AI Article Synopsis

  • COVID-19 has a high transmission rate, posing significant risks to hemodialysis patients, but the outcomes and incidence for this group remain uncertain.
  • Implemented preventive measures in a hemodialysis unit helped manage and reduce the risk of SARS-CoV-2 transmission among patients and healthcare staff.
  • Despite a high local COVID-19 transmission risk, the hemodialysis unit reported a low incidence rate of 5.7%, with no deaths, attributing success to early structural and organizational changes and effective diagnostic strategies.

Article Abstract

Introduction: COVID-19 is a very high transmission disease with a variable prognosis in the general population. Patients in hemodialysis therapy are particularly vulnerable to developing an infectious disease, but the incidence and prognosis of hemodialysis patients with COVID-19 is still unclear. The main objective is to describe the experience of our dialysis unit in preventing and controlling the spread of SARS-CoV-2 infection.

Methods: Preventive structural and organizational changes were applied to all patients and health care personnel in order to limit the risk of local transmission of SARS-CoV-2 infection.

Findings: The Nephrology department at Sant Joan Despí Moises Broggi Hospital-Consorci Sanitari Integral is a reference for two satellite hemodialysis centers caring for 156 patients. We combine our own hemodialysis maintenance program for 87 patients with hospitalized patients from peripheral hemodialysis centers. In this area, the reported incident rate of COVID-19 in these peripherical hemodialysis centers was 9.5% to 19.9% and the death rate 25% to 30.5%. In our hemodialysis program, the incidence rate was 5.7%. Three out of five required hospitalization (60%) and nobody died.

Discussion: Although the risk of local transmission of the disease was very high due to the increase in hemodialysis patients from peripheral centers admitted to hospital, the incidence rate of COVID-19 was very low in our own hemodialysis patients. We believe that the structural and organizational changes adopted early on and the diagnosis algorithm played an important role in minimizing the spread of the disease.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7753265PMC
http://dx.doi.org/10.1111/hdi.12905DOI Listing

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