COVID-19 Prevention and Control in Dialysis Centers during the Pandemic: A Single-Center Experience

Liangying Gan1, Bing Yang1, Yan Wang1

  • 1Department of Nephrology, Peking University People's Hospital, Beijing, China.

Blood Purification
|May 26, 2021
PubMed

Insights

Maintenance hemodialysis patients face higher COVID-19 risks. Dialysis centers require specific infection control strategies, including patient and staff training, screening, and isolation protocols, to manage the pandemic effectively.

Area of Science:

  • Infectious Diseases
  • Nephrology
  • Public Health

Background:

  • Coronavirus disease (COVID-19) poses a significant threat to public health globally.
  • Maintenance hemodialysis (MHD) patients exhibit increased susceptibility and severity of COVID-19 due to age, comorbidities, and immunosuppression.
  • In-center dialysis settings present unique challenges for COVID-19 prevention and control compared to community settings.

Purpose of the Study:

  • To outline essential strategies for managing COVID-19 within dialysis centers.
  • To share practical, experience-based recommendations for dialysis centers during the pandemic.
  • To provide a reference for other dialysis centers globally in their pandemic response efforts.

Main Methods:

  • Implementing stringent infection control measures in dialysis centers.
  • Conducting comprehensive training for both hemodialysis patients and medical staff.
  • Establishing systematic screening protocols for COVID-19 among patients and healthcare personnel.
  • Developing and executing graded isolation procedures for close contacts, suspected, and confirmed COVID-19 cases.

Main Results:

  • The study details a multi-faceted approach to COVID-19 management in a dialysis center setting.
  • Key interventions include enhanced infection control, targeted training, robust screening, and differentiated patient isolation.
  • The experience highlights the critical need for tailored protocols in high-risk healthcare environments.

Conclusions:

  • Effective COVID-19 management in dialysis centers relies on rigorous infection control, education, screening, and isolation.
  • The proposed strategies offer a practical framework for dialysis centers to mitigate pandemic-related risks.
  • Sharing single-center experiences is vital for establishing best practices in global dialysis care during health crises.

Related Concept Videos

Dialysis01:27

Dialysis

Renal failure occurs when the kidneys lose their ability to filter waste products from the blood effectively. It can be classified into two types: acute renal failure (ARF) and chronic renal failure (CRF).
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
793
Dialysis01:15

Dialysis

Dialysis is a diffusion-based purification process that separates analyte molecules from a complex matrix. This is accomplished by allowing molecules in the solution to pass through a semipermeable membrane into a liquid on the other side. The membrane is usually made of cellulose acetate or cellulose nitrate, and the second liquid must be miscible with the solution. Ions (e.g., chloride or sodium) or organic molecules (e.g., glucose) can pass through the membrane pores, which generally have...
1.0K
Hemodialysis II: Procedure and Complications01:24

Hemodialysis II: Procedure and Complications

DialyzersA hemodialysis (HD) dialyzer is a plastic cartridge containing thousands of parallel hollow fibers, which serve as semipermeable membranes. These fibers are typically made from cellulose-based or other synthetic materials. During HD, blood is pumped into the top of the cartridge and distributed among these fibers. Simultaneously, dialysis fluid, known as dialysate, is introduced into the bottom of the cartridge, bathing the outside of the fibers. Across the semipermeable membrane,...
248
Hemodialysis III: Nursing Management01:25

Hemodialysis III: Nursing Management

The nursing management of a patient undergoing hemodialysis includes several critical steps, starting with a thorough assessment before the procedure.Before the Hemodialysis ProcedureFirst, record the patient's vital signs—blood pressure, heart rate, respiratory rate, and temperature—to establish a baseline. This baseline is essential for detecting conditions such as hypotension that could impact the patient's response to dialysis. Document the patient's pre-dialysis weight, as this...
344
Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications01:25

Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications

Peritoneal dialysis (PD) is a medical process that removes waste products and excess fluid from the body using the peritoneal membrane as a natural filter.Peritoneal Dialysis MethodsSeveral methods can be used for peritoneal dialysis, including Acute Intermittent Peritoneal Dialysis, Continuous Ambulatory Peritoneal Dialysis, and Automated Peritoneal Dialysis, also known as Continuous Cyclic Peritoneal Dialysis.Acute Intermittent Peritoneal Dialysis (AIPD) is used for patients with uremic...
176
Hemodialysis I: Introduction01:25

Hemodialysis I: Introduction

Hemodialysis (HD) is a medical treatment that artificially removes waste products, excess fluids, and toxins from the blood when the kidneys are no longer able to perform these functions effectively. In this process, blood is filtered through a semipermeable membrane, allowing for the selective removal of waste while preserving necessary components like blood cells and proteins. Hemodialysis is typically performed in patients with end-stage renal disease (ESRD) or severe kidney...
562