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Nephrol Dial Transplant (2002) 17: 73-74
© 2002 European Renal Association-European Dialysis and Transplant Association

SECTION VI: Haemodialysis-associated infection

VI.1 Prevention of infection: management of impairment of the host defence

Abstract

Dysfunction of the host defence is one of the major functional disturbances in end-stage renal disease [49]. The causes of dysfunction can be divided into two major categories: one caused by the uraemic state itself and the other caused by therapeutic intervention.

Guideline VI.1

A. To reduce the susceptibility to infection, optimal adequacy of HD should be attained, malnutrition should be prevented or treated, optimum haemoglobin concentration should be maintained, iron overload should be avoided and a dialysis membrane with the lowest degree of complement and leukocyte activation should be used.

(Evidence level: B)


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