' Bold Action' Urged on Outpatient Dialysis for Undocumented US Patients'Bold Action' Urged on Outpatient Dialysis for Undocumented US Patients
During the COVID-19 era, all 50 US states should cover standard outpatient dialysis for undocumented immigrant patients with kidney failure, many of whom now rely on emergency-only dialysis, according to new recommendations.Reuters Health Information
FRIDAY, July 10, 2020 -- Many outpatient kidney transplant recipients with COVID-19 have symptomatic resolution without requiring hospitalization, and hospitalized COVID-19 patients on hemodialysis have worse outcomes than those without kidney...
(American Society of Nephrology) A recent study found that most kidney transplant recipients with COVID-19 do not need to be hospitalized. Another study found that patients on dialysis who develop COVID-19 may have symptoms that are different from other patients with the infectious disease.
(Terasaki Institute for Biomedical Innovation) The Transplant Research and Education Center (TREC), housed at the Terasaki Research Institute for Biomedical Innovation (TIBI), launched the COVID-19 Kidney / Transplant Listening&Resource Center (KTLRC) on June 17, 2020. The KTLRC is a vital new service created in direct response to the unique and unmet needs of the dialysis and organ transplant community during the COVID-19 Pandemic.
ConclusionsCOVID-19 disease appears to have a similar clinical course in children with underlying chronic renal pathologies, even in immunosuppressed cases, as in healthy children of the same age; however, special attention must be paid to fluid management and drug dose adjustment.
This guideline covers children, young people and adults who need or who have had a kidney transplant, and people who are donating a kidney (live donors). It also advises transplant and referring centres on how to run their services, while keeping them safe for patients, donors and staff during the COVID ‑19 pandemic. Kidney transplants improve life expectancy and quality of life, and cost less than dialysis in the long term, so providing effective and safe services will benefit patients and make the best use of resources.
We report a case series of six kidney and pancreas transplant recipients who presented in an unusually short time frame during the COVID-19 pandemic with transplant organ dysfunction and rejection (Table 1). Mean time from the time of transplant to the current presentation was 7.3 ± 4 years. Of these six patients, three had severe allograft dysfunction requiring initiation of dialysis or insulin therapy.
While most people are familiar with the hallmark symptoms of COVID-19 by now—cough, fever, muscle aches, headaches and difficulty breathing—a new crop of medical conditions are emerging from the more than 4 million confirmed cases of the disease around the world. These include skin rashes, diarrhea, kidney abnormalities and potentially life-threatening blood clots. It’s not unusual for viruses to directly infect and affect different tissues and organs in the body, but it is a bit unusual for a primarily respiratory virus like SARS-CoV-2, which is responsible for COVID-19, to have such a wide-ranging reach...
Abstract The coronavirus outbreak is a rapidly evolving pandemic, placing unprecedented strain on health-care systems. COVID-19 presents challenges for management of children with renal diseases especially those receiving long-term immunosuppressive medications, including renal transplant recipients and those with chronic kidney disease and acute kidney injury requiring dialysis. Our preparedness for managing this vulnerable group of children is the need of the hour. The purpose of this article is to provide guidance to caregivers and health care personnel involved in management of children with renal diseases an...
To The Editor: The COVID-19 pandemic has altered medical practice in all disciplines and subspecialties. In nephrology, such alterations involve the following issues: the availability of staff and resources to perform dialysis in patients with suspected or confirmed COVID; infection-prevention practices, especially in the realm of social isolation; delay in the placement of dialysis vascular accesses and peritoneal dialysis catheter; and continued access to care for patients with established chronic kidney disease (CKD) and immunosuppressed patients with renal transplants.
The COVID19 pandemic has challenged the resilience of healthcare systems worldwide. Governments have ordered nationwide “lockdowns” (often suddenly) in an attempt to contain the spread of infection. Such measures have posed unexpected challenges to patients with pre-existing diseases, especially in limited resource settings. In the current report, we describe the unique hardships confronted by maintenance in-cent er hemodialysis patients and kidney transplant recipients in India during the current lockdown period.