Standard on Microbiological Management of Fluids for Hemodialysis and Related Therapies by the Japanese Society for Dialysis Therapy 2008
Standard on Microbiological Management of Fluids for Hemodialysis and Related Therapies by the Japanese Society for Dialysis Therapy 2008
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DOI：
10.1111/j.1744-9987.2009.00674.x
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发表时间：
2009-04-01
影响因子：
1.9
通讯作者：
Akizawa, Tadao
中科院分区：
文献类型：
--
作者：
Kawanishi, Hideki;Akiba, Takashi;Akizawa, Tadao
日本透析治疗学会 (JSDT) 科学院委员会提出了血液透析及相关治疗液体微生物管理的新标准。本标准属于国际标准化组织（ISO）的范围，目前正在修订中。该标准适用于在日本广泛使用的中央透析液输送系统（CDDS）。在该标准中，通过内毒素水平和细菌计数明确定义了透析水和透析液的微生物质量。透析液质量分为标准、超纯、在线配制置换液三个等级。此外，还阐明了每种透析液的治疗应用。由于日本经常使用高性能透析器，因此该标准建议所有透析设施的所有透析方式均使用超纯透析液。它还建议每个设施的透析设备安全管理委员会应对在线制备的置换液的微生物质量进行验证。
The Committee of Scientific Academy of the Japanese Society for Dialysis Therapy (JSDT) proposes a new standard on microbiological management of fluids for hemodialysis and related therapies. This standard is within the scope of the International Organization for Standardization (ISO), which is currently under revision. This standard is to be applied to the central dialysis fluid delivery systems (CDDS), which are widely used in Japan. In this standard, microbiological qualities for dialysis water and dialysis fluids are clearly defined by endotoxin level and bacterial count. The qualities of dialysis fluids were classified into three levels: standard, ultrapure, and online prepared substitution fluid. In addition, the therapeutic application of each dialysis fluid is clarified. Since high-performance dialyzers are frequently used in Japan, the standard recommends that ultrapure dialysis fluid be used for all dialysis modalities at all dialysis facilities. It also recommends that the dialysis equipment safety management committee at each facility should validate the microbiological qualities of online prepared substitution fluid.