, the in vitro antibacterial activity of each ASP was compared to that of AMX. Then, pharmacokinetics (PK) of ASP and AMX diluted in prepared water, were carried out in broiler-chickens. Amoxicillin or ASP (20 mg/kg) from different concentrations of sanitizers was directly placed into the chicken's crop and blood samples were taken. Basic PK parameters were obtained. Serum activity/concentrations of AMX were assessed by agar diffusion and corroborated with high performance liquid chromatography. Results show that ASP of AMX/sodium hypochlorite decrease both, the antimicrobial activity of in vitro AMX and its relative bioavailability (Fr) assessed with the maximum serum concentration (Cmax), the area under the concentration-time curve, and the mean residence time (MRT) (3.80 µg/mL, 2.70 µg/mL·h, and 0.59 h, respectively), compared to the AMX administered alone (12.54 µg/mL, 44.02 µg/mL·h, and MRT 2.78 h). ASP from amoxicillin/ionophore, reduced the Cmax (10.62 µg/mL), Fr (94.67%), and MRT (2.07 h), at the highest tested concentrations. In contrast, the 2 highest concentrations of the citrate sanitizer increased the Cmax (15.07 and 15.47 µg/mL), Fr (119 and 132%), and MRT (3.32 and 4.06 h) and their in vitro antimicrobial activity. Interactions between the tested water sanitizers and AMX modify the Cmax, Fr, MRT of the latter, altering the PK/pharmacodymanic ratios for a time-dependent antibiotic. Results also reveal that the use of amoxicillin trihydrate administered through the drinking water does not meet the required PK/pharmacodymanic ratios. Thus, it is here postulated that this antibiotic should be administered at least twice a day and that its interaction with water sanitizers should be considered.

Evaluating the effects of the adulterants in milk using direct-infusion high-resolution mass spectrometry.

Milk is an extremely complex food, capable of providing essential nutrients as well as being an important source of energy, and high-quality proteins and fats. Due to advances in technology, and to meet the increasing demand, production costs have increased, turning milk into a target of adulterations. Routine methods usually applied to certify the quality of the milk are restricted to microbiological tests, and assays that attest the nutritional composition within the expected values. However, potentially harmful byproducts generated by adulterating substances in general are not detected through these methodologies. In this contribution, we simulated the adulteration of freshly produced milk samples with four adulterants whose use already had reported for extended shelf life: formaldehyde, hydrogen peroxide, sodium hydroxide, and sodium hypochlorite. These samples were submitted to direct-infusion high-resolution mass spectrometry analysis and multivariate statistical analysis. This approach allows the characterization of a series of molecules modified by the adulterants, what demonstrates how these species affect the nutritious characteristics of this product.

Effects of various chemical cleaning conditions for pressured MF process.

A pilot-scale pressured hollow-fiber microfiltration (MF) process as pretreatment for the reverse osmosis process was studied and operated under various conditions to assess the relative influence of backwashing, chemical enhanced backwashing (CEB), and bag filter application. The pilot plant process consisted of backwashing but without the CEB or the bag filter as the first step of the research. As the second step of the research, the impact of the backwashing on permeability recovery was assessed at different intervals followed by the influence of CEB on flowrate recovery. Results from operating the pilot-scale hollow-fiber membrane modules for more than 1 year have demonstrated that the appropriate pore size of bag filters was 25-50 µm and the optimized backwashing process was every 30 minutes with 25 mg/L of NaOCl, and CEB with an interval of 10 cycles with the use of 100 mg/L NaOCl.

Evaluation of a method for removing cesium and reducing the volume of leaf litter from broad-leaved trees contaminated by the Fukushima Daiichi nuclear accident during the Great East Japan Earthquake.

