Hemodialysis and Water Management in a Dialysis Unit in Morocco, an Approach to Dealing With Water Scarcity

IF 1.2 4区医学 Q3 UROLOGY & NEPHROLOGY Hemodialysis International Pub Date : 2025-04-01 DOI:10.1111/hdi.13241

I. Haddiya, I. Melhaoui, A. El Khalifi, S. Ramdani, Y. Bentata, F. Z. Berkchi

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Abstract

Introduction

Chronic kidney disease is a global public health issue, affecting approximately 10% of the world's population, and more than 3 million people living with kidney failure who are estimated to be on maintenance dialysis programs, with the majority receiving hemodialysis (HD). This treatment is particularly water-intensive, posing a considerable challenge in regions experiencing water scarcity, such as Morocco.

Methods

Our HD center in Oujda, Eastern Morocco, has implemented several key strategies to address water scarcity and ensure uninterrupted HD procedures during periods of hydric stress.

Results

These strategies include expanding water storage capacities to safeguard against shortages, upgrading infrastructure to enhance water efficiency, and employing innovative technology for real-time monitoring and management of water resources. Additionally, we collaborate closely with local water authorities to secure reliable water supplies and explore possibilities for water regeneration and recycling.

Discussion

The rising demand for clean water, coupled with its increasing scarcity, presents a significant challenge for healthcare systems, particularly in the context of HD. Therefore, innovative approaches are essential to mitigate this issue. The concept of green dialysis, which focuses on reducing water usage and minimizing environmental impact, is emerging as a promising solution with measurable benefits. Implementing water-efficient reverse osmosis systems has resulted in significant reductions in water waste, while real-time monitoring and early warning systems have enhanced water security and operational efficiency. Additionally, initiatives exploring the reuse of reject water hold potential for further conservation. These tangible outcomes demonstrate how green dialysis practices can contribute to sustainable HD treatment, ensuring uninterrupted patient care, reduced resource consumption, and improved environmental stewardship in water-scarce regions.

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摩洛哥透析单位的血液透析和水管理，解决缺水问题的方法。

慢性肾脏疾病是一个全球性的公共卫生问题，影响着世界上大约10%的人口，据估计有300多万肾衰竭患者正在接受维护性透析计划，其中大多数接受血液透析（HD）。这种处理特别耗水，对摩洛哥等缺水地区构成相当大的挑战。方法：我们在摩洛哥东部Oujda的HD中心实施了几项关键战略，以解决水资源短缺问题，并确保在水力压力期间HD程序不间断。结果：这些战略包括扩大储水能力以防止短缺，升级基础设施以提高用水效率，以及采用创新技术对水资源进行实时监测和管理。此外，我们与当地水务部门密切合作，以确保可靠的供水，并探索水再生和循环利用的可能性。讨论：对清洁水的需求不断增加，加上其日益稀缺，对卫生保健系统提出了重大挑战，特别是在HD背景下。因此，创新的方法对于缓解这一问题至关重要。绿色透析的概念侧重于减少用水量和最大限度地减少对环境的影响，这是一种有前景的解决方案，具有可衡量的效益。实施节水的反渗透系统大大减少了水的浪费，而实时监测和预警系统则提高了水安全和运营效率。此外，探索废弃水再利用的举措具有进一步节约用水的潜力。这些切实的成果表明，绿色透析实践可以促进HD的可持续治疗，确保患者不间断护理，减少资源消耗，改善缺水地区的环境管理。

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来源期刊

Hemodialysis International UROLOGY & NEPHROLOGY-

CiteScore

2.50

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Hemodialysis International was originally an annual publication containing the Proceedings of the International Symposium on Hemodialysis held in conjunction with the Annual Dialysis Conference. Since 2003, Hemodialysis International is published quarterly and contains original papers on clinical and experimental topics related to dialysis in addition to the Annual Dialysis Conference supplement. This journal is a must-have for nephrologists, nurses, and technicians worldwide. Quarterly issues of Hemodialysis International are included with your membership to the International Society for Hemodialysis. The journal contains original articles, review articles, and commentary to keep readers completely updated in the field of hemodialysis. Edited by international and multidisciplinary experts, Hemodialysis International disseminates critical information in the field.