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American Journal of Innovative Research & Applied Sciences
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  | ARTICLES | Am. J. innov. res. appl. sci. Volume 4,  Issue 4, Pages 144-149 (Abril 2017)
 

American Journal of innovative
Research & Applied Sciences 
ISSN  2429-5396 (Online)
OCLC Number: 920041286
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| APRIL | VOLUME 4 | N° 4 | 2017 |
ABSTRACT

Background: Renal hemodialysis requires enormous amounts of water for functioning. In order to avoid complications with patients’ blood, this water must be treated. The objectives of this study were to investigate chemical and microbial contamination of treated water, to evaluate the disinfection protocol applied and the double reverse osmosis installation, and to determine the effect of double reverse osmosis on the patient’s inflammatory status. Methods: Our study was done at the Al Ghassani hospital hemodialysis unit’s. Samples were taken at the old and new units. The chemical and microbiological analyses were performed according to national standards. Non-compliance was determined by comparing the results with the values ​​reported by national guidelines. The CRP was determined by the Immuno turbudimetrie-test. Results: Non conformity caused by nitrates, pH and conductivity was observed both in a few samples before disinfection and introduction of the double reverse osmosis. Treated water and dialysates showed counts of heterotrophic bacteria lower than 100 CFU/ml. Statistically significant difference between treated water analyzed before disinfection and those evaluated after disinfection, was observed only in new unit (p=0.047). We noted statically significant differences in contamination level between the first and second period both in starting loop (p=0.002), dialysate (p=0.004), and in C-reactive protein level (p=0.007). Conclusions: Non-compliance of chemical results was observed both before disinfection and after introduction of the double reverse osmosis. However, Microbial results are in accordance with national standards for dialysis water. The implementation of double reverse osmosis in the new unit showed a highly significant improvement.
Keywords: Dialysate Fluid Compatibility , Quality, Hemodialysis Delivery Systems, Inflammation, Quality Improvement, Water Treatment.
*Correspondant author and authors Copyright © 2017:

| Sanae Berrada
* 1, 2 | Ghita Touimi Benjelloun 2 | Laila Bennani 3 | Abdelhakim EL Ouali LALAMI 4 | Bouchra Oumokhtar 5 | Chakib Maaroufi 6 | Samira EL Fakir 7 | Salia Keita 7 | Tarik Houssaini Sqalli 8 | and | Fatima-Zahra Houssaini Squali 1 |
Authors Contact
Affiliation.

1. LANENC Laboratory | Faculty of Sciences Dhar ElMahraz | Sidi Mohammed ben Abdellah University | Fez | Morocco|

2. Regional Diagnostic Laboratory Epidemiological and Environmental Health | Regional Health Directorate | Fez | Morocco |
3. Higher Institute of Nursing and Technical Occupations Health | Fez | Morocco |
4. Higher Institute of Nursing and Technical Occupations Health | Meknes | Morocco |
5. Microbiology Laboratory | Faculty of Medicine and Pharmacy | Sidi Mohammed ben Abdellah University |Fez| Morocco|
6. Hemodialysis Unit | Al Ghassani hospital | Morocco |
7. Epidemiological Laboratory | Faculty of Medicine and Pharmacy | Sidi Mohammed ben Abdellah University |Fez| Morocco |
8. Nephrology Department | Hassan II University Hospital | Faculty of Medicine and Pharmacy | Sidi Mohammed ben Abdellah University | Fez | Morocco |
This article is made freely available as part of this journal's Open Access: ID | Sanae ManuscriptRef.4-ajiras080417 |
| ISSN: 2429-5396 (e) | www.american-jiras.com |                                                                                          |
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Web Site Form: v 0.1.05 | JF 22 Cours, Wellington le Clairval, Lillebonne | France  |
Research Article
    IMPACT OF THE CHEMICAL DISINFECTION AND DOUBLE REVERSE OSMOSIS IN DIALYSIS PATIENTS: STUDY OF QUALITY AND THE INFLAMMATORY STATE
 
 
      | Sanae Berrada | Ghita Touimi Benjelloun | Laila Bennani | Abdelhakim EL Ouali LALAMI | Bouchra Oumokhtar | Chakib Maaroufi | Samira EL Fakir | Salia Keita | Tarik Houssaini Sqalli |  and | Fatima-Zahra Houssaini Squali |. Am. J. innov. res. appl. sci. 2017; 4(4):144-149.


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Received | 08 April 2017 |          | Accepted | 19 April 2017 |         | Published  29 April 2017 |