Standard precautions for hemodialysis unit

The transmission of the hepatitis C virus in dialysis units can be prevented by fully adherence to standard infection reserves with all dialysis patients, and patients with hepatitis C virus must be isolated from the rest of the patients, and conduct a periodic test of antibodies to the hepatitis C virus every 3 months, in order to meet the virus spreading inside the units and guaranteeing Take care of the reserves in an appropriate and permanent way.

When a positive worshiper transformation of the antibodies to the hepatitis C virus takes into account the following:

Recallation of periodic laboratory test results every 3 months, which were conducted for all other patients and the health team in order to determine whether there are additional cases.

Isolation of positive cases.

Investigating the potential sources and causes of infection to determine whether it has been transmitted inside or outside the dialysis unit, as well as review the methods and measures used in the washing unit.

Follow up the results of the serial tests for all patients every 3 months.

Isolation

Positive patients should be isolated from the antibodies to the hepatitis C virus from the rest of the negative patients.

Allocating machines, devices, tools, supplies and medicines for these patients.

Allocating a health team to these patients during dialysis sessions.

Patients should be aware of the methods in which they can prevent more damage in their private lives and transmit the infection from them to others, while vaccinating them with viral hepatitis B '.

Prevention of infection with the human immunity virus 'HIV'

Infection control precautions are sufficient to prevent the transmission of the virus from one patient to another, taking care to isolate patients with dialysis units in fever hospitals.

The following analyzes are done for all dialysis before the start of treatment and every 3 months:

HBSAG: Surface antibody generators for hepatitis B virus'

HCV AB: The antibodies to the hepatitis C virus (C)

HIV AB: HIV 'antibiotics' antibodies 'HIV'

⬅️ Preventing bacterial diseases

Follow the optimal use of antibiotics.

Standard reserves for infection control are sufficient to prevent the transmission of infection from and from patients or colonists with some bacterial types, including the strains of anti -microbial anti -microbes.

⬅️ General notes:

The commitment to follow the insulation precautions for diseases transmitted by contact with colonial patients or people with microbes resistant to antibiotics are spilled (....., Mrsa, VRSA, Vre) during the dialysis sessions of these patients.

· The staff who care for dialysis patients with microbes resistant to antibiotics must wear appropriate personal condoms including the medical cloak and take off these condoms as soon as the patient's dealing with the patient is completed with the process of dialysis of these patients in a place prepared for that, away from the rest of the patients as much as possible (at the end of the unit or far from the rest of the patients as much as possible

⬅️ Protocol for the Insulation dialysis units

1) The abolition of the work of the detection of antibodies against the C virus routine

2) HCV +VE patients are confirmed by the positive analysis, then the patient is transferred to the positive patient hall, provided that PCR analyzes are done at the same time and according to the following:

In the event that the immediate analysis is positive, the patient continues in the positive hall and the analysis will be repeated six months later

In the event that the analysis continues positively after six months, the patient continues the positive hall, and the analysis and follow -up are not repeated until after treatment

In the event that the immediate analysis or six months after negatively turns into a negative hall

3) Patients who have received a complete treatment for C virus and the result of a negative PCR analysis turned the patient to the negative hall

4) Allocating at least one hall to patients with viruscin B, C,  

5) Modify the number of doses of vaccination against hepatitis B to four doses (, 1, 2.0, 6  

6) Emphasizing the necessity of allocating a dialysis machine for non -classified patients until they are classified

7) In the event that the water sample taken from the water treatment unit in the dialysis department is not identical to the required specifications, a committee is formed in order to make the necessary maintenance, provided that the sample is transferred to the central laboratories with the knowledge of the environmental health observer in the Directorate