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Safety and Effectiveness of Monochloramine Treatment for Disinfecting Hospital Water Networks

Bibliographic Data

ID15513951
AuthorsIsabella Marchesi (0000-0002-0905-5783, University of Modena and Reggio Emilia, corresponding author), Stefania Paduano (0000-0003-3640-9177, University of Modena and Reggio Emilia), Giuseppina Frezza (University of Modena and Reggio Emilia), Luca Sircana (Azienda Ospedaliero-Universitaria di Modena), Elena De Vecchi (0000-0001-9781-8607, Azienda Ospedaliero-Universitaria di Modena), Pietro Zuccarello (0000-0002-7425-0032, University of Catania), Gea Oliveri Conti (0000-0003-1857-8612, University of Catania), Margherita Ferrante (0000-0001-7596-2464, University of Catania), Paola Borella (0000-0001-9474-3566, University of Modena and Reggio Emilia), Annalisa Bargellini (0000-0002-7562-1472, University of Modena and Reggio Emilia)
Year2020
Volume17
Issue17
Pages6116-6116
Publication date2020-08-22
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph17176116
PMID32842654
OpenAlexW3081486559
LanguageEN
References cited2

The formation of potentially carcinogenic N-nitrosamines, associated with monochloramine, requires further research due to the growing interest in using this biocide for the secondary disinfection of water in public and private buildings. The aim of our study was to evaluate the possible formation of N-nitrosamines and other toxic disinfection by-products (DBPs) in hospital hot water networks treated with monochloramine. The effectiveness of this biocide in controlling Legionella spp. contamination was also verified. For this purpose, four different monochloramine-treated networks, in terms of the duration of treatment and method of biocide injection, were investigated. Untreated hot water, municipal cold water and, limited to N-nitrosamines analysis, hot water treated with chlorine dioxide were analyzed for comparison. Legionella spp. contamination was successfully controlled without any formation of N-nitrosamines. No nitrification or formation of the regulated DBPs, such as chlorites and trihalomethanes, occurred in monochloramine-treated water networks. However, a stable formulation of hypochlorite, its frequent replacement with a fresh product, and the routine monitoring of free ammonia are recommended to ensure a proper disinfection. Our study confirms that monochloramine may be proposed as an effective and safe strategy for the continuous disinfection of building plumbing systems, preventing vulnerable individuals from being exposed to legionellae and dangerous DBPs

Biocide · Chloramination · Chloramine · Chlorine · Chlorine dioxide · Contamination · Waste management · Water treatment · Chemistry · Environmental Science · Legionella and Acanthamoeba research · Neutrophil, Myeloperoxidase and Oxidative Mechanisms · Water Treatment and Disinfection · Environmental Chemistry · Environmental Engineering · Organic Chemistry

  • Characterisation of Microbial Community Associated with Different Disinfection Treatments in Hospital hot Water Networks

    Open Access•Stefania Paduano, Isabella Marchesi et al.•International Journal of…•2020

  • Preventing Healthcare-Associated Legionellosis

    Open Access•Maria Anna Coniglio, Margherita Ferrante et al.•International Journal of…•2018

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