[Covid-19 in patients on dialysis: infection prevention and control strategies].
G Ital Nefrol
; 37(2)2020 Apr 09.
Article
em It
| MEDLINE
| ID: mdl-32281757
ABSTRACT
Covid-19 is a disease caused by a new coronavirus presenting a variability of flu-like symptoms including fever, cough, myalgia and fatigue; in severe cases, patients develop pneumonia, acute respiratory distress syndrome, sepsis and septic shock, that can result in their death. This infection, which was declared a global epidemic by the World Health Organization, is particularly dangerous for dialysis patients, as they are frail and more vulnerable to infections due to the overlap of multiple pathologies. In patients with full-blown symptoms, there is a renal impairment of various degrees in 100% of the subjects observed. However, as Covid-19 is an emerging disease, more work is needed to improve prevention, diagnosis and treatment strategies. It is essential to avoid nosocomial spread; in order to control and reduce the rate of infections it is necessary to strengthen the management of medical and nursing personnel through the early diagnosis, isolation and treatment of patients undergoing dialysis treatment. We cover here a series of recommendations for the treatment of dialysis patients who are negative to the virus, and of those who are suspected or confirmed positive.
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01-internacional
Base de dados:
MEDLINE
Assunto principal:
Pneumonia Viral
/
Infecção Hospitalar
/
Diálise Renal
/
Infecções por Coronavirus
/
Insuficiência Renal Crônica
/
Pandemias
/
Betacoronavirus
Tipo de estudo:
Diagnostic_studies
/
Guideline
/
Screening_studies
Limite:
Humans
Idioma:
It
Ano de publicação:
2020
Tipo de documento:
Article