HEMODIALYSIS-ASSOCIATED FEBRILE EPISODES - SURVEILLANCE BEFORE AND AFTER MAJOR ALTERATION IN THE WATER-TREATMENT SYSTEM

被引:3
作者
GAYNES, R
FRIEDMAN, C
MACLAREN, C
FOLEY, K
SWARTZ, R
机构
[1] UNIV MICHIGAN,MED CTR,DIV NEPHROL,3914 F TAUBMAN CTR,BOX 0364,ANN ARBOR,MI 48109
[2] UNIV MICHIGAN,MED CTR,DEPT INFECT CONTROL SERV,ANN ARBOR,MI 48109
[3] UNIV MICHIGAN,MED CTR,DEPT INTERNAL MED,ANN ARBOR,MI 48109
[4] UNIV MICHIGAN,MED CTR,DIV INFECT DIS & NEPHROL,ANN ARBOR,MI 48109
关键词
D O I
10.1177/039139889001300807
中图分类号
R318 [生物医学工程];
学科分类号
0831 ;
摘要
Surveillance for bacteremic of pyrogenic episodes associated with hemodialysis was undertaken before and after the reconstruction of the water treatment system at our University medical center. The new water system included a holding tank with iodination treatment. The water delivered to individual dialysis stations had only occasional positive bacterial cultures (3 of 21 samples before completion of construction, 2 of 16 samples afterwards) and intermittent detection of endotoxin (6 of 21 samples before completion of construction, 9 of 16 samples afterwards) at monthly sampling. Among 51 individual dialysis treatments (25 patients) before reconstruction and 56 treatments (29 patients), after, only 2 and 3 febrile events were identified, respectively. All of these were associated with underlying infectious illness and not with the hemodialysis procedure itself. Overall, we conclude that pyrogenic episodes associated directly with hemodialysis treatment are infrequent, and that the addition of a water storage tank with iodination treatment does not appear to increase the risk of bacteremia or pyrogenic episodes.
引用
收藏
页码:482 / 487
页数:6
相关论文
共 26 条
[1]   REUSE OF HEMODIALYZERS - RESULTS OF NATIONWIDE SURVEILLANCE FOR ADVERSE-EFFECTS [J].
ALTER, MJ ;
FAVERO, MS ;
MILLER, JK ;
COLEMAN, PJ ;
BLAND, LA .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1988, 260 (14) :2073-2076
[2]   BACTERIAL AND ENDOTOXIN PERMEABILITY OF HEMODIALYSIS MEMBRANES [J].
BERNICK, JJ ;
PORT, FK ;
FAVERO, MS ;
BROWN, DG .
KIDNEY INTERNATIONAL, 1979, 16 (04) :491-496
[3]  
BERNICK JJ, 1980, CLIN NEPHROL, V14, P13
[4]   INVIVO STUDIES OF DIALYSIS-RELATED ENDOTOXEMIA AND BACTEREMIA [J].
BERNICK, JJ ;
PORT, FK ;
FAVERO, MS .
NEPHRON, 1981, 27 (06) :307-312
[5]   INFECTIONS WITH MYCOBACTERIUM-CHELONEI IN PATIENTS RECEIVING DIALYSIS AND USING PROCESSED HEMODIALYZERS [J].
BOLAN, G ;
REINGOLD, AL ;
CARSON, LA ;
SILCOX, VA ;
WOODLEY, CL ;
HAYES, PS ;
HIGHTOWER, AW ;
MCFARLAND, L ;
BROWN, JW ;
PETERSEN, NJ ;
FAVERO, MS ;
GOOD, RC ;
BROOME, CV .
JOURNAL OF INFECTIOUS DISEASES, 1985, 152 (05) :1013-1019
[6]  
CARTWRIGHT P, 1983, CONT DIAL, V4, P33
[7]   RAPID HIGH-EFFICIENCY HEMODIALYSIS [J].
COLLINS, A ;
ILSTRUP, K ;
HANSON, G ;
BERKSETH, R ;
KESHAVIAH, P .
ARTIFICIAL ORGANS, 1986, 10 (03) :185-188
[8]   SEPTICEMIA IN PATIENTS ON CHRONIC-HEMODIALYSIS [J].
DOBKIN, JF ;
MILLER, MH ;
STEIGBIGEL, NH .
ANNALS OF INTERNAL MEDICINE, 1978, 88 (01) :28-33
[9]  
Erley C M, 1988, ASAIO Trans, V34, P205
[10]   PSEUDOMONAS-STUTZERI BACTEREMIA ASSOCIATED WITH HEMODIALYSIS [J].
GOETZ, A ;
YU, VL ;
HANCHETT, JE .
ARCHIVES OF INTERNAL MEDICINE, 1983, 143 (10) :1909-1912