Efektifitas pemakaian ulang ginjal buatan
https://doi.org/10.33476/jky.v16i2.238
Keywords:
hemodialisis, dialiser, reuse, adekuasi dialisisAbstract
Hemodialysis is a therapy for patient with end state renal diseases, but it is very expensive specially dialyzer. Now we could use a reuse of dialyzer to reduce the cost. The aim of this study was to examine the effectiveness of dialyzer reuse and its frequent possible reuse. A prospective study with the comparative experimental approach was carried out. The population was all patient with end state renal diseases underwent twice hemodialysis in a week at fifth hours in each period at least within three months using acetate dialysate and reuse dialyzer in the Dialysis Unit. Sample size was 20 subjects determined based on time continuum It was concluded that the reuse dialyzer could be used 6,06+2,01 times without negative influence on dialysis adecuacy.References
Agodoa LYC, Wolfe RA, Pork FK 1998. Reuse of dialyzer and clinical outcomes: Fact or fiction. Am J Kidney Dis (32): 88-92
Ardaya, Ali Z, Effendi I, Siregar P 2000. Perbandingan analisis kesintasan 2 tahun antara pasien hemodialiss reuse dan tanpa reuse. Proceding KOPAPDI XI. Surabaya, Juli
Feldman HI, Kobrin SM 1995. Dialyzer reuse, In: Nissenson Ar, Fine RN, Gentile DE, eds. Clinical dialysis, 3rd ed. USA PrenticeHallInternational,Inc.:265-280
Goh BL, Ahmad G, Harun H 2000. Multiple use of reprocessed dialyzer: Is it safe and wise? Proceding 13th Asian Colloquim in Nephrology and Advanced course in Nephrology. Bali. November
Gotch FA 1980. Mass transport in reuse dialyzer. Proc Clin Dial Transplant Forum (10): 81-85
Held PJ, Wolfe RA, Gaylin DS, et al.. 1994. Analysis of the association of dialyzer reuse practices and patient outcomes. Am J Kidney dis. (23):692-708
Irza W, Syaiful A, Jusman DJ 2001. Adequacy hemodialisis dengan menggunakan dialiser reuse tujuh kali pada unit hemodialisis RSUP Dr. M. Djamil Padang. Proceding Anuual Meeting Nehrology. Medan, November
Kant KS, Pollak VE, Cathey M, Goetz D, Berlin R 1981. Multipel use of dialyzer: safety and efficacy. Kidney International. (19):728-738
Levin NW 1993. Dialyzer reuse: A currently acceptable practice. Seminar in Dialysis. (6):89-90
Loekman JS, Suwitra K, Widiana IGK, dkk. 1999. Hubungan Kt/v dan fibre bundle volume (fbv) pada hemodialisis pakai ulang. Proceding KONAS VII Pernefri. Semarang. November
Maidment HJ, Petersen J 1996. The dialysis prescription: Reuse. Am J Nephrol. (16):52-59
Martakusumah AH 1991. Perbandingan biokompatibilitas dan klirens urea-N antara ginjal buatan baru dan pakai ulang. Bandung. (tesis)
Murni I, Shofa C, Sudarmo E, Parsudi I 2001. A comparative study of urea-N clearance and urea-N reduction ratio between new dialyzer and re-use dialyzer. Proceding 37 th ANZSN Anuual Scientific Meeting. Darwin. September
NKF-DOQI 1997. Clinical practice guidelines for hemodialysis adequacy. Am J Kidney Dis. (30):S15-66
Prasanto H, Sja’bani M 2001. Effect of reuse dialyzer in end state renal disease patients who underwent hemodialysis in Dr. Sarjito General Hspital. Proceding 37th ANZSN Annual Scientific Meeting. Darwin. September
Shaldon S 1993. Dialyzer reuse: a practice that should be abansoned. Seminars in Dialysis. (6):11-12
Shusterman NH, Feldman HI, Wasserstein A, Strom BL 1989. Reprocessing of hemodialyzers: A critical appraisal. Am J Kidney Dis. (14):81-91
Sudarmo E, Shofa C, Lestariningsih, Murni I, Parasudi I 1999. Perbandingan klirens urea-N dan rasio penurunan urea-N antara ginjal buatan baru dan pakai ulang. Proceding KONAS VII Pernefri. Semarang. November
Task force on reuse of dialyzer. 1997. Council on dialysis, National kidney foundation report on dialyzer reuse. Am J Kidney Dis. (30):859-871
Widiana IGK, Suwitra K, Loekman JS 1999. Kt/V pada hemodialisis dengan dialise ulang (reuse). Proceding KONAS VII Pernefri. Semarang. November.