Recommendations for clinical action and healthcare organization during the SARS-CoV-2 pandemic in nephrology
Abstract
This document was prepared taking initiatives from international and regional guides, adapting them to the local reality. Most of the recommendations lack quality evidence, so unlike other guidelines, it was not possible to establish a “level of evidence” for each of them. This guide therefore acts as a summary of the "state of the art" at the time of publication. It is highly probable that frequent modifications will arise, which will be communicated to the entire national nephrological community. This version may be improved with advances in knowledge and with your contributions.
References
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• Nephrology department. Hospital Universitario La Paz; López-Oliva MO, Gonzaìlez E, Miranda RJ, Jimeìnez C. Management of kidney transplant immunosuppression in positive coronavirus infection requiring hospital admission. Madrid, Spain. 19 march 2020. Disponible en: https://www.era-edta.org/en/wp-content/uploads/2020/03/ Management_of_kidney_transplant_immunosuppression_LaPaz.pdf [Consulta: 24 marzo 2020].
• Alberici F, Delbarba E, Chiara Manenti C, Econimo L, Valerio F, Pola A, et al; Brescia Renal COVID-19 Task Force. Management of patients on dialysis or with a kidney transplant during COVID-19 infection. Brescia, Italy. 13 march 2020. Disponible en: https://www.era-edta.org/en/wp-content/uploads/2020/03/COVID_guidelines_finale_eng-GB.pdf [Consulta: 19 marzo 2020].
• Societá Italiana Nefrologia. Sezione Regionale Emilia-Romagna. Recommendations for treatment of patients on HD or with acute renal failure. Emilia-Romagna, Italy. 19 march 2020. Disponible en: https://www.era-edta.org/en/wp-content/uploads/2020/03/Recommendations-for-Dialysis.COVID-19-SIN-ER.pdf [Consulta: 24 marzo 2020].
• Centers for Disease Control and Prevention. Guidance for infection control and prevention of coronavirus disease 2019 (COVID-19) in dialysis facilities. 10 march 2020. Disponible en: https://www.cdc.gov/coronavirus/2019-ncov/healthcare-facilities/index.html [Consulta: 13 marzo 2020].
• Centers for Disease Control and Prevention. Recommendations for patients with suspected or confirmed COVID-19 in outpatient hemodialysis facilities. Disponible en: https://www.cdc.gov/coronavirus/2019-ncov/healthcare-facilities/dialysis.html [Consulta: 6 marzo 2020].
• National Institutes of Health and Care Excellence. COVID-19 rapid guideline: dialysis service delivery. NICE guideline. 20 March 2020. Disponible en: https://www.nice.org.uk/guidance/ng160 [Consulta: 27 marzo 2020].
• Centers for Disease Control and Prevention. Interim additional guidance for infection prevention and control. Recommendations for patients with suspected or confirmed COVID-19 in outpatient hemodialysis facilities. Disponible en: https://www.cdc.gov/coronavirus/2019-ncov/healthcare-facilities/dialysis.html [Consulta: 6 marzo 2020].
• Sociedad Española de Nefrología. Sociedad Española de Enfermería Nefrológica. Recomendaciones para el manejo, prevención y control de COVID-19 en unidades de diálisis. Marzo 2020. Disponible en: https://www.mscbs.gob.es/profesionales/saludPublica/ccayes/alertasActual/nCov-China/documentos/COVID19-hemodialisis.pdf [Consulta: 24 marzo 2020].
• Yiqiong Ma, Bo D, Xifeng Lv, Zhu J, Liang W, Liu L, et al. 2019 novel coronavirus disease in hemodialysis (HD) patients: report from one HD center in Wuhan, China. MedRxiv 2020.02.24. doi:10.1101/2020.02.24.20027201.
• Grupo interdisciplinario inter sociedades y cátedras. Recomendaciones conjuntas para el manejo clínico de la infección por SARS-CoV-2 y la enfermedad COVID-19. Manejo clínico de la infección por SARS-CoV-2 y la enfermedad COVID-19. Montevideo, Uruguay. Versión 13 de marzo 2020.
• Rombolà G, Heidempergher M, Pedrini L, Farina M, Aucella F, Messa P, et al. 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; 33(2):193-6.
• Nephrology department. Hospital Universitario La Paz; López-Oliva MO, Gonzaìlez E, Miranda RJ, Jimeìnez C. Management of kidney transplant immunosuppression in positive coronavirus infection requiring hospital admission. Madrid, Spain. 19 march 2020. Disponible en: https://www.era-edta.org/en/wp-content/uploads/2020/03/ Management_of_kidney_transplant_immunosuppression_LaPaz.pdf [Consulta: 24 marzo 2020].
• Alberici F, Delbarba E, Chiara Manenti C, Econimo L, Valerio F, Pola A, et al; Brescia Renal COVID-19 Task Force. Management of patients on dialysis or with a kidney transplant during COVID-19 infection. Brescia, Italy. 13 march 2020. Disponible en: https://www.era-edta.org/en/wp-content/uploads/2020/03/COVID_guidelines_finale_eng-GB.pdf [Consulta: 19 marzo 2020].
• Societá Italiana Nefrologia. Sezione Regionale Emilia-Romagna. Recommendations for treatment of patients on HD or with acute renal failure. Emilia-Romagna, Italy. 19 march 2020. Disponible en: https://www.era-edta.org/en/wp-content/uploads/2020/03/Recommendations-for-Dialysis.COVID-19-SIN-ER.pdf [Consulta: 24 marzo 2020].
• Centers for Disease Control and Prevention. Guidance for infection control and prevention of coronavirus disease 2019 (COVID-19) in dialysis facilities. 10 march 2020. Disponible en: https://www.cdc.gov/coronavirus/2019-ncov/healthcare-facilities/index.html [Consulta: 13 marzo 2020].
• Centers for Disease Control and Prevention. Recommendations for patients with suspected or confirmed COVID-19 in outpatient hemodialysis facilities. Disponible en: https://www.cdc.gov/coronavirus/2019-ncov/healthcare-facilities/dialysis.html [Consulta: 6 marzo 2020].
• National Institutes of Health and Care Excellence. COVID-19 rapid guideline: dialysis service delivery. NICE guideline. 20 March 2020. Disponible en: https://www.nice.org.uk/guidance/ng160 [Consulta: 27 marzo 2020].
Published
2020-04-30
How to Cite
1.
Silvariño R, Boggia J, Seija M, Baccino C, San Román S, Luzardo L, López M, Frantchez V, Ferreiro A, Otatti G, Parnizzari P, Miller D, Yandian F, Guerisoli A, Miranda V, Fernández S, González X, Noboa A, Villegas N, Gauronas P, Nin M, Nin N, Larre Borges P, Tobal D, Álvarez A, Ríos P, Cabrera J, Noboa Óscar. Recommendations for clinical action and healthcare organization during the SARS-CoV-2 pandemic in nephrology. Rev. Méd. Urug. [Internet]. 2020Apr.30 [cited 2024Nov.23];36(2):219-38. Available from: http://www2.rmu.org.uy/ojsrmu311/index.php/rmu/article/view/543
Section
Consensus
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