Almodovar Adriana Aparecida Buzzo, Buzzo Márcia Liane, Silva Fernando Pontes de Lima E, Hilinski Ellen Gameiro, Bugno Adriana
Instituto Adolfo Lutz, Núcleo de Ensaios Biológicos e de Segurança, São Paulo, SP, Brasil.
Instituto Adolfo Lutz, Núcleo de Contaminantes Inorgânicos, São Paulo, SP, Brasil.
J Bras Nefrol. 2018 Oct-Dec;40(4):344-350. doi: 10.1590/2175-8239-jbn-2018-0026. Epub 2018 Aug 2.
Chronic kidney failure is a disease that affects the functions of the kidneys and can cause irreversible kidney failure over time. Among the main factors that cause this disease are hypertension and diabetes mellitus. The number of patients presenting this clinical condition has been increasing in Brazil, leading to an increase in renal replacement therapy, such as hemodialysis.
In the state of São Paulo, a joint action between the Adolfo Lutz Institute, the Sanitary Surveillance Center, and the Sanitary Surveillance Groups have promoted the State Program for the Monitoring of Water Treated for Dialysis since 2007 to evaluate the chemical and microbiological quality of the water used in dialysis in compliance with the current legislation.
This study aimed to evaluate the monitoring program developed between 2010 and 2016 as a tool for corrective action when unsatisfactory results are observed.
The level of satisfactory results during the period varied from 85.8 to 98.0%, indicating an increase in the adequacy of the dialysis services in producing water with adequate quality for patient health.
The design adopted in the state monitoring program is highly effective based on new collections after the joint actions of the Sanitary Surveillance System and the State Dialysis Services.
慢性肾衰竭是一种影响肾脏功能的疾病，随着时间的推移可能导致不可逆转的肾衰竭。导致这种疾病的主要因素包括高血压和糖尿病。在巴西，出现这种临床病症的患者数量一直在增加，导致诸如血液透析等肾脏替代疗法的使用增加。
自2007年以来，在圣保罗州，阿道夫·卢茨研究所、卫生监督中心和卫生监督小组之间的联合行动推动了州透析用水监测计划，以根据现行立法评估透析用水的化学和微生物质量。
本研究旨在评估2010年至2016年期间制定的监测计划，作为在观察到不满意结果时采取纠正行动的工具。
在此期间，满意结果的水平从85.8% 到98.0% 不等，表明透析服务在生产对患者健康质量足够的水方面的充足性有所提高。
基于卫生监督系统和州透析服务的联合行动后的新采集情况，州监测计划采用的设计非常有效。
