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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
1989-1-26
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pubmed:abstractText |
Epidemiologic investigations of bacteremia in dialysis patients by the Centers for Disease Control (CDC) identified an association with the use of dialyzers disinfected with a specific chemical germicide. A collaborative study by the CDC and the Food and Drug Administration (FDA) was conducted to determine the effect of dialyzer disinfectants on five types of dialyzer membranes: three cellulosic (Cuprophan, cellulose acetate, cuprammonium rayon); and two synthetic (polysulfone, polyacrylonitrile). The disinfectants tested were: 4% formaldehyde; Renalin; Cidex Dialyzer; Sporicidin HO; Warexin; and RenNew-D. Water was the control. Dialyzers were reprocessed up to 15 times. Each reprocessing consisted of rinsing, air-leak testing, filling with fresh disinfectant, and storing for 2 to 4 days. After 15 reprocessings or air-leak failure, each dialyzer was microbiologically challenged for membrane integrity. Membranes exposed to Renalin, Cidex Dialyzer, and water passed all tests. Cellulosic membranes exposed to Warexin failed all tests after 2 to 9 reprocessings. Cellulose acetate membranes exposed to Sporicidin HD failed microbiologic testing. One polysulfone dialyzer exposed to RenNew-D and one exposed to 4% formaldehyde failed microbiologic testing. These results and those obtained from epidemiologic studies suggest that membrane integrity testing (e.g. an air-leak test) should be an integral part of dialyzer reprocessing.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0889-7190
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
34
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
172-5
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:3058170-Biocompatible Materials,
pubmed-meshheading:3058170-Cellulose,
pubmed-meshheading:3058170-Disinfectants,
pubmed-meshheading:3058170-Equipment Safety,
pubmed-meshheading:3058170-Humans,
pubmed-meshheading:3058170-Membranes, Artificial,
pubmed-meshheading:3058170-Microbiological Techniques,
pubmed-meshheading:3058170-Pseudomonas,
pubmed-meshheading:3058170-Renal Dialysis
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pubmed:articleTitle |
Effect of chemical germicides on the integrity of hemodialyzer membranes.
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pubmed:affiliation |
Nosocomial Infections Laboratory Branch, Centers for Disease Control, Atlanta, GA 30333.
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pubmed:publicationType |
Journal Article,
Comparative Study
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