Tratamiento de una lesión primaria por loxoscelismo cutáneo, complicada por infección, con solución electrolizada de superoxidación con pH neutro (SES). Informe de un caso / Treatment of a Primary Lesion of Cutaneous Loxoscelismo, Complicated by Infection, with Neutral Electrolyzed Water (SES). A Case Report

Resumen Las lesiones por loxoscelismo cutáneo pueden complicarse con infecciones concomitantes debido a que el diagnóstico es presuntivo y no existe un esquema de tratamiento específico. Las soluciones electrolizadas de superoxidación de pH neutro (SES) han mostrado ser eficaces en el tratamiento de lesiones cutáneas severas por sus efectos antisépticos y de regeneración del tejido, por lo que podrían ser un método de curación para las lesiones por loxoscelismo cutáneo. Presentamos el caso de un paciente del sexo masculino, de 73 años, cardiópata, diagnosticado con loxoscelismo cutáneo en el tobillo izquierdo que recibió tratamiento convencional de antibióticos, antiinflamatorios, antihistamínicos y analgésicos, y fue dado de alta. Sin embargo, la lesión evolucionó y fue tratada de manera casera con remedios tradicionales; esta se extendió 360° y presentaba exudado fétido al momento en que decidió regresar al hospital. En la clínica de heridas se optó por manejar la lesión en primera instancia con lavados con SES y desbridamiento, seguido de lavados con SES y apósitos de gel SES 3 veces al día, por 3 días, logrando el control de la infección en este tiempo. Posteriormente, con el régimen basado en la aplicación de SES cada 48 horas, se observó la aparición del tejido de granulación al día 7, y la reepitelización en el día 45 de iniciado el abordaje con SES; el cierre total de la lesión se logró el día 67. El esquema de tratamiento basado en el uso de soluciones electrolizadas de superoxidación de pH neutro mostró ser eficaz en el control de la infección y en la inducción del proceso de regeneración del tejido que llevó al cierre de la herida sin complicaciones para el paciente.

Abstract Cutaneous loxoscelism wounds can be complicated by concomitant infections because the diagnosis is presumptive and there is no specific treatment scheme. Neutral electrolyzed water (SES) has been shown to be effective in the treatment of severe skin lesions due to their antiseptic and tissue regeneration effects and could therefore be a healing method for skin loxoscelism lesions. We present the case of a 73-year-old male patient with heart disease, diagnosed with cutaneous loxoscelism in the left ankle, who received conventional treatment of antibiotics, anti-inflammatories, antihistaminics, and analgesics. He was discharged. However, the injury developed and was treated at home with traditional remedies. It extended 360° and presented a fetid exudate at the time he decided to return to the hospital. In the clinic it was decided to manage the lesion in the first instance with washes with SES and debridement, followed by washes with SES and SES gel dressings three times a day for 3 days, achieving control of the infection at that moment. Subsequently, with the regimen based on the application of SES every 48 hours, the appearance of granulation tissue was observed on day 7, and re-epithelialization on day 45 after starting the SES approach, the total closure of the lesion was achieved on day 67. The treatment scheme based on the use of neutral electrolyzed water proved to be effective in controlling the infection and in inducing the tissue-generation process that led to the closure of the wound without complications for the patient.

Slightly acidic electrolyzed water cytotoxicity to oral keratinocyte monolayers / 口腔疾病防治

Objective @#To investigate the cytotoxicity of slightly acidic electrolyzed water (SAEW) on oral keratinocyte monolayers. @*Methods@#TR146 human keratinocyte monolayers were exposed to SAEW pretreated with bovine serum albumin（BSA）. It was divided into 4 groups, BSA 0 mg/mL (SAEW stock solutsion), BSA 0.5 mg/mL, BSA 1 mg/mL and BSA 2 mg/mL. The relative growth rate (RGR) was measured using a CCK-8 assay at 1 min, 5 min, 15 min, 30 min and 1 h, and the survival rate was measured using a Trypan Blue exclusion assay at 1 h. @*Results@#The CCK-8 assay showed significantly different OD values in the SAEW and negative control groups at different times and FAC concentrations (P<0.05). With increasing FAC concentrations and observation times, the RGR in the SAEW group decreased, and the SAEW showed moderate to severe cytotoxic effects. The OD values in the BSA (0.5~2 mg/mL)-pretreated SAEW and negative control groups were not significantly different at different times or FAC concentrations (P > 0.05); the RGRs of the BSA-pretreated SAEW group all approached 100%, and no cytotoxic effects were observed in the BSA-pretreated SAEW group. The Trypan Blue exclusion assay showed significantly different survival rates in the SAEW and negative control groups at different FAC concentrations (P < 0.05). As the FAC concentration increased, the survival rate in the SAEW group decreased, and SAEW showed moderate to severe cytotoxic effects. The survival rates in the BSA-pretreated SAEW and negative control groups were not significantly different at different FAC concentrations (P > 0.05); the survival rates in the BSA-pretreated SAEW group all approached 100%, and no cytotoxic effects were observed.@*Conclusion@#SAEW showed no adverse effects on the viability of dental oral keratinocyte monolayers in vitro in the presence of BSA at concentrations equivalent to that of protein in saliva.

