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Protect Hemodialysis Patients from Novel Coronavirus Infection


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 


    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:



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。








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