The town of Marumori in southern Miyagi Prefecture borders on Fukushima Prefecture, and following the accident at the Fukushima Daiichi nuclear power plant, there were concerns about cesium deposition in forested areas. One of the authors of this paper has continually surveyed leaf litter from the forested areas. As leaf litter may be a source of cesium contamination from the forest to downstream areas, we considered a simplified version of wet oxidation, a method previously presented by one of the authors of this study, as a technology to reduce leaf litter weight and cesium concentration, separating radioactive nuclides from non-radioactive ones, in leaf litter. We tested our method in three experiments. Experiment 1 used new leaf litter (232 Bq/kg) from the surface of a small stream at the forest edge nearby an area with air dose level higher than the national standard threshold of 0.23 µSv/h for the implementation of governmental decontamination works. Experiment 2 applied wet oxidation to older leaf litter (705 Bq/kg) harvested from a pasture nearby the stream mentioned above. We also used the same leaf litter in experiment 3 for a cesium release tests using pure water. In experiment 1 and 2 we treated leaf litter with a sodium hypochlorite solution, optimizing sodium hypochlorite concentration and reaction temperature. We measured a 50-60% decrease in the leaf litter weight and a 60% decrease in the cesium concentration. Moreover, we also measured the amount of cesium washout. The cesium budget of experiment 1 showed no cesium gasification (wet oxidation avoids airborne cesium as this element is prone to be volatile at 600 °C), and that high sodium hypochlorite concentration and high temperature had a strong positive effect on leaf litter volume reduction and cesium decontamination. Experiment 2 confirmed the reproducibility of these results in leaves with different cesium concentration and harvested in different conditions. We could also explain the mechanism behind leaf litter weight and cesium concentration reduction. Experiment 3 helped us to investigate the effects of the matter present on the surface of the water and the contribution of water soluble cesium. Concurrent experiments on changes in leaf litter chemical composition confirmed that our modified wet oxidation method had an effect on the removal of acid-insoluble lignin. Removal of lignin, a refractory component, might allow for a better utilization of the residue left after implementation of the proposed simplified wet oxidation. Thus, real wastes could be smaller than the residues. Together with the observed smaller cesium concentration in the residue, the proposed method in this study is expected to contribute to mitigate the risk due to the fallen leaves containing cesium.

Developmental effects of the industrial cooling water additives morpholine and sodium hypochlorite on lake whitefish (Coregonus clupeaformis).

Chemicals used in the prevention of corrosion and biofouling may be released into the environment via industrial cooling water discharges. The authors assessed the impacts of 2 commonly used chemicals, morpholine and sodium hypochlorite, on development in lake whitefish (Coregonus clupeaformis). Embryos were exposed chronically, beginning at fertilization or at the eyed stage. Acute 96-h exposures were also examined at 4 development stages. Chronic morpholine resulted in median lethal concentrations (LC50s) of 219 ± 54 mg/L when exposure began at fertilization and 674 ± 12 mg/L when exposure began at the eyed stage, suggesting that embryos are more sensitive earlier in development. Chronic morpholine exposure advanced hatching by up to 30%, and the early hatching embryos were up to 10% smaller in body length. A decrease in yolk conversion efficiency was also observed in embryos exposed to chronic morpholine concentrations of 1000 mg/L. The majority of effects from morpholine exposure manifested near hatch, possibly reflecting changes in chorion permeability at the end of embryonic development. Sodium hypochlorite only impacted survival with chronic exposure from fertilization, where the total residual chlorine LC50 was 0.52 ± 0.11 mg/L. Acute exposures to both chemicals had minimal effects up to the highest tested concentrations. Overall, the results suggest that the risk during development from exposure to morpholine and sodium hypochlorite is low under normal operating conditions. Environ Toxicol Chem 2017;36:1955-1965. © 2016 SETAC.

Polydiacetylene sensor interaction with food sanitizers and surfactants.

Polydiacetylene (PDA) vesicles are of interest as biosensors, particularly for pathogenic bacteria. As part of a food monitoring system, interaction with food sanitizers/surfactants was investigated. PDA vesicles were prepared by inkjet-printing, photopolymerized and characterized by dynamic light scattering (DLS) and UV/Vis spectroscopy. The optical response of PDA vesicles at various concentrations verses a fixed sanitizer/surfactant concentration was determined using a two variable factorial design. Sanitizer/surfactant response at various concentrations over time was also measured. Results indicated that only Vigilquat and TritonX-100 interacted with PDA vesicles giving visible colour change out of 8 sanitizers/surfactants tested. PDA vesicle concentration, sanitizer/surfactant concentration, and time all had a significant (P<0.0001) effect on colour change. As they are highly sensitive to the presence of Vigilquat and TritonX-100, PDA sensors could be used to detect chemical residues as well as for detection of various contaminants in the food industry.

Increased detection of smear-negative pulmonary tuberculosis by GeneXpert MTB/RIF® assay after bleach concentration.

