C-ET Resources

Vascular Access Infections 6 links

• Prevention of Bloodstream Infections in Patients Undergoing Hemodialysis
• CDC Approach to BSI Prevention in Dialysis Facilities (i.e., the Core Interventions)
• Catheter-related blood stream infections in hemodialysis patients: a prospective cohort study
• Dialysis BSI Prevention Collaborative
• NHSN Tracking Infections in Outpatient Dialysis Facilities
• CDC Dialysis Safety: Core Interventions

Blood Culture Collection 1 link

• Standardization of Blood Culture Collection for Patients Receiving In-Center Hemodialysis

CDC 8 links

• Core Infection Prevention and Control Practices for Safe Healthcare Delivery in All Settings
• Dialysis Safety: Core Interventions
• Dialysis Safety Index
• Dialysis: Reducing Infections and Changing Culture (podcast)
• Discussion of Respiratory Protection Recommendations for Measles, Varicella, and Disseminated Zoster
• Infection Control in Healthcare Personnel
• Making Dialysis Safer for Patients: Tools to Prevent Infections in Hemodialysis (video)
• Transmission-Based Precautions

CMS 2 links

• ESRD Quality Incentive Program
• Interpretive Guidance of the ESRD Conditions for Coverage for Dialysis Facilities (304 pages)

Environmental Cleaning and Disinfection 3 links

• Environmental Surface Disinfection in Dialysis Facilities: Notes for Clinical Managers
• Checklist: Dialysis Station Routine Disinfection
• Core Strategies of Environmental Cleaning and Disinfection in Hospitals

National Healthcare Safety Network (NHSN) 1 link

• NHSN Tracking Infections in Outpatient Dialysis Facilities

Publications 6 links

• Essential Components of an Infection Prevention Program for Outpatient Hemodialysis Centers
• 100% Use of Infection Control Procedures in Hemodialysis Facilities: Call to Action
• Evolving Role of the Medical Director of a Dialysis Facility
• Infection control guidelines in hemodialysis facilities
• Leading the Dialysis Unit: Role of the Medical Director
• Maintaining Safety in the Dialysis Facility

Safe Injection Practices 4 links

• CDC Injection Safety
• Hemodialysis Injectable Medication Preparation Audit Tool
• Medication Safety Principles and Practice in CKD
• Safe Injection Practices – How to Do It Right (video)

Water Safety in Dialysis 3 links

• Preparation and quality management of fluids for haemodialysis and related therapies — Part 5: Quality of dialysis fluid for haemodialysis and related therapies
• Water Use in Hemodialysis
• What Medical Directors Need to Know about Dialysis Facility Water Management

Clostridioides difficile (C-diff or CDI) 2 links

• Suggestions for the prevention of Clostridioides difficile spread within outpatient hemodialysis facilities
• Clostridioides difficile Infection Among Patients Requiring Maintenance Hemodialysis

Ebola 7 links

• Ebola Gap Analysis
• Ebola: Responding to a Growing Crisis (webinar)
• ASPR TRACIE: Healthcare System Readiness for Highly Pathogenic Infectious Diseases
• National Emerging Special Pathogens Training and Education
• World Health Organization (WHO): Ebola Virus Disease
• ASPR TRACIE: Highly Pathogenic Infectious Disease Exercise Planning for Front Line Facilities
• U.S. Department of Health & Human Services Topic Collection: VHF/Ebola

Hepatitis A 3 links

• Widespread person-to-person outbreaks of hepatitis A across the United States
• HAV Vaccination Guidance During the COVID-19 Pandemic
• Hepatitis A Information from the CDC

Hepatitis B 2 links

• ACIP Recommendations
• VIS – Hepatitis B Vaccine

Hepatitis C 4 links

• KDIGO Guidelines “Hepatitis C in CKD” (2018)
• KDIGO 2018 Clinical Practice Guideline for the Prevention, Diagnosis, Evaluation, and Treatment of Hepatitis C in Chronic Kidney Disease
• CDC/NTDS Hepatitis C Testing and Monitoring Algorithm
• AJKDBlog: Caring for Patients with Hepatitis C and CKD in the Modern Era: The 2018 KDIGO Guideline

