On – Line Dialysate Filtration: A Method of Dialysate Endotoxin Removal or Only Reduction?

On-line dialysate filtration: a method of dialysate endotoxin removal or only reduction?

Sterile filtration of dialysate: is it really of no use?

In 1972, Raij et al. reported the occurrence of circulating endotoxins in patients with febrile reactions at the end of dialysis sessions and, in parallel, high endotoxin levels in the dialysate w2x. Even nowadays, neither tap water nor purified water or dialysate are sterile. In more than 14 000 analysed water probes of city and village water systems in South-West Germany, 5.6% contained colif...

Effect of cool dialysate on vital signs, comfort and adequacy

Abstract Introduction: Cool dialysate solution is an important factor in maintenance of cardio–vascular stability in hemodialysis patients. Objective: This study aimed to determine the effect of dialysate temperature on vital signs, comfort and adequacy of dialysis in hemodialysis patients. Methods: This study is a clinical trial conducted on 30 hemodialysis patients hospitalized in hemod...

‘Soybean sauce’ peritoneal dialysate

A 68-year-old woman with end-stage diabetic nephropathy undergoing continuous ambulatory peritoneal dialysis for 2 years was admitted for septic shock with coma, who was found hours earlier. Physical examination revealed an unconscious febrile woman with blood pressure of 84/ 49 mmHg. Blood tests showed a haemoglobin of 11.5 (normal 12–15) g/dL, white blood cell (WBC) count of 11.3 (normal 3.8–...

Paecilomyces variotii in peritoneal dialysate.

Four cases of peritonitis caused by the filamentous fungus Paecilomyces variotii in patients on continuous ambulatory peritoneal dialysis are reported. Removal of the Tenckhoff catheter and antifungal chemotherapy led to resolution of symptoms in all cases. Possible contaminating events are discussed, and reported infections with P. variotii are reviewed.