Recommendations Of The Brazilian Society Of Nephrology Regarding Pediatric Patients On Renal Replacement Therapy During The Covid-19 Pandemic

Tavares, Marcelo de Sousa; Penido, Maria Goretti Moreira Guimarães; Andrade, Olberes Vitor Braga de; Koch, Vera H.; Bernardes, Rejane de Paula; Garcia, Clotilde Druck; Moura-Neto, José A.; Nascimento, Marcelo Mazza do; Palma, Lílian Monteiro Pereira

doi:10.1590/2175-8239-jbn-2020-s108

Cited by 3 publications

(5 citation statements)

References 7 publications

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“…For all patients, dialysis was not reduced or shortened [ 59 ]. Suspected or confirmed COVID-19 patients were transferred to designated COVID-19 HD units if there was no space and/or a dedicated workforce [ 76 ].…”

Section: Resultsmentioning

confidence: 99%

“…Particular emphasis was placed on hand hygiene, masking and social distancing. Handwashing [29,33,34,40,43,57,58] with alcohol-based solutions or soap [41,42,47,51,54,56,[58][59][60][61] was advocated for patients presenting at triage [12,21,38,47,54,56,[62][63][64], prior to departure from the dialysis unit [38,47,64] and if in contact with respiratory secretions [33,47]. Fistula arm was washed before starting dialysis [16,29,60].…”

Section: Education and Recommendationsmentioning

confidence: 99%

“…Caregivers were instructed to advise the dialysis unit of Covid-19 symptoms before entry [76]. Private transportation [59,106] or transportation provided by health authorities were suggested [106]. Children were accompanied by only one caregiver, preferably always the same [76,106].…”

Section: Pediatric Patients On Hdmentioning

confidence: 99%

“…It was recommended to wear a mask [59,76,106, 107] (unless < 2 years old) [48], wash hands with alcohol-based hand rub [59,76,106] and maintain a social distance between other patients of at least 1 m. [59,76] Screening of body temperature [59,107] and respiratory symptoms [107] was required for patients and families before entry into dialysis facilities [76].…”

Section: Pediatric Patients On Hdmentioning

confidence: 99%

“…COVID-19 patients or suspected patients were dialyzed in a dedicated room at the last shift or with the same dialysis machine [59,106,107]. Patients with a COVID-19 positive caregiver performed dialysis in an isolated room [76,107].…”

Section: Pediatric Patients On Hdmentioning

confidence: 99%

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The frail world of haemodialysis patients in the COVID-19 pandemic era: a systematic scoping review

et al. 2021

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Background Patients undergoing in-centre haemodialysis (HD) are particularly exposed to the dire consequences of COVID-19. The present systematic scoping review aims to identify the extent, range, and nature of articles related to COVID-19 and maintenance HD: it reports specifically the prevalence of the COVID-19 pandemic in the HD population, implementation of strategies for the prevention, mitigation and containment of the COVID-19 pandemic in HD centres, demographic and clinical characteristics, and outcomes of the pediatric and adult HD patients. Methods A multi-step systematic search of the literature in Pubmed, Scopus, Ovid Medline, Embase and Web of Science, published between December 1, 2019, and January 30, 2021 was performed. Two authors separately screened the titles and abstracts of the documents and ruled out irrelevant articles. A report of the papers that met inclusion criteria was performed; then, a descriptive analysis of the characteristics of the included articles and a narrative synthesis of the results were performed. Results The review process ended with the inclusion of 145 articles. Most of them were based on single-centre experiences, which spontaneously developed best practices. Most studies were conducted in high-income countries (69.7%) and a part of them (9.6%) were not in English. Prevalence of COVID-19 among dialysis patients accounted for 0%-37.6%. Preventive measures were reported in 54% of the included articles, with particular emphasis on education, triage, hygiene, and containment measures. Patients experienced a heterogeneous spectrum of symptoms that led 35%-88.2% of them to hospital admission. Median and mean hospital length of stay ranged from 8 to 28.5 and 16.2 to 22 days, respectively. Admission to intensive care units varied widely across studies (from 2.6% to 70.5%) and was associated with high mortality (42.8%-100%). Overall, prognosis was poor in 0%-47% of the hospitalized patients. Conclusions This systematic scoping review provides an overview of the current knowledge on the impact of COVID-19 on the frail world of HD patients. Furthermore, it may help to implement the existing strategies of COVID-19 prevention and provide a list of unmet needs (safe transport, testing, shelter). Finally, it may be a stimulus for performing systematic reviews and meta-analyses which will form the basis for evidence-based guidelines.

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Section: Resultsmentioning

confidence: 99%