Centers for Disease Control and Prevention (CDC) Resources 5 links

• CDC Monkeypox Guidance
• Clinical Considerations for Monkeypox in People Who are Pregnant or Breastfeeding
• Clinical Considerations for Monkeypox in Children and Adolescents
• Letter from Director of the CDC (07.27.22)
• Monkeypox 101: What Clinicians Need to Know (07.22.22)

Frequently Asked Questions About Monkeypox for the Dialysis Setting 1 link

• FAQ Document

ASN COVID-19 Recommendations 2 links

• Recommendations on the Care of Hospitalized Patients with COVID-19 and Kidney Failure Requiring Renal Replacement Therapy.
• Information for Screening and Management of COVID-19 in the Outpatient Dialysis Facility.

ASN COVID-19 Webinars 18 links

• ASN COVID-19 Roundtable: Outpatient Therapeutics Webinar (Recorded Februray 11, 2022)
• ASN/AST COVID-19 Kidney Transplant Roundtable Webinar: Life after Vaccination (Recorded July 29, 2021)
• Use of Monoclonal Antibodies for the Treatment of Mild to Moderate SARS-CoV-2 in Patients Receiving Hemodialysis: A Kidney Community Conversation (Recorded March 11, 2021)
• Safety and Efficacy of COVID-19 Vaccines in the Dialysis Population (Recorded January 7, 2021)
• Roundtable: Telehealth for Kidney Care, Beyond COVID-19 (Recorded June 23, 2020)
• AKI Roundtable: The Kidney/Lung Connection and Fluid Management in COVID-19 (Recorded June 16, 2020)
• ASN and the Indian Society of Nephrology Present: COVID-19 and the Kidney (Recorded June 3, 2020)
• The Provision of Dialysis for Patients Post-COVID Diagnosis (Recorded May 21, 2020)
• Surviving COVID-19: Mental Health Support for Kidney Disease Professionals (Recorded May 14, 2020) Produced in partnership with ANNA and NANT
• Dialysis after Discharge: Transitions of Care for COVID-19 Positive Patients (Recorded May 7, 2020)
• Overcoming Challenges to the Provision of Acute Dialysis for COVID-19 Positive Patients (Recorded April 30, 2020)
• Challenges in Kidney Transplant in the COVID-19 Pandemic: Implications for Patients & Providers (Recorded April 23, 2020)
• COVID-19 Associated AKI Recognition and Management (Recorded April 21, 2020)
• COVID-19 International Roundtable: Recommendations and Lessons Learned (Recorded April 16, 2020)
• COVID-19: Considerations in the Home Dialysis Setting (Recorded April 9, 2020)
• Hospital Care and Treatment Options for COVID-19 Positive Patients with ESKD and AKI (Recorded April 2, 2020)
• CDC Recommendations and Policy Updates for Current Challenges in the Dialysis Setting (Recorded March 26, 2020)
• COVID-19 Informational Webinar for Providers of Dialysis Services (Recorded March 11, 2020)

ASN COVID-19 Podcasts 17 links

• Treating COVID-19 with Monoclonal Antibodies
• Reflections on a Year of COVID-19
• What Will the Rest of 2020 Look Like?
• Multisystem Inflammatory Syndrome in Children with COVID-19
• What Will the Rest of 2020 Look Like?
• Multisystem Inflammatory Syndrome in Children with COVID-19
• Acute Kidney Injury and COVID-19
• COVID-19 Update: How is New York Coping?
• COVID-19 and Health Care in the US
• International Medical Graduates and the COVID-19 Crisis
• Emergency Funding for Kidney Research
• Responding to the Emergency
• The Situation in Boston
• Standing Up for Patients During the Crisis
• New York In a follow-up to their first conversation, Tod Ibrahim talks to Dr. Barbara Murphy about how the COVID-19 situation is changing in New York. (21 min. April 17, 2020)
• Washington State Dr. Suzanne Watnick, chief medical officer of Northwest Kidney Centers in Washington State, describes the steps her organization took to protect kidney patients and healthcare workers once the virus hit her state. (20 min. April 16, 2020)
• Telehealth ASN Executive Vice President Tod Ibrahim interviews David White, ASN’s Regulatory and Quality Officer, about policy updates in the field of telehealth during the COVID-19 pandemic. (20 min. April 4, 2020)

