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Waterborne Outbreaks in Hemodialysis Patients and Infection Prevention

Individuals treated with dialysis are at high risk for healthcare-associated infections. We conducted a literature review of outbreaks associated with water in hemodialysis during years 2011–2021 to understand the role of water as a source of infections for patients receiving hemodialysis with a foc...

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Autores principales: Kanamori, Hajime, Weber, David J, Flythe, Jennifer E, Rutala, William A
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8879210/
https://www.ncbi.nlm.nih.gov/pubmed/35233434
http://dx.doi.org/10.1093/ofid/ofac058
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author Kanamori, Hajime
Weber, David J
Flythe, Jennifer E
Rutala, William A
author_facet Kanamori, Hajime
Weber, David J
Flythe, Jennifer E
Rutala, William A
author_sort Kanamori, Hajime
collection PubMed
description Individuals treated with dialysis are at high risk for healthcare-associated infections. We conducted a literature review of outbreaks associated with water in hemodialysis during years 2011–2021 to understand the role of water as a source of infections for patients receiving hemodialysis with a focus on the risks associated with dialysis water and dialysate. For dialysis patients, water and dialysate have been a source of healthcare-associated pathogens, including nontuberculous mycobacteria and gram-negative bacilli as well as systemic reactions due to gram-negative bacilli–associated endotoxin. Lapses in infection prevention practices and dialysis water management were primarily involved in waterborne outbreaks. Dialysis clinics should adhere to recommendations regarding monitoring and levels of bacteria and endotoxin in hemodialysis water and dialysate. Since hemodialysis patients are at increased risk of healthcare-associated infections, it is important for healthcare personnel to adhere to infection prevention guidelines in hemodialysis patient care, especially hand hygiene, aseptic technique, cleaning/disinfection, and water management.
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spelling pubmed-88792102022-02-28 Waterborne Outbreaks in Hemodialysis Patients and Infection Prevention Kanamori, Hajime Weber, David J Flythe, Jennifer E Rutala, William A Open Forum Infect Dis Perspectives Individuals treated with dialysis are at high risk for healthcare-associated infections. We conducted a literature review of outbreaks associated with water in hemodialysis during years 2011–2021 to understand the role of water as a source of infections for patients receiving hemodialysis with a focus on the risks associated with dialysis water and dialysate. For dialysis patients, water and dialysate have been a source of healthcare-associated pathogens, including nontuberculous mycobacteria and gram-negative bacilli as well as systemic reactions due to gram-negative bacilli–associated endotoxin. Lapses in infection prevention practices and dialysis water management were primarily involved in waterborne outbreaks. Dialysis clinics should adhere to recommendations regarding monitoring and levels of bacteria and endotoxin in hemodialysis water and dialysate. Since hemodialysis patients are at increased risk of healthcare-associated infections, it is important for healthcare personnel to adhere to infection prevention guidelines in hemodialysis patient care, especially hand hygiene, aseptic technique, cleaning/disinfection, and water management. Oxford University Press 2022-02-03 /pmc/articles/PMC8879210/ /pubmed/35233434 http://dx.doi.org/10.1093/ofid/ofac058 Text en © The Author(s) 2022. Published by Oxford University Press on behalf of Infectious Diseases Society of America. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs licence (https://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial reproduction and distribution of the work, in any medium, provided the original work is not altered or transformed in any way, and that the work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Perspectives
Kanamori, Hajime
Weber, David J
Flythe, Jennifer E
Rutala, William A
Waterborne Outbreaks in Hemodialysis Patients and Infection Prevention
title Waterborne Outbreaks in Hemodialysis Patients and Infection Prevention
title_full Waterborne Outbreaks in Hemodialysis Patients and Infection Prevention
title_fullStr Waterborne Outbreaks in Hemodialysis Patients and Infection Prevention
title_full_unstemmed Waterborne Outbreaks in Hemodialysis Patients and Infection Prevention
title_short Waterborne Outbreaks in Hemodialysis Patients and Infection Prevention
title_sort waterborne outbreaks in hemodialysis patients and infection prevention
topic Perspectives
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8879210/
https://www.ncbi.nlm.nih.gov/pubmed/35233434
http://dx.doi.org/10.1093/ofid/ofac058
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