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Is dialysis water a safe component for hemodialysis treatment in São Paulo State, Brazil?
Hilinski, Ellen Gameiro; Almodovar, Adriana Aparecida Buzzo; Silva, Fernando Pontes de Lima e; Pinto, Terezinha de Jesus Andreoli; Bugno, Adriana.
Affiliation
  • Hilinski, Ellen Gameiro; Adolfo Lutz Institute. Center of Medicines, Cosmetics and Sanitation. São Paulo. BR
  • Almodovar, Adriana Aparecida Buzzo; Adolfo Lutz Institute. Center of Medicines, Cosmetics and Sanitation. São Paulo. BR
  • Silva, Fernando Pontes de Lima e; Adolfo Lutz Institute. Center of Medicines, Cosmetics and Sanitation. São Paulo. BR
  • Pinto, Terezinha de Jesus Andreoli; University of São Paulo. School of Pharmaceutical Sciences. Department of Pharmacy. São Paulo. BR
  • Bugno, Adriana; Adolfo Lutz Institute. Center of Medicines, Cosmetics and Sanitation. São Paulo. BR
Braz. J. Pharm. Sci. (Online) ; 56: e17835, 2020. tab, graf
Article in En | LILACS | ID: biblio-1089232
Responsible library: BR40.1
Localization: BR40.1
ABSTRACT
Failure on the water treatment poses hemodialysis patients at risk of injury and death. Identifying if the patients are exposed to water quality related microbiological risks is an important objective to reduce the mortality for chronic renal patients and is the main issue of this study. We evaluated the microbiological water quality used by 205 dialysis services in São Paulo State, Brazil between 2010 to 2016. The study included heterotrophic bacteria count, total coliforms research, and bacterial endotoxin determination in 1366 dialysis water samples. The number of unsatisfactory clinics for at least one microbiological parameter decreased 16.0% between 2010 to 2015 but increased 57.2% in 2016. In 2010, the most frequent unsatisfactory parameter was related to heterotrophic bacteria count (54.8%) followed by endotoxin determination (45.2%). However, in 2013 an opposite situation was observed endotoxin determination as the parameter of the higher incidence of nonconformities. Total coliform was verified at a lower frequency. We highlighted the importance of regular monitoring of dialysis water quality to prevent infections caused by dialytic procedures and to ensure that the water is a safe component of the treatment.
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Full text: 1 Index: LILACS Main subject: Water Quality / Water Samples / Environmental Monitoring / Renal Dialysis / Water Purification / Dialysis Country/Region as subject: America do sul / Brasil Language: En Journal: BJPS / Braz. J. Pharm. Sci. (Impr.) / Braz. J. Pharm. Sci. (Online) / Braz. j. pharm. sci. (Online) / Brazilian Journal of Pharmaceutical Sciences (Impresso) / Brazilian Journal of Pharmaceutical Sciences (Online) / Brazilian journal of pharmaceutical sciences (Impresso) Journal subject: Farmacologia / Terapˆutica / Toxicologia Year: 2020 Type: Article

Full text: 1 Index: LILACS Main subject: Water Quality / Water Samples / Environmental Monitoring / Renal Dialysis / Water Purification / Dialysis Country/Region as subject: America do sul / Brasil Language: En Journal: BJPS / Braz. J. Pharm. Sci. (Impr.) / Braz. J. Pharm. Sci. (Online) / Braz. j. pharm. sci. (Online) / Brazilian Journal of Pharmaceutical Sciences (Impresso) / Brazilian Journal of Pharmaceutical Sciences (Online) / Brazilian journal of pharmaceutical sciences (Impresso) Journal subject: Farmacologia / Terapˆutica / Toxicologia Year: 2020 Type: Article