ASN in the COVID-19 News 11 links

• Nephrology New and Issues – COVID-19 plans are admirable, but be prepared to change course (May 18, 2020)
• NY Times – A Life and Death Battle: 4 Days of Kidney Failure but No Dialysis (May 1, 2020)
• ABC News – As doctors see coronavirus-kidney link, worry grows over dialysis machines (April 22, 2020)
• PBS News Hour – Why doctors are worried about severe kidney damage in some COVID-19 patients (April 21, 2020)
• NY Times – An Overlooked, Possibly Fatal Coronavirus Crisis: A Dire Need for Kidney Dialysis (April 20, 2020)
• TheCity NYC – A Scramble for Dialysis Supplies in NYC as COVID-19 Attacks Kidneys (April 17, 2020)
• JAMA – Finding Ways to Reduce Coronavirus Exposure During Dialysis (April 16, 2020)
• Washington Post – Coronavirus destroys lungs. But doctors are finding its damage in kidneys, hearts and elsewhere (April 15, 2020)
• Politico – U.S. races to stock up on dialysis supplies as kidney failure ravages virus patients (April 15, 2020)
• Rheumatology Network – Specialty Physicians Weigh in on the State of Practice After COVID-19 (April 14, 2020)
• Washington Post – Dialysis patients are at high risk during covid-19 outbreak (March 24, 2020)

Other ASN COVID-19 Created Resources 5 links

• Table of Mental Health Resources compiled by the ASN Response Team for healthcare professionals.
• ASN COVID-19 Awareness Poster
• ASN COVID-19 Thank You Poster 8.5″x11″
• ASN COVID-19 Thank You Poster 24″x36″
• Letter of Gratitude from ASN’s President

General Information 3 links

• COVID-19: What You Should Know, Situation Updates, and Latest News and Communications
• How COVID-19 Spreads
• Preparing Your Dialysis Facility for Coronavirus Disease 2019 (COVID-19)

Information for Healthcare Personnel 3 links

• Information for Healthcare Professionals
• Certifying Deaths Due to Coronavirus Disease (COVID-19) Video
• Clinical Care Guidance for Healthcare Professionals about Coronavirus

Patient Safety 1 link

• Interim Infection Prevention and Control Recommendations for Healthcare Personnel During the Coronavirus Disease 2019 (COVID-19) Pandemic).

Personal Protective Equipment 2 links

• CDC calls on Americans to wear masks to prevent COVID-19 spread
• Optimizing Personal Protective Equipment (PPE) Supplies

Recommendations 1 link

• Duration of Isolation and Precautions for Adults with COVID-19

Telehealth 2 links

• Federation of State Medical Boards on telehealth waivers by state
• ESRD Provider Telehealth and Telemedicine Tool Kit

Waivers 1 link

• CMS Coronavirus Waivers & Flexibilities

General 4 links

• CMS: Key Components for Continued COVID-19 Management for Dialysis Facilities
• Re-Opening America: What Patients Should Know About Seeking Healthcare.
• Spanish Version: La Reapertura de Estados Unidos: Lo que los Pacientes Deben Saber Acerca de la Atención Médica
• Guidance for Infection Control and Prevention of Coronavirus Disease 2019 (COVID-19) in dialysis facilities.

