浙江省血液透析中心新型冠状病毒感染防控管理实践

Management practice of prevention and control of coronavirus disease 2019 infection in Zhejiang hemodialysis centers

目的总结新型冠状病毒疫情期间血液透析中心的防控管理经验,提高血液透析中心的防控效果,减少血液透析患者发生新型冠状病毒感染的风险。方法制订血液透析中心新型冠状病毒感染防控实践方案,对浙江省267所血液透析中心在组织管理、防控流程制订、患者教育及管理、工作人员培训等方面进行管理,规范新型冠状病毒疫情期间血液透析患者的接诊流程和确诊病例、疑似病例和居家观察血液透析患者隔离透析治疗流程。结果浙江省共收治血液透析新型冠状病毒感染确诊患者2例,与其密切接触的10例血液透析患者进行隔离,经14 d医学观察后均未发生新型冠状病毒感染。对8例疑似感染病例及78例居家观察血液透析患者进行规范隔离血液透析或连续肾脏替代治疗,14 d后无新型冠状病毒感染事件发生;4700名血液透析室医护人员未发生院内新型冠状病毒感染。结论血液透析中心感染防控管理实践对新型冠状病毒感染的防控有效,对预防血液透析患者新型冠状病毒感染效果较好。

Objective To summarize the experience of prevention and control management in a hemodialysis centers during the coronavirus disease 2019(COVID-19)epidemic,and to improve the effects in order to reduce the occurrence of COVID-19 infection.Methods Through developing the standards for prevention and control of COVID-19 in hemodialysis centers,267 hemodialysis centers in Zhejiang province were trained in the aspects of organization management,prevention and control procedures,patient education and management,staff training and management.We also standardize the diagnosis procedures of hemodialysis during the COVID-19 epidemic,and standardize the isolated hemodialysis procedures of confirmed cases,suspected cases and patients observed at home.Results There were 2 confirmed COVID-19 cases out of 32071 hemodialysis patients in Zhejiang Province,and 10 hemodialysis patients in close contact with them were also taking isolation dialysis.No COVID-19 infection occurred after medical observation of 14 days.There were also no infections after 14 days’medical observation among 8 suspected cases and 78 home observation patients who were treated with standard isolation dialysis or continuous renal replacement therapy.None of the 4700 medical staff suffered from the nosocomial infections of COVID-19.Conclusion The practice in hemodialysis centers is effective in preventing and controlling the COVID-19 infection in the provincial hemodialysis centers,which can reduce or even block the infection in hemodialysis patients。