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Subject Area

Internal Medicine

Article Type

Original Study

Abstract

Background Hemodialysis (HD) is one of renal replacement therapies for patients who need dialysis acutely and for many patients as maintenance therapy. Objectives To assess safety measures in HD units in Sharkia Governorate. Patients and methods This was a cross-sectional study done over 3 years on 22 HD units in Sharkia Governorate. A questionnaire was designed for the assessment of infection control measures in HD units. Results Regarding hand washing facilities, all units mostly fulfilled the majority of criteria. On assessing personal protection, all units mostly fulfilled the majority of criteria, with no significant difference between central and peripheral units. Regarding dealing with furniture and sheets, there was no significant difference between central and peripheral units, and mostly all units fulfilled the criteria. Regarding environmental cleansing, machine cleansing and bed cleansing were adequate in most of the units. Separation between storage areas and treatment areas was associated more with peripheral units, but not significantly. All units were perfect in dealing with blood stains. On assessing vaccination of the staff to hepatitis B virus, there was no significant difference between central and peripheral units. One central and two peripheral units reported isolation of hepatitis B virus-infected patients. Conclusion All studied units showed satisfactory percentage regarding methods for preventing pollution. They were very good regarding environmental cleansing and were ideal in dealing with furniture and sheets.

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