Hemodialysis vascular access care during the COVID-19 pandemic

被引：6

作者：

Yang, Chih-Yu ^{[1
,2
,3
,4
,5
]}

Wang, Yi-Fang ^{[2
]}

Ho, Yang ^{[2
]}

Wu, Cheng-Hsueh ^{[3
,6
]}

Lee, Chiu-Yang ^{[3
,7
,8
]}

Tarng, Der-Cherng ^{[1
,2
,3
,5
,9
]}

机构：

[1] Natl Yang Ming Univ, Sch Med, Inst Clin Med, Taipei, Taiwan

[2] Taipei Vet Gen Hosp, Dept Med, Div Nephrol, 201,Sect 2,Shi Pai Rd, Taipei 112, Taiwan

[3] Natl Yang Ming Univ, Sch Med, Fac Med, Taipei, Taiwan

[4] Natl Yang Ming Univ, Stem Cell Res Ctr, Taipei, Taiwan

[5] Ctr Intelligent Drug Syst & Smart Biodevices IDS2, Hsinchu, Taiwan

[6] Taipei Vet Gen Hosp, Dept Med, Div Cardiol, Taipei, Taiwan

[7] Taipei Vet Gen Hosp, Peripheral Vasc Treatment & Res Ctr, Taipei, Taiwan

[8] Taipei Vet Gen Hosp, Dept Surg, Div Cardiovasc Surg, Taipei, Taiwan

[9] Natl Yang Ming Univ, Dept & Inst Physiol, Sch Med, Taipei, Taiwan

来源：

JOURNAL OF THE CHINESE MEDICAL ASSOCIATION | 2020年 / 83卷 / 07期

关键词：

COVID-19; Hemodialysis vascular access; Infection control; Severe acute respiratory syndrome coronavirus 2;

D O I：

10.1097/JCMA.0000000000000348

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Dialysis patients are more vulnerable and susceptible to the severe coronavirus disease 2019 (COVID-19) infection due to multiple comorbidities. Since Taiwan has the highest incidence and prevalence of treated end-stage kidney disease worldwide, it is crucial to act in advance to prevent a potential disaster. In the face of the COVID-19 pandemic, we implement proactive infection control measures to prevent it from spreading without sacrificing the dialysis care quality. In this article, we focused on hemodialysis vascular access (HVA) care in particular. As a life-line of hemodialysis (HD) patients, HVA care has a profound impact on the patient's quality of dialysis and life. Specifically, in our facility, the working and office areas of the HD units are separated to reduce cross-infection. All elective procedures for HVA are postponed, and operating rooms equipped with a negative-pressure anteroom are used for the suspected or confirmed COVID-19 patients. Herein, we share how we modified our HVA care policy not only to prevent our patients from COVID-19 infection but also to maintain the quality of HVA care.

引用

页码：634 / 638

页数：5

共 27 条

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