The The effect of temperature on peracetic acid efficiency in fungal elimination in reused dialyzer The effect of temperature on peracetic acid efficiency in fungal elimination in reused dialyzer
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Introduction: Peracetic acid (PAA) decomposition upon dialyzer reprocessing has a direct relationship with the rising global temperature. Purpose: The current objective is to investigate the 0.16 %PAA performance for disruption of Candida albicans and Aspergillus niger in dialyzer undergoing the increase of temperature 35-50 Celsius (°C) and duration of incubations 0-96 hour (h). Material and methods: The twenty dialyzers were randomly assigned to 1.1) C. albicans-inoculated in control group of dialyzer, 1.2) C. albicans-inoculated in sample group of dialyzer received PAA 2.1) A. niger-inoculated in control group of dialyzer 2.2) A. niger-inoculated in sample group of dialyzer received PAA. Then, a residual concentration of PAA in sample group of dialyzers were quantified with peracetic acid test strip. Result: At 35, 40, and 45 °C, the sample group number 1.2) and 2.2) showed that PAA started decomposing for 48 h. Amount of PAA residues for 96 h gradually decreased from 2,000 parts per million (ppm) to 1,500 ppm at 35 °C and decreased dramatically with contents of 1,000 ppm at 40 and 45°C. The highest rate of PAA degradation was found at 50 °C with a rapid decline from 1500 ppm at 24 h and 800 ppm at 96 h. Although PAA decay associated with rising temperatures, both sample groups still showed strong antiproliferation of both fungi, suggesting that PAA remains enough disinfectant. Conclusion: A limitation of PAA in using dialyzer reuse for high-temperature must contain a minimum level both before and after reprocessing procedure as 2,000 ppm and 800 ppm, respectively.
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