What can happen if bacterial levels exceed the action level in dialysate?

When bacterial levels in dialysate exceed established action levels, the primary concern is the increased risk of infection. This is particularly critical in the context of hemodialysis, where the bloodstream can be exposed to contaminants through the dialysis process.

High bacterial levels can lead to various complications, including bacteremia, which is the presence of bacteria in the blood. This raises the possibility of severe systemic infections, creating significant dangers for patients who are often already vulnerable due to their underlying conditions. Moreover, an infection can lead to hospitalizations, additional medical interventions, and may worsen the patient’s overall health status.

While it's true that elevated bacterial levels could theoretically impact treatment efficiency or pharmacokinetics, these points do not address the immediate and critical health risks posed to patients. Infection risk is the most pressing concern, making the fact that it increases significantly due to high bacterial levels in dialysate a fundamental understanding for those involved in hemodialysis care.