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Korean J healthc assoc Infect Control Prev 2020; 25(1): 11-20

Published online June 30, 2020 https://doi.org/10.14192/kjicp.2020.25.1.11

Copyright © Korean Society for Healthcare-associated Control and Prevention.

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

Ji Youn Choi1, Hee Jung Son2, Kyeong-Sook Cha3 , Sung Ran Kim4, Myoung Jin Shin5, Jong Rim Choi6, Si Hyeon Han7

Infection Control Team, Chungang University Hospital1, Infection Control Office, Ewha Womans University Mokdong Hospital2, Seoul, Department of Nursing Science, Sun Moon University3, Asan, Infection Control Office, Korea University Guro Hospital4, Seoul, Infection Control Office, Seoul National University Bundang Hospital5, Seongnam, Center for Infection Prevention and Control, Samsung Medical Center6, Seoul, Infection Control Department, Dankook University Hospital7, Cheonan, Korea

Correspondence to: Kyeong Sook Cha
E-mail: chamelda@sunmoon.ac.kr
ORCID: https://orcid.org/0000-0002-7307-898X

Received: June 4, 2020; Revised: June 16, 2020; Accepted: June 17, 2020

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: COVID-19, Dialysis, Education, Guideline, Infection control

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