• Medical

    Point-of-Use water filtration & infection prevention

    Most microorganisms found in drinking water are harmless to healthy individuals. But in the hospital, they pose a serious threat, especially for intensive care patients. Thanks to high-tech in the area of water filtration, we help to reduce the risk of waterborne healthcare-associated infections (HAIs) in your medical facility.

    Newborns and patients with weak or suppressed immune systems are particularly susceptible to nosocomial infections. Water filtration is well-known to be an important part of an effective infection prevention strategy. The more compact and efficient the water filter, the less it interferes with central working procedures – and the better you can integrate it in your everyday clinical work.

    Our solutions show that high-tech can be small, compact and high performing. For use in clinics and medical facilities, we have developed compact and high-performing, Point-of-Use (POU) water filters – terminal and inline. It creates a reliable barrier against waterborne pathogens and, in this way, protects your most vulnerable patients against harmful infections.

    The more compact and efficient POU water filters are, the less they interfere with central workflows and the better they can be integrated into everyday clinical practice.

    • Drinking water is probably subject to more controls in Germany than any other foodstuff and has to comply with strict standards. After the water has been treated, its chemical and microbiological parameters are tested at the waterworks to ensure it meets the quality requirements specified by law.

      However, conditions change when drinking water is fed into the household water system. Here, the water pressure is lower than in the main supply pipe; drinking water is heated or used irregularly and stays in the pipes for days or weeks without moving. When fitting the piping, a small number of bacteria can enter the water system, settle on the internal walls of the pipes and multiply very well under ideal conditions. Water experts call these deposits biofilm. Biofilm is a kind of bacterial community. The bacteria use this film to protect themselves from heat and chemicals (e.g. chlorine). It is nearly impossible to remove them completely by flushing, disinfecting, etc.

      Therefore, Germany’s Drinking Water Ordinance has established standards for water quality. One drop of drinking water is allowed to contain up to 100 pathogens. This amount of pathogens is not dangerous to healthy individuals. They can drink the water without any worries and use it for daily personal hygiene. However, for people who have a weak immune system due to illness or who are not yet fully grown, such levels of pathogens can lead to a serious health danger. This is why medical facilities must meet higher standards on water quality.

    • Nurses, hygiene specialists and doctors face the serious challenge of the spread of gram-negative, pathogenic bacteria – a challenge that is almost impossible to overcome without a comprehensive prevention plan.

      Tests show that contaminated water causes up to 50 percent of Pseudomonas aeruginosa–related nosocomial infections in intensive care units. The drinking water system is therefore a relevant and underestimated infection reservoir for Pseudomonas aeruginosa.1 To minimize this risk as much as possible, the German Federal Environment Agency, the Robert Koch Institute and the Hygiene in Hospital & Practice working group give numerous recommendations for the safe handling of drinking water in hospitals.

    • In the past 15 years, Point-of-Use water filtration has become firmly established as an important pillar of infection prevention.2,3 Medical water filters serve to prevent infection and reduce the risk of nosocomial infection due to waterborne pathogens. In a recent study, Pseudomonas aeruginosa was found in 8 percent (11/136) of the water outlets examined at a liver transplant center. After the installation of Point-of-Use filters, Pseudomonas aeruginosa, legionella and non-tuberculous mycobacteria (NTM) were no longer found in tap water samples. In addition, the rate of colonization/infection due to gram-negative, rod-shaped bacteria was reduced by 47 percent.4

      To ensure successful infection prevention, use a Point-of-use filter placed on the faucet/tap or shower head for the sterilizing grade water filtration of drinking water. The filter should satisfy the following requirements:

      • Bacterial retention as required LRV > 7 log per cm2 (Brevundimonas diminuta) according to ASTM F838
      • Bacteriostatic properties of the filter housing throughout the duration of use
      • A filter surface that can be wiped down to disinfect

    • Backed by 15 years of experience and with the help of ion-supported technology, i3 Membrane has been able to develop compact, high-performance POU water filters. With the second generation of our filters, we are setting new standards in infection prevention. Precision engineering has further improved the high-performance membrane at the heart of our filters. So, even when the water quality is poor (e.g. due to rust, iron or silt deposits in the pipes), sterilizing grade water filtration with a high flow rate is assured.

      We have perfected the bacteriostatic properties of the filter housing using new technologies. These technologies enable the filter to protect from retrograde contamination and biofilm formation throughout its entire duration of use. What is more, the water filter ensures unlimited safe use thanks to its compact design and the angled laminar water jet.

    • When reprocessing medical devices such as endoscopes, which are used within the human body, high-quality cleaning and disinfection in accordance with DIN EN ISO 15883 are vital. Particular attention needs to be given to meeting the specifications for the quality of the water used for final rinsing, to ensure residues from cleaning and disinfectant solutions are removed as completely as possible from the exterior and interior of the endoscope.

      In their specifications for hygiene in the reprocessing of medical devices, the Commission for Hospital Hygiene and Infection Prevention (KRINKO) at the Robert Koch Institute (RKI) and the German Federal Institute for Drugs and Medical Devices (BfArM) recommend the use of validated processes. They also provide details of threshold values for water quality, with the aim to avoid the transmission of microorganisms on reprocessed endoscopes.

      With our safe water filters for use on cleaning guns for rinsing medical devices (e.g. endoscopes), as well as our inline filters serving as a barrier on the inlet pipe of medical devices that use water (e.g. birth pools and cleaning and disinfection devices for endoscopes), we give you support for infection prevention in your medical facility.

    • As a manufacturer of medical devices, we have a quality management system that is certified in accordance with DIN EN ISO 13485. This means i3 Membrane complies with strict requirements regarding the safety and reliability of our products and services, as well as the risk minimization at product design and production.

    References

    1 Recommendation by Deutsche Gesellschaft für Krankenhaushygiene: “Gesundheitliche Bedeutung, Prävention und Kontrolle Wasser-assoziierter Pseudomonas aeruginosa-Infektionen” in HYGIENE & MEDIZIN, 41st Edition, Supplement 2, 2016, p. 6

    2 Recommendation by Deutsche Gesellschaft für Krankenhaushygiene: “Anforderungen an die Hygiene bei der medizinischen Versorgung von immunsupprimierten Patienten” Federal Health Library 2010, 53:357–388; Online publication: March 20, 2010 © Springer-Verlag 2010, p. 366

    3 Recommendation by Deutsche Gesellschaft für Krankenhaushygiene: “Gesundheitliche Bedeutung, Prävention und Kontrolle Wasser-assoziierter Pseudomonas aeruginosa-Infektionen” in HYGIENE & MEDIZIN, 41st Edition, Supplement 2, 2016, p. 16

    4 Zhou, Z.Y.; Hu, B.J.; Qin, L.; Lin, Y.E.; Watanabe; H.; Zhou, Q.; et al. “Removal of waterborne pathogens from liver transplant unit water taps in prevention of healthcare-associated infections: a proposal for a cost-effective, proactive infection control strategy”, Clinical Microbiology and Infection 2013, https://pubmed.ncbi.nlm.nih.gov/23879308 – As of August 13, 2020

    The upper bodies of a woman and a man in the clothes of surgeons standing in a hospital corridor