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