T/ZSA 41-2020 The standard for prevention and control of COVID-19 in a blood purification room

Scope

Scope: This document specifies the general requirements for preventing cross-infection with COVID-19 in hemodialysis rooms, including the management of infection sources, potential transmission routes, and vulnerable populations, as well as the method for inspecting hemodialysis rooms. This document applies to hemodialysis rooms set up within medical institutions and those established independently of medical institutions. This document does not apply as a legal basis for adjudicating medical disputes. Main technical content: Isolation is an effective means of controlling COVID-19, and it is relatively easy to implement medical observation or isolation treatment for the general population. Since daily necessities such as food and clothing can be delivered to the isolation areas, there are no mandatory reasons to leave the isolation areas, and they can stay in the isolation rooms to receive observation and treatment until the isolation period ends. If no symptoms appear during the isolation period, the isolation can be lifted directly. However, for hemodialysis patients, who are physically weak, have multiple complications and comorbidities, and have low immunity, and who need to share common areas and stay in densely populated environments during hemodialysis, respiratory infectious diseases are highly likely to outbreak and spread in hemodialysis rooms. Compared with the general population, the challenges of medical observation or isolation treatment for hemodialysis patients are much more complex: (1) hemodialysis patients have poor immunity and are vulnerable to microbial attacks, including viruses. (2) hemodialysis patients often have multiple chronic complications and comorbidities, and the chances of non-COVID-19 related medical events during medical observation and isolation treatment are high. (3) hemodialysis patients need to leave the isolation areas 2-4 times per week to receive hemodialysis treatment by some form of transportation. They are often phys

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