Intermittent ozonization in a water loop system of an outpatient hemodialysis unit;Intermittierende ozonierung des wasserringsystems in einem ambulanten hämodialyse-zentrum

Hygiene + Medizin

Volumn 34, Issue 5, 2009, Pages 176-182

  Brensing, Karl A ^a   Imeugebauer, Eva ^b   Heidkamp, Peter ^a   Raab, Peter ^a   Pöge, Uwe ^a   Gerhardt, Thomas ^a   Dedenbach, Michael ^a   Kluth, Rainer ^a   Speuser, Wilfried ^a   Kistemann, Thomas ^b   Linke, Stefan ^b   Lenz, Johannes ^b   Büttgen, Stephanie ^b   Exner, Martin ^b   Gebel, Jürgen ^b  

^a Nierenzentrum Bonn   (Germany)

^b UNIVERSITY OF BONN   (Germany)

Author keywords

Biofilm; Dialysis; Disinfection; Hygiene monitor; Ozonization

Indexed keywords

EID: 67650491247     PISSN: 01723790     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (36)

1. Gilbert P, Das J, Foley I. Biofilms susceptibility to antimicrobials. Adv Dent Res 1997;11 (1) : 160-167.
2. Costerton JW, Stewart PS, Greenberg EP. Bacterial biofilms: a common cause of persistent infections. Science 1999; 284:1318-1322.
3. Lasa I, Del Pozo JL, Penades JR, Leiva J. Bacterial biofilms and infection. An. Sist. Sanit. Navar. 2005; 28:163-175.
4. Rahal JJ, Urban C. Acinetobacter. Semin Respir Crit Care Med 2000; 21 (4) : 341-348.
5. Trautmann M, Michalsky T, Wiedeck H, Radosav-Ijevic V, Ruhnke M. Tap water colonization with Pseudomonas aeruginosa in a surgical intensive care unit (ICU) and relation to P. aeruginosa infections of ICU patients. Infect Control Hosp Epidemiol 2001;22 (1) : 49-52.
6. Langsrud S, Moretro T, Sundheim, G. Characterization of Serratia marcescens surviving in disinfecting footbaths. J Appl Microbiol 2003; 95 (1) : 186-195.
7. Exner M, Kramer A, Lajoie L, Gebel J, Engelhart S, Hartemann P. Prevention and control of health care-associated waterborne infections in health care facilities. Am J Infect Control 2005; 33 (5 Suppl 1) : 26-40.
8. Reuter, S., Sigge, A., Reuter, U. et al. Endemische übertragungswege von Pseudomonas aeruginosa. Hyg Mikrobiol 2002; 6:6-12.
9. Schulze-Robbecke R, Feldmann C, Fischeder R, Janning B, Exner M, Wahl G. Dental units: an environmental study of sources of potentially pathogenic mycobacteria. Tuber Lung Dis. 1995 Aug;76 (4) :318-23.
10. Frei U, Schober-Halstenberg H-J. Nierenersatztherapie in Deutschland, QuaSi-Niere. Jahresbericht 2004/2005: Berlin, Deutschland.
11. Lonnemann G, Krautzig S, Koch KM. Quality of water and dialysate in haemodialysis. Nephrol Dial Transplant. 1996; 11 (6) : p. 946-949.
12. Haeffner-Cavaillon N, Carreno MP, Aussel L, Caroff M. Molecular aspects of endotoxins relevant to their biological functions. Nephrol Dial Transplant 1999; 14 (4) : p. 853-860.
13. Menso JN, Grooteman MP. Impact of contaminated dialysate on longterm haemodialysis-related complications: is it really that important? Nephrol Dial Transplant 2001; 16 (10) : p. 1986-1991.
14. Man NK, Degremont A, Darbord JC, Collet M, Vaillant P. Evidence of bacterial biofilm in tubing from hydraulic pathway of hemodialysis system. Artif Organs 1998; 22 (7) : p. 596-600.
15. ERA-EDTA, European Renal Association-European Dialysis and Transplant Association - Best Practice Guidelines for Haemodialysis SECTION IV. Dialysis fluid purity. Nephrol Dial Transplant 2002; 17 (7) : p. 45-62.
16. Capelli G, Riccardi M, Perrone S, Bondi M, Ligabue G, Albertazzi A. Watertreatment and monitor disinfection. Hemodialysis International 2006; 10 (1) : p. 13-18.
17. Restaino L, Frampton EW, Hemphill JB, Palnikar P, Efficacy of ozonated water against various foodrelated microorganisms. Appl Environ Microbiol 1995; 61 (9) : p. 3471-3475.
18. Walker JT, Bradshaw DJ, Fulford MR, Marsh PD. Microbiological evaluation of a range of disinfectant products to control mixed-species biofilm contamination in a laboratory model of a dental unit water system. Appl Environ Microbiol 2003; 69 (6) : p. 3327-3332.
