An assessment of bacterial transmission via rebound tonometry: An in vitro pilot study

Background: Bacterial contamination of medical equipment is a significant risk in both human and veterinary medicine, leading to potential cross-contamination between clinicians, technicians, patients, and healthcare professionals. Pathogens can persist on surfaces, resulting in healthcare-associat...

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Main Authors: Jonathan Alexander Wood, Martyn King, Anita Dutton
Format: Article
Language:English
Published: Tripoli University 2024-11-01
Series:Open Veterinary Journal
Subjects:
Online Access:https://www.openveterinaryjournal.com/?mno=219470
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author Jonathan Alexander Wood
Martyn King
Anita Dutton
author_facet Jonathan Alexander Wood
Martyn King
Anita Dutton
author_sort Jonathan Alexander Wood
collection DOAJ
description Background: Bacterial contamination of medical equipment is a significant risk in both human and veterinary medicine, leading to potential cross-contamination between clinicians, technicians, patients, and healthcare professionals. Pathogens can persist on surfaces, resulting in healthcare-associated infections. Tonometry used to measure intraocular pressure (IOP) for diagnosing conditions like glaucoma and uveitis, is crucial in both human and veterinary care. However, there is limited information on bacterial transmission through reused tonometer probes in veterinary patients. This pilot study aimed to explore the potential for cross-contamination of bacteria via a rebound tonometer probe using bacterial isolates linked to bacterial ulcerative keratitis in dogs. Aim: To evaluate the potential for bacterial transmission via rebound tonometry using the ICare® TONOVET Plus in a controlled laboratory environment. The study focused on two bacterial isolates commonly implicated in canine bacterial ulcerative keratitis: Pseudomonas aeruginosa and beta-haemolytic Streptococcus. Methods: Bacterial cultures were inoculated on blood agar and MacConkey agar plates. Tonometer probes were used to perform multiple corneal rebounds (CR) readings on known bacterial samples, followed by multiple CR readings on agar growth plates, incubation and re-examination of the agar plates for evidence of bacterial transfer. Controls included plates where the probes were only used on sterile agar. Results: Bacterial transmission was detected with distinct bacterial colonies corresponding to individual CR readings on the plates inoculated with Pseudomonas and beta-haemolytic Streptococcus. A control plate exhibited a single bacterial colony, likely due to inadvertent contamination. Conclusion: The results indicate that bacterial transmission via rebound tonometer probes is possible. Although this was an in vitro study, the findings raise concerns about cross-contamination in clinical practice. Changing tonometer probes between patients, particularly after those with bacterial ulcerative keratitis is advised until further investigation into the in vivo bacterial transmission is investigated. [Open Vet J 2024; 14(11.000): 3074-3079]
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spelling doaj-art-fca3a395f00a40b7b1fdfc0e1ae5ac7d2024-12-13T19:28:45ZengTripoli UniversityOpen Veterinary Journal2226-44852218-60502024-11-0114113074307910.5455/OVJ.2024.v14.i11.36219470An assessment of bacterial transmission via rebound tonometry: An in vitro pilot studyJonathan Alexander Wood0Martyn King1Anita Dutton2Perth Animal Eye Hospital Perth Animal Eye Hospital Manning Western Australia Perth Animal Eye Hospital Manning Western AustraliaBackground: Bacterial contamination of medical equipment is a significant risk in both human and veterinary medicine, leading to potential cross-contamination between clinicians, technicians, patients, and healthcare professionals. Pathogens can persist on surfaces, resulting in healthcare-associated infections. Tonometry used to measure intraocular pressure (IOP) for diagnosing conditions like glaucoma and uveitis, is crucial in both human and veterinary care. However, there is limited information on bacterial transmission through reused tonometer probes in veterinary patients. This pilot study aimed to explore the potential for cross-contamination of bacteria via a rebound tonometer probe using bacterial isolates linked to bacterial ulcerative keratitis in dogs. Aim: To evaluate the potential for bacterial transmission via rebound tonometry using the ICare® TONOVET Plus in a controlled laboratory environment. The study focused on two bacterial isolates commonly implicated in canine bacterial ulcerative keratitis: Pseudomonas aeruginosa and beta-haemolytic Streptococcus. Methods: Bacterial cultures were inoculated on blood agar and MacConkey agar plates. Tonometer probes were used to perform multiple corneal rebounds (CR) readings on known bacterial samples, followed by multiple CR readings on agar growth plates, incubation and re-examination of the agar plates for evidence of bacterial transfer. Controls included plates where the probes were only used on sterile agar. Results: Bacterial transmission was detected with distinct bacterial colonies corresponding to individual CR readings on the plates inoculated with Pseudomonas and beta-haemolytic Streptococcus. A control plate exhibited a single bacterial colony, likely due to inadvertent contamination. Conclusion: The results indicate that bacterial transmission via rebound tonometer probes is possible. Although this was an in vitro study, the findings raise concerns about cross-contamination in clinical practice. Changing tonometer probes between patients, particularly after those with bacterial ulcerative keratitis is advised until further investigation into the in vivo bacterial transmission is investigated. [Open Vet J 2024; 14(11.000): 3074-3079]https://www.openveterinaryjournal.com/?mno=219470bacteriacontaminationculturetonometry
spellingShingle Jonathan Alexander Wood
Martyn King
Anita Dutton
An assessment of bacterial transmission via rebound tonometry: An in vitro pilot study
Open Veterinary Journal
bacteria
contamination
culture
tonometry
title An assessment of bacterial transmission via rebound tonometry: An in vitro pilot study
title_full An assessment of bacterial transmission via rebound tonometry: An in vitro pilot study
title_fullStr An assessment of bacterial transmission via rebound tonometry: An in vitro pilot study
title_full_unstemmed An assessment of bacterial transmission via rebound tonometry: An in vitro pilot study
title_short An assessment of bacterial transmission via rebound tonometry: An in vitro pilot study
title_sort assessment of bacterial transmission via rebound tonometry an in vitro pilot study
topic bacteria
contamination
culture
tonometry
url https://www.openveterinaryjournal.com/?mno=219470
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