Water quality of hemodialysis systems at Intensive Care Unit

There are rules and regulations for assessment of water quality services in ambulatory care unit and specific recommendations for the procedures performed in intensive care units (ICU) services. An exploratory study was conducted at hemodialysis equipment in ICU in a Southern Brazil city. Water samp...

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Detalles Bibliográficos
Autores: Mossini, Simone Aparecida Galerani, Tomoike, Caroline, Kohiyama, Cássia Yumie, Yamada, Sérgio Seiji, Silva, Sandra Regina Bin, Garcia, Lourdes Botelho, Tognim, Maria Cristina Bronharo, Bando, Érika, Nishiyama, Paula
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2014
País:Brasil
Institución:Fundação Oswaldo Cruz (FIOCRUZ)
Repositorio:Vigilância Sanitária em Debate
Idioma:portugués
OAI Identifier:oai:ojs.visaemdebate.incqs.fiocruz.br:article/205
Acceso en línea:https://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/205
Access Level:acceso abierto
Palabra clave:Water
Metal
Bacteriological Analysis
Hemodialysis
Água
Metais
Análise Bacteriológica
Hemodiálise
Descripción
Sumario:There are rules and regulations for assessment of water quality services in ambulatory care unit and specific recommendations for the procedures performed in intensive care units (ICU) services. An exploratory study was conducted at hemodialysis equipment in ICU in a Southern Brazil city. Water samples were directly collected from the network public supply and from post-reverse osmosis associated with hemodialysis equipaments, monthly from January to June 2011. Mass spectrometry technique (quadrupolar type), associated with a source of inductive coupling plasma (ICP/MS) was applied to measure water trace metals levels. Bacteriological analyzes were performed to search for he-terotrophic bacteria. Data showed that the metal concentrations in the purified water of hemodialysis centers did not exceed legal standards. The bacteriological analysis of water for hemodialysis systems resulted as < 200 CFU/mL, according to legal limits in all evaluated months, with an exception on February. The results corroborate the fact that maintenance and precaution with the hemodialysis water are being effective. The avoidance of complications arising from chemical or microbiologic water contaminants, in ICU requires a constant attention, since patients conditions are different from those found in outpatient care.