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Replacement of Renal Function by Dialysis pp 189–198Cite as

Pretreatment and Preparation of City Water for Hemodialysis

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Abstract

During the early years of hemodialysis, the need for water purification was not widely recognized, in part because patient survival on dialysis was short. However, the increased survival of the dialysis patient has brought a growing recognition of the need to treat city water supplies for hemodialysis.

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References

  1. Environmental Protection Agency, Office of Water Supply. National Interim Primary Drinking Water Regulations, U.S. Government Printing Office, Washington, D.C., 1978

    Google Scholar 

  2. NIH Report - Trace Metal Protein Binding, Gulf South Research Institute, 1979

    Google Scholar 

  3. Alfrey AC, Mishell M, Burks SR, Contiguglia P, Rudolph H, Lewin E, Holmes JH: Syndrome of dyspraxia and multifocal seizures associated with chronic hemodialysis. Trans Am Soc Artif Intern Organs 18: 257, 1972

    PubMed  CAS  Google Scholar 

  4. Platts MM, Moorhead PJ, Grech P: Dialysis dementia. Lancet 2: 159, 1973

    Article  Google Scholar 

  5. Alfrey AC: Dialysis encephalopathy syndrome. Annu Rev Med 29: 93, 1978

    Article  PubMed  CAS  Google Scholar 

  6. Dunea G, Mahurkar SD, Mamdani B, Smith EC: Role of aluminum in dialysis dementia. Ann Intern Med 88: 502, 1978

    PubMed  CAS  Google Scholar 

  7. Platts MM, Goode GC, Hislop JS: Composition of the domestic water supply and the incidence of fractures and encephalopathy in patients on home dialysis. Br Med J 2: 657, 1977

    Article  PubMed  CAS  Google Scholar 

  8. Ward MK, Ellis HA, Feest TG, Parkinson IS, Kerr DNS, Herrington J, Goode GL: Osteomalacic dialysis osteodystrophy: Evidence for a water-borne aetiological agent, probably aluminum. Lancet 1: 841, 1978

    Article  PubMed  CAS  Google Scholar 

  9. Freeman RM, Lawton RL, Chamberlain MA: Hard-water syndrome. N Engl J Med 276: 1113, 1967

    Article  PubMed  CAS  Google Scholar 

  10. Evans DB, Slapak M: Pancreatitis in the hard water syndrome. Br Med J 3: 748, 1975

    Article  PubMed  CAS  Google Scholar 

  11. Drukker W: The hard water syndrome: A potential hazard during hemodialysis. Proc Eur Dial Transplant Assoc 5: 284, 1968

    Google Scholar 

  12. Yawata Y, Kjellstrand C. Buselmeier T, Howe R, Jacob H: Hemolysis in dialyzed patients: Tap water-induced red blood cell metabolic deficiency. Trans Am Soc Artif Intern Organs 18: 301, 1972

    PubMed  CAS  Google Scholar 

  13. Botella J, Traver J A, Sanz-Guajardo D, Torres MT, Sanjuan I, Zabala P: Chloramines, an aggravating factor in the anaemia of patients on regular dialysis treatment. Proc Eur Dial Transplant Assoc 14: 192, 1977

    PubMed  CAS  Google Scholar 

  14. Neilan BA, Ehlers SM, Kolpin CF, Eaton JW: Prevention of chloramine-induced hemolysis in dialyzed patients. Clin Nephrol 10: 105, 1978

    PubMed  CAS  Google Scholar 

  15. Ivanovich P, Manzler A, Drake R: Acute hemolysis following hemodialysis. Trans Am Soc Artif Intern Organs 15: 316, 1969

    PubMed  CAS  Google Scholar 

  16. Manzler AD, Schreiner AW: Copper-induced acute hemolytic anemia. A new complication of hemodialysis. Ann Intern Med 73: 409, 1970

    PubMed  CAS  Google Scholar 

  17. Natter BJ, Pederson J, Psimenos G, Lindeman RD: Lethal copper intoxication in hemodialysis. Trans Am Soc Artif Intern Organs 15: 309, 1969

    Google Scholar 

  18. Siddiqui JY, Simpson SW, Ellis HE, Kerr DNS, Appleton DR, Robinson BH, Hawkins JB, Robertson PW, Taves DR: Fluoride and bone disease in patients on regular hemodialysis. Proc Eur Dial Transplant Assoc 8: 149, 1971

    Google Scholar 

  19. Jowsey J, Johnson WJ, Taves DR, Kelly PJ: Effects of dialysate calcium and fluoride on bone disease during regular hemodialysis. J Lab Clin Med 79: 204, 1972

    PubMed  CAS  Google Scholar 

  20. Lough J, Noonan R, Gagnon R, Kaye M: Effects of fluoride on bone in chronic renal failure. Arch Pathol 99: 484, 1975

    PubMed  CAS  Google Scholar 

  21. Anderson R, Beard JH, Sorley D: Fluoride intoxication in a dialysis unit - Maryland. MMWR 29: 134, 1980

    Google Scholar 

  22. Carlson DJ, Shaprio FL: Methemoglobinemia from well water nitrates: A complication of home dialysis. Ann Intern Med 73: 757, 1970

    PubMed  CAS  Google Scholar 

  23. Nickey WA, Chinitz VL, Kim KE, Onesti G, Swartz C: Hypernatremia from water softener and malfunction during home dialysis. JAMA 214: 915, 1970

