Kidney patients are more vulnerable to COVID-19 infections

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Kidney patients are more vulnerable to COVID-19 infections

The COVID-19 pandemic is throwing up unique challenges for health systems. It presents particular challenges for patients who receive regular haemodialysis. These patients with damaged kidneys, also known as uremic patients, are particularly vulnerable to infection and may exhibit greater variations in clinical symptoms and infectivity.

“Unlike other at-risk individuals, these patients do not have the ability to stay at home and not interact with others. Despite the high risk they face, they must travel to dialysis centers 2–3 times every week. This significantly increases the risk of transmission of infection to patients themselves, family members, medical staff and facility workers, and all others,” says Prof. Vivekanand Jha, Executive Director, George Institute for Global Health India and President of the International Society of Nephrology.

The involvement of kidney in COVID-19 infection seems to be frequent. When the infection is severe, it becomes an independent predictor of mortality.

The management of patients on dialysis who have been suspected to have been in contact with COVID-19 should be carried out according to strict protocols to minimize risk to other patients and healthcare personnel taking care of these patients,” said Prof. Jha. These guidelines have been made available on the International Society of Nephrology website.

It is recommended that persons with potential COVID-19 risk must be given the same supportive care as given to critically ill patients. Supportive care includes bed rest, nutritional and fluid support, maintenance of blood pressure and oxygenation, prevention and treatment of complications by providing organ support, maintaining hemodynamic stability, and preventing secondary infection.

Source ISW

Kidney patients are more vulnerable to COVID-19 infections

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