Dialysis and quality of dialysate in southeast asian developing countries.
Dialysis and quality of dialysate in southeast asian developing countries.
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DOI：
10.1159/000362454
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发表时间：
2014-01
期刊：
影响因子：
--
通讯作者：
Takesawa S
中科院分区：
文献类型：
--
作者：
Naramura T;Hyodo T;Kokubo K;Matsubara H;Wakai H;Nakajima F;Shibahara N;Yoshida K;Komaru Y;Kawanishi H;Kawamura A;Hidai H;Takesawa S
东南亚的透析患者人数一直在增加，但有关这些患者和东南亚透析设施透析液质量的统计数据仍然不准确。对于本研究，在东南亚收集了透析相关统计数据。在越南和柬埔寨的4家透析机构进行了透析液质量调查。透析患者调查包括透析机构和接受透析的患者数量、导致开始透析的基础疾病的排名、接受血液透析（HD）/在线血液透析滤过/持续性非卧床腹膜透析的患者数量、安装的HD监测设备数量、每次透析的费用（美元）、自付费用的百分比、以及透析患者的1年生存率（%）。透析液调查包括自来水、通过反渗透系统过滤的水中和透析液中的内毒素（ET）水平和细菌计数。在每个国家，开始透析的最常见原因是糖尿病。HD通常根据“重用”原则进行。缅甸的1年生存率为70%，菲律宾和马来西亚约为90%。2家机构的标准透析液中的ET水平令人满意。透析液中的细菌计数在所研究的任何机构均不可接受。迫切需要教导参与透析的医务工作者如何制备无菌且不含ET的透析液。
The number of dialysis patients has been increasing in Southeast Asia, but statistical data about these patients and on the quality of dialysates in Southeast Asian dialysis facilities are still imprecise. For this study, dialysis-related statistical data were collected in Southeast Asia. A survey of the quality of dialysates was carried out at 4 dialysis facilities in Vietnam and Cambodia. The dialysis patient survey included the numbers of dialysis facilities and patients receiving dialysis, a ranking of underlying diseases causing the initiation of dialysis, the number of patients receiving hemodialysis (HD)/on-line hemodiafiltration/continuous ambulatory peritoneal dialysis, the number of HD monitoring devices installed, the cost of each session of dialysis (in USD), the percentage of out-of-pocket payments, and the 1-year survival rates of the dialysis patients (in percent). The dialysate survey covered the endotoxin (ET) level and bacterial count in tap water, in water filtered through a reverse osmosis system and in dialysate. In each of the countries, the most frequent reason for the initiation of dialysis is diabetes mellitus. HD is usually carried out according to the ‘reuse’ principle. The 1-year survival rates are 70% in Myanmar and about 90% in the Philippines and Malaysia. The ET levels in standard dialysates were satisfactory at 2 facilities. The bacterial counts in dialysates were not acceptable at any of the facilities investigated. There is an urgent need to teach medical workers involved in dialysis how to prepare sterile and ET-free dialysates.
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影响因子：
1.9
作者：
Kawanishi, Hideki;Akiba, Takashi;Akizawa, Tadao
通讯作者：
Akizawa, Tadao
影响因子：
6.1
作者：
Sitter, T;Bergner, A;Schiffl, H
通讯作者：
Schiffl, H
影响因子：
6.1
作者：
Schiffl, H;Lang, SM;Fischer, R
通讯作者：
Fischer, R
影响因子：
6.1
作者：
Schiffl, H;Lang, SM;Fischer, R
通讯作者：
Fischer, R