Critical Coronavirus Disease 2019 in a Hemodialysis Patient: A Proposed Clinical Management Strategy
| Autor: | Samantha Hui Ling Cheong, Yi Hern Tan, Charmaine Si Min Sia, Clara Lee Ying Ngoh, Weng Kin Wong |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
hemodialysis Isolation (health care) business.industry medicine.medical_treatment 030232 urology & nephrology Case Report Disease 030204 cardiovascular system & hematology lcsh:Diseases of the genitourinary system. Urology lcsh:RC870-923 infection control coronavirus disease 2019 03 medical and health sciences 0302 clinical medicine Nephrology Intervention (counseling) Pandemic Global health medicine Infection control Hemodialysis Intensive care medicine business Dialysis |
| Zdroj: | Case Reports in Nephrology and Dialysis, Vol 10, Iss 2, Pp 86-94 (2020) Case Reports in Nephrology and Dialysis |
| ISSN: | 2296-9705 |
| DOI: | 10.1159/000509792 |
| Popis: | The coronavirus disease 2019 (COVID-19) pandemic has caused a catastrophic global health crisis. There is a lack of mitigation and clinical management strategies for COVID-19 in specific patient cohorts such as hemodialysis (HD) patients. We report our experience in treating the first case of COVID-19 in a HD patient in Singapore who had a severe clinical course including acute respiratory distress syndrome and propose a clinical management strategy. We propose a clinical workflow in managing such patients based on available evidence from literature review. We also highlight the importance of early recognition and intervention for disease control, dialysis support in an acute hospital isolation facility, deisolation protocol, and discharge planning due to prolonged viral shedding. The case highlights important points specific to a HD patient with a COVID-19 diagnosis, tailored interventions for each stage of the disease, and deisolation considerations in the recovery phase. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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