Document Detail

Detection of bacteria in dialysate and its antibody in long-term hemodialysis patients.
MedLine Citation:
PMID:  2597475     Owner:  NLM     Status:  MEDLINE    
The relationship between endotoxin, which was detected in the dialysate, and incidence of its antibody formation in long-term hemodialysis patients was studied. Bacteria in the dialysate were first obtained, identified, and cultured, and then endotoxin was obtained from the bacteria by extraction with phenol. Using the endotoxin obtained and Escherichia coli J-5 as the antigen, the endotoxin antibody was measured in the serum of long-term hemodialysis patients by enzyme-linked immunosorbant assay (ELISA). It was found that the percentage of endotoxin antibody-positive patients was significantly higher in hemodialysis patients when compared with healthy controls. It was also significantly higher in hemodialysis patients using synthetic polymer membrane dialyzers compared with those using cuprophan membrane dialyzers. These results suggest that endotoxin antibody detected in hemodialysis patients was derived from the dialysate, and that the dialysate must be kept bacteria free, especially in patients using high-flux, highly permeable membrane dialyzers.
S Yamagami; T Adachi; T Sugimura; T Kishimoto; M Maekawa; M Niwa; S Shaldon
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  ASAIO transactions / American Society for Artificial Internal Organs     Volume:  35     ISSN:  0889-7190     ISO Abbreviation:  ASAIO Trans     Publication Date:    1989 Jul-Sep
Date Detail:
Created Date:  1990-02-06     Completed Date:  1990-02-06     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8611947     Medline TA:  ASAIO Trans     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  331-3     Citation Subset:  IM    
Osaka City University Medical School, Japan.
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MeSH Terms
Amyloidosis / immunology
Antibodies, Bacterial / analysis*
Dialysis Solutions / analysis*
Endotoxins / immunology*
Enzyme-Linked Immunosorbent Assay
Hemodialysis Solutions / analysis*
Kidney Failure, Chronic / immunology*
Pseudomonas / immunology
Renal Dialysis*
Reg. No./Substance:
0/Antibodies, Bacterial; 0/Dialysis Solutions; 0/Endotoxins; 0/Hemodialysis Solutions

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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