Panorama da qualidade biológica da água destinada ao tratamento dialítico em pacientes sob cuidados críticos em Unidades de Terapia Intensiva

Adriana Aparecida Buzzo  Almodovar; Ellen Gameiro Hilinski; Márcia Liane Buzzo

doi:10.53393/rial.2023.v.82.39695

Vol. 82 (2023), ORIGINAL ARTICLE

Vol. 82 (2023)

Overview of the biological quality of water intended for dialysis treatment in patients under critical care in Intensive Care Units

ORIGINAL ARTICLE

https://doi.org/10.53393/rial.2023.v.82.39695

Published 2023-12-11

Adriana Aparecida Buzzo Almodovar ⁺⁻
Ellen Gameiro Hilinski ⁺⁻
Márcia Liane Buzzo⁺⁻

Adriana Aparecida Buzzo Almodovar

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

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

Ellen Gameiro Hilinski

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

https://orcid.org/0000-0003-0045-2739

Márcia Liane Buzzo

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

https://orcid.org/0000-0003-1586-308X

PDF (Português (Brasil))

Keywords

Acute Kidney Injury
Dialysis
Water Quality
Heterotrophic Bacteria
Endotoxins
ICU

How to Cite

1.

Almodovar AAB, Hilinski EG, Buzzo ML. Overview of the biological quality of water intended for dialysis treatment in patients under critical care in Intensive Care Units . Rev Inst Adolfo Lutz [Internet]. 2023 Dec. 11 [cited 2024 May 11];82:1-14,e39695. Available from: https://periodicos.saude.sp.gov.br/RIAL/article/view/39695

Abstract

The incidence of acute kidney is high among critically ill patients admitted to Intensive Care Units and is associated with increased mortality, having a major impact on public health. Clinical complications are minimized with dialysis interventions, which expose patients to significant volumes of treated water during in-bed renal therapy. Microbiological analyzes and determination of bacterial endotoxins were performed on treated water samples and dialysate solutions in two public hospitals in São Paulo city, using analytical methodologies recommended in official compendia. The evaluation showed that the percentage of satisfactory results for treated water ranged from 35.2% to 100% in Hospital Unit I and from 40% to 100% in Hospital Unit II between 2010 and 2022. For dialysate solutions in Hospital Unit I, the percentag of satisfactory results was 100% during the same period. The effectiveness of actions implemented by the technical hospital teams, in adapting water for dialysis therapy, points to the importance of encouraging other hospital institutions to standardize and implement a program of continuous improvement for their water treatment systems used in dialysis procedures. This will help to prevent additional risks to patients exposed to renal therapy.

https://doi.org/10.53393/rial.2023.v.82.39695

PDF (Português (Brasil))

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