Why Is Chloramine Removal Critical for Hemodialysis, and How Do RO...

Why Is Chloramine Removal Critical for Hemodialysis, and How Do RO Systems Help?

Posted 2026-01-06 08:58:13

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Chloramine is a hidden danger in hemodialysis water—used to disinfect municipal supplies, it’s toxic to patients, yet RO systems play a key role in eliminating it.

Chloramine damages red blood cells, triggering hemolytic reactions that can be fatal. Even small amounts bypassing treatment can harm patients, so complete removal is non-negotiable. While activated carbon filters act as the first line, RO systems provide a critical backup: their semi-permeable membranes trap any remaining chloramine, ensuring zero residue.

This two-step approach (carbon + RO) is vital because carbon filters degrade over time—without RO, expired filters could let chloramine leak through. RO also supports compliance with AAMI standards, which mandate chloramine levels near zero for dialysis water.

Medical facilities rely on this combo to avoid disasters: a 2019 U.S. outbreak linked to incomplete chloramine removal caused acute patient harm. RO systems don’t just enhance safety—they turn an everyday municipal disinfectant from a threat into a non-issue for dialysis care. Click here to know more.