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

Another confirmed case in a hemodialysis facility was reported the next day, and the joint committee announced a first clinical recommendation for hemodialysis patients. Kyung Hee University Hospital at Gangdong followed the principles written in the clinical recommendation and sent the confirmed MERS-CoV patient to the National Medical Center, a hospital with a single-occupancy negative pressure isolation room that included a portable dialysis machine. Among 92 close contacts in the hemodialysis room, 72 patients were put into cohort isolation in Kyung Hee University Hospital at Gangdong, and among them, 55 patients were cared for in an isolation room that accommodated dialysis. Meanwhile, there were few health-care workers left in the facility because 2 physicians and 6 dialysis nurses were also placed into self-quarantine. Therefore, the Korean Society of Nephrology requested volunteers and medical equipment from members of the society and related corporations, successfully recruited 28 volunteer nurses and obtained 20 portable reverse osmosis (RO) machines as well as 22 Table 1 . Key recommendations in the first draft of clinical recommendations for dealing with hemodialysis patients associated with MERS-CoV infection