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Keywords = reused dialyzer

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24 pages, 1753 KB  
Article
Valorization of Produced Water from Oilfields for Microbial Exopolysaccharide Synthesis in Stirred Tank Bioreactors
by Igor Carvalho Fontes Sampaio, Pamela Dias Rodrigues, Isabela Viana Lopes de Moura, Maíra dos Santos Silva, Luiz Fernando Widmer, Cristina M. Quintella, Elias Ramos-de-Souza and Paulo Fernando de Almeida
Fermentation 2026, 12(1), 39; https://doi.org/10.3390/fermentation12010039 - 8 Jan 2026
Viewed by 909
Abstract
The increasing volume of produced water (PW) generated by oil extraction activities has intensified the need for environmentally sustainable strategies that enable its reuse and valorization. Biotechnological approaches, particularly those involving the microbial production of value-added compounds, offer a promising route for transforming [...] Read more.
The increasing volume of produced water (PW) generated by oil extraction activities has intensified the need for environmentally sustainable strategies that enable its reuse and valorization. Biotechnological approaches, particularly those involving the microbial production of value-added compounds, offer a promising route for transforming PW from an industrial waste into a useful resource. In this context, bacterial exopolysaccharides (EPS) have gained attention due to their diverse functional properties and applicability in bioremediation, bioprocessing and petroleum-related operations. This study evaluated the potential of Lelliottia amnigena to synthesize EPS using oilfield PW as a component of the culture medium in stirred-tank bioreactors. Three conditions were assessed: a control using distilled water (dW), PW diluted to 25% (PW25%) and dialyzed PW (DPW). Batch experiments were conducted for 24 h, during which biomass growth, EPS accumulation and dissolved oxygen dynamics were monitored. Post-cultivation analyses included elemental and monosaccharide composition, scanning electron microscopy and rheological characterization of purified EPS solutions. EPS production varied among treatments, with dW and DPW yielding approximately 9.6 g L−1, while PW25% achieved the highest productivity (17.55 g L−1). The EPS samples contained fucose, glucose and mannose, with compositional differences reflecting the influence of PW-derived minerals. Despite reduced apparent viscosity under PW25% and DPW conditions, the EPS exhibited physicochemical properties suitable for biotechnological applications, including potential use in fucose recovery, drilling fluids and lubrication systems in the petroleum sector. The EPS also demonstrated substantial adsorption capacity, incorporating salts from PW and contributing to contaminant removal. This study demonstrates that PW can serve both as a substrate and as a source of functional inorganic constituents for microbial EPS synthesis, supporting an integrated approach to PW valorization. These findings reinforce the potential of EPS-based bioprocesses as sustainable green technologies that simultaneously promote waste mitigation and the production of high-value industrial bioproducts. Full article
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18 pages, 2073 KB  
Article
Comparative Efficacy of Reused Medium Cut-Off Dialyzers on Uremic Toxin and Cytokine Clearance: A Randomized Controlled Trial
by Eakalak Lukkanalikitkul, Nichnan Jirayuphat and Sirirat Anutrakulchai
Life 2025, 15(9), 1468; https://doi.org/10.3390/life15091468 - 18 Sep 2025
Viewed by 1939
Abstract
Introduction: Expanded hemodialysis using medium cut-off (MCO) dialyzers effectively removes middle-molecule uremic toxins, comparable to hemodiafiltration, but their single-use designation increases the dialysis costs. This study evaluated the efficacy and safety of reusing two MCO dialyzers available in Thailand. Methods: In this randomized [...] Read more.
