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 |
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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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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.</description><identifier>ISSN: 0195-6701</identifier><identifier>EISSN: 1532-2939</identifier><identifier>DOI: 10.1053/jhin.2000.0763</identifier><identifier>PMID: 10896802</identifier><language>eng</language><publisher>Kent: Elsevier Ltd</publisher><subject>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</subject><ispartof>The Journal of hospital infection, 2000-07, Vol.45 (3), p.225-230</ispartof><rights>2000 The Hospital Infection Society</rights><rights>2000 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c400t-cfc61efe9a44ad632bd339e557cc8986fb1a41ab19dc18e0d429baf2907ae4933</citedby><cites>FETCH-LOGICAL-c400t-cfc61efe9a44ad632bd339e557cc8986fb1a41ab19dc18e0d429baf2907ae4933</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1053/jhin.2000.0763$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>315,782,786,3554,27933,27934,46004</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1433907$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10896802$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Arvanitidou, M.</creatorcontrib><creatorcontrib>Spaia, S.</creatorcontrib><creatorcontrib>Velegraki, A.</creatorcontrib><creatorcontrib>Pazarloglou, M.</creatorcontrib><creatorcontrib>Kanetidis, D.</creatorcontrib><creatorcontrib>Pangidis, P.</creatorcontrib><creatorcontrib>Askepidis, N.</creatorcontrib><creatorcontrib>Katsinas, Ch</creatorcontrib><creatorcontrib>Vayonas, G.</creatorcontrib><creatorcontrib>Katsouyannopoulos, V.</creatorcontrib><title>High level of recovery of fungi from water and dialysate in haemodialysis units</title><title>The Journal of hospital infection</title><addtitle>J Hosp Infect</addtitle><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.</description><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Aspergillus</subject><subject>Biological and medical sciences</subject><subject>Candida</subject><subject>coliforms</subject><subject>dialysate</subject><subject>Dialysis Solutions</subject><subject>Emergency and intensive care: renal failure. Dialysis management</subject><subject>enterococci</subject><subject>Equipment Contamination</subject><subject>filamentous fungi</subject><subject>Fungi - isolation & purification</subject><subject>Greece</subject><subject>haemodialysis</subject><subject>indicator bacteria</subject><subject>Intensive care medicine</subject><subject>Medical sciences</subject><subject>Penicillium</subject><subject>Pseudomonas</subject><subject>Renal Dialysis</subject><subject>Statistics, Nonparametric</subject><subject>treated water</subject><subject>Water Microbiology</subject><subject>Water Supply</subject><subject>water, yeasts</subject><subject>Yeasts - isolation & purification</subject><issn>0195-6701</issn><issn>1532-2939</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkTtrHDEQgEWIic-P1qVREdLtZfTYh0pjkjhgcBPXQiuNfDL7sKXdC_fvo2UP7Ca40mj4Zpj5hpArBlsGpfj-vAvDlgPAFupKfCIbVgpecCXUZ7IBpsqiqoGdkrOUnjOV8-UXcsqgUVUDfEMe7sLTjna4x46Onka04x7jYYn9PDwF6uPY079mwkjN4KgLpjuk_KVhoDuD_bhmQqLzEKZ0QU686RJeHt9z8vjzx5_bu-L-4dfv25v7wkqAqbDeVgw9KiOlcZXgrRNCYVnW1jaqqXzLjGSmZcpZ1iA4yVVrPFdQG5RKiHPybe37EsfXGdOk-5Asdp0ZcJyTrhmXFa_gQ5DVtWSKswxuV9DGMaWIXr_E0Jt40Az04lovrvXiWi-uc8H1sfPc9uje4avcDHw9AiZZ0_loBhvSGyfzylBnrFkxzL72AaNONuBg0YV8jkm7MfxvhH9Tdpqq</recordid><startdate>20000701</startdate><enddate>20000701</enddate><creator>Arvanitidou, M.</creator><creator>Spaia, S.</creator><creator>Velegraki, A.</creator><creator>Pazarloglou, M.</creator><creator>Kanetidis, D.</creator><creator>Pangidis, P.</creator><creator>Askepidis, N.</creator><creator>Katsinas, Ch</creator><creator>Vayonas, G.</creator><creator>Katsouyannopoulos, V.</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T7</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>20000701</creationdate><title>High level of recovery of fungi from water and dialysate in haemodialysis units</title><author>Arvanitidou, M. ; Spaia, S. ; Velegraki, A. ; Pazarloglou, M. ; Kanetidis, D. ; Pangidis, P. ; Askepidis, N. ; Katsinas, Ch ; Vayonas, G. ; Katsouyannopoulos, V.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c400t-cfc61efe9a44ad632bd339e557cc8986fb1a41ab19dc18e0d429baf2907ae4933</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Aspergillus</topic><topic>Biological and medical sciences</topic><topic>Candida</topic><topic>coliforms</topic><topic>dialysate</topic><topic>Dialysis Solutions</topic><topic>Emergency and intensive care: renal failure. Dialysis management</topic><topic>enterococci</topic><topic>Equipment Contamination</topic><topic>filamentous fungi</topic><topic>Fungi - isolation & purification</topic><topic>Greece</topic><topic>haemodialysis</topic><topic>indicator bacteria</topic><topic>Intensive care medicine</topic><topic>Medical sciences</topic><topic>Penicillium</topic><topic>Pseudomonas</topic><topic>Renal Dialysis</topic><topic>Statistics, Nonparametric</topic><topic>treated water</topic><topic>Water Microbiology</topic><topic>Water Supply</topic><topic>water, yeasts</topic><topic>Yeasts - isolation & purification</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Arvanitidou, M.</creatorcontrib><creatorcontrib>Spaia, S.</creatorcontrib><creatorcontrib>Velegraki, A.</creatorcontrib><creatorcontrib>Pazarloglou, M.</creatorcontrib><creatorcontrib>Kanetidis, D.</creatorcontrib><creatorcontrib>Pangidis, P.</creatorcontrib><creatorcontrib>Askepidis, N.</creatorcontrib><creatorcontrib>Katsinas, Ch</creatorcontrib><creatorcontrib>Vayonas, G.</creatorcontrib><creatorcontrib>Katsouyannopoulos, V.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of hospital infection</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Arvanitidou, M.</au><au>Spaia, S.</au><au>Velegraki, A.</au><au>Pazarloglou, M.</au><au>Kanetidis, D.</au><au>Pangidis, P.</au><au>Askepidis, N.</au><au>Katsinas, Ch</au><au>Vayonas, G.</au><au>Katsouyannopoulos, V.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>High level of recovery of fungi from water and dialysate in haemodialysis units</atitle><jtitle>The Journal of hospital infection</jtitle><addtitle>J Hosp Infect</addtitle><date>2000-07-01</date><risdate>2000</risdate><volume>45</volume><issue>3</issue><spage>225</spage><epage>230</epage><pages>225-230</pages><issn>0195-6701</issn><eissn>1532-2939</eissn><abstract>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.</abstract><cop>Kent</cop><pub>Elsevier Ltd</pub><pmid>10896802</pmid><doi>10.1053/jhin.2000.0763</doi><tpages>6</tpages></addata></record> |
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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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