Comparison of Antimicrobial Activity of Electrolyzed Water Using Various Electrodes against Biofilm of Oral Pathogens

Biofilms of oral microbes can cause various diseases in the oral cavity, such as dental caries, periodontitis and mucosal disease. Electrolyzed water generated by an electric current passed via water using a metal electrode has an antimicrobial effect on pathogenic bacteria which cause food poisoning. This study investigated the antimicrobial activity of electrolyzed waters using various metal electrodes on the floatage and biofilms of oral microbes. The electrolyzed water was generated by passing electric current using copper, silver and platinum electrodes. The electrolyzed water has a neutral pH. Streptococcus mutans, Porphyromonas gingivalis and Tannerella forsythia were cultured, and were used to form a biofilm using specific media. The floatage and biofilm of the microbes were then treated with the electrolyzed water. The electrolyzed water using platinum electrode (EWP) exhibited strong antimicrobial activity against the floatage and biofilm of the oral microbes. However, the electrolyzed water using copper and silver electrodes had no effect. The EWP disrupted the biofilm of oral microbes, except the S. mutans biofilm. Comparing the different electrolyzed waters that we created the platinum electrode generated water may be an ideal candidate for prevention of dental caries and periodontitis.

Antifungal effect of electrolyzed hydrogen water on Candida albicans biofilm

PURPOSE: Candida albicans can cause mucosal disease in many vulnerable patients. Also they are associated with denture-related stomatitis. Electrolyzed water is generated by electric current passed via water using various metal electrodes and has antimicrobial activity. The aim of this study was to investigate antifungal activity of electrolyzed water on C. albicans biofilm. MATERIALS AND METHODS: C. albicans was cultured by sabouraud dextrose broth and F-12 nutrient medium in aerobic and 5% CO2 condition to form blastoconidia (yeast) and hyphae type, respectively. For formation of C. albicans biofilm, C. albicans was cultivated on rough surface 6-well plate by using F-12 nutrient medium in CO2 incubator for 48 hr. After electrolyzing tap water using various metal electrodes, the blastoconidia and hyphal type of C. albicans were treated with electrolyzed water. C. albicans formed blastoconidia and hyphae type when they were cultured by sabouraud dextrose broth and F-12 nutrient medium, respectively. RESULTS: The electrolyzed water using palladium electrode (EWP) exhibited antifungal effect on blastoconidia of C. albicans. Also, the EWP significantly has antifungal activity against C. albicans biofilm and hyphae. In the electrolyzed water using various metal electrodes, only the EWP have antifungal activity. CONCLUSION: The EWP may use a gargle solution and a soaking solution for prevention of oral candidiasis and denture-related stomatitis due to antifungal activity. (

Effectiveness of alkaline electrolyzed water in cleaning medical instruments / 中国感染控制杂志

Objective To study the effectiveness of alkaline electrolyzed water (AEW)in the cleaning of medical instruments and its corrosive effect on metal. Methods Medical instruments of solid smooth,solid with gear or tube were cleaned with AEW adding ultrasonic washing,cleaning efficacy were compared with conventional method, AEW without pulsing ultrasonic washing and control group,corrosive effect of AEW on metal immersed in AEW was tested. Results Cleaning efficacy of solid smooth,solid with gear or tube instruments were significantly differ-ent among four groups(F= 10.868,14.268,6.146,respectively,all P0.05). AEW had no corrosive effect on stainless steel and copper. Conclusion The cleaning efficacy of AEW on solid smooth,solid with gear instruments is su-perior to conventional cleaning method,and can achieve better effectiveness if ultrasonic cleaning is added.

Produção de água eletrolisada ácida para uso em Odontologia / Production of electrolyzed acid water for dentistry

O objetivo desse trabalho foi desenvolver um aparelho experimental de baixo custo para produção de água eletrolisada ácida (AEA) e verificar sua eficácia nadesinfecção de resina acrílica termo polimerizável (RA). Além disso, verificou-se a influência da AEA nas seguintes propriedades da RA. Sorção, Solubilidade, Resistência Flexural, Microdureza Knoop e Rugosidade Superficial. A AEA foiproduzida através do processo de eletrólise de uma solução de NaCl a 5% numa célula eletrolítica de dois compartimentos separados por uma membrana semipermeável. Foram utilizados eletrodos de grafite e a diferença de potencial aplicada entre eles foi de 30 V, gerada por um alimentador com capacidade máxima de corrente de 2 A. Após 20 minutos de eletrólise a solução anódica (AEA) apresentou os seguintes parâmetros: pH 3,0 e potencial de óxi-redução de 1150mV. O tempo de imersão na solução para o ensaios de desinfecção bem como os de propriedades características da RA foi de 10 minutos. A AEA foi eficaz nadesinfecção da RA pois os corpos desinfectados não provocaram a turvação dos meios de cultura. A imersão em AEA aumentou estatisticamente (p<0,05) a sorção ea solubilidade da resina acrílica, porém os valores permaneceram dentro dos parâmetros estabelecidos pela ISO 1567. As demais propriedades da resina ficaram inalteradas (p>0,05).

The aim of this research was to develop a low cost experimental apparatus able to produce Electrolyzed Acidic Water (EAW) and verify its efficacy for disinfection of a denture base acrylic resin (AR). It was also verified the influence ofEAW on the following properties of AR: Sorption, Solubility, Flexural Strength, Knoop Hardness and Superficial Rugosity. EAW was produced through an electrolysisprocess of an aqueous NaCl solution (5%) in an electrolytic two chambers cell with a separation membrane between the chambers. Graphite electrodes were used andthe potential difference between them was 30 V, provided by a power supply with maximum amperage capacity of 2 A. 20 minutes after the begging of the electrolysis process the anodic solution (EAW) showed the following parameters: pH 3.0 andoxidation-reduction potential (ORP) of 1150 mV. The immersion time in the solution for the disinfection test and also for the evaluation of AR properties was 10 min. EAW was able to disinfect AR as the infected specimens did not cause turbidity ofthe culture medium. Immersion in EAW increased the sorption and decreased the solubility of the AR in a statistically significant way (p<0.05) but it was within the range required by ISO 1567. All the other AR properties suffered no changes(p<0.05).