• Htay Htay, Penelope Maxine P K Wong, Rui-En Ryan Choo, Ubaidullah S Dawood, Marjorie Wai Yin Foo, Mathini Jayaballa, Grace Lee, Martin Beng-Huat Lee, Ya Lun Allen Liu, Sanmay Low, Alvin Kok Heong Ng, Elizabeth Ley Oei, Yong Pey See, Rajat Tagore, Yinxia Tai, and Adrian Liew.
• Department of Renal Medicine, Singapore General Hospital, Singapore.
• Ann Acad Med Singap. 2020 Dec 1; 49 (12): 1025-1028.

AbstractPeritoneal dialysis (PD) is the only well-established home-based dialysis therapy in Singapore. As it is a home-based modality, PD should be considered as a preferred mode of kidney replacement therapy (KRT) for patients with kidney failure during this COVID-19 pandemic as it avoids frequent visits to hospitals and/or satellite dialysis centres. The highly infectious nature of this virus has led to the implementation of the Disease Outbreak Response System Condition orange status in Singapore since early February 2020. This paper summarises the strategies for management of several aspects of PD in Singapore during this COVID-19 pandemic, including PD catheter insertion, PD training, home visit and assisted PD, outpatient PD clinic, inpatient management of PD patients with or without COVID-19 infection, PD as KRT for COVID-19 patients with acute kidney injury, management of common complications in PD (peritonitis and fluid overload), and management of PD inventory.

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