TY - JOUR
T1 - Black yeasts-like fungi isolated from dialysis water in hemodialysis units
AU - Figel, Izabel Cristina
AU - Marangoni, Paulo Roberto Dantas
AU - Tralamazza, Sabina Moser
AU - Vicente, Vânia Aparecida
AU - Dalzoto, Patrícia do Rocio
AU - do Nascimento, Mariana Machado Fidelis
AU - de Hoog, G Sybren
AU - Pimentel, Ida Chapaval
N1 - Reporting year: 2013
PY - 2013/6
Y1 - 2013/6
N2 - Hemodialysis in patients with chronic renal failure promotes the removal of toxic substances, water, and minerals from the body and often takes place in specialized clinics. Microbial contamination of dialysis fluid is a serious problem in therapy. One of the sources of contamination is the water used to prepare the dialysate. In Brazil, legislation regulating the microbiological quality of water for dialysis does not cover waterborne microbes such as Pseudomonas, mycobacteria, and fungi. The aim of the present study was to quantify, isolate, and identify fungi present in water systems in six hemodialysis units in Curitiba, Parana state, Brazil. Fungi were analyzed by surface plating and membrane filtration. Isolates were identified by morphology, while the dematiaceous fungi were identified by sequencing the rDNA ITS region. It was found that 66 % of the samples presented fungi, while black fungi were present in 46 % of all samples. Twenty-eight isolates from treated water for dialysis and dialysate were identified by sequencing and were found to be Exophiala pisciphila, E. cancerae, E. equina, and Rhinocladiella similis. The presence of dematiaceous fungi may pose a risk for debilitated hospitalized patients.
AB - Hemodialysis in patients with chronic renal failure promotes the removal of toxic substances, water, and minerals from the body and often takes place in specialized clinics. Microbial contamination of dialysis fluid is a serious problem in therapy. One of the sources of contamination is the water used to prepare the dialysate. In Brazil, legislation regulating the microbiological quality of water for dialysis does not cover waterborne microbes such as Pseudomonas, mycobacteria, and fungi. The aim of the present study was to quantify, isolate, and identify fungi present in water systems in six hemodialysis units in Curitiba, Parana state, Brazil. Fungi were analyzed by surface plating and membrane filtration. Isolates were identified by morphology, while the dematiaceous fungi were identified by sequencing the rDNA ITS region. It was found that 66 % of the samples presented fungi, while black fungi were present in 46 % of all samples. Twenty-eight isolates from treated water for dialysis and dialysate were identified by sequencing and were found to be Exophiala pisciphila, E. cancerae, E. equina, and Rhinocladiella similis. The presence of dematiaceous fungi may pose a risk for debilitated hospitalized patients.
KW - Biodiversity
KW - Brazil
KW - DNA, Fungal
KW - DNA, Ribosomal Spacer
KW - Fungi
KW - Hemodialysis Units, Hospital
KW - Humans
KW - Molecular Sequence Data
KW - Sequence Analysis, DNA
KW - Water Microbiology
U2 - 10.1007/s11046-013-9633-4
DO - 10.1007/s11046-013-9633-4
M3 - Article
C2 - 23467974
SN - 0301-486X
VL - 175
SP - 413
EP - 420
JO - Mycopathologia
JF - Mycopathologia
IS - 5-6
ER -