Biological and chemical risks in haemodialysis centres

Haemodialysis technique was introduced in 1965 for people afflicted to chronic renal insufficiency, permitting them to survive. The method purifies patient blood who is connected to the equipment by tubes. The equipment uses saline solutions and water and it operates by osmotic pressure and by filtration. In this paper biological and chemical occupational risks are analysed. Main biological risks are caused by haematic viruses such as HIV, HBV, HCV. Chemical risks are mainly caused by disinfection products such as acid, basic and saline solutions. Workers exposed to chemical and biological risks are nursing staff, doctors, assistants, maintenance men. The paper analyses these risks and it shows prevention and protection solutions to reduce significantly the risks. The S.Pre.S.A.L. (Prevention and Protection Service in Work Places) operators of ASL RMC (Health Local Agency of Rome) visited six haemodialysis centres situated in Rome in the ASL RMC territory. They verified the application of safety and healthy measures by use of a check list about risk assessment, the lay-out, the equipment, the preventive and protective measures and the application of law. Experimental data were organized in relation of legislative accomplishments and technical measures. The aim of our work was to improve workers' safety in the haemodialysis centres, proposing the better technical solutions to realise this objective.