TY - JOUR
T1 - Consenso colombiano de expertos sobre recomendaciones informadas en la evidencia para la prevención, el diagnóstico y el manejo de la infección por SARS-CoV-2/COVID-19 en pacientes con Enfermedad Renal Crónica en diálisis
AU - González, Nancy Yomayusa
AU - Yama, Erika
AU - González, Camilo
AU - Ariza, Amaury
AU - Aroca, Gustavo
AU - Baquero, Richard
AU - Rico, Jorge
AU - Vargas, Juan Guillermo
AU - Ramírez, Roberto
AU - Chacón, Kelly
AU - Robayo, Adriana
AU - Wilches, Adalberto Peña
AU - Meza, Adriana
AU - Bunch, Alfonso
AU - Mercado, Álvaro
AU - Calderón, Angélica
AU - Wancjer, Benjamín
AU - Zambrano, Betty
AU - Lozano, Carlos
AU - Buitrago, Cristóbal
AU - Ballesteros, David
AU - Chacón, Diana
AU - Vargas, Diana
AU - Villafañe, Douglas
AU - López, Francisco
AU - Pinzón, Freddy
AU - Guerrero, Gustavo
AU - Cárdenas, Héctor
AU - Benavides, Helman
AU - Villanueva, Ignacio
AU - Raoch, Ingrid
AU - Cáceres, Jimena
AU - Coronado, Jorge
AU - Pulido, Jorge
AU - Contreras, Kateir
AU - Cometa, Luis Alfonso Valderrama
AU - Gómez, María
AU - Brochero, María José Vargas
AU - Carrasca, Martha
AU - Rodríguez, Martha
AU - Guerrero, Mauricio
AU - Tejeda, Mercedes Alfaro
AU - Tobón, Natalia
AU - Rodríguez, Paula
AU - Gómez, Rafael
AU - Daza, Rodrigo
AU - Torres, Rodolfo
AU - Espitaleta, Zilac
AU - Burgos, Álvaro
N1 - Publisher Copyright:
© 2020, Asociacion Colombiana de Nefrologia e Hipertension Arterial. All rights reserved.
PY - 2020/12
Y1 - 2020/12
N2 - Introduction: People with chronic dialysis are considered a population at high risk of SARS CoV2 infection and its derived complications and death. The need to go to strict dialysis schedules, the high demand in the kidney facilities and the difficulties derived from the time and space organization in the rooms in the face to the pandemic added to the difficult learning, teaching and adapting new protocols manifest the needed of standard recommendation according to this problem in people who couldn’t have an ideal isolation. Objective: Develop through an expert consensus, evidence-informed recommendations for the prevention, diagnosis, and management of SARS-CoV-2/COVID-19 infection in patients with chronic kidney disease on Dialysis. Materials and methods: We carried out a quick literature review, PubMed, Embase and scientific societies were consulted. The quality of the evidence was considered according to the type of study included. The agreement threshold defined for each recommendation was > 70% approval among experts. The strength of the recommendations was rated as strong or weak. Results: Between May 17 and 19, 2020, was conformed a team of 44 clinical experts who declared their interest conflict prior to the consultation. The agreement of the recommendations was between 70.5% and 100%. The recommendations were separated in prevention, early identification, and diagnostic, isolation in hemodialysis facilities and peritoneal dialysis, and team protection. Ethical considerations also were included. Conclusion: Due to the recent appearance of SARS-CoV-2 infection and the uncertainties regarding prevention, diagnosis and management, the recommendations presented are conceived as a Colombian standard that allows guaranteeing focused care for people with chronic kidney disease and the protection of health team.
AB - Introduction: People with chronic dialysis are considered a population at high risk of SARS CoV2 infection and its derived complications and death. The need to go to strict dialysis schedules, the high demand in the kidney facilities and the difficulties derived from the time and space organization in the rooms in the face to the pandemic added to the difficult learning, teaching and adapting new protocols manifest the needed of standard recommendation according to this problem in people who couldn’t have an ideal isolation. Objective: Develop through an expert consensus, evidence-informed recommendations for the prevention, diagnosis, and management of SARS-CoV-2/COVID-19 infection in patients with chronic kidney disease on Dialysis. Materials and methods: We carried out a quick literature review, PubMed, Embase and scientific societies were consulted. The quality of the evidence was considered according to the type of study included. The agreement threshold defined for each recommendation was > 70% approval among experts. The strength of the recommendations was rated as strong or weak. Results: Between May 17 and 19, 2020, was conformed a team of 44 clinical experts who declared their interest conflict prior to the consultation. The agreement of the recommendations was between 70.5% and 100%. The recommendations were separated in prevention, early identification, and diagnostic, isolation in hemodialysis facilities and peritoneal dialysis, and team protection. Ethical considerations also were included. Conclusion: Due to the recent appearance of SARS-CoV-2 infection and the uncertainties regarding prevention, diagnosis and management, the recommendations presented are conceived as a Colombian standard that allows guaranteeing focused care for people with chronic kidney disease and the protection of health team.
KW - COVID-19
KW - SARS-CoV-2
KW - chronic kidney disease
KW - hemodialysis
UR - https://www.scopus.com/pages/publications/85203590789
U2 - 10.22265/acnef.7.Supl.2.474
DO - 10.22265/acnef.7.Supl.2.474
M3 - Artículo
AN - SCOPUS:85203590789
SN - 2389-7708
VL - 7
SP - 119
EP - 158
JO - Revista Colombiana de Nefrologia
JF - Revista Colombiana de Nefrologia
ER -