A importância de programas de monitoramento da qualidade da água para diálise na segurança dos pacientes

Márcia Liane Buzzo; Adriana Bugno; Adriana Aparecida Buzzo Almódovar; Carmem Silva Kira; Maria de Fátima Henriques Carvalho; Arlete de Souza; Maria Anita Scorsafava

doi:10.53393/rial.2010.v69.32668

Vol. 69 No. 1 (2010), ORIGINAL ARTICLE

Vol. 69 No. 1 (2010)

The relevance of the program for monitoring dialysis water quality for the patient safety

ORIGINAL ARTICLE

https://doi.org/10.53393/rial.2010.v69.32668

Published 2010-01-01

Márcia Liane Buzzo⁺⁻
Adriana Bugno⁺⁻
Adriana Aparecida Buzzo Almódovar⁺⁻
Carmem Silva Kira⁺⁻
Maria de Fátima Henriques Carvalho⁺⁻
Arlete de Souza⁺⁻
Maria Anita Scorsafava⁺⁻

Márcia Liane Buzzo

Instituto Adolfo Lutz, Divisão de Bromatologia e Química,São Paulo, SP

Adriana Bugno

Instituto Adolfo Lutz, Centro de Medicamentos, Cosméticos e Saneantes, Núcleo de Ensaios Biológicos e de Segurança, São Paulo, SP

Adriana Aparecida Buzzo Almódovar

Instituto Adolfo Lutz, Centro de Medicamentos, Cosméticos e Saneantes, São Paulo, SP

https://orcid.org/0000-0001-5572-9091

Carmem Silva Kira

Instituto Adolfo Lutz, Centro de Contaminantes, Núcleo de Contaminantes Inorgânicos, São Paulo, SP

Maria de Fátima Henriques Carvalho

Instituto Adolfo Lutz, Centro de Contaminantes, Núcleo de Contaminantes Inorgânicos, São Paulo, SP

Arlete de Souza

Instituto Adolfo Lutz, Centro de Contaminantes, Núcleo de Embalagens e Águas, São Paulo, SP

Maria Anita Scorsafava

Instituto Adolfo Lutz, Centro de Contaminantes, Núcleo de Embalagens e Águas, São Paulo, SP

PDF (Português (Brasil))

Keywords

dialysis water
water monitoring
water contaminants
hemodialysis unit
health surveillance

How to Cite

1.

Buzzo ML, Bugno A, Almódovar AAB, Kira CS, Carvalho M de FH, Souza A de, Scorsafava MA. The relevance of the program for monitoring dialysis water quality for the patient safety. Rev Inst Adolfo Lutz [Internet]. 2010 Jan. 1 [cited 2024 May 18];69(1):1-6. Available from: https://periodicos.saude.sp.gov.br/RIAL/article/view/32668

Abstract

Considering the relevance of the quality of treated water in dialysis units to prevent the risks for patients with chronic kidney diseases, a Monitoring Program has been established in order to evaluate the quality of treated water used in the dialysis units of the state of São Paulo, based on the parameters established by Resolution RDC # 154/2004. The effectiveness of the sanitary surveillance activities was evidenced because the consistent water quality has been improved on several analyzed parameters, which indicates the importance of keeping up the treated water-monitoring program at hemodialysis units in order to guarantee the patients safety.

https://doi.org/10.53393/rial.2010.v69.32668

PDF (Português (Brasil))

References

1. Censo de Diálise SBN 2008 [Internet]. Available from: http://www.sbn.org.br/Censo/2008/censoSBN2008.pdf

2. Hoenick NA, Ronco C, Levin R. The importance of water quality and haemodialysis fluid composition. Blood Purif. 2006; 24: 11-8.

3. Vorbeck-Meister I, Sommer R, Vorbeck F, Hörl WH. Quality of water used for haemodialysis: bacteriological and chemical parameters. Nephrol Dial Transplant. 1999; 14: 666-75.

4. Ahmad S. Essentials of water treatment in hemodialysis. Hemodial Int. 2005; 9: 127-34.

5. Pontoriero G, Pozzoni P, Andrulli S, Locatelli F. The quality of dialysis water. Nephrol Dial Transplant. 2003; 18(suppl 7): vii21-5.

6. Ouseph R, Ward RA. Water treatment for hemodialysis: ensuring patient safety. Semin Dial. 2002; 15: 50-2.

7. Brasil. Portaria nº 2042, de 11 out. 1996 do Ministério da Saúde. Estabelece o Regulamento Técnico para o Funcionamento dos Serviços de Terapia Renal Substitutiva e as Normas para Cadastramento desses Estabelecimentos Junto ao Sistema Único de Saúde. Diário Oficial [da] União, Brasília, DF, 14 out. 1996.

8. Brasil. Resolução RDC nº 154, de 15 jun. 2004. Estabelece o Regulamento Técnico para Funcionamento dos Serviços de Diálise. Diário Oficial [da] União, Brasília, DF, 17 jun 2004.

9. Roth VR, Jarvis WR. Outbreaks of infection and or pyrogenic reactions in dialysis patients. Semin Dial. 2000; 13(2): 92-6.

10. Azevedo SMFO, Carmichael WW, Jochimsen EM, Rinehart KL, Lau S, Shaw GR et al. Human intoxication by microcystins during renal dialysis treatment in Caruaru – Brazil. Toxicol. 2002; 181-182: 441-6.

11. Beck-Sague CM, Jarvis WR, Bland LA, Arduino MA, Aguero SM, Verosic G. Outbreak of gram-negative bacteremia and pyrogenic reactions in a hemodialysis center. Am J Nephrol. 1990; 10: 397-403.

12. Welbel, SF, Schoendorf K, Bland LA et al. An outbreak of gram-negative bloodstream infections in chronic hemodialysis patients. Am J Nephrol. 1995; 15: 1-4.

13. Rudnick JR, Arduino MJ, Bland LA et al. An outbreak of pyrogenic reactions in chronic hemodialysis patients associated with hemodialyzer reuse. Artif Organs. 1995; 19: 289-94.

14. American Public Health Association (US). Standard methods for the examination of water and wastewater. 20ª ed. Baltimore: United Book Press Inc; 1998.

15. United States Pharmacopeia. (US). Farmacopea de los Estados Unidos de América. 31ª ed. Rockville: The United States Pharmacopeial Convention; 2008.

16. Instituto Adolfo Lutz. Águas. In: Métodos Físico-Químicos para Análise de Alimentos. 4ª ed. São Paulo (SP): Instituto Adolfo Lutz; 2008. Available from: http://www.ial.sp.gov.br.

17. U.S. Environmental Protection Agency (US). Determination of trace elements in waters and wastes by inductively coupled plasma – mass spectrometry. Method 200,8, Revision 5.4. Cincinnati, Ohio: EPA; 1994.

18. Silva AMM, Martins CTB, Ferraboli R, Jorgetti V, Romão Jr JE. Revisão/Atualização em diálise: Água para hemodiálise. J Bras Nefrol. 1996; 18(2): 180-8.

19. Smeets E, Kooman J, van der Sande F, Stobberingh E, Frederik P, Claessens P et al. Prevention of biofilm formation in dialysis water treatment systems. Kidney Int. 2003; 63: 1574-6.