Managing a Hemodialysis Unit in Times of Pandemic to COVID-19. Experience of Edith Lucie Bongo Ondimba General Hospital

Abstract

This is the description of the prevention and the development of the sessions of hemodialysis in our center hemodialysis to not be contaminated coronavirus. Actions taking are: respect of the measures decreed by the state for prevention. Although these measures are difficult socio-cultural for Africans, they became normal after two weeks. The hemodialysis is made free during this period in our public center. Indeed, the session of hemodialysis was 10,000 francs Africans financial community (CFA in french) or 16.72 American dollar, from the declaration of the state of emergency it has become free. We do hemodialysis free and explanation of covid19 signs in hemodialysis patients systematically. Each patient had the explanation of the pathology and above all we did everything to de-stress the patients, because there is a global psychosis. Cleaning hand before entering the hemodialysis room, we have positioned front of the hospital and before the service and the front of room hemodialysis, seals for washing hands. We monitor the temperature before hemodialysis with a thermoflash or a mercury thermometer for each patient. We made a mandatory to wear masks for all patients during hemodialysis sessions. We shared the masks in loincloth with liners to all the patients a local manufacture.

Factors associated with the malnutrition inflammation score (MIS) among hemodialysis patients in Dhaka city: a cross-sectional study in tertiary care hospitals

“…Most studies reported that PRHD had anorexia and nausea, like this study. 43,44 A study reported that the odds of reduced appetite, nausea, and vomiting were significantly higher in patients with ESRD than in predialysis patients with CKD. 45 However, GIS showed a significant association with poor appetite and lower serum urea and creatinine unrelated to hemoglobin and albumin.…”

Impact of COVID-19 Pandemic on Haemodialysis Care at a Tertiary Centre in South East Nigeria

“…The modest increase in the cost of haemodialysis has great implications since almost all the patients pay out of pocket for heamodialysis. Ngbabe et al reported that in Congo, heamodialysis is made free to all patients during the pandemic [6]. The initiative is highly commendable.…”

“…COVID-19 pandemic has the potential to increase poverty and health inequalities especially in low income countries. It is advocated that the federal government should assist patients by making haemodialysis procedure free as reported in some other African countries like Congo[6] during this pandemic to reduce the health and socioeconomic burdens of the pandemic on patients with kidney failure. Inclusion of heamodialysis care of patients in the COVID-19 palliative measures offered by the federal government will be of huge benefit to the patients.…”