Kolmos H J
J Hosp Infect. 1983 Sep;4(3):269-77. doi: 10.1016/0195-6701(83)90027-0.
Re-use of disposable haemodialysers, cleaned and disinfected with sodium hypochlorite and benzoic acid, was evaluated bacteriologically and clinically during the course of 514 dialysis treatments, performed with 206 RP6 dialysers used up to three times. Microbial contamination of the dialysers, which may be ascribed to the re-use system, was not observed. At the start of the dialyses, contamination of the dialysate compartment was lower in re-used dialysers, but during the dialyses it increased more rapidly than in dialysers used for the first time. Contamination of the blood compartment was the same with new and re-used dialysers. Clinical side effects, which may be ascribed to the re-use of dialysers, were not observed. The tested re-use system is hygienically acceptable and can be recommended for routine use, provided that the contamination of the dialysate is kept at a level below 10(4) cfu/ml and restricted to micro-organisms of low pathogenicity. A continuing bacteriological test sampling system is advisable.
对用次氯酸钠和苯甲酸清洗消毒后的一次性血液透析器的复用情况，在514次透析治疗过程中进行了细菌学和临床评估，使用了206个RP6透析器，每个透析器最多复用三次。未观察到可归因于复用系统的透析器微生物污染情况。在透析开始时，复用透析器的透析液腔污染较低，但在透析过程中，其污染增加速度比首次使用的透析器更快。新透析器和复用透析器的血液腔污染情况相同。未观察到可归因于透析器复用的临床副作用。经测试的复用系统在卫生方面是可接受的，并且如果透析液污染保持在低于10(4) cfu/ml的水平且仅限于低致病性微生物，则可推荐用于常规使用。建议采用持续的细菌学检测采样系统。
