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Revista médica de Chile · Feb 2023
Observational StudyPrevention and control of COVID-19 outbreak in a hemodialysis center.
- Camilo Alberto González González, Kelly Rocío Chacón Acevedo, Ana Maria Arana, Katherine Cortés, Hernando Giovannetti, Erica Yama, Deisy Borraez, and Nancy Yomayusa González.
- Unidad Renal, Clínica Colsanitas, Bogotá, Colombia.
- Rev Med Chil. 2023 Feb 1; 151 (1): 728072-80.
BackgroundThe prevention and control of SARS-CoV-2 infection in hemodialysis (HD) units is challenging.AimTo describe the clinical characteristics and outcome of patients with chronic kidney disease (CKD) on HD with COVID-19, between March 2020 and January 28, 2021, attending a single HD unit in Bogotá, Colombia.Material And MethodsIn this prospective observational study, incidence, prevalence, and case-fatality rate were estimated, including screening results with RT-PCR and anti-SARS-CoV-2 IgG and IgM antibodies in all patients and health personnel in the HD unit.ResultsAmong patients and health workers, 55 and 9 cases of COVID-19 were identified, respectively. The median age of patients was 63 years (84% males). Fifty five percent of patients were symptomatic, with fever, cough and/or myalgia. The most common comorbidities were hypertension, type 2 diabetes mellitus, and coronary heart disease. The cumulative incidence of infection was 30.2%, population seroprevalence was 24.9%, and fatality was 9.1%.ConclusionsThe incidence of SARS-CoV-2 infection in this HD unit was high. Strict biosafety protocols are required to prevent outbreaks.
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