skin-diseases-and-microbiology-2016_posters-abstracts

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Volume 4, Issue 7(Suppl) J Infect Dis Ther 2016
ISSN: 2332-0877, JIDT an open access journal
Page 47
Notes:
Skin Diseases & Microbiology 2016
October 03-05, 2016
conferenceseries.com
October 03-05, 2016 Vancouver, Canada
International Conference on
Infectious Diseases, Diagnostic Microbiology &
Dermatologists Summit on Skin Infections
Quality of water used for hemodialysis: Bacteriological and chemical parameters
Marcia de Souza Carvalho Melhem, Larissa Fadul, Rogerio Antonio de Oliveira, Juliana Possato Takahashi, Gislene Aparecida Palmeira, Silezia Doralice
Pessoa, Israel Tadeu de Jesus Zanella, Maria Walderez Szeszs and Marilena dos Anjos Martins
Adolfo Lutz Institute, Brazil
Nowadays the chronic kidney disease is considered a world public health problem. The occurrence of functional kidney failure is
a growing issue and the treatment costs are tremendously high. The most applied treatment in chronic kidney disease involves
substitute kidney therapy through hemodialysis, peritoneal dialysis and/or kidney transplant. The infections keep being an important
cause of morbidity and mortality for patients with chronic kidney disease. The control of microbiological quality of the water for
the dialysis services restricts to total coliforms, heterotrophic bacteria and endotoxins according to the Federal Brazilian regulation.
The microbiological parameters in other countries are stricter with low established limits for heterotrophic bacteria and endotoxins
concentration and some countries also include the P. aeruginosa and fungi analysis. This study evaluated the microbiological quality
and physicochemical parameters of water supply and water distribution system for dialysis services located in São Paulo State, Brazil.
Water samples used in 8 hemodialysis units mostly presented heterotrophic bacteria within the recommended limits; non-compliant
samples were found, in the looping and reuse water, and to a lesser degree, those from public supply. We observed yeast opportunistic
species of Candida, Cryptococcus, Trichosporon and Rhodotorula, potential agents that cause invasive infections in samples from
distinct points of all hemodialysis units, indicating the risk of human contamination. We recommend the inclusion of some yeast
genera as qualitative parameters of quality of water serving hemodialysis systems. The continuous monitoring of this serves as a
relevant tool for control of fungal invasive infections in dialyzed patients.
Biography
Marcia de Souza Carvalho Melhem is a Pharmacist and has completed her MSc and PhD from Sao Paulo University in Public Health. She is a Scientific Researcher and
Master’s/Doctorate Advisor at Secretary of Health of the Government of Sao Paulo State. She has published about 60 papers in reputed journals and has been serving as
Reviewer Member.
Marcia de Souza Carvalho Melhem et al., J Infect Dis Ther 2016, 4:7(Suppl)