Assessment of Standard Criteria Implementation in Haemodialysis Water Treatment Units in Qena Governorate | ||||
| The Egyptian Journal of Hospital Medicine | ||||
| Article 123, Volume 100, Issue 1, July 2025, Page 3407-3414 PDF (720.37 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhm.2025.444921 | ||||
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| Abstract | ||||
| Background: Adequate water quality is crucial in haemodialysis to prevent complications and ensure patient safety. Adhering to established guidelines can significantly enhance the efficacy of treatment and reduce risks associated with contaminated water. Aim: This study aimed to assess adherence to standard criteria in haemodialysis (HD) water treatment units in Qena Governorate, focusing on infrastructure, water treatment components, infection control and staff awareness. Methods: This cross-sectional study involved 36 haemodialysis water treatment units. Data were collected using a structured questionnaire-based on international guidelines, including Caring for Australasian with Renal Impairment (CARI) and Association for the Advancement of Medical Instrumentation (AAMI). Results: The mean number of water treatment units per HD facility was 1.17 ± 0.45 with an average of 21.89 ± 11.61 dialysis machines available. Most units (69.4%) did not have water tanks located on the ground floor, which poses safety concerns. Additionally, deficiencies in essential components such as reverse osmosis systems and chlorine detection devices were noted. Notably, 27.8% of participants reported breakage or leakage in connections, and 11.1% did not maintain a clean environment within the unit. Staff participation in training and awareness of water quality monitoring were insufficient, with only 16.7% attending training sessions. Conclusion: Most units partially met Ministry of Health (MOH) and AAMI standards, with achievements like proper water pressure, but faced issues like location impact, inconsistent air conditioning, missed disinfection, and inadequate staff training. Enhancing staff education, upgrading infrastructure, and implementing stricter monitoring protocols to mitigate contamination risks associated with water treatment systems is essential. | ||||
| Keywords | ||||
| Haemodialysis; Water treatment; Patient safety; Infection control; Standards compliance | ||||
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