{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T20:07:54Z","timestamp":1770754074069,"version":"3.50.0"},"reference-count":10,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2019,4,29]],"date-time":"2019-04-29T00:00:00Z","timestamp":1556496000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100010989","name":"Australian and New Zealand Society of Nephrology","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100010989","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000975","name":"Kidney Health Australia","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000975","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nephrology"],"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>There is no national consensus on infection control in haemodialysis units in Australia and New Zealand. The primary aim of this guideline was to provide recommendations on screening for blood\u2010borne viruses and multi\u2010resistant organisms for dialysis units based on the available evidence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The Kidney Health Australia Caring for Australasians with Renal Impairment guidelines, overall approach to guideline development follows the GRADE framework. A facilitated workshop was conducted to ensure that patient and caregiver concerns were considered. The evidence from relevant medical databases on the impact of screening on detection and transmission rates, hospitalization, mortality and psychosocial care, was reviewed and critically appraised. The guideline group made recommendations from the evidence available.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The main guideline recommendations are:<jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>\n<jats:bold>Dialysis units adopt a comprehensive approach that encompasses standard infection control precautions.<\/jats:bold><\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>\n<jats:bold>Conduct routine surveillance for key blood\u2010borne viruses and methicillin\u2010resistant <jats:styled-content style=\"fixed-case\"><jats:italic>Staphylococcus aureus<\/jats:italic><\/jats:styled-content>.<\/jats:bold><\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>\n<jats:bold>Conduct routine surveillance of individual levels of protection against hepatitis B for patients on haemodialysis. Use dedicated dialysis machines for HBV\u2010infected patients.<\/jats:bold><\/jats:p><\/jats:list-item>\n<\/jats:list><\/jats:p><jats:p>The evidence in totality was not found to support routine surveillance of vancomycin\u2010resistant <jats:italic>Enterococci<\/jats:italic> . Enhanced surveillance in light of the local risk of transmittable infectious agents should be considered by dialysis units. Very few studies have reported on the potential adverse effects of screening and associated practices.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Future research should focus on the potential benefits and adverse effects of screening and associated practices on clinical outcomes including infections prevented and health service delivery, and psychosocial domains for patients. Given the results of trials in the critical setting, the effectiveness of methicillin\u2010resistant <jats:styled-content style=\"fixed-case\"><jats:italic>Staphylococcus aureus<\/jats:italic><\/jats:styled-content> decolonization in people receiving dialysis therapy warrants further research.<\/jats:p><\/jats:sec>","DOI":"10.1111\/nep.13511","type":"journal-article","created":{"date-parts":[[2018,10,17]],"date-time":"2018-10-17T05:39:16Z","timestamp":1539754756000},"page":"951-957","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Kidney Health Australia \u2010 Caring for Australasians with Renal Impairment guideline recommendations for infection control for haemodialysis units"],"prefix":"10.1111","volume":"24","author":[{"given":"Meg","family":"Jardine","sequence":"first","affiliation":[{"name":"Renal and Metabolic Division The George Institute for Global Health, University of NSW  Sydney New South Wales Australia"},{"name":"Nephrology Unit Concord Repatriation General Hospital  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert J","family":"Commons","sequence":"additional","affiliation":[{"name":"Menzies School of Health Research and Charles Darwin University  Casuarina Northern Territory Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janak R","family":"de Zoysa","sequence":"additional","affiliation":[{"name":"Renal Services North Shore Hospital  Auckland New Zealand"},{"name":"Faculty of Medicine and Health Sciences, The University of Auckland  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muh G","family":"Wong","sequence":"additional","affiliation":[{"name":"Renal and Metabolic Division The George Institute for Global Health, University of NSW  Sydney New South Wales Australia"},{"name":"Department of Renal Medicine Royal North Shore Hospital  Sydney New South Wales Australia"},{"name":"Sydney Adventist Hospital  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicole","family":"Gilroy","sequence":"additional","affiliation":[{"name":"Sydney Adventist Hospital  Sydney New South Wales Australia"},{"name":"Department of Infectious Diseases Westmead Hospital  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julianne","family":"Green","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases Westmead Hospital  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Belinda","family":"Henderson","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases Princess Alexandra Hospital  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rhonda L","family":"Stuart","sequence":"additional","affiliation":[{"name":"Monash Infectious Diseases Monash Health  Melbourne Victoria Australia"},{"name":"Department of Medicine Monash University  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3270-3475","authenticated-orcid":false,"given":"David J","family":"Tunnicliffe","sequence":"additional","affiliation":[{"name":"Sydney School of Public Health The University of Sydney  Sydney New South Wales Australia"},{"name":"Centre for Kidney Research The Children's Hospital at Westmead  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carolyn","family":"van Eps","sequence":"additional","affiliation":[{"name":"Department of Nephrology Princess Alexandra Hospital  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eugene","family":"Athan","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases Barwon Health, Deakin University  Geelong Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,4,29]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13059-017-1252-9"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1000373"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1007474"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1207290"},{"key":"e_1_2_7_6_1","first-page":"1571","article-title":"Universal glove and gown use and acquisition of antibiotic\u2010resistant bacteria in the ICU: A randomized trial","volume":"310","author":"Harris AD","year":"2013","journal-title":"JAMA"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1113849"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhin.2013.09.005"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-0691.2006.01622.x"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/1748-5908-7-60"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/hdi.12457"}],"container-title":["Nephrology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fnep.13511","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/nep.13511","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/nep.13511","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/nep.13511","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,9]],"date-time":"2023-09-09T18:43:42Z","timestamp":1694285022000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/nep.13511"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,4,29]]},"references-count":10,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2019,9]]}},"alternative-id":["10.1111\/nep.13511"],"URL":"https:\/\/doi.org\/10.1111\/nep.13511","archive":["Portico"],"relation":{},"ISSN":["1320-5358","1440-1797"],"issn-type":[{"value":"1320-5358","type":"print"},{"value":"1440-1797","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,4,29]]},"assertion":[{"value":"2018-10-04","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-04-29","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}