Indian Journal of Nephrology About us |  Subscription |  e-Alerts  | Feedback | Login   
  Print this page Email this page   Small font sizeDefault font sizeIncrease font size
 Home | Current Issue | Archives| Ahead of print | Search |Instructions |  Editorial Board  

Users Online:131

Official publication of the Indian Society of Nephrology
 ~  Similar in PUBMED
 ~  Article in PDF (307 KB)
 ~  Citation Manager
 ~  Access Statistics
 ~  Reader Comments
 ~  Email Alert *
 ~  Add to My List *
* Registration required (free)  

   Article Tables

 Article Access Statistics
    PDF Downloaded120    
    Comments [Add]    

Recommend this journal


  Table of Contents  
Year : 2020  |  Volume : 30  |  Issue : 7  |  Page : 53-54

Laboratory backup

Date of Web Publication15-Jul-2020

Correspondence Address:
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0971-4065.289816

Rights and Permissions

How to cite this article:
. Laboratory backup. Indian J Nephrol 2020;30, Suppl S1:53-4

How to cite this URL:
. Laboratory backup. Indian J Nephrol [serial online] 2020 [cited 2020 Dec 1];30, Suppl S1:53-4. Available from:

  Rationale Top

Assessment of adequacy of dialysis, nutritional status, bone mineral disorders, and anemia and monitoring for infections all require frequent laboratory investigations. As various biochemical and serological parameters are dependent on the methodology used and the standardization and calibration of equipment, widespread interlaboratory variation may be observed. It is, therefore, necessary for a unit performing HD to have access to a laboratory with reliable and reproducible results and to establish protocols of investigations for patients dialyzing with them. Some of the basic protocols and requirements of the laboratory for a HD unit are laid out in the following guidelines. [Table 1] provides a list of the investigations to be routinely undertaken, while [Table 2] lists the investigations essential to screen for blood borne viral infections.
Table 1: Investigations recommended for patients on maintenance hemodialysis

Click here to view
Table 2: Guidelines for testing for hepatitis B virus and hepatitis C virus in hemodialysis patients (where universal precautions are strictly followed)

Click here to view


Most of the HD units are located in large hospitals and the hospitals have clinical, biochemical, and microbiology facilities attached to them. Usually, imaging facilities are also available with these hospitals. A “stand-alone” HD center may not have an attached laboratory or an imaging facility.

We suggest that in either case, a laboratory with equipment for carrying out tests required for monitoring the management of patients on maintenance HD is essential.

We recommend that the following equipment required for investigations be available in the laboratory where testing is carried out:

  1. Biochemistry

    1. Semi autoanalyzer/bench top autoanalyzer
    2. Electrolyte analyzer (ion selective electrode)
    3. Semi autocoagulation analyzer

  2. Imaging facility

    1. 500 mA X-ray
    2. Ultrasound, echocardiography, and Doppler


  [Table 1], [Table 2]


Print this article  Email this article


Indian Journal of Nephrology
Published by Wolters Kluwer - Medknow
Online since 20th Sept '07