Recommendations 3 links

• Sample COVID-19 Vaccination Policy Statement
• ACIP Recommendations
• COVID-19 Vaccines for people who are moderately or severely immunocompromised

ASN Resources 4 links

• ASN COVID-19 Toolkit for Nephrology Clinicians: Preparing for the Surge
• ASN CDC Vaccine Poster – English
• ASN CDC Vaccine Poster – Spanish
• ASN CDC Vaccine Poster – Arabic

Articles 5 links

• Kidney360: Oral Agents and SARS-CoV-2 Vaccine Effectiveness against Severe COVID-19 Omicron Events in Patients Requiring Maintenance Dialysis
• American Journal of Kidney Diseases: SARS-CoV-2 Vaccine Effectiveness and Breakthrough Infections Among Patients Receiving Maintenance Dialysis
• Journal of the American Society of Nephrology: “SARS-CoV-2 Vaccine Acceptability in Patients on Hemodialysis: A Nationwide Survey”
• Journal of the American Society of Nephrology: “Collaboration between Dialysis Providers and the American Society of Nephrology: Dialysis in the COVID Pandemic”
• Low circulation of antibodies correlates with risk for COVID-19 among patients on dialysis

COVID-19 Therapy/Medications 2 links

• Find COVID-19 Medications
• COVID-19 Drug Interactions Checker

ASPR: Therapeutics Locator 2 links

• Therapeutics Page
• Therapeutics Locator

CDC: COVID-19 Vaccine and Theraputic Resources 3 links

• Noravax Recommendation Statement
• Myths and Facts about COVID-19 Vaccines
• CDC COVID-19 Information

FDA: Paxlovid 2 links

• Paxlovid Fact Sheet
• Patient Screening

Vaccine Mandate Information 1 link

• Joint Statement in Support of COVID-19 Vaccine Mandates

Vaccine Resources 7 links

• The Immunization Action Coalition has many resources, not only for COVID-19 immunization, but for other immunizations as well.
• CJASN: COVID-19 Vaccination Imperatives in People on Maintenance Dialysis
• NEJM: Three Doses of an mRNA Covid-19 Vaccine in Solid-Organ Transplant Recipients
• Safety and Immunogenicity of a Third Dose of SARS-CoV-2 Vaccine in Solid Organ Transplant Recipients: A Case Series
• JAMA: Antibody Response to 2-Dose SARS-CoV-2 mRNA Vaccine Series in Solid Organ Transplant Recipients
• Kidney360: Vaccine and the Need to be Heard: Considerations for COVID-19 immunization in ESRD
• MedPage Today: COVID Vax in the Immunosuppressed: Reason for Concern— Discomfiting results in new study

Webinars on Vaccine and Therapeutics 4 links

• ASN COVID-19 Roundtable: Outpatient Therapeutics Webinar (Recorded Februray 11, 2022)
• ASN/AST COVID-19 Kidney Transplant Roundtable: Life After Vaccination (Recorded July 29, 2021)
• COVID-19 Therapeutics and the Kidney Transplant Community (Recorded August 26, 2022)
• Use of Monoclonal Antibodies for the Treatment of Mild to Moderate SARS-CoV-2 in Patients Receiving Hemodialysis: A Kidney Community Conversation (Recorded March 11, 2021)

State and Local Contacts 2 links

• National Association of City and County Health Officials (NACCHO) – has an official directory map with links and COVID clarification with a downloadable PDF that is structured by state.
• Association of State and Territorial Health Officials (ASTHO) – includes a link to all of the State Health Commissioners/Secretary/Directors.

Occupational Safety and Health Administration (OSHA) Guidance 4 links

• Protecting Workers: (Guidance on Mitigating and Preventing the Spread of COVID-19 in the Workplace)
• PPE: Respiratory Protection: (OSHA Standard 1910.134 )
• Fit Testing Procedures: (OSHA Standard 1910.134 Appendix A)
• OSHA Respiratory Protection Training Videos

