| Theme | Environmental Arrangements of Hemodialysis Room -- including In-hospital Infection | |
|---|---|---|
| Title | Conditions for infection control in dialysis facilities with staff movement | |
| Publish Date | 2004/07 | |
| Author | Takashi Shibamoto | Department of Blood Purification, Tokyo Medical and Dental University Hospital |
| Author | Kaoru Abe | The Foundation of Seishoukai, Kikukawabashi Clinic |
| [ Summary ] | An evaluation of optimal conditions for hemodialysis facilities was carried out. Facility layout, movement of dialysis unit staff members, distance between treatment beds, as well as the movement of patients from different parts of the hospital/clinic to the dialysis unit were analyzed at the Department of Blood Purification, Tokyo Medical and Dental University Hospital and at private dialysis clinics. The movement of staff members was analyzed by observing their passage in and out of the utility sterilization room and the isolation room. Traffic to and from the utility sterilization room was frequent during the initiation of treatment and during the observation of treatment. Traffic to and from the isolation room was observed for twenty seven minutes at the beginning and end of each treatment. During the observation period, there were five visits to the isolation room that lasted seven minutes each. A minimum distance of 80 cm is required for standard dialysis beds and 120 cm for infection beds, considering the potential for blood spillage. A screen between the standard dialysis beds secured the privacy of patients visually, however, conversation and various sounds could be overheard. It was not considered possible to immediately comply with the results of this report on design and facilities. However, considering the fact that outpatient dialysis for infectious patients is being performed, infection protection facility design in critically important. Standards for dialysis facility design, with provisions for the prevention of nosocomial infection, medico-economic considerations must be considered. |
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