T/NBPIA 006.1-2021 Prevention Guidelines for Cross-Infection in Hemodialysis Room Part 1: Blood-borne Diseases

Scope

Main technical content: Although China has now become the country with the largest number of patients undergoing hemodialysis in the world, due to the large population base of our country, the number of patients relying on hemodialysis for survival per million people is still far lower than the level in developed countries. It is estimated that the number of uremia patients relying on hemodialysis for survival in China will continue to increase in the future. For patients relying on dialysis for survival, they have to undergo long-term hemodialysis treatment in hemodialysis rooms several times a week. Due to the low immunity of hemodialysis patients and the high concentration of people in hemodialysis rooms, the risk of outbreaks of blood-borne diseases in hemodialysis rooms is very high. In view of this, it is necessary to formulate corresponding standards for hemodialysis rooms to refer to and implement, so as to achieve the purpose of avoiding the occurrence and transmission of blood-borne diseases in hemodialysis rooms through strict management of the sources of infection and transmission routes and effective protection of susceptible populations. Due to the fact that some pathogens of blood-borne diseases can survive for a long time outside the body, there is a possibility of transmission from one patient to another during medical activities. When connecting and disconnecting the extracorporeal circulation of hemodialysis patients, the extracorporeal circulation interface exposed to the air may be contaminated by pathogens due to contact with the surrounding environment or the hands of staff, which has become almost the most important transmission route of blood-borne diseases in current hemodialysis rooms. Therefore, this section stipulates how to avoid contact with infection.

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