Professional Organizations 6 links

• Infection Prevention and Control Post-COVID-19 PHE (AMA)
• The Dialysis Patient Citizens (DPC) Education Center has published Kidney Patients and Coronavirus: What Have We Learned? by Alan S. Kliger, MD.
• The Infectious Diseases Society of America (IDSA) has published Guidelines on Infection Prevention in Patients with Suspected or Known COVID-19 (The IDSA guideline panel has agreed upon eight recommendations and provided narrative summaries of other interventions undergoing evaluations.)
• Evidence-Informed Cloth Masks Recommendations (Developed by a team of academics, physicians, trainees, people who sew, and other volunteers working on identifying published, peer-reviewed literature to inform the choice of materials and designs for cloth masks)
• The National Kidney Foundation has posted the NKF Clinical Digest – COVID 19 which is an ongoing compilation of the latest clinical information regarding COVID-19. The goal is to streamline the search for the current data regarding the implications of COVID-19 for clinicians caring for people with kidney diseases during the pandemic.
• The Association for Professionals in Infection Control and Epidemiology (APIC) has developed a COVID-19 Fact Sheet (APIC) in response to recent events.

Government Entities 5 links

• The National Institutes of Health (NIH) have published Coronavirus Disease 2019 (COVID-19) Treatment Guidelines. These Treatment Guidelines have been developed to inform clinicians how to care for patients with COVID-19.
• The World Health Organization (WHO) is maintaining a page which posts situation reports, travel advice, and technical guidance, among other information.
• ASPR’s regional contact information
• Information for transplant programs and OPOs regarding 2019 Novel Coronavirus
• HHS Long COVID Report (Nov 2022)

Outpatient Dialysis 2 links

• JASN : Practical indications for the prevention and management of SARS-CoV-2 in ambulatory dialysis patients: lessons from the first phase of the epidemics in Lombardy.
• J Nephrol : Kinetics of Anti–SARS-CoV-2 IgG Antibodies in Hemodialysis Patients Six Months after Infection.

Inpatient Dialysis/AKI 2 links

• Kidney International : The novel coronavirus 2019 epidemic and kidneys.
• Should COVID-19 Concern Nephrologists? Why and to What Extent? The Emerging Impasse of Angiotensin Blockade (Published online: March 23, 2020).

Home Dialysis 3 links

• Kidney360 : Early Use of Telehealth in Home Dialysis During the COVID-19 Pandemic in New York City
• Kidney360 : Peritoneal Dialysis for Acute Kidney Injury Treatment in the United States: Brought to you by the COVID-19 Pandemic
• American Journal of Kidney Diseases : Telehealth for Home Dialysis in COVID-19 and Beyond: A Perspective From the American Society of Nephrology COVID-19 Home Dialysis Subcommittee

Transplant 9 links

• Kidney360: Collateral Effects and Mortality of Kidney Transplant Recipients during the COVID-19 Pandemic.
• Current Transplantation Reports: Use of Organs from SARS-CoV-2 Infected Donors: Is It Safe? A Contemporary Review
• Kidney International Reports: Survey of U.S. Living Kidney Donation and Transplant Practices in the COVID-19 Era.
• Clinical Journal of the American Society of Nephrology: Early Outcomes of Outpatient Management of Kidney Transplant Recipients with Coronavirus Disease 2019.
• American Journal of Transplantation: COVID-19 in solid organ transplant recipients: Initial report from the US epicenter.
• American Journal of Transplantation: COVID-19 and Kidney Transplantation: Results from the TANGO International Transplant Consortium Source: American Journal of Transplantation- Accepted Article.
• American Journal of Transplantation: Clinical Characteristics and Outcomes of COVID-19 in Solid Organ Transplant Recipients: A Case- Control Study- Accepted Article.
• Journal of the American Society of Nephrology: Early Description of Coronavirus 2019 Disease in Kidney Transplant Recipients in New York.
• The New England Journal of Medicine: Covid-19 and Kidney Transplantation.

General 4 links

• Experiences of Work-Family Conflict and Mental Health Symptoms by Gender Among Physician Parents During the COVID-19 Pandemic
• USRDS- COVID-19 Annual Report Suppliment
• Medscape- Further Warning on SGLT2 Inhibitor Use and DKA Risk in COVID-19 (This article lives behind a registration wall, but you can sign-up for free).
• The New England Journal of Medicine has posted a collection of freely avaialable articles and other resources on the Coronavirus outbreak (NEJM), including clinical reports, management guidelines, and commentary.