Abstract

AbstractWater quality for dialysis fluid is an important consideration for dialysis patients. As a result, strict monitoring of water quality is required to avoid complications and ensure the safety and health of patients. The current study aimed to determine the water quality used in hemodialysis treatment centers. Twenty water samples were collected and analyzed from three hospitals in Baghdad's medical city over four seasons. Counts of bacteria and chemical contaminants were determined in raw and dialysis water from each of four dialysis centers. After collecting samples, bacteriological and chemical analyses were performed in the laboratory. Results show that the quality of dialysis water fluctuates, making it unacceptable when compared to international standards. Bacterial counts were above the maximum value of 100 CFU/ml in 50% of the samples tested. Chemical analysis showed that the dialysis water quality suffers from elevated free chlorine concentrations in some dialysis centers. Also, there were no significant differences between the measured parameters in the dialysis water at four treatment centers during the study period at p < 0.05. Hemodialysis centers require constant monitoring, maintenance, and the development of water treatment systems to ensure optimum water quality. Additional disinfection is essential in order to prevent bacterial growth and biofilm formation.

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