Park Hayne Cho, Kim Do Hyoung, Yoo Kyung Don, Kim Yang-Gyun, Lee Sang-Ho, Yoon Hye Eun, Kim Dong Ki, Kim Seong Nam, Kim Myeong Sung, Jung Yoon Chul, Kim Yon Su, Lee Young-Ki
Department of Internal Medicine, Hallym University College of Medicine, Seoul, Republic of Korea.
Division of Nephrology, Department of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Republic of Korea.
Kidney Res Clin Pract. 2020 Jun 30;39(2):145-150. doi: 10.23876/j.krcp.20.046.
Coronavirus disease 2019 (COVID-19) is a highly contagious viral disease that is caused by the novel virus Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2). COVID-19 has become pandemic since December 2019, when the first case developed in Wuhan, China. Patients receiving hemodialysis are more vulnerable to viral transmission because their immune functions are impaired and they receive treatment within a narrow space. Calling on previous experience with Middle East Respiratory Syndrome during the 2015 outbreak, the joint committee of the Korean Society of Nephrology and the Korean Society of Dialysis Therapy quickly formed a COVID-19 task force team to develop a manual before the first index case was diagnosed in the hemodialysis unit. This special article introduces clinical practice guidelines to prevent secondary transmission of COVID-19 within hemodialysis facilities, which were developed to protect patients, healthcare workers, and caregivers from this highly transmissible virus. The areas of infection control covered by these guidelines include standard precautions, performing dialysis therapy for confirmed or suspected cases, performing cohort isolation for contact patients, and disease monitoring and contact surveillance. We hope these guidelines help healthcare workers and hemodialysis patients around the world cope with the COVID-19 pandemic.
2019冠状病毒病(COVID-19)是一种由新型严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引起的高传染性病毒性疾病。自2019年12月中国武汉出现首例病例以来,COVID-19已成为大流行病。接受血液透析的患者更容易受到病毒传播的影响,因为他们的免疫功能受损,且在狭小空间内接受治疗。借鉴2015年中东呼吸综合征疫情的经验,韩国肾脏病学会和韩国透析治疗学会联合委员会在血液透析单位确诊首例索引病例之前,迅速组建了COVID-19特别工作组,以制定一份手册。这篇专题文章介绍了预防COVID-19在血液透析设施内二次传播的临床实践指南,这些指南旨在保护患者、医护人员和护理人员免受这种高传播性病毒的侵害。这些指南涵盖的感染控制领域包括标准预防措施、为确诊或疑似病例进行透析治疗、对接触者进行群组隔离以及疾病监测和接触者监测。我们希望这些指南能帮助世界各地的医护人员和血液透析患者应对COVID-19大流行。