OBJECTIVE/BACKGROUND: The GeneXpert MTB/RIF assay (Xpert) was endorsed as the initial diagnostic tool in people suspected of human immunodeficiency virus-associated or drug-resistant tuberculosis (TB). However, information regarding the performance of Xpert for diagnosing smear-negative TB in high burden settings remains limited. We evaluated the diagnostic accuracy of Xpert and the impact of bleach concentration on the performance of Xpert using smear-negative sputum samples from human immunodeficiency virus-negative patients. METHODS: One spot and one morning smear-negative sputum samples per patient were examined using Xpert and culture at the Mycobacteriology Research Center of Jimma University, Ethiopia. The sputum culture on both Löwenstein-Jensen and/or Mycobacteria Growth Indicator Tube was the gold-standard. RESULTS: Of 185 smear-negative presumptive pulmonary TB cases, 19 (10.3%) had culture-proven TB. The sensitivity of Xpert on spot and morning sputum was similar (63.2%). Testing two specimens per patient insignificantly increased the sensitivity of Xpert. Bleach concentration and pelleting improved the sensitivity of Xpert over unprocessed sputum in paired samples (73.8% vs. 63.2%) without affecting the specificity (95%). Bleach concentration and pelleting allowed an additional seven cases of TB (missed on the first and second direct Xperts) to be detected, five of which were from culture-negative cases. CONCLUSION: Testing of a single sputum sample by Xpert can reach reasonable sensitivity and results would be available on the same day, avoiding loss of patients and treatment delay. The sensitivity of Xpert was improved after bleach concentration and pelleting, although its added value needs further study on a larger scale.

Disposable self-support paper-based multi-anode microbial fuel cell (PMMFC) integrated with power management system (PMS) as the real time "shock" biosensor for wastewater.

A paper-based multi-anode microbial fuel cell (PMMFC) integrated with power management system (PMS) was developed as a disposable self-support real-time "shock" biosensor for wastewater. PMMFCs were examined at three types of shocks (chromium, hypochlorite and acetate) in a batch-mode chamber, and exhibited various responses to shock types and concentrations. The power output of PMMFC sensor was four times as the carbon cloth (CC)-based MFCs, indicating the advantage of paper-based anode for bacterial adhesion. The power output was more sensitive than the voltage output under shocks, and thus preventing the false signals. The simulation of power harvest using PMS indicated that PMMFC could accomplish more frequent data transmission than single-anode MFCs (PSMFC) and CC anode MFCs (CCMMFC), making the self-support wastewater monitor and data transmission possible. Compared with traditional MFC sensors, PMMFCs integrated with PMS exhibit the distinct advantages of tight paper-packed structure, short acclimation period, high power output, and high sensitivity to a wide range of shocks, posing a great potential as "disposable self-support shock sensor" for real time in situ monitoring of wastewater quality.

Estudo dos resultados das análises de monitoramento dos produtos contendo hipoclorito de sódio em ambiente hospitalar na região da 1ª e18ª Coordenadorias Regionais de Saúde (CRS) no ano de 2011-2012 / Study of the results of monitoring analyses of products containing sodium hypochlorite in hospital environment in the region of the 1st and 18th Regional Health Coordinators (RHC) in 2011-2012

O objetivo deste trabalho foi a verificação da qualidade do hipoclorito de sódio em solução aquosa em relação às concentrações dessa substância fabricados no Brasil e diluídos em ambiente hospitalar para o uso nos processos de limpeza. (AU)

Video-tracking of zebrafish (Danio rerio) as a biological early warning system using two distinct artificial neural networks: Probabilistic neural network (PNN) and self-organizing map (SOM).

Biological early warning systems (BEWS) are becoming very important tools in ecotoxicological studies because they can detect changes in the behavior of organisms exposed to toxic substances. In this work, a video tracking system was fully developed to detect the presence of commercial bleach (NaOCl) in water in three different concentrations (0.0005%; 0.0010% and 0.0020% (v/v)) during one hour of exposure. Zebrafish was selected as the test organism because it is widely used in many different areas and studies. Two distinct statistical models were developed, using probabilistic neural network (PNN) and correspondence analysis associated with self-organizing map (SOM-CA). The diagnosis was based only in the analysis of a few behavioral components of the fish, namely: mean angular velocity, mean linear velocity, spatial dispersion, mean value of the X coordinate and mean value of the Y coordinate. Both models showed good results in their diagnosis capabilities. However, the overall performance (accuracy) was always superior in the PNN model. The worst result was with the SOM-CA model, at the lowest concentration (0.0005% v/v), achieving only 65% of correct diagnosis. The best result was with the PNN model, at the highest concentration (0.0020% v/v), achieving 94% of correct diagnosis.

Inactivation dynamics of Salmonella enterica, Listeria monocytogenes, and Escherichia coli O157:H7 in wash water during simulated chlorine depletion and replenishment processes.

