scholarly journals Quality of water for reprocessing of medical devices in healthcare facilities in Nepal

Author(s):  
Gopal Panta ◽  
Ann K Richardson ◽  
Ian C Shaw

Abstract Reusable medical devices are decontaminated and sterilized often many times by healthcare facilities across the globe. Reprocessing of medical devices comprises several processes and water plays an important role in some of these, including cleaning and steam sterilization. The water used is required to have certain qualities to ensure the effectiveness of the processes. In this short communication, we report findings of our study which measured quality parameters (pH, total hardness) for water used for medical device reprocessing in 13 primary and secondary care public hospitals in Nepal. The mean pH of water used for reprocessing of medical devices varied from 6.48 to 8.05 across the hospitals whereas the mean total hardness of water varied from 5.93 to 402.50 mg/L CaCO3. Although the range of the mean water pH across hospitals fell within the recommended range, many of the hospitals had mean total hardness higher than recommended for cleaning medical devices. None of the hospitals had mean total hardness suitable for using as feed-water for steam generation. Public hospitals in Nepal should have appropriate water treatment systems so that the recommended water quality can be achieved to ensure effective decontamination and reprocessing of medical devices.

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Gopal Panta ◽  
Ann K. Richardson ◽  
Ian C. Shaw ◽  
Patricia A. Coope

Abstract Background Reusable medical devices in healthcare facilities are decontaminated and reprocessed following standard practices before each clinical procedure. Reprocessing of critical medical devices (those used for invasive clinical procedures) comprises several processes including sterilization, which provides the highest level of decontamination. Steam sterilization is the most used sterilization procedure across the globe. Noncompliance with standards addressing reprocessing of medical devices may lead to inadequate sterilization and thus increase the risk of person-to-person or environmental transmission of pathogens in healthcare facilities. We conducted nationwide multicenter clustered audits to understand the compliance of primary- and secondary-care public hospitals in Nepal with the standard practices for medical device reprocessing, including steam sterilization. Methods We developed an audit tool to assess compliance of hospitals with the standard practices for medical device reprocessing including steam sterilization. Altogether, 189 medical device reprocessing cycles which included steam sterilization were assessed in 13 primary and secondary care public hospitals in Nepal using the audit tool. Percentage compliance was calculated for each standard practice. Mean percentage compliances were obtained for overall primary and secondary care hospitals and for each hospital type, specific hospital and process involved. Results For all primary and secondary care hospitals in Nepal, the mean percentage compliance with the standard practices for medical device reprocessing including steam sterilization was 25.9% (95% CI 21.0–30.8%). The lower the level of care provided by the hospitals, the lower was the mean percentage compliance, and the difference in the means across the hospital types was statistically significant (p < 0.01). The mean percentage compliance of individual hospitals ranged from 14.7 to 46.0%. The hospitals had better compliance with the practices for cleaning of used devices and transport and storage of sterilized devices compared with the practices for other processes of the medical device reprocessing cycle. Conclusion The primary and secondary care hospitals in Nepal had poor compliance with the standard practices for steam sterilization and reprocessing of medical devices. Interventions to improve compliance of the hospitals are immediately required to minimize the risks of person-to-person or environmental transmission of pathogens through inadequately reprocessed medical devices.


2020 ◽  
Vol 26 (1) ◽  
Author(s):  
S. B. Patil ◽  
B. V. Patil

Water quality is becoming a global problem in developed and underdeveloped countries. Human activities directly or indirectly affect quality of water and pollute the water; the demand for fresh water is increasing faster. Therefore, in the present investigation attempt has been made to asses chemical parameters of Valwan dam water. Obtained values were compared with two standards of WHO and BIS. Parameters such as pH, Alkalinity, TDS, Total Hardness, CO2, dissolved oxygen, phosphate were found with permissible limits of BIS and WHO which indicates this water body is suitable for drinking purpose.


Author(s):  
Umera Siddique ◽  
Naveed Ahmed ◽  
Masood Sadiq Butt ◽  
Rashida Parveen ◽  
Ubaid Rahman ◽  
...  

