Covid-19 epidemic in the dialysis units of the french speaking part of Belgium : special insight into patients on home dialysis
In the French-speaking part of Belgium, between march and end of may 2020, 284 patients have suffered a Covid-19 infection, 7,9% of the prevalent dialysis population. Some of them have been diagnosed through rt-PCT as they were symptomatic, others, asymptomatic, being diagnosed by swab viral culture. Fifty two patients died (18% of the positive patients). The vast majority of them were patients on hemodialysis, only ten cases have been observed in patients on home dialysis techniques. Primary renal disease were diabetes or renal hypertensive disease in more than 50% of the patients and the most important comorbidities were cardiac ischemic or congestive disease, autonomy problems, cancer and smoking habits.
American Society of Nephrology
Information for screening and management of Covid-19 in the outpatient dialysis facility, February 28, 2020
Suivi épidémiologique Covid-19 des patients en dialyse. Bulletins 1 à 8, du au 25/5/2020 https://eservice.chu-tivoli.be/GNFB/
Stratégie de déconfinement pour les dialyses, préconisations de la SFNDT, 4 mai 2020
Basile C., Combe C., Pizzarelli F. et al. Recommendations for the prevention, mitigation and containment of the emerging SARS-CoV-2 (COVID-19) pandemic in haemodialysis centres
Nephrol Dial Transplant 2020 1-4 doi:10.1093/ndt/gfaa069
Kliger AS, Silberzweig J. Mitigating risk of COVID-19 in dialysis facilities.
CJASN 2020, 1-3
Alfano G, Fontana F, Ferrari A, Guaraldi G, Mussini C, Magistroni R, Cappelli G. Modena Covid-19 Working Group (MoCo19).
Peritoneal dialysis in the time of coronavirus disease 2019.
Clin Kidney J. 2020 Jul 16;13(3):265-268. doi: 10.1093/ckj/sfaa093. eCollection 2020 Jun.
Stern LD, Waikar S.
Time to Expand Access and Utilization of Home Dialysis: Lessons From the COVID-19 Pandemic.
Mayo Clin Proc. 2020 Jul;95(7):1323-1324. doi: 10.1016/j.mayocp.2020.04.038. Epub 2020 Jun 2.
Cozzolino M1, Piccoli GB2,3, Ikizler TA4, Ronco C5,6.The COVID-19 infection in dialysis: are home-based renal replacement therapies a way to improve patient management?
J Nephrol. 2020 Aug;33(4):629-631. doi: 10.1007/s40620-020-00784-3.
Wilkie M1, Davies S1.Peritoneal Dialysis in the time of COVID-19.
Perit Dial Int. 2020 Jul;40(4):357-358. doi: 10.1177/0896860820921657. Epub 2020 Apr 21.
Copyright (c) 2020 Frédéric Collart
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