Affiliation:
1. Laboratory of Bromatology and Water Quality, Faculty of Pharmacy University of Lisbon Lisboa Portugal
2. iMed.UL (Institute for Medicines and Pharmaceutical Sciences, Portugal), Faculty of Pharmacy University of Lisbon Lisboa Portugal
Abstract
AbstractHemodialysis is considered a treatment of choice for patients with renal failure worldwide, allowing the replacement of some kidney functions by diffusion and ultrafiltration processes. Over 4 million people require some form of renal replacement therapy, with hemodialysis being the most common. During the procedure, contaminants in the water and the resulting dialysate may pass into the patient's blood and lead to toxicity. Thus, the quality of the associated dialysis solutions is a critical issue. Accordingly, the discussion of the importance of a dialysis water delivery system controlled by current standards and recommendations, with efficient monitoring methods, disinfection systems, and chemical and microbiological analysis, is crucial for improving the health outcomes of these patients. The importance of treatment, monitoring, and regulation is emphasized by presenting several case studies concerning the contamination of hemodialysis water and the adverse effects on the respective patients.
Reference51 articles.
1. Aging and healthhttps://www.who.int/news-room/fact-sheets/detail/ageing-and-health. Accessed 12 Mar 2023.
2. ESRD patients in 2001: global overview of patients, treatment modalities and development trends
3. Kidney failure (ESRD).Symptoms causes and treatment options | American Kidney Fund.https://www.kidneyfund.org/all‐about‐kidneys/kidney‐failure‐symptoms‐and‐causes. Accessed 12 Mar 2023
4. Ordem dos médicos colégio de especialidade de nefrologia manual de boas práticas de diálise crónica da ordem dos médicos.2017.