Dialysate disinfection and rinsing:
- Dialysis machine should be disinfected according to the manufacturer's recommendations, usually daily
- The dialysate circuit should be exposed to disinfectant
- Reused bicarbonate/acid containers should be disinfected between use
- Disinfectants and rinse solutions include formaldehyde, hypochlorite (bleach) and paracetic acid
- Machines should be rinsed between chemicals and before a dialysis session
- Dead space is needed between dialysate effluent line and drain
- Some dialysis machines incorporate a bacterial an endotoxin-retentive ultrafilter that prevents bacterial contamination
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