Francoeur R, Vas S, Uldall R
Hemodialysis Unit, Toronto Hospital, Canada.
Int J Artif Organs. 1994 Jun;17(6):331-6.
For 3 years starting in April 1989, in a 17-station, in-centre haemodialysis unit at the Toronto Western Hospital, re-use of dialysers was performed using the Renatron-2 Dialyser Reprocessing System with peracetic acid as a sterilant. During this period 40,234 treatments were carried out and dialysers were used an average of 4.2 times. Net savings, after taking into account the total costs of re-use, averaged Can $309,000,000 per year. There were no deaths and no discernible morbidity attributable to the practice of re-use. We conclude that dialyzer re-use is an effective way to reduce the costs of haemodialysis and is entirely safe providing that it is carried out properly.
从1989年4月开始的3年里,在多伦多西部医院一个拥有17个工作站的中心血液透析单元,使用Renatron - 2透析器再处理系统,以过氧乙酸作为消毒剂对透析器进行再利用。在此期间,共进行了40234次治疗,透析器平均使用4.2次。在考虑了再利用的总成本后,每年平均净节省3.09亿加元。没有因再利用操作导致的死亡病例,也没有可察觉的发病情况。我们得出结论,透析器再利用是降低血液透析成本的有效方法,并且只要操作得当,是完全安全的。