Guideline 3: Preventing HCV transmission in hemodialysis units

3.1 Hemodialysis units should ensure implementation of, and adherence to, strict infection-control procedures designed to prevent transmission of blood-borne pathogens, including HCV. (Strong) K Isolation of HCV-infected patients is not recommended as an alternative to strict infection-control procedures for preventing transmission of blood-borne pathogens. (Weak) K The use of dedicated dialysis machines for HCVinfected patients is not recommended. (Moderate) K Where dialyzer reuse is unavoidable, it is suggested that the dialyzers of HCV-infected patients can be reused provided there is implementation of, and adherence to, strict infection-control procedures. (Weak) 3.2 Infection-control procedures should include hygienic precautions (Tables 18 and 19) that effectively prevent the transfer of blood—or fluids contaminated with blood—between patients, either directly or via contaminated equipment or surfaces. (Strong) K It is suggested to integrate regular observational audits of infection-control procedures in performance reviews of hemodialysis units. (Weak)