Does Cerumen have a risk for transmission of diseases?(HIV, VHF or hepatitis B)

I lcapitulumned in the A & P course that banish heel rebel (or atrial auricle climb) is a waxy secretion by ceruminous gland (= modified sebaceous gland), mixed with sloughed epithelial cells, which inhibits the fruit of certain bacteria due to its acidic pH. It besides protects the pelt of the external auditory canal by providing a seal layer, so, it?s something beneficial to us. Sure enough, there reckon to be a number of denominations written to support this - germicidal performance of earwax, Chai & Chai (ref 1), Bactericidal activity of wet cerumen, tilt & Fulghun (ref 2), etc. (though this concept is refuted by a posterior try out! (ref 3))On the other hand, I could find merely very few words that discuss the role that ear wax plays in unhealthiness contagion or as a admission of live for pathogens. I started with an article by Kemp & Bankaitis (ref 4), in which it is stated that cerumen is not considered an infectious agent until it becomes soil with pedigree or mucus, and it can even be laid in the fixity trash unless significant amount of blood or mucose is present. So, it appears the danger is not in cerumen itself but in blood/mucous contaminant. CDC lists Hepatitis B, Hepatitis C, HIV and viral Hemorrhagic Fever(VHF) as infectious diseases by bloodborne pathogens (ref 5). On the egress of cerumen itself transmission bloodborne viruses, I could find only deuce articles, both by the same group of researchers, Beyindir, Kalcioglu et al. First article is on the subject field of possible transmission of Hepatitis B (ref 6), in which the authors conclude that cerumen can be a potential address of transmission and further investigation for horizontal, nosocomial, and occupational transmission is necessary. The second article is on Hepatitis C, and it concludes that cerumen has no risk, even in patients with towering HCV RNA serum levels. I could not find every articles to confirm/deny cerumen as a source of transmission fo r HIV or VHF.

I think our textual matter book lists ear wax as a portal of exit for pathogens, because of more than than minimal potential risk of taint by blood, during preaching of otitis, removal of impacted ear wax etc. performed by otolaryngologists/audiologists on a regular basis. Referrences-----------1: germicide Agents and Chemotherapy, 1980 Oct;18(4): 638-412: The Annals of otology, rhinology, and laryngology, 1984 Mar-Apr;93(2 Pt 1): 183-63: Influence of human wet cerumen on the evolution of common and pathogenic bacteria of the ear, Campos, Betancor, et al., The Journal of laryngology and otology, 2000 declension;114(12): 925-94: Infection Control in audiology, http://web.clas.ufl.edu/users/sgriff/infectioncontrol.p df5: http://www.cdc.gov/ncidod/hip/ credit line/blood.htm6: Does cerumen give birth a risk for transmission of hepatitis B?, The Laryngoscope, 2004 Mar;114(3): 577-807: espial of HCV-RNA in cerumen of inveterate HCV-infected patients, The Laryngoscope, 2005 Mar;115(3): 508-11 If you want to cohere a full essay, devote it on our website: OrderEssay.net

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