Potential hazards of deionization systems used for water purification in hemodialysis

Artificial Organs

Volumn 20, Issue 1, 1996, Pages 2-7

  Bland, Lee A ^a   Arnow, Paul M ^b   Arduino, Matthew J ^a   Bova, Judy ^b   McAllister, Sigrid K ^a  

^a NATIONAL CENTER FOR EMERGING AND ZOONOTIC INFECTIOUS DISEASES   (United States)

^b UNIVERSITY OF CHICAGO MEDICAL CENTER   (United States)

Author keywords

Deionization; Hemodialysis; Water purification

Indexed keywords

EFFLUENTS; FLUORINE COMPOUNDS; HEMODIALYZERS; IONS; POTASSIUM; PURIFICATION; RESINS; SILICA; SODIUM; WATER TREATMENT;

DEIONIZATION; DISSOLVED CONCENTRATIONS; FLUORIDE CONCENTRATIONS; FLUORIDE ION; HAEMODIALYSIS; POTENTIAL HAZARDS; SPECIFIC IONS; TOTAL DISSOLVED SOLIDS; WATER PURIFICATION; WATER PURIFICATION SYSTEMS;

DIALYSIS;

ARTICLE; HEMODIALYSIS; PRIORITY JOURNAL; WATER MANAGEMENT;

EID: 0030066279     PISSN: 0160564X     EISSN: None     Source Type: Journal    
DOI: 10.1111/j.1525-1594.1996.tb04411.x     Document Type: Article

References (23)

1. Favero MS. Good clean water - How dialysis centers treat the vital fluid. Renalife 1987;2:14-6.
2. Arduino MJ, Bland LA, Favero MS. Adverse patient reactions due to chemical contamination of hemodialysis fluids. Dial Transplant 1989;18:655-8.
3. Manzler AD, Schreiner AW. Copper-induced acute hemolytic anemia. Ann Int Med 1970;73:403-12.
4. Matter BJ, Pederson J, Psimenos G, Lindeman RD. Lethal copper intoxication in hemodialysis. Trans Am Soc Artif Intern Organs 1969;15:309-15.
5. Ivanovich P, Manzler A, Drake R. Acute hemolysis following hemodialysis. Trans Am Soc Artif Intern Organs 1969; 15:316-8.
6. Nickey WA, Chinitz VL, Kim KE, Onesti G, Swartz C. Hypernatremia from water softener malfunction during home dialysis. JAMA 1970;214:915-6.
7. Tipple MA, Shusterman N, Bland LA, McCarthy MA, Favero MS, Arduino MJ, Reid MH, Jarvis WR. Illness in hemodialysis patients after exposure to chloramine contaminated dialysate. Trans Am Soc Artif Intern Organs 1991;37: 588-91.
8. FDA. Preventing chloramine contamination of renal dialysate solutions. FDA Drug Bull 1988;18:20-1.
9. Petrie JJB, Row PG. Dialysis anemia caused by subacute zinc toxicity. Lancet 1977;1:1178-80.
10. Johnson WJ, Taves DR. Exposure to excessive fluoride during hemodialysis. Kidney Int 1974;5:451-4.
11. CDC. Fluoride intoxication in a dialysis unit - Maryland. MMWR 1980;29:134.
12. Taves DR, Freeman RB, Kamm DE, Ramos CP, Scribner BH. Hemodialysis with fluoridated dialysate. Trans Am Soc Artif Intern Organs 1968;14:412-4.
13. AAMI. American National Standard for Hemodialysis. Association for the Advancement of Medical Instrumentation, Arlington, VA. ANSI/AAMI RD-5;1982.
14. Tokars JI, Alter MJ, Favero MS, Moyer LA, Bland LA. National Surveillance of dialysis associated diseases in the United States, 1993. U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, Atlanta, GA, 1994.
15. Arnow PM, Bland LA, Garcia-Houchins S, Fridkin S, Fellner SK. An outbreak of fatal fluoride intoxication in long-term hemodialysis unit. Ann Intern Med 1994;121:339-44.
16. Bellack E, Schouboe PJ. Rapid photometric determination of fluoride with SPADNS-zirconium lake. Anal Chem 1968; 30:2032-4.
17. Bunting WE. Determination of soluble silica in very low concentrations. Ind Eng Chem Anal Ed 1944;16:612-5.
18. Bailey PL. Analysis with ion-selective electrodes. Heyden & Son Ltd.: Philadelphia, PA, 1980.
19. Luehmann DA, Keshkaviah PR, Ward RA, Klein E, Thomas A. A manual on water treatment for hemodialysis. (Technical Report, Contract 223-87-6027), U.S. Department of Health and Human Services, Public Health Service, Food and Drug Administration, Silver Spring, MD: Bureau of Medical Devices, 1989:109-15.
20. Clifford DA. Ion exchange and inorganic adsorption. In: Pontius FW, ed. Water quality and treatment: A handbook of community water supplies, 4th Ed. New York: McGraw-Hill, Inc., 1990:561-640.
21. AAMI. Hemodialysis systems, ANSI/AAMI RD-5, 1992, In: AAMI standards and recommended practices, Vol. 3: Dialysis. Arlington, VA: Association for the Advancement of Medical Instrumentation, 1993:27-66.
22. Friedman EA, Lundin AP. Environmental and iatrogenic obstacles to long life on hemodialysis. New Engl J Med 1982; 306:167-9.
23. Schwarzbeck A, Wagner L, Squarr HU, Strauch M. Clotting in dialysis due to low pH of dialysis fluid. Clin Nephrol 1977;7:125-7.