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10.1016/j.nefro.2020.04.005

http://scihub22266oqcxt.onion/10.1016/j.nefro.2020.04.005
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32456944!7190471!32456944
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suck abstract from ncbi


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pmid32456944      Nefrologia+(Engl+Ed) 2020 ; 40 (3): 279-286
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  • Alta prevalencia de COVID-19 asintomatico en hemodialisis Aprendiendo dia a dia el primer mes de pandemia de COVID-19 #MMPMID32456944
  • Albalate M; Arribas P; Torres E; Cintra M; Alcazar R; Puerta M; Ortega M; Procaccini F; Martin J; Jimenez E; Fernandez I; de Sequera P
  • Nefrologia (Engl Ed) 2020[May]; 40 (3): 279-286 PMID32456944show ga
  • 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.
  • |*Betacoronavirus[MESH]
  • |*Pandemics[MESH]
  • |Adolescent[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |Asymptomatic Infections/*epidemiology[MESH]
  • |COVID-19[MESH]
  • |Clinical Protocols[MESH]
  • |Coronavirus Infections/diagnosis/drug therapy/*epidemiology[MESH]
  • |Female[MESH]
  • |Health Personnel/organization & administration/*statistics & numerical data[MESH]
  • |Hemodialysis Units, Hospital/organization & administration/*statistics & numerical data[MESH]
  • |Humans[MESH]
  • |Incidence[MESH]
  • |Lymphopenia/epidemiology[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Pneumonia, Viral/diagnosis/drug therapy/*epidemiology[MESH]
  • |Prevalence[MESH]
  • |SARS-CoV-2[MESH]
  • |Spain/epidemiology[MESH]
  • |Symptom Assessment[MESH]
  • |Time Factors[MESH]
  • |Triage/methods[MESH]


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