Berkelman R L, Band J D, Petersen N J
Infect Control. 1984 Feb;5(2):85-7. doi: 10.1017/s0195941700059002.
Automated peritoneal dialysis systems have helped make intermittent peritoneal dialysis an alternative to hemodialysis for long-term management of patients with end-stage renal disease. However, if not cleaned and maintained properly, these machines provide a reservoir for pathogens. The microbiologic barriers in these machines are not impenetrable, but sterile dialysate fluid can be produced if the machines are adequately cleaned and disinfected. Potential shortcomings of the microbiologic barriers are discussed, and guidelines to prevent contamination of the internal parts of a machine are suggested.
自动化腹膜透析系统有助于使间歇性腹膜透析成为终末期肾病患者长期管理的血液透析替代方案。然而,如果这些机器未得到妥善清洁和维护,它们就会成为病原体的储存库。这些机器中的微生物屏障并非坚不可摧,但如果机器得到充分清洁和消毒,就能产生无菌透析液。文中讨论了微生物屏障的潜在缺点,并提出了防止机器内部部件污染的指导原则。