Maintaining effective sanitizer concentration is of critical importance for preventing pathogen survival and transference during fresh-cut produce wash operation and for ensuring the safety of finished products. However, maintaining an adequate level of sanitizer in wash water can be challenging for processors due to the large organic load in the wash system. In this study, we investigated how the survival of human pathogens was affected by the dynamic changes in water quality during chlorine depletion and replenishment in simulated produce washing operations. Lettuce extract was added incrementally into water containing pre-set levels of free chlorine to simulate the chlorine depletion process, and sodium hypochlorite was added incrementally into water containing pre-set levels of lettuce extract to simulate chlorine replenishment. Key water quality parameters were closely monitored and the bactericidal activity of the wash water was evaluated using three-strain cocktails of Escherichia coli O157:H7, Salmonella enterica, and Listeria monocytogenes. In both chlorine depletion and replenishment processes, no pathogen survival was observed when wash water free chlorine level was maintained above 3.66 mg/L, irrespective of the initial free chlorine levels (10, 50, 100 and 200 mg/L) or organic loading (chemical oxidation demand levels of 0, 532, 1013 and 1705 mg/L). At this free chlorine concentration, the measured ORP was 843 mV and pH was 5.12 for the chlorine depletion process; the measured ORP was 714 mV and pH was 6.97 for the chlorine replenishment process. This study provides quantitative data needed by the fresh-cut produce industry and the regulatory agencies to establish critical operational control parameters to prevent pathogen survival and cross-contamination during fresh produce washing.

Residues of different gel formulations on dentinal walls: A SEM/EDS analysis.

The aim of this study was to evaluate the presence of residues of sodium hypochlorite gel, chlorhexidine gel, and EDTA gel on dentinal walls after canal preparation through chemical SEM- elemental chemical microanalysis (EDS) analysis. Forty-eight single-rooted teeth were selected. They had their crowns sectioned and were instrumented with a reciprocating system. The canals were irrigated with 5 mL of saline solution during root canal preparation. After instrumentation, the root canals were irrigated with 3 mL 17% EDTA followed by 1 min of ultrasonic passive activation (3× 20 sec) to remove the smear layer, and then irrigated with 3 mL of saline solution. The specimens were randomized into three groups (n = 12) according to the chemical substance that filled the root canal for 30 min: GI: 5.5% sodium hypochlorite gel; GII: 2% chlorhexidine gel; GIII: 24% EDTA gel; Negative control group: no substance was used. Then, the root canals were irrigated with 6 mL of saline solution followed by 1 min of ultrasonic passive activation (3× 20 sec). After ultrasonic activation, the canals were irrigated with 2 mL saline. The roots were sectioned, and the percentage of each chemical element present in the samples was analyzed through chemical SEM-EDS microanalysis. All experimental groups showed a significantly higher percentage of chemical elements (Na and/or Cl) than the control group (P < 0.03). This in vitro study has shown that, regardless of chemical solutions used even after the final irrigation protocol, chemical residues of different substances remained attached to the root canal walls.

Available chlorine consumption from NaOCl solutions passively placed in instrumented human root canals.

AIM: To monitor chlorine consumption from nonagitated aqueous sodium hypochlorite (NaOCl) solutions in human root canals using a recently developed assay, which can determine the order of magnitude of available chlorine in small volumes of liquid. METHODOLOGY: The root canals of 80 extracted single-rooted human teeth were instrumented to ProTaper Universal F4 and irrigated using 1% NaOCl. Subsequently, canals were irrigated with copious amounts of deionized water to rinse out the residual chlorine. Subsequently, the teeth were sealed externally and placed in a water bath of 37 °C. Root canals were filled with NaOCl of 1%, 2.75%, 5.5%, or distilled water for 1, 10, 100 or 1000 min (n = 5 teeth per solution and time). Consumption of chlorine was measured using paper points pre-impregnated with 15% potassium iodide. Colour change of the paper points was determined photo-electronically, assessing their red value after absorbing solutions from root canals. Measurements were compared to a standard series of NaOCl down to 0.001% (n = 5 paper points per concentration). RESULTS: Red values of the paper points inserted into the root canal were affected by initial NaOCl concentration and time (two-way anova, P < 0.05). If NaOCl concentrations above 0.1% are considered to be clinically relevant, then 5.5% NaOCl retained its activity in the root canal for more than 100 min, whereas 1% NaOCl lost its activity between 10 and 100 min. CONCLUSIONS: Nonagitated NaOCl solutions can remain biologically active in human root canals for extended time periods.

Testing the degradation effects of three reagents on various antineoplastic compounds.

