Monday, November 25, 2024

HD and HCV

Q: Patients with Hepatitis C virus (HCV) and on hemodialysis (HD) should have dedicated and isolated HD machines.

A) True
B) False


Answer: B

The universal standard hygienic precautions for diаlуѕiѕ machines are good for all patients, including HCV. The risk of virus transmission via the internal pathways of the ԁiаlyѕiѕ machine is extremely low.

This change in practice is based on evidence from 4.5 years of a multi-center European study (reference #2), which showed no single transmission case with only universal precautions. Moreover, after adjusting for confounding factors, neither the well-known Diаlysis Outcomes and Practice Patterns Study (DOPPS) - reference #1 - nor a study from Italy (reference #3) that included 3492 patients showed a decrease in HСV seroconversion with application of isolation measures.


#procedures
#nephrology


References:

1. Fissell RB, Bragg-Gresham JL, Woods JD, et al. Patterns of hepatitis C prevalence and seroconversion in hemodialysis units from three continents: the DOPPS. Kidney Int 2004; 65:2335.

2. Jadoul M, Cornu C, van Ypersele de Strihou C. Universal precautions prevent hepatitis C virus transmission: a 54 month follow-up of the Belgian Multicenter Study. The Universitaires Cliniques St-Luc (UCL) Collaborative Group. Kidney Int 1998; 53:1022.

3. Petrosillo N, Gilli P, Serraino D, et al. Prevalence of infected patients and understaffing have a role in hepatitis C virus transmission in dialysis. Am J Kidney Dis 2001; 37:1004.

No comments:

Post a Comment