Strategies for the Application of Isolation Precautions in Haemodialysis Clinics

During the COVID-19 Pandemic

Sari Murnani (20201030046)
Thesis Supervisor : Dr.dr. Arlina Dewi M.Kes, AAK

Background

Corona Virus Disease 2019 (COVID-19) Pandemic becomes a Research Problem

challenge for health care facilities. Dialysis units are
environments potentially prone to the spread of Covid-19.
Patients cannot suspend treatment, and they often have co
morbidities, which assigns them a higher risk and worse
prognosis.
HD patients as well as dialysis staff are susceptible to health
care-related infections due to frequent and prolonged
exposure to many possible contaminants in the dialysis
environment.
In order to reduce the occurrence of infection, it is necessary
to increase the application of isolation precautions (isolation
precautions), but There is considerable variation in infection
control and prevention practices across dialysis facilities.
Prior Study
Years and Author Title
Mashuri, Elsye Maria Pengaruh Penerapan Universal
Rosa, Yuni Permatasari Precaution (Hand Higiene dan APD)
Istanti, 2013 dalam Mencegah Insiden Hepatitis C
pada Pasien Hemodialisa di RSU PKU
Muhammadiyah Yogyakarta
Chenoweth C, Hines S, Variation in Infection Prevention
Hall K, et al, 2015 Practices in Dialysis Facilities: Results
From the National Opportunity to
Improve Infection Control in ESRD
(End-Stage Renal Disease) Project.
Fatma Maulida Abiya , Infection Control Risk Assessment
Maria Ulfa, Winny (Icra) Di Instalasi Gawat Darurat
Setyonugroho, 2017 Rumah Sakit Pku Muhammadiyah
Gamping
Elsye Maria Rosa1, The Infection Control Risk Assessment
Ekorini Listiowati1, and Strategies to Reduce HAIs at
Nurmalita Sari, 2019 Hospital in Yogyakarta Indonesia
What is the strategy for implementing isolation precautions in haemodialysis clinics during the
COVID-19 pandemic?
Research Objective
General
To determine the strategy for implementing
isolation precautions in hemodialysis clinics
during the COVID-19 pandemic.
Specific
1. Knowing application of isolation precautions
to haemodialysis services in clinics during
the COVID-19 pandemic.
2. Knowing what obstacles were faced in
implementing isolation precautions in
haemodialysis clinics during the COVID 19
Pandemic.
Methods Conclusion
Descriptive There was significant effect of implementation of universal
Analytic precautions (hand hygiene and PPE) in preventing the incident of
hepatitis, especially for hand hygiene (hand wash) and the use of
gloves
Descriptive Our findings suggest that there are many areas for improvement in
Quantitative hand hygiene and other infection prevention practices in end-stage
renal disease
Descriptive ICRA instruments for Haemodialysis from CDC can be used in
Qualitative Indonesian hospitals. Risk of infection in The Hemodialysis Unit of
PKU Muhammadiyah Gamping Hospital is low / low risk.
 Descriptive The strategy to reduce SSI infection in Hospital Yogyakarta was by
Qualitative cutting the infection transmission , by identifying bacteria causing
SSI, using rational antibiotic, optimizing HAIs surveillance activities,
conducting regular meeting to discuss SSI-related issues, report,
cooperation, evaluation, SSI socialization and monitoring as well as
its prevention, SPO refreshment, and SSI management
Research Benefit
Theoretical Benefit
Add insight and increase the ability of researchers t is
hoped to implement the knowledge and knowledge gained
in lectures into research. Increase the wealth of knowledge
and become a reference material for the world of education
in determining the educational curriculum.
Practical Benefit
As input for haemodialysis clinics in order to improve
infection prevention and control and provide an overview
of the application of isolation precautions in the dialysis
clinic
References
1. Chenoweth C, Hines S, Hall K, et al. Variation in Infection Prevention
Practices in Dialysis Facilities: ResultsFrom the National Opportunity to
Improve Infection Control in ESRD (End-Stage Renal Disease) Project.
Infection control and hospital epidemiology. 2015; 36: 1-5. doi:
10.1017 / ice.2015.55
2. Lee J, Hwang S, Huang J. Review of the present features and the
infection control challenges of COVID‐19 pandemic in dialysis facilities.
The Kaohsiung Journal of Medical Sciences. 2020; 36 (6): 393-398. doi:
10.1002 / kjm2.12239
3. Moura-Neto JA, Abreu AP de, Delfino VDA, et al. Good Practice
Recommendations from the Brazilian Society of Nephrology to Dialysis
Units Concerning the Pandemic of the New Coronavirus (Covid-19).Braz
J Nephrol. 2020; 42 (2 suppl 1): 15-17. doi: 10.1590 / 2175-8239-jbn-
2020-s105
4. Tabash M, Kashkash R, Eljedi A. COMPLIANCE OF HEALTH-CARE STAFF
TOWARD INFECTION CONTROL PRECAUTIONS IN HEMODIALYSIS UNITS
- GAZA GOVERNORATES. 2018; 6 (1): 7.
5. Vega-Vega O, Arvizu-Hernández M, Domínguez-Cherit JG, Sierra-
Madero J, Correa-Rotter R.Prevención y control de la infección por
coronavirus SARS-CoV-2 (Covid-19) en unidades de hemodiálisis.
Salud Publica Mex. 2020; 62 (3, may-jun): 341. doi: 10.21149 /
113302.
 Strategies for the Application of Isolation Precautions in
Haemodialysis Clinics
During the COVID-19 Pandemic
Sari Murnani (20201030046)
Thesis Supervisor : Dr.dr. Arlina Dewi M.Kes, AAK