OBJECTIVE: Studies for decontamination of antineoplastic compounds have been conducted for decades. Nevertheless, recent studies indicate the contamination of work place in hospitals, and the exposure of workers. In this study, to develop an effective cleaning method for contaminated environments, the degradation efficacies of antineoplastic compounds by reagents were evaluated. METHODS: The degradation efficacies of various combinations of three reagents (sodium hypochlorite, sodium thiosulfate, and sodium hydroxide) were evaluated with four antineoplastic compounds (cyclophosphamide, epirubicin, cisplatin, and carboplatin). The residues of antineoplastic compounds were measured with high-performance liquid chromatography. RESULTS: Of the three reagents, sodium hypochlorite was the most effective to all antineoplastic compounds used in this study. Although sodium hypochlorite degraded 86.6% of cyclophosphamide, it degraded other three antineoplastic compounds completely. The combination with sodium hypochlorite and sodium thiosulfate degraded only 3.3% of cyclophosphamide, since sodium thiosulfate inhibited the degradation ability of sodium hypochlorite. Similarly, the combinations used in all three reagents failed to degrade cyclophosphamide. CONCLUSION: Although three of four antineoplastic compounds were degraded successfully, any combinations of three reagents could not degrade cyclophosphamide completely. However, the addition of sodium thiosulfate which inhibits the corrosion of metal by sodium hypochlorite is essential for daily cleaning. Therefore, the evaluation of reaction time before the addition of sodium thiosulfate may be required. We will continue to investigate the reagents for degradation.

Quantitative assessment of root canal roughness with calcium-based hypochlorite irrigants by 3D CLSM.

Chemical solutions play important roles in endodontic treatment and promote ultrastructural changes in dentin surface. The aim of this study was to quantify root canal roughness at different concentrations of calcium hypochlorite (Ca(OCl)2) and sodium hypochlorite (NaOCl) by confocal laser scanning microscopy (CLSM). Fifty-two human mandibular premolars were sectioned and randomly organized into thirteen groups (n=8): saline (control); 1%, 2.5% and 5% NaOCl; 1%, 2.5% and 5% Ca(OCl)2; the hypochlorite groups were further divided into with or without EDTA. The chlorine concentrations of the different solutions were measured by iodine titration (%). The superficial roughness (Sa) was quantified by CLSM. Ca(OCl)2 presented substantial decrease in chlorine concentration that differed from the package indication, but without compromising the dentin ultrastructure changes. There were no significant differences in dentin roughness between Ca(OCl)2 or NaOCl at all studied concentrations. The combination with EDTA provided similar roughness values among the solutions (p>0.05). The 5% Ca(OCl)2 and NaOCl solutions significantly increased dentin roughness and did not differ from the EDTA association (p>0.05). Ca(OCl)2 promoted similar dentin roughness as the NaOCl at the same concentrations and combined with EDTA. It may be concluded that Ca(OCl)2 modified the root canal dentin roughness similarly to NaOCl, at the same concentrations and EDTA combinations used in this study. Ca(OCl)2 and NaOCl, both at 5%, significantly altered dentin roughness, overcoming EDTA association, thus Ca(OCl)2 concentrations ranging from 1% to 2.5% may be suitable solutions for root canal irrigation protocols.

An evaluation of the accuracy of labeling of percent sodium hypochlorite on various commercial and professional sources: is sodium hypochlorite from these sources equally suitable for endodontic irrigation?

INTRODUCTION: The shelf life of sodium hypochlorite (NaOCl) is limited, and a previous article showed that there can be a discrepancy between the expected concentration of free available chlorine (FAC) and the actual FAC concentration in NaOCl solutions intended for endodontic irrigation. The current study investigates the FAC content of domestic and professional NaOCls and evaluates the influences of dilution and storage on FAC concentration. METHODS: First, domestic and professional NaOCls not obtained from manufacturers were iodometrically titrated. Then, NaOCls were diluted with demineralized water or tap water and stored at 4°C or 18°C and analyzed at baseline and 2 and 22 weeks. Statistical analyses included paired samples, independent samples t tests and repeated multivariate analysis of variance. Correlations were calculated with the Pearson or Spearman rank correlation test. A P < .05 was considered significant. RESULTS: Label specifications of domestic NaOCl were very imprecise (ie, <5% NaOCl). Domestic NaOCl contained 1.8%-3.5% NaOCl (w/v). Professional NaOCl varied from 14.3% relative less FAC than specified on the label to 23.5% relative more FAC than specified. After 22 weeks, the relative average loss of FAC in all conditions was 5.4% FAC (P = .002). Dilution, diluents, or storage temperature had no effect on the decline of FAC caused by aging. CONCLUSIONS: There is a great variation in NaOCl concentrations, with domestic NaOCl being the least accurate. NaOCl can be stored up to 5 months. The FAC concentration of domestic NaOCl is unpredictable, and, therefore, it appears less suitable for clinical application as root canal irrigant.