Nurses, medical providers, technicians and others who work in dialysis facilities face a difficult task of managing the complex conditions affecting their patients while simultaneously focusing on reducing the risk of infection for these at-risk individuals. The resources on this page include guidance documents and web links to resources on the prevention of infection in the dialysis setting.
CDC Guidelines and Recommendations
The guidelines and recommendations included in this section reflect existing evidence-based guidelines produced by the Centers for Disease Control and Prevention and the Healthcare Infection Control Practices Advisory Committee.
2016 Update to the 2001 CDC Hemodialysis Recommendations
The 2016 update reviews the current recommendations on infection prevention and control for dialysis. Table 1 provides links to current recommendations for specific topics from the 2001 document. Table 2 identifies topics not included in the 2001 document and provides the most recent CDC recommendations on the topic.
Centers for Disease Control and Prevention 2016 Update to the 2001 Recommendations for Preventing Transmission of Infections in Chronic Hemodialysis Patients
This document, Centers for Disease Control and Prevention 2016 Update to the 2001 Recommendations for Preventing Transmission of Infections among Chronic Hemodialysis Patients updates selected information and recommendations in the 2001 Guideline, Recommendations for Preventing Transmission of Infections among Chronic Hemodialysis Patients. This 2016 update provides new references/links for information, updated recommendations (Table 1), and pertinent CDC recommendations that were not addressed in the 2001 Guideline (Table 2).
Some information and recommendations in the 2001 Guideline have been superseded by information that has led to more recent CDC recommendations. These topics include, but are not limited to:
Testing for hepatitis C virus (HCV) infection
Testing for human immunodeficiency virus (HIV) infection
Topic: Standard precautions to prevent transmission of infectious agents
Sections:
– Infection Control Precautions for Outpatient Hemodialysis Settings Compared with Inpatient Hospital Settings (p. 17)
– Infection Control Precautions for all Patients (p. 19)
– Cleaning and Disinfection (p. 22)
Topic: Standard precautions to prevent transmission of infectious agents in all healthcare settings
CDC recommendations and information issued after 2001 address some topics not included in the 2001 Guideline. These topics include, but are not limited to:
Readers are urged to consult the full guidelines for background, rationale, and evidence behind each recommendation. All guidelines are available at: Guidelines and Recommendations
The Centers for Medicare & Medicaid Services (CMS) Survey and Certification Program certifies ESRD facilities for inclusion in the Medicare Program by validating that the care and services of each facility meet specified safety and quality standards, called “Conditions for Coverage.” The CMS Dialysis page provides basic information related to survey and certification of dialysis facilities for ESRD surveyors and dialysis providers. It includes links to applicable laws and regulations and provides resources to support and assess compliance with Federal regulations.
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