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Ultrapure Dialysate: A Desirable and Achievable Goal for Routine Hemodialysis
Author(s) -
Ward Richard A.
Publication year - 2000
Publication title -
seminars in dialysis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.899
H-Index - 78
eISSN - 1525-139X
pISSN - 0894-0959
DOI - 10.1046/j.1525-139x.2000.00103.x
Subject(s) - medicine , hemodialysis , intensive care medicine , dialysis , ultrapure water , population , incidence (geometry) , environmental health , nanotechnology , materials science , physics , optics
United States standards for the microbiologic quality of dialysate are not very stringent and have remained unchanged for more than 20 years, despite significant changes in the patient population and in the technology of hemodialysis. Numerous studies have demonstrated that bacterial products can cross dialysis membranes and stimulate an inflammatory response in the patient. Inflammation has been implicated in several complications associated with long‐term hemodialysis therapy, and the use of ultrapure dialysate has been shown to reduce the incidence of one of these complications, β 2 ‐microglobulin amyloidosis. Since technological innovations in water treatment and improvements in dialysis machine design allow the routine production of ultrapure dialysate, its use should now become standard.