Corona Virus Disease 2019

HD patients as well as dialysis
staff are susceptible to health
care-related infections due to
frequent and prolonged
exposure to many possible
contaminants in the dialysis
environment.
(COVID-19) Pandemic
Patients cannot suspend
becomes a challenge for
treatment, and they often
health care facilities.
have co morbidities, which
Dialysis units are assigns them a higher risk
environments potentially and worse prognosis.
prone to the spread of
Covid-19.

considerable variation in In order to reduce the

infection control and occurrence of infection,
prevention practices it is necessary to
across dialysis facilities increase the application
of isolation precautions

Pandemic
What is the strategy for implementing isolation precautions in
haemodialysis clinics during the COVID-19 pandemic?
General
To determine the strategy for
implementing isolation
precautions in hemodialysis
clinics during the COVID-19
pandemic.
RESEARCH OBJEKTIVE
Specific
1. Knowing application of isolation
precautions to haemodialysis
services in clinics during the
COVID-19 pandemic.
2. Knowing what obstacles were
faced in implementing isolation
precautions in haemodialysis
clinics during the COVID 19
Pandemic.
Theoretical Benefit
Add insight and increase the ability
of researchers t is hoped to
implement the knowledge and
knowledge gained in lectures into
research.
Increase the wealth of knowledge
and become a reference material
for the world of education in
determining the educational
curriculum.
RESEARCH BENEFITS
Practical Benefit
As input for haemodialysis clinics in
order to improve infection prevention
and control and provide an overview of
the application of isolation precautions
in the dialysis clinic
PRIOR STUDY
Years and Title Methods Conclusion
Author
Mashuri, Elsye Pengaruh Penerapan Universal Descriptive There was significant effect of implementation of universal
Maria Rosa, Yuni Precaution (Hand Higiene dan APD) Analytic precautions (hand hygiene and PPE) in preventing the incident
Permatasari Istanti, dalam Mencegah Insiden Hepatitis of hepatitis, especially for hand hygiene (hand wash) and the
2013 C pada Pasien Hemodialisa di RSU use of gloves
PKU Muhammadiyah Yogyakarta

Chenoweth C, Hines Variation in Infection Prevention Descriptive Our findings suggest that there are many areas for
S, Hall K, et al, 2015 Practices in Dialysis Facilities: Quantitative improvement in hand hygiene and other infection prevention
Results From the National practices in end-stage renal disease
Opportunity to Improve Infection
Control in ESRD (End-Stage Renal
Disease) Project.

Fatma Maulida Infection Control Risk Assessment Descriptive ICRA instruments for Haemodialysis from CDC can be used in
Abiya , Maria Ulfa, (Icra) Di Instalasi Gawat Darurat Qualitative Indonesian hospitals. Risk of infection in The Hemodialysis Unit
Winny Rumah Sakit Pku Muhammadiyah of PKU Muhammadiyah Gamping Hospital is low / low risk.
Setyonugroho, Gamping
2017
Elsye Maria Rosa1, The Infection Control Risk  Descriptive The strategy to reduce SSI infection in Hospital Yogyakarta was
Ekorini Listiowati1, Assessment and Strategies to Qualitative by cutting the infection transmission , by identifying bacteria
Nurmalita Sari, Reduce HAIs at Hospital in causing SSI, using rational antibiotic, optimizing HAIs
2019 Yogyakarta Indonesia surveillance activities, conducting regular meeting to discuss
SSI-related issues, report, cooperation, evaluation, SSI
socialization and monitoring as well as its prevention, SPO
refreshment, and SSI management
1. Chenoweth C, Hines S, Hall K, et al. Variation in Infection Prevention Practices
in Dialysis Facilities: ResultsFrom the National Opportunity to Improve
Infection Control in ESRD (End-Stage Renal Disease) Project. Infection control
and hospital epidemiology. 2015; 36: 1-5. doi: 10.1017 / ice.2015.55
2. Lee J, Hwang S, Huang J. Review of the present features and the infection
control challenges of COVID‐19 pandemic in dialysis facilities. The Kaohsiung
Journal of Medical Sciences. 2020; 36 (6): 393-398. doi: 10.1002 / kjm2.12239
3. Moura-Neto JA, Abreu AP de, Delfino VDA, et al. Good Practice
Recommendations from the Brazilian Society of Nephrology to Dialysis Units
Concerning the Pandemic of the New Coronavirus (Covid-19).Braz J Nephrol.
2020; 42 (2 suppl 1): 15-17. doi: 10.1590 / 2175-8239-jbn-2020-s105
4. Tabash M, Kashkash R, Eljedi A. COMPLIANCE OF HEALTH-CARE STAFF
TOWARD INFECTION CONTROL PRECAUTIONS IN HEMODIALYSIS UNITS -
GAZA GOVERNORATES. 2018; 6 (1): 7.
5. Vega-Vega O, Arvizu-Hernández M, Domínguez-Cherit JG, Sierra-Madero
J, Correa-Rotter R.Prevención y control de la infección por coronavirus
SARS-CoV-2 (Covid-19) en unidades de hemodiálisis. Salud Publica Mex.
2020; 62 (3, may-jun): 341. doi: 10.21149 / 113302.