Korean J healthc assoc Infect Control Prev.  2020 Jun;25(1):11-20. 10.14192/kjicp.2020.25.1.11.

Infection Control of Dialysis Patients for Coronavirus Infectious Disease-19 Response

• Choi JY
• Son HJ
• Cha KS
• Kim SR
• Shin MJ
• Choi JR
• Han SH

• KMID: 2503756
• DOI: http://doi.org/10.14192/kjicp.2020.25.1.11

Abstract

The effects of coronavirus disease 19 (COVID-19) on patients with chronic kidney disease have not yet been fully studied, but acute kidney damage has been reported in some COVID- 19 patients. Hemodialysis is an essential treatment for patients with chronic kidney disease and they receive treatment for extended periods of time in congested spaces such as artificial kidney rooms. Because suspected or confirmed COVID-19 patients must visit medical institutions regularly for dialysis treatment, it is necessary to take efficient and safe infection control measures to prevent infections from spreading to medical staff or other patients during hemodialysis. Due to artificial kidney rooms receiving a high number of patients for outpatient treatment, it is important to assess the patients before admission. Therefore, a monitoring system is needed to check the epidemiological relevance and possible symptoms of COVID-19. Even if they are not epidemiologically related to COVID-19, patients with fever or respiratory symptoms should receive treatment in isolation rooms, while patients with suspected or confirmed COVID-19 infection should use negative-pressure isolation rooms. The medical staff participating in dialysis treatment for COVID-19 patients should wear appropriate personal protective equipment and provide specific guidelines for equipment, environmental, and waste management according to institutional circumstances.

Keyword

COVID-19; Dialysis; Education; Guideline; Infection control

Figure

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  Fig. 1 COVID-19 screening and evaluation procedure for dialysis patients. *Based on revised Guideline: Novel coronavirus (COVID-19) for hemo­dialysis outpatients from BC Renal in 2020, Guideline for response of Coronavirus infectious diseases-19 (1-3 edition) (Dialysis Facility) from the Korean Society of Nephrology and Korean Society for Dialysis Therapy in 2020. †COVID-19 risk factors: Contact with COVID-19 confirmed patients within the last 14 days, visits over­seas, visits to areas or places of dis­ease spread and danger. ‡Disclosure of isolation can be deter­mined based on clinical judgment on patients and guidelines from health authorities.

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