The proposed work was carried out to replace the conventional water purification methods by natural coagulants. Samples of groundwater were obtained and analyzed for quality parameters. The coagulants of Moringa oleifera, orange peels, and date pits were prepared, and different combinations of these coagulants were used to find out the most effective one. Results regarding various physicochemical tests including pH, electrical conductivity, turbidity, total dissolved solids (TDS), calcium, magnesium, total hardness, bicarbonates, chlorides and heavy metals revealed that pH was not affected by treatments, values for EC were dropped down slightly but not reduced to an acceptable limit of World Health Organization (WHO). TDS, total hardness and chlorides reduced to the acceptable limit of WHO. Additionally, a significant reduction was recorded in lead and arsenic contents of treated water samples. Moreover, the results exhibited that the values for TPC and Total Coliform were dropped down slightly but not reduced to a satisfactory limit of WHO, while fecal Coliform reduced to the acceptable limit of WHO and E.coli was found to be zero in all samples. Conclusively, natural coagulants contain good adsorbent properties, which can confer the purification of water in a cost-effective way.


2015 ◽  
Vol 10 (3) ◽  
pp. 781-791
Author(s):  
Faisal A Salih ◽  
Nasih Othman ◽  
Faridon Muhidin ◽  
Attallah Kasem

Good drinking water quality is essential for the well being of all population. The object of this study was to assess the quality of drinking water in the city of Sulaimaniyah in Iraqi Kurdistan. A total of 2342 water samples from various sources providing water to the city collected during 2014 were analyzed for physiochemical and biological parameters using standard methods. Fifty percent of the samples were from, Dukan project after treatment, 26% from Dukan project before treatment, 8% from Sarchinar, 6% from city storage tanks and networks and 10% were brought by citizens from various sources.The total hardness of the city water at source after treatment was 186.3 (95% CI 179.6, 192.8), TDS was 150.6 (95% CI 149.5, 151.7), and PH was 7.74(95% CI 7.36, 8.12). The total hardness, TDS, turbidity and Calcium were considerably higher in Sarchinar than Dukan (231 vs. 161, 242 vs. 147, 2.7 vs. 1.8 and 72.9 vs. 44.5 mg/l respectively), while Sodium and Potassium were higher in Dukan than Sarchinar (3.4 vs. 1.4 and 1.4 vs. 0.08 mg/l respectively). Samples from the two supply lines from filtrated Dukan water project were compared in relation to physic-chemical characteristics and there were no significant differences in any of the parameters except PH, TDS and turbidity which were different. TDS of Dukan 1 project was slightly higher than Dukan 2 (148.9 vs. 145.9 respectively). Similarly turbidity of Dukan 1 was twice that of Dukan 2 (2.4 vs. 1.2). Overall, the parameter values were within standard ranges except Cl1- which was 19.8 (Iraqi standard 10 ppm) and dissolved oxygen which was 9 ppm (Iraqi standard 7-8 ppm). Microbiological results showed that 973 of the samples (91%) had an MPN of zero, 61 (5.7%) had an MPN of 2.2 and 35 (3.3%) had a higher MPN. The mean chlorination level for all samples was 1.12 (SD 0.44) .We can conclude that both Sarchinar and Dukan waters are acceptable for drinking purposes according to the parameters evaluated. We recommend to include monitoring heavy metals like Hg, Pb, Ni, Cr, Cd, Ag in the future; to consolidate the existing reporting system and to included samples from household tap water for analysis.


2018 ◽  
Vol 33 (2) ◽  
pp. 62-70 ◽  
Author(s):  
A Hossain ◽  
MM Islam ◽  
F Naznin ◽  
RN Ferdousi ◽  
FY Bari ◽  
...  

Semen was collected from four rams, using artificial vagina and viability%, motility% and plasma membrane integrity% were measured. Fresh ejaculates (n = 32) were separated by modified swim-up separation using modified human tubal fluid medium. Four fractions of supernatant were collected at 15-minute intervals. The mean volume, mass activity, concentration, motility%, viability%, normal morphology and membrane integrity% (HOST +ve) of fresh semen were 1.0 ± 0.14, 4.1 ± 0.1 × 109 spermatozoa/ml, 85.0 ± 1.3, 89.4 ± 1.0, 85.5 ± 0.7, 84.7 ± 0.5 respectively. There was no significant (P>0.05) difference in fresh semen quality parameters between rams. The motility%, viability% and HOST +ve % of first, second, third and fourth fractions were 53.4 ± 0.5, 68.2 ± 0.3, 74.8 ± 0.3 and 65.5 ± 0.4; 55.5 ± 0.4, 66.2 ± 0.4, 74.5 ± 0.3 and 73.6 ± 0.3 and 66.7 ± 0.5, 66.8 ± 0.5, 65.2 ± 0.4 and 74.7 ± 0.5 respectively. The motility%, viability% and membrane integrity% of separated semen samples differed significantly (P<0.05) between four fractions. The mean motility% and viability% were significantly higher (P<0.05) in third fraction (74.8 ± 0.3%), whereas the mean HOST +ve% was significantly higher (P<0.05) in fourth fraction (74.7 ± 0.5). All quality parameters of separated spermatozoa were significantly (P<0.05) lower than that of fresh semen. The pregnancy rates were higher with fresh semen (71%) in comparison to that of separated sample (57%).Bangl. vet. 2016. Vol. 33, No. 2, 62-70


