High level of recovery of fungi from water and dialysate in haemodialysis units

The counts of yeasts and filamentous fungi were investigated in the municipal water supplies of haemodialysis centres, in the treated water and the dialysate from all 85 haemodialysis units in Greece, in order to estimate their occurrence, their correlation with contamination indicator bacteria and...

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Veröffentlicht in:The Journal of hospital infection 2000-07, Vol.45 (3), p.225-230
Hauptverfasser: Arvanitidou, M., Spaia, S., Velegraki, A., Pazarloglou, M., Kanetidis, D., Pangidis, P., Askepidis, N., Katsinas, Ch, Vayonas, G., Katsouyannopoulos, V.
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container_start_page 225
container_title The Journal of hospital infection
container_volume 45
creator Arvanitidou, M.
Spaia, S.
Velegraki, A.
Pazarloglou, M.
Kanetidis, D.
Pangidis, P.
Askepidis, N.
Katsinas, Ch
Vayonas, G.
Katsouyannopoulos, V.
description The counts of yeasts and filamentous fungi were investigated in the municipal water supplies of haemodialysis centres, in the treated water and the dialysate from all 85 haemodialysis units in Greece, in order to estimate their occurrence, their correlation with contamination indicator bacteria and other influencing factors. Filamentous fungi and yeasts were isolated from 69 (81.2%) and from three (3.5%) feed water samples, from 74 (87.1%) and seven (8.2%) treated water samples and from 66 (77.7%) and 11 (12.9%) dialysate samples respectively. Aspergillus spp and Penicillium spp were the most frequent moulds, while Candida spp were the prevailing yeasts. The occurrence of yeasts was significantly higher in dialysate than in tap water samples. Counts of filamentous fungi in all 255 samples were significantly correlated with the counts of total heterotrophic bacteria and enterococci, whereas the counts of yeasts were correlated with faecal coliforms, total heterotrophic bacteria, as well as enterococci, Pseudomonas spp and total coliforms, while no correlation was detected with the age of either haemodialysis units, the age of water treatment system, the number of artificial kidney machines or the components of the water purification system. High recovery of fungi from haemodialysis aqueous environments implies a potential risk for haemodialysis patients and indicates the need for continuous maintenance and monitoring.
doi_str_mv 10.1053/jhin.2000.0763
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subjects Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Aspergillus
Biological and medical sciences
Candida
coliforms
dialysate
Dialysis Solutions
Emergency and intensive care: renal failure. Dialysis management
enterococci
Equipment Contamination
filamentous fungi
Fungi - isolation & purification
Greece
haemodialysis
indicator bacteria
Intensive care medicine
Medical sciences
Penicillium
Pseudomonas
Renal Dialysis
Statistics, Nonparametric
treated water
Water Microbiology
Water Supply
water, yeasts
Yeasts - isolation & purification
title High level of recovery of fungi from water and dialysate in haemodialysis units
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