Guideline for dialysate quality of Spanish Society of Nephrology (second edition, 2015)
Author
Pérez-García, Rafael; García Maset, Rafael; González Parra, Emilio; Solozábal Campos, Carlos; Ramírez Chamond, Rafael; Martín-Rabadán, Pablo; Sobrino Pérez, Pedro Enrique; Gallego Pereira, Ovidio; Dominguez, Jon; Cueva Matute, Enrique de la; Ferllen, Ricardo; Comisión de Expertos de la Sociedad Española de NefrologíaEntity
UAM. Departamento de Farmacología; UAM. Departamento de Medicina; Instituto de Investigación Sanitaria Fundación Jiménez Díaz (IIS-FJD); Instituto de Investigación del Hospital de La Princesa (IP)Publisher
Elsevier España, S.L.U.Date
2016-05-01Citation
10.1016/j.nefro.2016.01.003
Nefrología 36.3 (2016): e1-e52
ISSN
0211-6995 (print); 1989-2284 (online)DOI
10.1016/j.nefro.2016.01.003Editor's Version
http://dx.doi.org/10.1016/j.nefro.2016.01.003Subjects
Líquido de diálisis; Tratamiento de agua para hemodiálisis; Hemodiálisis; Concentrado; Endotoxinas; MedicinaRights
© 2016 Sociedad Española de NefrologíaEsta obra está bajo una licencia de Creative Commons Reconocimiento-NoComercial-SinObraDerivada 4.0 Internacional.
Abstract
A Best Practice Guideline about Dialysis fluid purity was developed under the leadership of the Spanish Society of Nephrology in 2004. The second edition revised Guideline considered new evidences and International Standard. The Guideline has established recommen- dations for standards for preparing dialysate: water, concentrates and hemodialysis proportioning systems. This Guideline is based on the ISO 13959, European Pharmacopoeia, the Real Farmacopea Española, the AAMI Standards and Recommended Practices, Euro- pean Best Practice Guidelines for Haemodialysis, literature reviews, according to their level of evidence, and the opinion of the expert Spanish group. Two levels of quality of water were defined: purified water and high purified water (ultra pure) and for dialysate: ultra pure dialysate. Regular use of ultra pure dialysate is recom- mended for all type of hemodialysis to prevent and delay the occurrence of complications: inflammation, malnutrition, anaemia and amiloidosis. Water, concentrates and dialysate quality requirements are defined as maximum allowa- ble contaminant levels: chemicals (4.1.2), conductivity, microbial and endotoxins (4.1.1): Monitoring frequency, maintenance and corrective actions were specified. Methods of sampling and analysis were described in appendix (anexos). For microbiological monitoring, R2A medium is recommended, incubated during 7-14 days at a temperature of 17-23 °C. The dialysate quality assurance process involves all dialysis staff members and requires strict protocols. The physician in charge of hemodialysis has the ultimate responsibility for dialysate quality.
Files in this item
Google Scholar:Pérez-García, Rafael
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García Maset, Rafael
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González Parra, Emilio
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Solozábal Campos, Carlos
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Ramírez Chamond, Rafael
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Martín-Rabadán, Pablo
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Sobrino Pérez, Pedro Enrique
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Gallego Pereira, Ovidio
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Dominguez, Jon
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Cueva Matute, Enrique de la
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Ferllen, Ricardo
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Comisión de Expertos de la Sociedad Española de Nefrología
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