Microbiological quality of water and dialysate from haemodialysis units in Southern Brazil

Abstract

Infectious diseases in renal patients may be associated with the dialysis water quality, which may be contaminated with microorganisms. In Brazil, the water quality is evaluated by analyzing total coliforms, heterotrophic bacteria, and bacterial endotoxin, but not Pseudomonas sp. and fungi. Water samples from haemodialysis units in Curitiba/PR were investigated on their conformity with the standard established by the Brazilian Health Ministry. Total coliforms, heterotrophic bacteria, P. aeruginosa and fungi counts were performed according to APHA, and LAL methodology for detecting bacterial endotoxin. All of the samples showed the total coliforms counts ≤1.1 MPN/100 mL,and ≥ 95 % of analyzed samples complied with the standards for heterotrophic bacteria counting. P. aeruginosa was recovered from 4 % of samples. In 15 % of samples, bacterial endotoxin was detected in values above the limit established by legislation. Yeasts were isolated from 26 % samples and filamentous fungi from 58 %, being 46 % characterized as melanized fungi. The fungi genera were Cladosporium spp., Penicillium spp., Beauveria spp., Exophiala spp., Fusarium spp., Aspergillus spp., Trichoderma spp, Acremonium spp. and Rinocladiella spp.. The study highlights the significance of P. aeruginosa and fungi detection in those systems, as these microorganisms are potentially pathogenic to immunocompromised patients.