2018 ◽  
Vol 6 (1) ◽  
Author(s):  
Badusha M. ◽  
Santhosh S

The hydro geochemical features of Neyyar River for a period of one year from May 2015 to April 2016 were analyzed. Six sampling sites were fixed considering physiography and present landuse pattern of the river basin. The residents in the drainage basin are primarily responsible for framing a better landuse and thereby maintain a good water and sediment regime. Geospatial pattern of the present landuse of the study area indicated that the sustainability of this river ecosystem is in danger due to unscientific landuse practices, which is reflected in the river quality as well. The parameters such as hydrogen ion concentration, electrical conductivity, chloride, Biological Oxygen Demand, total hardness and sulphate of river water and Organic Carbon of river bed sediments were analyzed in this study. The overall analysis shows that the highland areas are characterized by better quality of water together with low organic carbon, which is mainly due to better landuse and minimal reclamation. The midland and lowland areas are characterized by poor quality of water with high organic carbon, which is due to high anthropogenic activities and maximum pollutants associated with the region together with the alteration in landuse from a traditional eco-friendly pattern to a severely polluted current pattern.


2019 ◽  
Vol 70 (10) ◽  
pp. 3678-3680
Author(s):  
Alina Cochiorca ◽  
Narcis Barsan ◽  
Florin Marian Nedeff ◽  
Ion Sandu ◽  
Emilian Florin Mosnegutu ◽  
...  

This paper presents a study on assessment of water quality. According to a study, mining activities have a significant impact on water quality (lakes, surface water and groundwater), which has become a major problem globally. Due to mining and exploitation processes, lakes can be formed around these mines. Also, these lakes have been formed around the world and are steadily increasing. The purpose of this study is to watch the quality of water from the area around mining activities. This study refers to the, Groapa Burlacu lake around the mining exploitation Targu Ocna, Romania. This lake was formed on the northern bottle of the massive salt, strongly affected by the underground activities. Sampling for the determination the concentrations of Cl- and NaCl from the studied area was made at different depths (0 m, -5 m, -10 m, -15 m, -20 m, -25 m, -30 m, -35 m -40 m). Besides these concentrations, physical parameters of the water (pH, turbidity, electrical conductivity, dissolved oxygen and temperature) were also measured. To determine the physical parameters in the monitored area, sampling was done from four different points of the area and then put together for analysis. These parameters were measured on site using portable equipment. The data on the analyzed concentrations indicate that at depths of less than 5.0 m, the NaCl concentration values are more than 250 g/L.


2021 ◽  
Vol 11 (2) ◽  
Author(s):  
Arjun Ram ◽  
S. K. Tiwari ◽  
H. K. Pandey ◽  
Abhishek Kumar Chaurasia ◽  
Supriya Singh ◽  
...  

AbstractGroundwater is an important source for drinking water supply in hard rock terrain of Bundelkhand massif particularly in District Mahoba, Uttar Pradesh, India. An attempt has been made in this work to understand the suitability of groundwater for human consumption. The parameters like pH, electrical conductivity, total dissolved solids, alkalinity, total hardness, calcium, magnesium, sodium, potassium, bicarbonate, sulfate, chloride, fluoride, nitrate, copper, manganese, silver, zinc, iron and nickel were analysed to estimate the groundwater quality. The water quality index (WQI) has been applied to categorize the water quality viz: excellent, good, poor, etc. which is quite useful to infer the quality of water to the people and policy makers in the concerned area. The WQI in the study area ranges from 4.75 to 115.93. The overall WQI in the study area indicates that the groundwater is safe and potable except few localized pockets in Charkhari and Jaitpur Blocks. The Hill-Piper Trilinear diagram reveals that the groundwater of the study area falls under Na+-Cl−, mixed Ca2+-Mg2+-Cl− and Ca2+-$${\text{HCO}}_{3}^{ - }$$ HCO 3 - types. The granite-gneiss contains orthoclase feldspar and biotite minerals which after weathering yields bicarbonate and chloride rich groundwater. The correlation matrix has been created and analysed to observe their significant impetus on the assessment of groundwater quality. The current study suggests that the groundwater of the area under deteriorated water quality needs treatment before consumption and also to be protected from the perils of geogenic/anthropogenic contamination.


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