Qualidade da água de hemodiálise do Hospital Regional de Ilha Solteira, SP

Abstract

The increase in people with chronic or acute renal failure, which is the loss of renal function, affects all ages and race. These patients undergo a treatment called hemodialysis, which is the filtering of blood by a mechanical process, through a dialyser connected to the patient through an arteriovenous fistula or a catheter, the hemodialysis unit of the Regional Hospital of Ilha Solteira has 19 machines, serves 83 patients. The water used in hemodialysis must be pure, therefore it must be subjected to a specific treatment carried out by devices such as deionizers, mechanical filters, softeners, activated carbon filters and reverse osmosis. This treatment is expensive and has a high risk of contamination. The objective of the present work is to evaluate the quality of the water used in hemodialysis at the Regional hospital in the municipality of Ilha Solteira, in the year 2017. The interest in observing, evaluating the monitoring of water quality in a dialysis clinic in a public hospital, in municipality of Ilha Solteira (SP), was due to the knowledge of the relevant legislation and the concern to verify compliance with it. Therefore, it is also important to know the entire process of water treatment used in the Hemodialysis unit. Visits were made to the hospital with photographic records of all the equipment that makes the water treatment for hemodialysis, with observations and reading of the data recorded in the unit's database. The methodology used was descriptive research and data collection in the hemodialysis sector records of the hospital under study. Four sample points were defined for analysis. The data obtained met the standard for parameter of heterotrophic bacteria. No thermotolerant coliforms were detected. The physicalchemical results showed values compatible with the legislation and indicated a good functioning of the reverse osmosis membrane, avoiding complications to patients.