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eMediNexus 21 April 2020
Novel coronavirus disease is a condition newly discovered in the end of 2019 and started in the Wuhan city of China. It is caused by SARS-CoV-2 virus and its main clinical manifestations include acute respiratory illness with pneumonia.
Symptoms in COVID 19
Some important facts about COVID-19
The impact of COVID -19 on kidneys
Currently, there is no evidence to suggest that coronavirus affects the kidneys adversely in those patients who have mild to moderate infection. However, almost 25% to 50% of patients who develop severe infection and need hospitalization have been reported to have kidney abnormalities. These may be manifested as increased excretion of protein and red blood cells in urine. A small percentage of people (less than 15%) may develop a decline in filtration function of kidneys (acute kidney injury).
COVID-19 in patients with chronic kidney diseases
CKD patients are at an increased risk for COVID -19 infection, especially those on dialysis and kidney transplant recipients. Haemodialysis patients may have milder clinical disease than other patients with COVID-19 infection. All patients are recommended to continue their medicines in prescribed doses including ACE inhibitors unless advised so by their doctor.
COVID-19 and dialysis patients
COVID-19 is a major threat to patients on dialysis, particularly, in-centre haemodialysis. Uremic patients are highly vulnerable to infection and may show larger changes in clinical symptoms and infectivity. In addition, patients with COVID-19 infection need to come to the dialysis centre for regular dialysis. This places the dialysis patients at a heightened risk of transmission of infection, including transmission to health care teams, other patients and all others in contact.
Resource: Recommendations for the Novel Coronavirus 2019 Epidemic. International Society of Nephrology. Accessed from: https://www.theisn.org/covid19/recommendations Accessed on: April 15 2020.
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