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Published on: November 7, 2020
[Standard procedures in dialysis during the Covid-19 epidemic]
Michela Ippolito1, Giovannni Battista Di Tria1, Cinzia Aldrigo1
1SC Nefrologia e Dialisi, ASST Santi Paolo e Carlo, Milano, Italy.
Insights
This study outlines COVID-19 protocols for dialysis units to manage patient care and prevent transmission. Standard procedures ensure consistent identification and handling of potential coronavirus infections in hemodialysis patients.
Area of Science:
- Infectious Diseases
- Nephrology
- Public Health
Background:
- The emergence of novel Coronavirus 2019 (COVID-19) necessitated rapid development of containment strategies.
- Dialysis patients represent a vulnerable population requiring specific protective measures during pandemics.
Purpose of the Study:
- To define standard operating procedures for managing dialysis patients during the COVID-19 outbreak.
- To ensure a uniform approach to identifying and managing suspected, likely, and confirmed COVID-19 cases in dialysis settings.
Main Methods:
- Implementation of preemptive measures in hospital dialysis rooms starting February 24, 2020.
- Treating all incoming dialysis patients as potentially infectious.
- Strict adherence to personal protective equipment (PPE) protocols for all staff.
Main Results:
- Established a uniform approach for all patients undergoing dialysis.
- Streamlined identification and management of COVID-19 infections within the dialysis unit.
- Successfully slowed the transmission of COVID-19 within the healthcare setting.
Conclusions:
- Standardized protocols are crucial for managing infectious diseases in vulnerable patient groups like those undergoing dialysis.
- Proactive implementation of PPE and patient management strategies can mitigate virus transmission in dialysis centers.
- The described procedures provide a framework for other dialysis units facing similar public health challenges.
Abstract:
Scope: The aim of this document has been to define standard procedures for dealing with dialysis patients once the first cases of novel Coronavirus 2019-nCoV (Covid-19) were confirmed among the Italian population. Applicability: These procedures, that refer exclusively to the hospital's dialysis rooms, are currently implemented at the ASST Santi Paolo e Carlo in Milan and two smaller centers in the Milan area. Description: We describe the preemptive measures adopted by the staff at our dialysis unit since 24/02/2020, in order to slow down the transmission of Covid-19. They have allowed us to adopt a uniform approach towards all patients, streamlining the way we identify and deal with suspected, likely and confirmed Coronavirus infections. To start with, all patients coming to the hospital for their dialytic session have been treated as potentially infectious and everybody has been following closely the standard protocols regarding personal protective equipment (PPE).
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