Practical indications for the prevention and management of SARS-CoV-2 in ambulatory dialysis patients: lessons from the first phase of the epidemics in Lombardy.

J Nephrol 2020 04;33(2):193-196

Società Italiana di Nefrologia-SIN, U.O. Nefrologia e Dialisi, Ospedale Santa Chiara, Trento, Italy.

Confronting the SARS-CoV-2 outbreak has allowed us to appreciate how efficiently highly-resourced settings can respond to crises. However even such settings are not prepared to deal with the situation, and lessons are only slowly being learnt. There is still an urgent need to accelerate protocols that lead to the implementation of rapid point-of-care diagnostic testing and effective antiviral therapies. In some high-risk populations, such as dialysis patients, where several individuals are treated at the same time in a limited space and overcrowded areas, our objective must be to ensure protection to patients, the healthcare team and the dialysis ward. The difficult Italian experience may help other countries to face the challenges. The experience of the Lombardy underlines the need for gathering and sharing our data to increase our knowledge and support common, initially experience-based, and as soon as possible evidence-based position to face this overwhelming crisis.

Download full-text PDF

Source
http://dx.doi.org/10.1007/s40620-020-00727-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7095015PMC
April 2020

Publication Analysis

Top Keywords

dialysis patients
8
diagnostic testing
4
point-of-care diagnostic
4
rapid point-of-care
4
lombardy underlines
4
underlines gathering
4
testing effective
4
challenges experience
4
antiviral therapies
4
experience lombardy
4
effective antiviral
4
implementation rapid
4
gathering sharing
4
dialysis ward
4
slowly learnt
4
increase knowledge
4
lessons slowly
4
data increase
4
urgent accelerate
4
lead implementation
4

References

(Supplied by CrossRef)

WJ Guan et al.
N Engl J Med 2020

W Zhang et al.
Emerg Microbes Infect 2020

Y Bai et al.
JAMA 2020

J Hellewell et al.
Lancet Glob Health 2020

JM Boyce et al.
Clin J Am SocNephrol 2018

AE Ahmed et al.
Hemodial Int 2018

NC Peeri et al.
Int J Epidemiol 2020

M Syed-Ahmed et al.
Adv Chronic Kidney Dis 2019

MG Betjes et al.
Nat Rev Nephrol 2013

S Naicker et al.
Kidney Int 2020

Similar Publications