Dialyzer reuse: is it safe and worth it?

Upadhyay, Ashish

doi:10.1590/2175-8239-jbn-2019-0134

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Causes Of Reduced Albumin Levels In the Hd Population1

Iatrogenic Factors Of Malnutrition1

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2023

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Cited by 3 publications

(2 citation statements)

References 14 publications

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“…Although dialyzer reuse is now rare in Europe and North America, it is still a practice common in other parts of the world. 49 Such practices, including cleaning with bleach, can significantly alter dialyzer permeability and markedly increase albumin losses into the dialysate. 11 , 17 , 34 …”

Section: Causes Of Reduced Albumin Levels In the Hd Populationmentioning

confidence: 99%

Slipping Through the Pores: Hypoalbuminemia and Albumin Loss During Hemodialysis

Kalantar-Zadeh¹,

Ficociello²,

Bazzanella³

et al. 2021

IJNRD

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Section: Causes Of Reduced Albumin Levels In the Hd Populationmentioning

confidence: 99%

Slipping Through the Pores: Hypoalbuminemia and Albumin Loss During Hemodialysis

Kalantar-Zadeh¹,

Ficociello²,

Bazzanella³

et al. 2021

IJNRD

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“…In low-to-middle-income countries, the practice of dialyzer reuse is common [ 67 , 68 ]. However, multiple dialyzer reuse may contribute to negative outcomes [ 69 ] such as infection risks, biochemical and immunologic reactions, improper sterilization, increased membrane permeability [ 49 ], and loss of performance leading to inadequate dialysis adequacy.…”

Section: Iatrogenic Factors Of Malnutritionmentioning

confidence: 99%

Understanding Development of Malnutrition in Hemodialysis Patients: A Narrative Review

Sahathevan

Khor

et al. 2020

Nutrients

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Hemodialysis (HD) majorly represents the global treatment option for patients with chronic kidney disease stage 5, and, despite advances in dialysis technology, these patients face a high risk of morbidity and mortality from malnutrition. We aimed to provide a novel view that malnutrition susceptibility in the global HD community is either or both of iatrogenic and of non-iatrogenic origins. This categorization of malnutrition origin clearly describes the role of each factor in contributing to malnutrition. Low dialysis adequacy resulting in uremia and metabolic acidosis and dialysis membranes and techniques, which incur greater amino-acid losses, are identified modifiable iatrogenic factors of malnutrition. Dietary inadequacy as per suboptimal energy and protein intakes due to poor appetite status, low diet quality, high diet monotony index, and/or psychosocial and financial barriers are modifiable non-iatrogenic factors implicated in malnutrition in these patients. These factors should be included in a comprehensive nutritional assessment for malnutrition risk. Leveraging the point of origin of malnutrition in dialysis patients is crucial for healthcare practitioners to enable personalized patient care, as well as determine country-specific malnutrition treatment strategies.

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Hemodialysis in Clinical Practice

Elewa

Mitra²

2023

Management of Kidney Diseases

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Dialyzer reuse: is it safe and worth it?

Cited by 3 publications

References 14 publications

Slipping Through the Pores: Hypoalbuminemia and Albumin Loss During Hemodialysis

Slipping Through the Pores: Hypoalbuminemia and Albumin Loss During Hemodialysis

Understanding Development of Malnutrition in Hemodialysis Patients: A Narrative Review

Hemodialysis in Clinical Practice

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