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COVID-19 pandemic in Mexico: surveillance protocol in intrahospital hemodialysis units
Ana Gabriela Ortega-González1, Ernesto Lenin Chávez-López2, Elena Anaid Aceves-Flores1
1Instituto Mexicano del Seguro Social, Hospital General de Zona No. 220, Servicio de Nefrología. Estado de México.
Abstract:
On January 30 2020, the World Health Organization (WHO) declared the COVID-19 outbreak as epidemiological emergency. Globally, various guidelines have been published for the safety of patients with chronic kidney disease (CKD) and health personnel working in hemodialysis centers. In Mexico, the prevalence of CKD is 12.2% and 60,000 patients receive some modality of renal replacement therapy at the Instituto Mexicano del Seguro Social (IMSS, Mexican Institute for Social Security). This proposal for action is made in the face of suspected and confirmed cases of COVID-19 in intrahospital hemodialysis units.
Insights
This study addresses safety protocols for hemodialysis patients and staff during the COVID-19 pandemic in Mexico. It proposes actions for managing suspected and confirmed coronavirus cases within dialysis units.
Area of Science:
- Nephrology
- Infectious Diseases
- Public Health
Background:
- The COVID-19 outbreak was declared a global health emergency by the WHO in January 2020.
- Chronic kidney disease (CKD) affects 12.2% of the Mexican population, with 60,000 patients on renal replacement therapy at IMSS.
- Existing international guidelines for CKD patients and hemodialysis personnel during the pandemic are noted.
Purpose of the Study:
- To propose specific actions for managing suspected and confirmed COVID-19 cases within intrahospital hemodialysis units in Mexico.
- To ensure the safety of patients with chronic kidney disease and healthcare workers in hemodialysis settings.
Main Methods:
- Development of an action plan based on existing global guidelines and the specific context of Mexican hemodialysis units.
- Focus on managing both suspected and confirmed COVID-19 cases.
Main Results:
- A proposal for action is presented for intrahospital hemodialysis units.
- The plan aims to mitigate risks associated with COVID-19 in this vulnerable patient population.
Conclusions:
- The proposed actions are crucial for safeguarding hemodialysis patients and staff in Mexico.
- Effective management strategies are needed to address the COVID-19 pandemic in renal replacement therapy centers.
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