新聞中心

首頁 > 新聞中心 > 新聞資訊

Protect Hemodialysis Patients from Novel Coronavirus Infection

發布時間:2020/2/24瀏覽量:1091來源:研究中心辦公室

There are approximately 700,000 hemodialysis (HD)-dependent ESRD patients in mainland China.During the epidemic of novel coronavirus pneumonia, patients on HD are at high risk of infection. These patients have to go to the facilities for treatments 2 to 3 times a week with each treatment period 4 to 5 hours. Most patients need to take public transportation, which makes them a special “mobile population” in the city. More importantly, these patients are a vulnerable population with low immune function, diabetes, hypertension or other complications. Therefore, it is necessary to strengthen the prevention and management in order to protect HD patients from novel coronavirus infection.

Suggested preventive strategies are as follows:

1. Strengthen disinfection of dialysis facilities and protection of medical staff

a. Patients diagnosed with the novel coronavirus infection should be transferred to the dedicated hospital for dialysis treatment. Patients with an exposure history need to be quarantined for 14 days and should be dialyzed in separate dialysis room during the observation period.

b. Perform environmental disinfection after each shift of dialysis, including window ventilation for 30 minutes; air disinfection with hydrogen peroxide spraying; wiping the floor and surface of dialysis machine with 1000-2000 mg/L chlorinated disinfectant; and replacing bedding.
c. Surfaces and supplies contaminated with patients’ excreta, secretions, or blood should be soaked with 2000mg / L chlorinated disinfectant and cleaned separately.
d. Medical staff need to measure and record their body temperature when entering or leaving the dialysis facility. Those with a temperature above 37.3 ℃ are not allowed to enter the facility and must receive relative management. Staff and their family members who have fever, cough, or flulike symptoms, should be isolated and receive medical management.
e. During routine HD procedure, the medical staff should be protected according to level-1 protective strategies (disposable work caps, disposable surgical masks, disposable latex gloves, disposable shoe covers), and all protective supplies need to be replaced in each case. For deep venous catheterization, disposable surgical gowns and goggles are required.

2. Strengthen the protection for patients on maintenance HD and their family members

a. Register the residential address of patients and their family members, and confirm whether there is epidemic at the location and whether they have contacted with diagnosed patients or suspected cases. The medical staff review these information and repeat the register every two weeks.
b. Monitor the body temperature of dialysis patients and caretakers before they enter the facility. Caretakers are not allowed to enter the dialysis treatment area.
c. Ask dialysis patients to wear masks during dialysis treatment.
d. The facility sets up a call on duty and requires patients to report symptoms such as cough, fatigue, and fever during dialysis intervals to the medical staff on duty, and follow their instructions.
e. Provide preventive education for patients on HD. Let patients understand the importance of prevention and isolation, and know the correct protective strategies. Help patients to overcome their fear of the epidemic.
f. Use APP for medical consultation, follow-up, and regular drug prescription to reduce the requirement of clinic visit.

We are confident that, through the joint effort of medical staff and patients, we will win the fight against the novel coronavirus!                                                                                      

 Division of Nephrology, Nanfang Hospital

                                                            National Clinical Research Center for Kidney Disease

    State Key Laboratory of Organ Failure Research 



中文譯文如下:血液凈化中心防控新型冠狀病毒感染的措施

    我國有約70萬依賴血液透析維持生命的終末期腎臟病患者,在新型冠狀病毒肺炎流行期,血透治療患者是感染新冠病毒的高危人群。這類患者必須每周2至3次到醫院或診所集中進行血透治療,每次治療時間約為4至5小時;多數患者需乘坐公共交通工具往返,成為城市特殊的“流動人群”;更為重要的是這類患者多為免疫功能低下、有糖尿病、高血壓等多種并發癥的易感人群。因此需要加強對醫院血透室和血透患者新型冠狀病毒感染的防控,以防止這部分人群發生感染并造成疫情擴散。 南方醫院血液凈化中心防控新冠病毒感染的措施如下:


一、加強血液透析室消毒和醫務人員防護

1、對于確診的新型冠狀病毒感染患者,應轉至定點醫院接受透析治療;對有接觸史需隔離觀察14天的患者,觀察期在隔離的透析室接受透析。

2、每輪透析治療結束后進行環境消毒,包括開窗通風30分鐘;過氧化氫噴霧空氣消毒;采用 1000-2000mg/L 含氯消毒劑擦拭地面和透析機表面;更換床上用品。

3、沾染患者排泄物、分泌物、血液的物體表面及用品用2000mg/L 含氯消毒劑浸泡處理;污染的床上用品需單獨清潔。

4、透析室醫務人員上下班進出透析室時均需測量體溫并記錄,體溫≥37.3℃者不得進入透析室并按相關規定就診,要求工作人員或其家庭成員有發熱、咳嗽等癥狀者及時上報,必要時進行隔離觀察。

5、常規血透操作時醫護人員執行一級防護措施(一次性工作帽、一次性外科口罩、一次性乳膠手套、一次性鞋套),每例操作需更換全部防護用品。深靜脈插管操作需穿一次性外科手術衣,戴護目鏡。


二、加強規律性血透患者及其家庭成員的管理
1、登記所有規律性血透患者的戶籍所在地,患者及家庭成員現居住地,了解是否疫源地,有無疫源地人員或新冠病毒確診者接觸史或可疑接觸史,由醫務人員審核,兩周一次重復篩查。
2、對每日前來透析患者及其陪護人員進行體溫監測。陪護人員不得進入透析治療區。
3、要求透析患者在治療過程中全程佩戴口罩。
4、血液凈化中心設立值班電話,要求患者在透析間期出現咳嗽、乏力、及發熱等癥狀及時向值班醫務人員報告,并聽從指示,及時就診。
5、對每位患者進行預防宣教,讓患者了解預防和隔離的重要性以及正確的預防措施。加強與患者的溝通,克服患者對疫情的恐懼。
6、利用APP等為血透患者提供醫療咨詢、隨訪、開具常用藥,以減少患者需到醫院門診的次數和門診候診人數。

7、設法減少患者乘坐公共交通工具的次數,如代患者聯系志愿者接送等。

      隔離病毒,不隔離愛。希望通過醫務人員和血透患者的共同努力,早日打贏新冠病毒肺炎防控阻擊戰!


南方醫科大學南方醫院腎內科
國家腎臟病臨床醫學研究中心

國家器官衰竭防治重點實驗室


Copyright @2017 國家腎臟病臨床研究中心版權所有 粵ICP備15007709號

福彩3d中奖100%秘籍