The Role of Dialysis Nursing in Reducing Mpox Virus Transmission Risk in Hemodialysis Care

Main Article Content

Aomaree Puttawandee
Jatuporn Noosawat
Karuna Limjaroen
Piyawadee Sumalai
Varaporn Thienthong
Supaporn Youdaeng
Chutimon Nguanjinda

Abstract

           Monkeypox has spread almost all over the world. The trend of the number of cases and deaths continues to increase. Immunodeficiency patients are considered to be at high risk of developing more severe disease, which can lead to complications such as sepsis, septic shock, and Acute Kidney Injury (AKI). Approximately 2% of monkeypox (Mpox) patients develop AKI1, with 0.38% requiring hemodialysis treatment to support kidney function and reduce disease severity.
            This academic article presents guidelines for nurses to control the transmission in providing hemodialysis services for monkeypox patients. Because hemodialysis nurses play an important role in preventing the transmission, they are also those close to caring for patients. It is most likely to be infected by patients. Divide nursing care into 3 phases: 1) the pre-dialysis period, 2) the dialysis period, and 3) the post-dialysis period. Emphasis on preventing 3 aspects; 1. the infection personnel, 2. patients, 3. places and equipment. All of this is to show the role of hemodialysis nurses in effectively preventing the transmission.

Article Details

How to Cite
Puttawandee, A., Noosawat, J., Limjaroen, K., Sumalai, . P., Thienthong, V., Youdaeng, S., & Nguanjinda, C. (2025). The Role of Dialysis Nursing in Reducing Mpox Virus Transmission Risk in Hemodialysis Care. Journal of Bamrasnaradura Infectious Diseases Institute, 19(1), 53–63. https://doi.org/10.14456/jbidi.2025.6
Section
Academic Article

References

World Health Organization. Mpox. [Internet]. 2024 [cited 2024 Nov 12]. Available from: https://www.who.int/thailand/th/emergencies/monkeypox

Thaihealth.or.th. [Internet]. Nonthaburi: ThaiHealth Promotion Foundation; 2021 [updated 2024 Aug 16; cited 2024 Nov 17]. Available from: https://www.thaihealth.or.th/?p=369432. (in Thai)

Phanbutr P. Nursing care for monkeypox in the sexually transmitted disease clinic: A case study of monkeypox Bangrak Clinic Bangrak Medical Center for Sexually Transmitted Diseases, Bangkok. [Internet]. 2022 [cited 2024 Nov 12]. Available from: https://ddc.moph.go.th/uploads/ckeditor2/files/Mpox_นางสาวปวรรณรัช%20พันธ์บุตร.pdf. (in Thai)

Ortiz-Saavedra B, Montes-Madariaga E, Cabanillas-Ramirez C, Alva N, Ricardo-Martínez A, León Figueroa D, et al. Epidemiologic Situation of HIV and Monkeypox Coinfection: A Systematic Review. Vaccine 2023; 11(2): 246. https://pubmed.ncbi.nlm.nih.gov/36851124/

Reis T, Neves F, Fagundes Jr A, See E, Passos R, Zawadzki B, et al. Monkeypox-Associated Acute Kidney Injury and Foreseeable Impacts on Nephrology and Kidney Transplantation Services. Blood Purif 2023 ;52(4): 319–322. doi: 10.1159/000528041.

Buathong R. editor. Dangerous Communicable Diseases by Law & Disease X. Workshop on Developing the Potential of International Communicable Disease Control Officials and Dangerous Infectious Disease Control Investigation Teams in Responding to Hazardous Communicable Diseases and Emerging Diseases, Fiscal Year 2022; 2022 June 20-21; Bangsean Heritage Hotel. Chonburi: Quarantine group International Communicable Disease Control and Quarantine Division, Department of Disease Control, Ministry of Public Health: 2022. (in Thai)

Ddc.moph.go.th [Internet]. Nonthaburi: Department of Disease Control, Ministry of Public Health; 2024 [updated 2024 Nov 9; cited 2024 Nov 17]. Available from: https://ddc.moph.go.th/monkeypox/dashboard.php. (in Thai)

Vogel L. Making sense of monkeypox death rates. Can Med Assoc J. 2022 Aug 15;194 (31): E1097. doi: https://doi.org/10.1503/cmaj.1096012

Department of Disease Control. Guidelines for Surveillance and Investigating Monkey pox Disease [Internet]. 2565 [cited 2567 Nov 21]. Available from: https://ddc.moph.go.th/monkeypox/file/guidelines/g_medical/guidelines_050965.pdf. (in Thai)

Ministry of Public Health. Diagnostic Practice Guidelines care and Prevention of Infection in the case of Monkeypox [Internet]. 2565 [cited 2566 Sep 12]. Available from: https://www.dms.go.th/backend/Content/Content_File/Hot_News/Attach/25650803121345PM_CPG_monkeypox_v.1.10_n_20220731.pdf (in Thai)

Silva M, Coutinho C, Torres TS, Peixoto E, Bastos M, Mesquita M, et al. Mpox severity and associated hospitalizations among people with HIV and related immunesuppres sion in Brazil. AIDS. 2024 Jan 1;38(1): 105-113. doi: 10.1097/QAD.0000000000003748.

Mitjà O, Alemany A, Marks M, Mora J, Rodríguez-Aldama J, Silva M. Mpox in people with advanced HIV infection: a global case series. Lancet 2023; 401: 939–49. doi: 10.1016/S0140-6736(23)00273-8.

The Nephrology Society of Thailand. Recommendations for dialysis unit management during the COVID-19 outbreak (Revised version on 2 May 2023) [Internet]. 2023 [cited 2024 Nov 22]. Available from: https://www.nephrothai.org/wp-content/uploads/2023/07/Dialysis-unit-GL-covid-6-7-2023_final.pdf. (in Thai)

Department of Disease Control. Diagnostic Practice Guidelines Care and Prevention of Infection In the case of Monkeypox, 2nd revised edition, 9 November 2023 [Internet]. 2023 [cited 2024 Nov 22]. Available from: https://covid19.dms.go.th/backend///Content//Content_File/Covid_Health/Attach/25661112142045PM_CPG_mpox_v.2.2.1_n_20231109.pdf

The Nephrology Society of Thailand. Hemodialysis Clinical Practice Recommendation 2022. Bangkok: Text and Journal Publication Company Limited; 2022.

Bangkokbiznews.com [Internet]. Bangkok. Krungthep Thurakit Media Co., Ltd.; 2021 [2022 Aug 7; cited 2024 Nov 22]. Available from: https://www.bangkokbiznews.com/social/1019539.

The Nephrology Society of Thailand. Guidelines for Caring for Hemodialysis Patients using Hemodialysis Machines for the New Normal Period to Prevent the Outbreak and Spread of Coronavirus 2019 (COVID-19) [Internet]. 2020 [cited 2024 Nov 22]. Available from: https://www.nephrothai.org/wp-content/uploads/2020/08/NewNormalNST_edit.pdf

Kliger AS. Maintaining safety of the hemodialysis patient during the COVID-19 pandemic: a quality improvement perspective. Am J Kidney Dis. 2020; 76(5): 646–651.