medigraphic.com
ISSN 1561-3127 (Electronic)
ISSN 0864-3466 (Print)

2012, Number 3

<< Back Next >>

Revista Cubana de Salud Pública 2012; 38 (3)

Current approach to microbiological quality of haemodialysis water

González GMI

Language: Spanish
References: 17
Page:
PDF size: 80.09 Kb.


ABSTRACT

The microbiological quality of haemodialysis water is vital for the treatment of patients suffering renal chronic disease, in order to avoid or reduce the risk of infection, since a patient's blood gets in contact with 20 000 to 25 000 litres of water per year through a membrane. There are many controversies at present regarding the regulations and guidelines for the evaluation of haemodialysis water, particularly the microbiological parameters which are undergoing a harmonization process and are highly significant. The paper was aimed at providing the current approach for the evaluation of the microbiological quality of haemodialysis water at domestic and international levels and the incorporation of such approach into the national health surveillance.


REFERENCES

  1. Nystrand R. Microbiology of water and fluid for haemodialysis. J Chin Med Assoc. 2008;71:224-9.

  2. World Health Organization. Guidelines for drinking water quality. 4 ed. WHO: Geneva; 2011.

  3. Exner M, Kramer A, Lajoie L, Gebel J, Engelhart S, Hartemann P. Prevention and control of health care-associated waterborne infections in health care facilities. Am J Infect Control. 2005;33(5):S26-S40.

  4. Arduino MJ, Patel PR, Thompson ND, Favero MS. Hemodialysis-associated infections. En: Himmelfarb J, Sayeh MH, editors. Chronic Kidney Diseases, Dialysis and Transplantion. 3er ed. USA: Saunders Elsevier, PA; 2010. p. 335-53.

  5. García M. Calidad del ambiente en los servicios de hemodiálisis. Rev Cubana Hig Epidemiol. 2011 49(1):1-3.

  6. Botta R. Contribución a la normalización de la metodología analítica en el control microbiológico de agua y líquido de hemodiálisis. Recopilación y ordenamiento de documentos nacionales e internacionales. Revista Electrónica de PortalesMedicos.com [Internet] 2008 [citada 25 ene 2011];3(1-6). Disponible en: http://www.portalesmedicos.com/publicaciones/articles/886/1/Contribucion-a-la -normalizacion-de-la-metodologia-analitica-en-el-control-microbiologico-de-agua-y -liquido-de -hemodialisis-Recopilacion-y-ordenamiento-de-documentos-nacionales-e -internacionales.html

  7. Jeremy L, Morgan J, Brown E. Oxford Handbook of Dialysis. 2 ed. United Kingdom: Oxford University Press; 2004.

  8. Pasmore M. Biofilms in Hemodyalisis. En: Springer-Verlag Heidelberg, editor.The Role of Biofilms in Device-Related Infections. Berlin: Springer Series on Biofims; 2008. p.1-25.

  9. Figueras MJ, Borrego JJ. New perspectives in monitoring drinking water microbial quality. Int J Environ Res Public Health. 2010;7:4179-202.

  10. Duncan HE, Edberg SC. Host-microbe interaction in the gastrointestinal tract. Crit Rev Microbiol. 1995;21:85-100.

  11. Glasmacher A, Engelhart S, Exner M. Infections form HPC organisms in drinking water amongst immunocompromised. En: Bartram J, Cotruvo J, Exner M, Fricker C, Glasmacher A, editors. Heterotrophic plate counts and drinking-water safety. Londres: WHO IWA Publishing; 2003. p. 137-45.

  12. Keshaviah P. Water treatment for hemodialysis. En: Henderson LW, Thuma RS, editors. Quality Assurance in Dialysis. 2da ed. Gran Bretaña: Kluwer Academic Publisher; 1999. p. 173-87.

  13. Exner M, Vacata V, Gebel J. Public Health aspects of the roles of HPC-an introduction. En: Bartram J, Cotruvo J, Exner M, Fricker C, Glasmacher A, editors. Heterotrophic plate counts and drinking-water safety. Londres: WHO IWA Publishing; 2003. p. 12-9.

  14. Robertson W, Brooks T. The role of HPC in managing the treatment and distribution of drinking water. En: Bartram J, Cotruvo J, Exner M, Fricker C, Glasmacher A, editors. Heterotrophic plate counts and drinking-water safety. Londres: WHO IWA Publishing; 2003. p. 137-45.

  15. Nystrand R. Official recommendations for quality of fluids in dialysis-the need for standardisation. J Renal Care. 2009:74-81.

  16. Lonnemann G. When good water goes bad: how happens, clinical consequences and possible solutions. Blood Purif. 2004;22:124-9.

  17. Yamaguchi N, Baba T, Nakagawa S, Saito A, Nasu M. Rapid monitoring of bacteria in dialysis fluids by fluorescent vital staining and microcolony methods. Nephrol Dial Transplant. 2007;22:612-6.




2020     |     www.medigraphic.com