The prevalence of HCV infection in HD patients varies markedly from country to country. Some factors are especially related to these high prevalence rates, such as blood transfusions and length of dialysis time. Nosocomial routes of transmission including the use of contaminated equipment and patient-to-patient exposure is considered more important. Several prophylactic measures have been suggested to avoid infection by HCV in the HD environment.
Article Hepatitis C, Chronic Renal Failure, Control Is Possible!
as far as I Know isolation of HCV-infected patients is not recommended, routine
testing for alanine aminotransferase (ALT) and anti-HCV is important for monitoring transmission within centers and ensuring
that appropriate precautions are being properly and consistently used.
We should discuss the issue by considering the economic situation and resource availability in every country.
I think it is unethical to used the infected hemodialysis machine for the patients without permission.
Why do not treat haemodialysis patients with HCV infection? Results encourage this approach.
I agree with Dr Lerardi Enzo, that therapy of all dialysis patients with antiviral therapy can support of negative patients from acquiring HCV in dialysis setting.
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