Peritoneal dialysis (PD) is the only well-established home-based dialysis therapy in Singapore.
As it is a home-based modality, PD should be considered as a preferred mode of kidney
replacement therapy (KRT) for patients with kidney failure during this COVID-19 pandemic
as it avoids frequent visits to hospitals and/or satellite dialysis centres. The highly infectious
nature of this virus has led to the implementation of the Disease Outbreak Response System
Condition orange status in Singapore since early February 2020. This paper summarises
the strategies for management of several aspects of PD in Singapore during this COVID-19
pandemic, including PD catheter insertion, PD training, home visit and assisted PD, outpatient
PD clinic, inpatient management of PD patients with or without COVID-19 infection, PD as
KRT for COVID-19 patients with acute kidney injury, management of common complications
in PD (peritonitis and fluid overload), and management of PD inventory.
Keywords: Home-based dialysis, kidney failure, practice, SARS-CoV-2
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