Document Detail


Should dialysis machines be disinfected between patients' shifts?
MedLine Citation:
PMID:  14598949     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The disinfection of dialysis machines is performed after each session in some units but only at the end of the day in other ones. In a multicentre study, in 15 units (five with and ten without disinfection after each session), the incidence of sero-conversion for HCV was reduced to zero, after reinforcement of general hygiene precautions only, without changing the above-mentioned machine disinfection policies. Recently reported episodes of blood contamination of dialysis machines beyond pressure transducers demonstrate that pressure isolator inspection and care should be added to the general hygiene precautions. In a second investigation, no difference was found in dialysate bacterial and endotoxin characteristics between dialysis machines, disinfected after each dialysis (n = 2) and those disinfected at the end of the day only (n = 2). In conclusion, the systematic disinfection of all dialysis machines after each session does not appear to help prevent HCV infection nor to have a detectable impact on optimal dialysate bacterial and endotoxin characteristics.
Authors:
A Stragier; M Jadoul
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Controlled Clinical Trial; Journal Article; Multicenter Study    
Journal Detail:
Title:  EDTNA/ERCA journal (English ed.)     Volume:  29     ISSN:  1019-083X     ISO Abbreviation:  EDTNA ERCA J     Publication Date:    2003 Apr-Jun
Date Detail:
Created Date:  2003-11-05     Completed Date:  2003-12-11     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9805754     Medline TA:  EDTNA ERCA J     Country:  Belgium    
Other Details:
Languages:  eng     Pagination:  73-6     Citation Subset:  N    
Affiliation:
Université Catholique de Louvain, Cliniques Universitaires St.Luc, Renal Unit, Brussels, Belgium. Andre.Stragier@pandora.be
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MeSH Terms
Descriptor/Qualifier:
Bicarbonates / analysis
Clinical Protocols / standards
Cross Infection / prevention & control*,  transmission
Disinfection / methods*,  standards
Endotoxins / analysis
Equipment Contamination / prevention & control*
Hemodialysis Solutions / analysis,  chemistry
Hepatitis C / prevention & control*,  transmission
Humans
Renal Dialysis / instrumentation*
Time Factors
Water Microbiology
Chemical
Reg. No./Substance:
0/Bicarbonates; 0/Endotoxins; 0/Hemodialysis Solutions

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


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