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10.1111/tid.13600 http://scihub22266oqcxt.onion/10.1111/tid.13600 33728731!8250226!33728731     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=33728731&cmd=llinks): Failed to open stream: HTTP request failed! HTTP/1.1 429 Too Many Requests in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 215       Transpl+Infect+Dis 2021 ; 23 (4): e13600 Nephropedia Template TP {{tp|p=33728731|t=2021. Kidney transplantation in the time of COVID-19: Dilemmas, experiences, and perspectives |pdf=|usr=}}{{33728731}} gab.com Text Kidney transplantation in the time of COVID-19: Dilemmas, experiences, and perspectives JO: Transpl Infect Dis http://www.kidney.de/pget.php?&tw=1&pmid=33728731 #FOAvip INTRODUCTION: Hospital do Rim is a high-volume kidney transplant (KT) center located in Sao Paulo, a city with 12.2 million inhabitants. Over the last 18 years, we performed 11 436 KT, 70% of which from deceased donors. To mitigate the effects of reduction in the number of transplants on the waiting list, sequential measures were implemented when COVID-19 was declared pandemic. METHODS: The first step was to provide SARS-COV-2 RT-PCR testing for all symptomatic employees and patients and the compulsory use of personal protective equipment in the hospital facilities. Living donor KT were postponed, and all deceased donors and recipients were tested before the transplantation. The immunosuppressive protocols were maintained, and telehealth strategies were developed. RESULTS: Among the 1013 employees, there were 214 cases of COVID-19, nine required ward hospitalization, and no deaths occurred. In 26%, the probable source of contamination was occupational. From the first patient diagnosed with COVID-19 in 03/20/2020 till 10/21/2020, 523 deceased KT were performed, a 21% increase compared with 2019, with no confirmed donor-derived SARS-CoV-2 infection. Four patients were transplanted with a positive pretransplant SARS-CoV-2 test, but none of them developed the disease. Overall, of 11 875 KT followed in our center, 674 developed COVID-19. Among the hospitalized, 53% required mechanical ventilation, and 45% required hemodialysis. Their overall mortality rate was 27.5%. CONCLUSION: This experience shows the challenges that transplant centers faced as the pandemic unfolded and illustrates the effectiveness of the sequential measures implemented to provide a safe environment for transplantation. Twit Text FOAVip Kidney transplantation in the time of COVID-19: Dilemmas, experiences, and perspectives ????Transpl Infect Dis http://www.kidney.de/pget.php?&tw=1&pmid=33728731 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=33728731 #FOAvip English Wikipedia <ref>{{Cite pmid|33728731}}</ref> Kidney transplantation in the time of COVID-19: Dilemmas, experiences, and perspectives #MMPMID33728731 Cristelli MP; Viana LA; Fernandes RA; Nakamura MR; Foresto RD; Stopa Martins SB; Alvarazi JFL; Leite VC; de Oliveira FR; Carneiro VA; Santos DWCL; Aguiar WF; Vaz MLDS; Tedesco-Silva H; Medina-Pestana J Transpl Infect Dis 2021[Aug]; 23 (4): e13600 PMID33728731show ga INTRODUCTION: Hospital do Rim is a high-volume kidney transplant (KT) center located in Sao Paulo, a city with 12.2 million inhabitants. Over the last 18 years, we performed 11 436 KT, 70% of which from deceased donors. To mitigate the effects of reduction in the number of transplants on the waiting list, sequential measures were implemented when COVID-19 was declared pandemic. METHODS: The first step was to provide SARS-COV-2 RT-PCR testing for all symptomatic employees and patients and the compulsory use of personal protective equipment in the hospital facilities. Living donor KT were postponed, and all deceased donors and recipients were tested before the transplantation. The immunosuppressive protocols were maintained, and telehealth strategies were developed. RESULTS: Among the 1013 employees, there were 214 cases of COVID-19, nine required ward hospitalization, and no deaths occurred. In 26%, the probable source of contamination was occupational. From the first patient diagnosed with COVID-19 in 03/20/2020 till 10/21/2020, 523 deceased KT were performed, a 21% increase compared with 2019, with no confirmed donor-derived SARS-CoV-2 infection. Four patients were transplanted with a positive pretransplant SARS-CoV-2 test, but none of them developed the disease. Overall, of 11 875 KT followed in our center, 674 developed COVID-19. Among the hospitalized, 53% required mechanical ventilation, and 45% required hemodialysis. Their overall mortality rate was 27.5%. CONCLUSION: This experience shows the challenges that transplant centers faced as the pandemic unfolded and illustrates the effectiveness of the sequential measures implemented to provide a safe environment for transplantation. |*COVID-19[MESH] |*Kidney Transplantation/adverse effects[MESH] |Brazil[MESH] |Humans[MESH] |Pandemics[MESH]Kidney transplantation in the time of COVID-19: Dilemmas, experiences,(epmc).pdf DeepDyve Pubget Overpricing