透析器再加工:有效和安全的血液透析的考虑和陷
Thana Thongsricome1,2, Somchai Eiam-Ong1, Khajohn Tiranathanagul1
1Division of Nephrology, Department of Medicine, King Chulalongkorn Memorial Hospital, Thai Red Cross Society and Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Seminars in dialysis
|June 15, 2023
概括
透析器再加工提供了一个具有成本效益的血液透析选择. 严格遵守协议确保了安全性,尽管与一次性使用策略相比,关于死亡率益处的证据仍然是混合的.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 生物医学工程 生物医学工程
- 公共卫生 公共卫生
背景情况:
- 透析器再加工用于血液透析的重复使用,其历史根源在于节省成本和时间.
- 这种做法可以减轻与纤维素透析膜相关的首次使用和过敏反应.
研究的目的:
- 审查和总结最近的透析器再处理方法和考虑.
- 为了比较透析剂的重复使用与血液透析中的一次性使用策略.
主要方法:
- 关于透析器再处理的既定研究的广泛文献综述.
- 综合有关协议,安全考虑和环境影响的信息.
主要成果:
- 再加工包括冲洗,清洗,测试,消毒/消毒,储存和最终冲洗.
- 关于死亡的结果存在相互矛盾的证据;乙酸灭菌与死亡率的增加有关.
- 有效的重复使用需要遵守制造商协议,优质透析水,总细胞体积测量和感染控制.
结论:
- 透析器再加工是可接受的,成本效益高的血液透析选择,当适当规范时.
- 需要考虑再加工 (液体废物) 和一次性使用 (固体废物) 的环境影响.
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