Effects of dialysate to serum sodium (Na) alignment in chronic hemodialysis (HD) patients: retrospective cohort study from a quality improvement project.

Background: Evidence indicates favorable effects of dialysate (DNa) to serum sodium concentration (SNa) alignment, however, results from larger sample populations are needed. For this reason, we conducted a retrospective propensity score-matched cohort study from a quality improvement project to investigate the effects of alignment on population of maintenance hemodialysis patients.

Methods: At 4 participating hemodialysis (HD) clinics, patients with SNa lower than the standard DNa of 137 mEq/L who received HD with DNa aligned to the average of the last 4 SNa measurements were evaluated (clinicaltrials.

Complications associated with the development of bacteremia with Staphylococcus aureus.

Access-related infections are a leading cause of morbidity and mortality among hemodialysis patients. Staphylococcus aureus bacteremia accounts for 25% of these episodes. Nissenson et al.