Introduction:

The high cost of replacement therapy for chronic kidney disease poses a challenge to the health systems, and a better quality of the water for hemodialysis is required over time.

Objective:

To identify the microbiological indicators of the water for outpatient hemodialysis

Methods:

A descriptive study based on the microbiological results of 150 samples of water from the outpatient hemodialysis water station at the Institute of Nephrology “Dr. Abelardo Buch López”, from January 2019 to April 2020. Samples were analyzed in the water microbiology laboratory at the Institute of Hygiene, Epidemiology and Microbiology, Havana by methods described in the text. Descriptive statistics was used.

Results:

Of the water simples analyzed, 92% (n=138) were microbiologically satisfactory, 8% (n=12) did not meet the requirements and were registered in the first half of 2019. In the event of a positivity or alert report, the treatment system was all cleaned and disinfected in each case. Pseudomonas aeruginosa was not identified in the samples. No infection was associated with the hemodialysis treatment. Endotoxin determination was not performed in this period.

Conclusions:

Most of the microbiological reports received during the study period met the established standards. Monitoring the quality of water for hemodialysis allows the implementation of preventive measures that are critical for the dialysis process and the quality of life of the patients.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )