Current & Emerging Threats (CET) 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

Recommendations 3 links

• NEW Recommendations for 2024-25
• 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 8 links

• Effectiveness of Bivalent mRNA COVID-19 Vaccines in Preventing COVID-19–Related Thromboembolic Events
• SARS-CoV-2 Vaccination and Severe COVID-19 Infection and Reinfection Outcomes among Patients with ESKD
• Low circulation of antibodies correlates with risk for COVID-19 among patients on dialysis
• Navigating the Evolving Landscape ofCOVID-19: Strategies to IncreaseVaccine Confidence and ImproveVaccination Rates in the United States
• 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”

COVID-19 Therapy/Medications 2 links

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

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

Recommendations 3 links

• NEW Recommendations for 2024-25
• 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 8 links

• Effectiveness of Bivalent mRNA COVID-19 Vaccines in Preventing COVID-19–Related Thromboembolic Events
• SARS-CoV-2 Vaccination and Severe COVID-19 Infection and Reinfection Outcomes among Patients with ESKD
• Low circulation of antibodies correlates with risk for COVID-19 among patients on dialysis
• Navigating the Evolving Landscape ofCOVID-19: Strategies to IncreaseVaccine Confidence and ImproveVaccination Rates in the United States
• 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”

COVID-19 Therapy/Medications 2 links

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