Management of the SARS-CoV-2 (COVID-19) coronavirus epidemic in hemodialysis units

Nefrologia (Engl Ed). 2020 May-Jun;40(3):258-264. doi: 10.1016/j.nefro.2020.04.001. Epub 2020 Apr 8.
[Article in English, Spanish]

Abstract

The current outbreak of SARS-CoV-2 represents a special risk for renal patients due to their comorbidities and advanced age. The usual performance of hemodialysis treatments in collective rooms increases the risk. The specific information at this time in this regard is very limited. This manuscript includes a proposal for action to prevent infection in the Nephrology Services, and in particular in Hemodialysis Units, with the objective of early identification of patients who meet the definition of a suspected case of infection by SARS-CoV-2 and propose circuits and mechanisms to carry out hemodialysis treatments. They are recommendations in continuous review and can be modified if the epidemiological situation, the diagnostic and therapeutic options so require.

Keywords: COVID-19; Coronavirus; Hemodialysis; Hemodiálisis; SARS-CoV-2.

Publication types

  • Practice Guideline

MeSH terms

  • Age Factors
  • Betacoronavirus*
  • COVID-19
  • Comorbidity
  • Coronavirus Infections / diagnosis
  • Coronavirus Infections / epidemiology
  • Coronavirus Infections / prevention & control*
  • Disinfection / methods
  • Hemodialysis Units, Hospital
  • Humans
  • Pandemics / prevention & control*
  • Patient Education as Topic
  • Personal Protective Equipment / standards
  • Pneumonia, Viral / diagnosis
  • Pneumonia, Viral / epidemiology
  • Pneumonia, Viral / prevention & control*
  • Renal Dialysis / methods*
  • Renal Dialysis / standards
  • Risk Factors
  • SARS-CoV-2
  • Symptom Assessment