Introduction: Expanded hemodialysis using medium cut-off (MCO) dialyzers effectively removes middle-molecule uremic toxins, comparable to hemodiafiltration, but their single-use designation increases the dialysis costs. This study evaluated the efficacy and safety of reusing two MCO dialyzers available in Thailand. Methods: In this randomized controlled trial, hemodialysis patients were assigned to receive treatment with either Theranova® 500 or Elisio® 21HX dialyzers. Each dialyzer was reprocessed using peracetic acid and reused for up to 15 sessions. Dialyzer performance was assessed by the reduction ratios (RRs) of solutes, including β2-microglobulin (β2-MG), kappa and lambda free light chains (κ-FLC, λ-FLC), and interleukin-6 (IL-6), at baseline and the 2nd, 5th, 10th, and 15th sessions. Results: Forty-eight patients were enrolled (mean age 63.6 ± 13.7 years; 62.5% male) and randomized into 2 groups with comparable baseline characteristics. RRs for β2-MG, κ-FLC, and λ-FLC were similar between the groups and declined modestly over time after dialyzer reused (β2-MG: 78.2% to 72.5% vs. 77.2% to 74.5%, κ-FLC: 64.6% to 51.3% vs. 58.9% to 49.5%, and λ-FLC: 51.2% to 46.4% vs. 49.4% to 39.2% in the Theranova® 500 and Elisio® 21HX groups, respectively). Theranova® 500 demonstrated significantly higher IL-6 clearance in the 2nd (29.9% vs. 16.0%; p = 0.018) and 5th (23.8% vs. 7.7%, p = 0.031) sessions. It also showed a non-significant trend toward lower dialyzer survival (HR 3.98; p = 0.085) and higher, though clinically acceptable, albumin loss (mean difference 0.56 g/session; p < 0.001), which decreased with reuse. Conclusions: Both MCO dialyzers demonstrated comparable overall performance during reuse. Theranova® 500 provided better IL-6 clearance with manageable albumin loss. Implementation of high-quality dialyzer reuse protocols may optimize clinical efficacy and patient outcomes while balancing cost, accessibility, and environmental considerations. Full article
(This article belongs to the Section Medical Research)
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12 pages, 449 KB  
Review
Updated Evidence on the Epidemiology of Hepatitis C Virus in Hemodialysis
by Fabrizio Fabrizi, Roberta Cerutti and Piergiorgio Messa
Pathogens 2021, 10(9), 1149; https://doi.org/10.3390/pathogens10091149 - 7 Sep 2021
Cited by 14 | Viewed by 5804
Abstract
Prevalence rates of HCV infection are decreasing in hemodialysis units of most developed countries; however, nosocomial transmission of HCV continues to occur in the hemodialysis setting, not only in the emerging world. According to the Dialysis Outcomes and Practice Patterns Study (DOPPS, 2012–2015), [...] Read more.
Prevalence rates of HCV infection are decreasing in hemodialysis units of most developed countries; however, nosocomial transmission of HCV continues to occur in the hemodialysis setting, not only in the emerging world. According to the Dialysis Outcomes and Practice Patterns Study (DOPPS, 2012–2015), the prevalence of HCV among patients on regular hemodialysis was 9.9%; in incident patients, the frequency of HCV was approximately 5%. Outbreaks of HCV have been investigated by epidemiologic and phylogenetic data obtained by sequencing of the HCV genome; no single factor was retrieved as being associated with nosocomial transmission of HCV within hemodialysis units. Transmission of HCV within HD units can be prevented successfully by full compliance with infection control practices; also, antiviral treatment and serologic screening for anti-HCV can be useful in achieving this aim. Infection control practices in hemodialysis units include barrier precautions to prevent exposure to blood-borne pathogens and other procedures specific to the hemodialysis environment. Isolating HCV-infected hemodialysis patients or using dedicated dialysis machines for HCV-infected patients are not currently recommended; reuse of dialyzers of HCV-infected patients should be made, according to recent guidelines. Randomized controlled trials regarding the impact of isolation on the risk of transmission of HCV to hemodialysis patients have not been published to date. At least two studies showed complete elimination of de novo HCV within HD units by implementation of strict infection control practices without isolation practices. De novo HCV within hemodialysis units has been independently associated with facility HCV prevalence, dialysis vintage, and low staff-to-patient ratio. Antiviral treatment of HCV-infected patients on hemodialysis should not replace the implementation of barrier precautions and other routine hemodialysis unit procedures. Full article
(This article belongs to the Special Issue Healthcare-Associated Infections)
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