Chazot Charles, Hachad Hafsah, Filipozzi Pierre, Legallais Cécile, Jullien Perrine, Huré Fabrice, Dardim Karim, Lasseur Catherine, Metayer Hubert, Aguilera Didier, Caillette-Beaudoin Agnès, Mariat Christophe, Hourmant Maryvonne
Association pour l’utilisation du rein artificiel (AURA Paris), 5, avenue de Verdun, 94200 Ivry, France
Sorbonne Université, 15, rue de l’École de médecine, 75006 Paris, France
Nephrol Ther. 2023 Feb 1;19(1):23-33. doi: 10.1684/ndt.2023.1.
Preserving the environment is becoming a universal priority. Human activities must be redesigned to best adapt them to available resources and to reduce their deleterious impact on the planet. The Green Nephrology Group of the “Société française de néphrologie, dialyse et transplantation” (SFNDT) has started a reflection on these issues, in particular on dialysis, a vital treatment but with high carbon production, associated with high water consumption. The data available on these points are presented such as, among others, the collection of indicators and action plans, the recycling of waste from water treatment, the reduction of dialysate flow, the reuse and regeneration of spent dialysate as well as calculations of carbon emission by dialysis activity. Architectural experiences are reported as well as the regulatory constraints applying to manufacturers and organizations in the sector. Potential solutions require the mobilization of all stakeholders, ranging from patients to health authorities, including caregivers, pharmacists, technicians, nephrologists and facility managers. They will be formalized very soon in a guide being prepared by the SFNDT Green Nephrology Group.
保护环境正成为全球共同的优先事项。必须重新设计人类活动，使其更好地适应可用资源，并减少对地球的有害影响。法国肾脏病、透析与移植学会（SFNDT）的绿色肾脏病学小组已开始对这些问题进行思考，特别是针对透析这一至关重要但碳排放量高且耗水量大的治疗方法。文中呈现了关于这些方面的现有数据，包括指标收集与行动计划、水处理废物回收、透析液流量减少、用过的透析液再利用与再生以及透析活动的碳排放计算等。还报告了建筑方面的经验以及适用于该行业制造商和组织的监管限制。潜在的解决方案需要所有利益相关者的参与，从患者到卫生当局，包括护理人员、药剂师、技术人员、肾脏病学家和设施管理人员。这些内容将很快在SFNDT绿色肾脏病学小组编写的一份指南中正式确定下来。