    Article  PubMed  CAS  Google Scholar 

  24. Robson M: Dialysate sodium concentration, hypertension, and pulmonary edema in hemodialysis patients. Dial Transplant 7: 678, 1978

    Google Scholar 

  25. Comty C, Luehmann D, Wathen R, Shapiro F: Prescription water for chronic hemodialysis. Trans Am Soc Artif Intern Organs 20: 189, 1974

    Google Scholar 

  26. Gallery EDM, Blomfield J, Dixon SR: Acute zinc toxicity in haemodialysis. Br Med J 4: 331, 1973

    Article  Google Scholar 

  27. Alfrey AC, LeGendre GR, Kaehny WD: The dialysis encephalopathy syndrome: possible aluminum intoxication. N Engl J Med 294: 184, 1976

    Article  PubMed  CAS  Google Scholar 

  28. Robinson PJA, Rosen SM: Pyrexial reactions during haemodialysis. Br Med J 1: 528, 1971

    Article  PubMed  CAS  Google Scholar 

  29. Raij L, Shapiro FL, Michael AF: Endotoxemia in febrile reactions during hemodialysis. Kidney Int 4: 57, 1973

    Article  PubMed  CAS  Google Scholar 

  30. Favero MS, Petersen NJ, Boyer KM, Carson LA, Bond WW: Microbial contamination of renal dialysis systems and associated health risks. Trans Am Soc Artif Intern Organs 20: 175, 1974

    Google Scholar 

  31. Orringer EP, Mattern WD: Formaldehyde-induced hemolysis during chronic hemodialysis. N Engl J Med 294: 1416, 1976

    Article  PubMed  CAS  Google Scholar 

  32. Stamm JM, Engelhard WE, Parsons JE: Microbiological study of water-softener resins. Appl Microbiol 18: 376, 1969

    PubMed  CAS  Google Scholar 

  33. Wilkins JR, Reches NA, Kruse CW: Organic chemical contaminants in drinking water. Am J Epidemiol 10: 420, 1979

    Google Scholar 

  34. Johnson WJ, Taves DR: Exposure to excessive fluoride during hemodialysis. Kidney Int 5: 451, 1974

    Article  PubMed  CAS  Google Scholar 

  35. Schwarzbeck A, Wagner L, Squarr HU, Strauch M: pH-dependent heparin inactivation during hemodialysis. Dial Transplant 7: 740, 1978

    Google Scholar 

  36. Kirkwood R, Dunn S, Thomasson L, Simenhoff ML: Generation of the precarcinogen dimethyl nitrosamine (DMNA) in dialysate water. Trans Am Soc Artif Intern Organs 27: 168, 1981

    PubMed  CAS  Google Scholar 

  37. Association for the Advancement of Medical Instrumentation: American National Standard for Hemodialysis Systems. Arlington, Virginia, AAMI, 1982

    Google Scholar 

  38. Keshaviah P, Luehmann D, Shapiro F, Comty CM: Investigation of the Risks and Hazards associated with Hemodialysis Devices Technical Report, Contract 223-78-5046, Silver Spring, MD, US Dept Health Education and Welfare, Food and Drug Administration, Bureau of Medical Devices, 1980

    Google Scholar 

  39. U.S. Environmental Protection Agency, Research and Development. Methods for Chemical Analysis of Water and Wastes, March 1979

    Google Scholar 

  40. Favero MS, Petersen NJ: Microbiological guidelines for hemodialysis systems. Dial Transplant 6: 34, 1977

    Google Scholar 

  41. Association for the Advancement of Medical Instrumentation: Recommended Practice for Reuse of Hemodialyzers. Arlington, Virginia, 1986

    Google Scholar 

  42. American Public Health Association: Standard Methods for the Examination of Water and Waste Water, 15th edition, APHA,AWWA, WPCF, Washington D.C., 1980

    Google Scholar 

  43. Bolan G, Reingold AL, Carson LA, Silcox VA, Woodley CL, Hayes PS, Hightower AW, McFarland L, Brown J, Petersen NJ, Favero MS, Good RC, Broome CF: Infections th mycobacterium chelonei in patients receiving dialysis and using processed dialyzers. J Infect Dis 152: 1013, 1985

    Article  PubMed  CAS  Google Scholar 

  44. Ebben J, Hirsch D, Luehmann D, Collins A, Keshaviah P: Microbiological contamination of liquid bicarbonate concentrate (LBC) for hemodialysis (HD). Trans Am Soc Artif Intern Organs 33: 269, 1987

    CAS  Google Scholar 

  45. U.S. Dept. of Health & Human Services, Food & Drug Administration: Device Good Manufacturing Practices Manual, 3rd edition, November 1984

    Google Scholar 

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Authors
  1. Prakash R. Keshaviah
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Editors and Affiliations

  1. Nephrology Division, F. Edward Hébert School of Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD, USA

    John F. Maher M.D., FACP (Professor of Medicine, Director) (Professor of Medicine, Director)

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© 1989 Kluwer Academic Publishers

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Keshaviah, P.R. (1989). Pretreatment and Preparation of City Water for Hemodialysis. In: Maher, J.F. (eds) Replacement of Renal Function by Dialysis. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-1087-4_7

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  • DOI: https://doi.org/10.1007/978-94-009-1087-4_7

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-6979-3

  • Online ISBN: 978-94-009-1087-4

  • eBook Packages: Springer Book Archive

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