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[High prevalence of asymptomatic COVID-19 in haemodialysis: learning day by day in the first month of the COVID-19 pandemic]. / Alta prevalencia de COVID-19 asintomático en hemodiálisis. Aprendiendo día a día el primer mes de pandemia de COVID-19.
Albalate, Marta; Arribas, Patricia; Torres, Esther; Cintra, Melissa; Alcázar, Roberto; Puerta, Marta; Ortega, Mayra; Procaccini, Fabio; Martin, Juan; Jiménez, Eva; Fernandez, Inés; de Sequera, Patricia.
  • Albalate M; Servicio de Nefrología, Hospital Universitario Infanta Leonor, Madrid, España. Electronic address: malbalater@senefro.org.
  • Arribas P; Servicio de Nefrología, Hospital Universitario Infanta Leonor, Madrid, España.
  • Torres E; Servicio de Nefrología, Hospital Universitario Infanta Leonor, Madrid, España.
  • Cintra M; Servicio de Nefrología, Hospital Universitario Infanta Leonor, Madrid, España.
  • Alcázar R; Servicio de Nefrología, Hospital Universitario Infanta Leonor, Madrid, España.
  • Puerta M; Servicio de Nefrología, Hospital Universitario Infanta Leonor, Madrid, España.
  • Ortega M; Servicio de Nefrología, Hospital Universitario Infanta Leonor, Madrid, España.
  • Procaccini F; Servicio de Nefrología, Hospital Universitario Infanta Leonor, Madrid, España.
  • Martin J; Servicio de Nefrología, Hospital Universitario Infanta Leonor, Madrid, España.
  • Jiménez E; Servicio de Medicina Preventiva y Salud Pública, Hospital Universitario Infanta Leonor, Madrid, España.
  • Fernandez I; Servicio de Medicina Preventiva y Salud Pública, Hospital Universitario Infanta Leonor, Madrid, España.
  • de Sequera P; Servicio de Nefrología, Hospital Universitario Infanta Leonor, Madrid, España.
Nefrologia (Engl Ed) ; 40(3): 279-286, 2020.
Article in English, Spanish | MEDLINE | ID: covidwho-820202
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% O2 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.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Health Personnel / Coronavirus Infections / Asymptomatic Infections / Pandemics / Betacoronavirus / Hemodialysis Units, Hospital Type of study: Diagnostic study / Observational study / Prognostic study Limits: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged / Young adult Country/Region as subject: Europa Language: English / Spanish Journal: Nefrologia (Engl Ed) Year: 2020 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Health Personnel / Coronavirus Infections / Asymptomatic Infections / Pandemics / Betacoronavirus / Hemodialysis Units, Hospital Type of study: Diagnostic study / Observational study / Prognostic study Limits: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged / Young adult Country/Region as subject: Europa Language: English / Spanish Journal: Nefrologia (Engl Ed) Year: 2020 Document Type: Article