Microbiological evaluation of water used in hemodialysis services in the city of Rio de Janeiro from 2016 to 2018

Authors

DOI:

https://doi.org/10.22239/2317-269X.01252

Keywords:

Hemodialysis, Microbiological Evaluation, Pseudomonas aeruginosa, Quality

Abstract

Introduction: The quality of water in hemodialysis services is critical in avoiding health risks in patients with renal insufficiency. Objective: To monitor the microbiological quality of treated water samples from hemodialysis services in the city of Rio de Janeiro. A total of 480 water samples were collected for microbiological analysis and 192 for endotoxin testing from 96 hemodialysis clinics between 2016 and 2018 by the Sanitary Surveillance of the city of Rio de Janeiro. Method: Methodologies described in the Brazilian Pharmacopoeia, DRC nº 11 2014 and Consolidation Ordinance nº 5, 2017. Results: Twenty percent of the microbiological analysis samples showed a high number of Heterotrophic Plate Count Bacteria (> 100 UFC/mL) and 24% of the endotoxin search (LAL) presented values above the recommended value (> 0.25 EU/mL). Seventy-eight percent of the clinics (75/96) were unsatisfactory, 41 for high BH and 34 for LAL. A total of 563 isolates were identified by confirmatory biochemical tests as: Pseudomonas aeruginosa (35.5%), Burlkolderia cepacia (21.3%), Stenotrophonomas maltophilia, (19.1%), Acinetobacter baumannii (15.1%) and Ralstonia pickettii (9.0%). Conclusions: Our results allow us to conclude that systematic monitoring of water quality in hemodialysis services is essential to provide safety and prevent health problems patients.

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Author Biographies

  • Priscila Rodrigues de Jesus, Instituto Nacional de Controle de Qualidade em Saúde, Fundação Oswaldo Cruz (INCQS/Fiocruz), Rio de Janeiro, RJ

    Nutricionista pela Universidade do Estado do Rio de Janeiro - UERJ, apta a atuar nas grandes áreas da Nutrição: Clínica, Saúde Coletiva, Alimentação Coletiva, Ciência de Alimentos; Sanitarista pela ENSP/FIOCRUZ; Especialista em Vigilância Sanitária pelo Instituto Nacional de Controle de Qualidade em Saúde/ FIOCRUZ; Cursando Especialização em Gestão da Segurança de Alimentos e Qualidade Nutricional, Especialização em Nutrição clínica aplicada a Infectologia e Mestrado em Vigilância Sanitária; Técnica em Análises Clinicas pela rede FAETEC.

  • Juliana dos Santos Carmo, Instituto Nacional de Controle de Qualidade em Saúde, Fundação Oswaldo Cruz (INCQS/Fiocruz), Rio de Janeiro, RJ

    Farmaceutica pela UFRJ. Residente em vigilância Sanitária no INCQS/FIOCRUZ.

  • Joana Angelica Barbosa Ferreira, Instituto Nacional de Controle de Qualidade em Saúde, Fundação Oswaldo Cruz (INCQS/Fiocruz), Rio de Janeiro, RJ

    Doutora em Vigilância Sanitária. Atualmente é coordenadora do Núcleo Técnico Artigos e Insumos de Diálise e coordenadora e professora do Curso de Capacitação em Coleta de Água para Hemodiálise e Curso de Atualização em Microbiologia de Fármacos, Fitofármacos, Cosméticos, Artigos e Insumos de Diálise da Pós-graduação do Instituto Nacional de Controle de Qualidade em Saúde da Fundação Oswaldo Cruz e tecnologista senior-h1 do Instituto Nacional de Controle de Qualidade em Saúde da Fundação Oswaldo Cruz. Tem experiência na área de Microbiologia, com ênfase em Microbiologia de Produtos, atuando principalmente nos seguintes temas: microbiologia de matérias-primas, água de hemodiálise, medicamentos, cosméticos, artigos e insumos de saúde.

     

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Published

2019-02-28

Issue

Vol. 7 No. 1 (2019): February

Section

Articles

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Copyright (c) 2019 Health Surveillance under Debate: Society, Science & Technology (Vigilância Sanitária em Debate: Sociedade, Ciência & Tecnología) – “Visa em Debate”

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How to Cite

Microbiological evaluation of water used in hemodialysis services in the city of Rio de Janeiro from 2016 to 2018. (2019). Health Surveillance under Debate: Society, Science & Technology , 7(1), 53-59. https://doi.org/10.22239/2317-269X.01252