Impact of water quality and dialysis fluid composition on dialysis practice.
An essential but frequently neglected aspect of dialysis treatment is the dialysis fluid produced by blending treated tap water with concentrated solutions containing electrolytes and buffer. Chemical and microbiological contaminants as well as the electrolyte and buffer composition of the dialysis fluid play major roles in the induction or modulation of morbidity associated with regular dialysis therapy.
Hoenich
Nicholas
N
School of Clinical Medical Sciences, Newcastle University, Newcastle upon Tyne, UK. nicholas.hoenich@newcastle.ac.uk
Thijssen
Stephan
S
Kitzler
Thomas
T
Levin
Robert
R
Ronco
Claudio
C
D002118:Calcium / Q000502:physiology; D004340:Drug Contamination; D004731:Endotoxins / Q000009:adverse effects; D015312:Hemodialysis Solutions / Q000009:adverse effects / Q000737:chemistry; D006801:Humans; D011786:Quality Control; D006435:Renal Dialysis / Q000009:adverse effects*; D012964:Sodium / Q000502:physiology; D014871:Water Microbiology; D018508:Water Purification / Q000379:methods* / Q000592:standards
D004731:Endotoxins; D015312:Hemodialysis Solutions; D012964:Sodium; D002118:Calcium