Hemodialysis vascular access care during the COVID-19 pandemic

Chih Yu Yang, Yi Fang Wang, Yang Ho, Cheng Hsueh Wu, Chiu Yang Lee, Der Cherng Tarng*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

6 Scopus citations


Dialysis patients are more vulnerable and susceptible to the severe coronavirus disease 2019 (COVID-19) infection due to multiple comorbidities. Since Taiwan has the highest incidence and prevalence of treated end-stage kidney disease worldwide, it is crucial to act in advance to prevent a potential disaster. In the face of the COVID-19 pandemic, we implement proactive infection control measures to prevent it from spreading without sacrificing the dialysis care quality. In this article, we focused on hemodialysis vascular access (HVA) care in particular. As a life-line of hemodialysis (HD) patients, HVA care has a profound impact on the patient's quality of dialysis and life. Specifically, in our facility, the working and office areas of the HD units are separated to reduce cross-infection. All elective procedures for HVA are postponed, and operating rooms equipped with a negative-pressure anteroom are used for the suspected or confirmed COVID-19 patients. Herein, we share how we modified our HVA care policy not only to prevent our patients from COVID-19 infection but also to maintain the quality of HVA care.

Original languageEnglish
Pages (from-to)634-638
Number of pages5
JournalJournal of the Chinese Medical Association
Issue number7
StatePublished - Jul 2020


  • COVID-19
  • Hemodialysis vascular access
  • Infection control
  • Severe acute respiratory syndrome coronavirus 2


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