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Isolation and identification of environmental mycobacteria in the waters of a hemodialysis center.

Sartori, Flávio Garcia; Leandro, Luís Fernando; Montanari, Lilian Bueno; de Souza, Maria Gorete Mendes; Pires, Regina Helena; Sato, Daisy Nakamura; Leite, Clarice Queico Fujimura; de Andrade Prince, Karina; Martins, Carlos Henrique Gomes.
Curr Microbiol; 67(1): 107-11, 2013 Jul.
Inglês | MEDLINE | ID: mdl-23463515
The use of poorly treated water during hemodialysis may lead to contamination with nontuberculous mycobacteria (NTM). This study aimed to isolate and identify NTM species in the water of a Brazilian hemodialysis center. We collected 210 samples of water from the hydric system of the unit (post-osmosis system, hemodialysis rooms, reuse system, and hemodialysis equipment) and from the municipal supply network; we isolated the NTM by a classic microbiological technique and identified them by the PCR restriction enzyme pattern of the hsp65 gene (PRA). Fifty-one (24.3 %) of the collected samples tested positive for NTM; both the municipal supply network (2 samples, 3.2 %) and the hydric system of the hemodialysis center (49 samples, 96.1 %) contained NTM. We isolated and identified potentially pathogenic bacteria such as Mycobacterium lentiflavum (59.0 %) and M. kansasii (5.0 %), as well as rarely pathogenic bacteria like M. gordonae (24.0 %), M. gastri (8.0 %), and M. szulgai (4.0 %). The ability of NTM to cause diseases is well documented in the literature. Therefore, the identification of NTM in the water of a Brazilian hemodialysis center calls for more effective water disinfection procedures in this unit.