Middle East respiratory syndrome clinical practice guideline for hemodialysis facilities

Park, Hayne Cho; Lee, Young-Ki; Lee, Sang-Ho; Yoo, Kyung Don; Jeon, Hee Jung; Ryu, Dong-Ryeol; Kim, Seong Nam; Sohn, Seung Hwan; Chun, Rho Won; Choi, Kyu Bok

www.krcp-ksn.org portable dialysis machines. With the dedicated efforts of medical staff and volunteers, hemodialysis in cohort isolation care was successfully performed without additional transmission of the virus. Following the confirmed case in the hemodialysis unit of Kyung Hee University Hospital at Gangdong, another nosocomial infection in the Gangneung medical center was reported in Gangwon province. The chief of the nursing department in the Gangneung Medical Center who participated in the referral of the confirmed case to the other hospital became febrile and was confirmed to be MERS-CoV positive. Before she was tested for MERS-CoV infection, she performed patient rounding in the hemodialysis room in the Gangneung Medical Center, and subsequently, 25 hemodialysis patients and nursing staff members were placed in cohort isolation as a high-risk group (close contact). After she was reported to be a confirmed case, she was hospitalized in an isolation room for care. Twenty-five hemodialysis patients (close contacts) and 11 hemodialysis patients (casual contacts) received dialysis therapy on different days after the disinfection of instruments and equipment. Three nephrologists and 22 nurses volunteered to perform hemodialysis therapy in a cohort isolation care.