1. [High prevalence of asymptomatic COVID-19 in haemodialysis: learning day by day in the first month of the COVID-19 pandemic].
- Author
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Albalate M, Arribas P, Torres E, Cintra M, Alcázar R, Puerta M, Ortega M, Procaccini F, Martin J, Jiménez E, Fernandez I, and de Sequera P
- Subjects
- Adolescent, Adult, Aged, Aged, 80 and over, COVID-19, Clinical Protocols, Coronavirus Infections diagnosis, Coronavirus Infections drug therapy, Female, Health Personnel organization & administration, Hemodialysis Units, Hospital organization & administration, Humans, Incidence, Lymphopenia epidemiology, Male, Middle Aged, Pneumonia, Viral diagnosis, Pneumonia, Viral drug therapy, Prevalence, SARS-CoV-2, Spain epidemiology, Symptom Assessment, Time Factors, Triage methods, Young Adult, Asymptomatic Infections epidemiology, Betacoronavirus, Coronavirus Infections epidemiology, Health Personnel statistics & numerical data, Hemodialysis Units, Hospital statistics & numerical data, Pandemics, Pneumonia, Viral epidemiology
- Abstract
Dialysis patients are a risk group for SARS-CoV-2 infection and possibly further complications, but we have little information. The aim of this paper is to describe the experience of the first month of the SARS-CoV-2 pandemic in a hospital haemodialysis (HD) unit serving the district of Madrid with the second highest incidence of COVID-19 (almost 1,000 patients in 100,000h). In the form of a diary, we present the actions undertaken, the incidence of COVID-19 in patients and health staff, some clinical characteristics and the results of screening all the patients in the unit. We started with 90 patients on HD: 37 (41.1%) had COVID-19, of whom 17 (45.9%) were diagnosed through symptoms detected in triage or during the session, and 15 (40.5%) through subsequent screening of those who, until that time, had not undergone SARS-CoV-2 PCR testing. Fever was the most frequent symptom, 50% had lymphopenia and 18.4% <95% O
2 saturation. Sixteen (43.2%) patients required hospital admission and 6 (16.2%) died. We found a cluster of infection per shift and also among those using public transport. In terms of staff, of the 44 people involved, 15 (34%) had compatible symptoms, 4 (9%) were confirmed as SARS-CoV-2 PCR cases by occupational health, 9 (20%) required some period of sick leave, temporary disability to work (ILT), and 5 were considered likely cases. CONCLUSIONS: We detected a high prevalence of COVID-19 with a high percentage detected by screening; hence the need for proactive diagnosis to stop the pandemic. Most cases are managed as outpatients, however severe symptoms are also appearing and mortality to date is 16.2%. In terms of staff, 20% have required sick leave in relation to COVID-19., (Copyright © 2020 Sociedad Española de Nefrología. Published by Elsevier España, S.L.U. All rights reserved.)- Published
- 2020
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