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Adequacy of dialysis: trace elements in dialysis fluids
1Department of Nephrology-Hypertension, University of Antwerp, Belgium.
Summary
Dialysis patients face trace element imbalances due to treatment, with aluminium overload being a significant concern. Monitoring and managing these disturbances, including potential deficiencies like selenium, is crucial for patient health.
Area of Science:
- Nephrology
- Trace Element Metabolism
- Environmental Health
Background:
- Dialysis treatments can disrupt trace element balance in patients.
- Tap water and chemical concentrates are primary sources of dialysate contamination.
- Both accumulation and depletion of trace elements can occur during dialysis.
Purpose of the Study:
- To review trace element disturbances in dialysis patients.
- To highlight the risks associated with aluminium and silicon contamination.
- To discuss the clinical significance of other trace element imbalances and deficiencies.
Main Methods:
- Literature review of trace element disturbances in dialysis.
- Analysis of contamination sources in dialysis fluids.
- Discussion of diagnostic and therapeutic strategies for trace metal overload.
Main Results:
- Aluminium overload remains a major issue in dialysis patients, necessitating regular monitoring.
- Elevated silicon levels are observed, linked to dialysis fluids and drinking water.
- Other elements like copper, zinc, and selenium may accumulate or become deficient.
Conclusions:
- Trace element contamination and depletion significantly impact dialysis patients.
- Aluminium management is critical; other trace element effects require further investigation.
- Understanding these imbalances is essential for improving patient outcomes in nephrology.