Protocol of chemical and bacteriological safety control of water for hemodialysis / haemodiafiltration

  • L. Snisar State Institute «Institute of Nephrology of the National Academy of Medical Sciences», Kyiv
  • L. Liksunova State Institute «Institute of Nephrology of the National Academy of Medical Sciences», Kyiv
DOI: https://doi.org/10.31450/ukrjnd.3(59).2018.01
Keywords: dialysis water, hemodialysis, chemical quality, microbiological quality, contaminants, reverse osmosis

Abstract

Conducting hemodialysis/ haemodiafiltration requires the presence of specially prepared water, which is the main component of the dialysing solution. The source of dialysis water is drinking (tap) water which is submitted to purification cascade that involves, among others, pressure driven membranes processes such as reverse osmosis (RO). Proper water treatment is not only a guarantee of the safety of the hemodialysis procedure, but also significantly affects the quality and life expectancy of patients.

Therefore, the chemical and microbiological quality of the water used for dialysis is essential if an additional health risk to haemodialysis patients is to be avoided.

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References

Kolesnyk M, Dudar I, Stepanova N, Gonchar Y, Shifris I, Loboda O. Adaptovana klinichna nastanova, sasnovana na dokasah ta unifikovani klinichni protocol. Licuvannia hvoryh na hronichnu hvorobu nyrok V GD stadii: 2016 rik. Kyiv; 2016. 228 p. [In Ukrainian].

Water for haemodialysis and related therapies. CAN/CSA-ISO 13959-11.  Canadian Standards Association; 2011. Available from: http://www.bcrenalagency.ca

Dialysate for hemodialysis. ANSI/AAMI RD52:2004/(R)2010, Association for the Advancement for Medical Instrumentation, Arlington (VA); 2009. 54 p. Available from: http://www.therenalnetwork.org/home/resources/CfC/AAMI_RD520408.pdf

Water for haemodialysis and related therapies. BS EN ISO 13959; 2015. 16 p. Available from: https://shop.bsigroup.com/ProductDetail

Concentrates for haemodialysis and related therapies. BS EN ISO 13958:2015.  Available from: www.iso.org

Quality of dialysis fluid for haemodialysis and related therapies. BS EN ISO 11663: 2015. Available from: www.iso.org

Water treatment equipment for haemodialysis and related therapies. BS EN ISO 26722: 2015. Available from: www.iso.org

Guidance for the preparation and quality management of fluids for haemodialysis. BS EN ISO 23500: 2015. Available from: www.iso.org

Uhlig K, MacLeod A, Craig J. Grading evidence and recommendations for clinical practice guidelines in nephrology. A position statement from Kidney Disease: Improving Global Outcomes (KDIGO). Kidney Int. 2006; 70: 2058-65.  

Atkins D, Best D, Briss PA. GRADE Working Group. Grading quality of evidence and strength of recommendations. BMJ. 2004;328:1490.

Water Quality Standard. ANSI/AAMI 13959:2014. Available from: www.iso.org

Levy J, Morgan J. Oxford Handbook of Dialysis. Oxford, Oxford University Press. 2004. Available from:  https://www.amazon.com/Oxford-Handbook-Dialysis-Medical-Handbooks/dp/0199235287

Poli D, Pavone L, Tansinda P. Organic contamination in dialysis water: trichloroethylene as a model compound. Nephrol. Dial. Transplant. 2006; 21(6): 1618-25. doi.org/10.1093/ndt/gfl036

Tattersall J, Martin-Malo A, Pedrini L, Basci A, Canaud B, Fouque D, Haage P, Konner K, Kooman J, et al. EBPG guideline on dialysis strategies, Nephrology Dialysis Transplantation. 2007;22(2):ii5–ii21. doi: 10.1093/ndt/gfm022

Kooman J, Basci A, Pizzarelli F, Canaud B, Haage P, Fouque D, Konner K, Martin-Malo A, Pedrini L, Tattersall J, et al. EBPG guideline on haemodynamic instability / Nephrol. Dial. Transplant. 2007; 22(2):ii22-44.

Cornelis T, Menno P, Kooistra Jeroen Kooman Karel M, Leunissen Christopher T, Chan Frank M. Education of ESRD patients on dialysis modality selection: 'intensive haemodialysis first'. Nephrol. Dial. Transplant. 2010; 25(9): 3129-30. doi: 10.1093/ndt/gfq365


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Published
2018-09-30
How to Cite
Snisar, L., & Liksunova, L. (2018). Protocol of chemical and bacteriological safety control of water for hemodialysis / haemodiafiltration. Ukrainian Journal of Nephrology and Dialysis, (3(59), 3-9. https://doi.org/10.31450/ukrjnd.3(59).2018.01
Issue
No 3(59) (2018): Ukrainian Journal of Nephrology and Dialysis
Section
Problems of Organization and Economics of Kidney Care in Ukraine
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