19. Penders C, Kooman JP, Stobberingh EE, van der Sande FM, Frederik PM, Leunissen KML Does ultrapure dialysate prevent the development of biofilm in dialysis therapy? Nephrology Dialysis Transplantation 2001; 16: p. 1522-1524.
20. Smeets E, Kooman J, Van Der Sand F, et al. Prevention of biofilm formation in dialysis watertreatment systems. Kidney Int2003; 63: p. 1574-1576.
21. Moritz M, Otte A, Kistemann T, Speuser W, Brensing AK, Biittgen S, Kirsch-Altena A, Gebel J. Intermittierende Ozonierung zur Optimierung der Wasserqualitat und Reduzierung von Biofilm-Bildung in der Wasserversorgung von Dialysezentren. Hyg Med 2007; 32 (6) : 234-240.
22. Exner M, Tuschewitzki G-J, Haun F. Scanning electron microscope demonstration of wall colonization of waterbearing plastic tubes. Zentralbl Bakteriol Mikrobiol Hyg [B] 1982; 176 (5-6) : p. 425-434.
23. Exner M, Tuschewitzki G-J, Scharnagel J. Influence of biofilms by chemical disinfectants and mechanical cleaning. Zentralbl Bakteriol Mikrobiol Hyg [B] 1987; 183 (5-6) : p. 549-563.
24. Exner M, Gebel J, Vacata V. Wirksamkeit der Desinfektion auf Biofilme, in Erfassung des Wachstums und des Kontaminationspotenzials von Biofilmen in der Verteilung von Trinkwasser. Ergebnisse eines Verbundprojektes, gefördert durch das Bundesministerium fur Bildung und Forschung - BMBF-, F. H. C., Editor. 2003, IWW: Mülheim an der Ruhr. p. 303-339.
25. Exner M, Gebel J, Otte A. Gerat zur Desinfektionsund Biofilmkontrolle in wasserführenden Systemen, in Deutsches Patent-und Markenamt. 2006; Gebrauchsmuster Nr. 20 2006 009126.2, IPC: G01N 33/18 (2006.1) : Deutschland.
26. Gerba CP, Rose JB, Haas CN. Sensitive populations: who is atthe greatest risk? Int J Food Microbiol 1996; 30 (1-2) : p. 113-23.
27. Kim BR, Anderson JE, Mueller SA, Gaines WA, Kendall AM. Literature review-efficacy of various disinfectants against Legionella in water systems. Water Res. 2002; 36 (18) : p. 4433-4444.
28. Vorbeck-Meister I, Sommer R, Vorbeck F, Horl WH. Quality of water used for haemodialysis: bacteriological and chemical parameters. Nephrol Dial Transplant 1999; 14 (3) : p. 666-675.
29. Norton CD, LeChevallier MW. A pilot study of bacteriological population changes through potable watertreatment and distribution. Appl Environ Microbiol 2000; 66 (1) : p. 268-276.
30. Li G, Smith CS, Brun YV, Tang JX. The elastic properties of the Caulobactercrescentus adhesive holdfast are dependent on oligomers of N-acetylglucosamine. J Bacteriol 2005; 87 (1) : p. 257-265.
31. Stelzmueller I, Biebl M, Wiesmayr S, Eller M, Hoeller E, Fille M, Weiss G, Lass-Floerl C, Bonatti H. Ralstonia pickettii-innocent bystander or a potential threat? ClinMicrobiol Infect 2006; 12 (2) : p. 99-101.
32. Rodriguez-Nava V, Couble A, Khan ZU, Perouse de Montclos M, Brasme L, Villuendas C, Molinard C, Boiron P, Laurent F. Nocardia ignorata, a new agent of human nocardiosis isolated from respiratory specimens in Europe and soil samples from Kuwait. J Clin Microbiol 2005; 43 (12) : p. 6167-6170.
33. Ridgway HF, Safarik J, Phipps D, Carl P, Clark D. Identification and catabolic activity of well-derived gasoline-degrading bacteria from a contaminated aquifer. Appl Environ Microbiol 1990; 56 (11) : p. 3565-3575.
34. Jayaprakash NS, Pai SS, Anas A, Preetha R, Philip R, Singh IS. A marine bacterium, Micrococcus MCCB 104, antagonistic to vibrios in prawn larval rearing systems. Dis Aquat Organ 2005; 68 (1) : p. 39-45.
35. Arvanitidou M, Vayona A, Spanakis N, Tsakris A. Occurrence and antimicrobial resistance of Gramnegative bacteria isolated in haemodialysis water and dialysate of renal units: results of a Greek multicentre study. J Appl Microbiol. 2003; 95 (1) : p. 180-185.
36. Gomila M, Gasco J, Gil J, Bernabeu R, Inigo V, Lalucat J. A molecular microbial ecology approach to studying hemodialysis water and fluid. Kidney Int. 2006; 70 (9) : p. 1567-1576.