Diagnosis and treatment recommendations of dialysis patients with SARS-CoV-2 infection for primary care clinicians

Rongguo FU; Zhao Chen; Lining Jia; Li Wang; Jin Han; Lifang Tian; Xianghui Chen; Linting Wei; Fuqian Lei; Jiamei LU; Xiaoqin MA; Li Zhao; Shizhuo Wei; Jing Liu; Zhaoyang Duan; Jie Gao

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Diagnosis and treatment recommendations of dialysis patients with SARS-CoV-2 infection for primary care clinicians

VernacularTitle:透析患者合并新型冠状病毒感染的基层诊疗建议
Author: Rongguo FU ¹ ; Zhao CHEN ¹ ; Lining JIA ¹ ; Li WANG ¹ ; Jin HAN ¹ ; Lifang TIAN ¹ ; Xianghui CHEN ¹ ; Linting WEI ¹ ; Fuqian LEI ¹ ; Jiamei LU ¹ ; Xiaoqin MA ¹ ; Li ZHAO ¹ ; Shizhuo WEI ¹ ; Jing LIU ¹ ; Zhaoyang DUAN ¹ ; Jie GAO ¹
Author Information

1. Department of Nephrology, The Second Affiliated Hospital of Xi’an Jiaotong University, Xi’an 710004, China
Publication Type:Journal Article
Keywords: hemodialysis; peritoneal dialysis; SARS-CoV-2 infection; diagnosis and treatment recommendations
From: Journal of Xi'an Jiaotong University(Medical Sciences) 2023;44(3):353-360
CountryChina
Language:Chinese
Abstract: End-stage renal disease (ESRD) patients undergoing outpatient hemodialysis (HD) and home peritoneal dialysis (PD) are high risk population of severe and critical types caused by SARS-CoV-2 infection. In order to improve the quality of diagnosis and treatment in dialysis patients with SARS-CoV-2 infection, we wrote this recommendation for primary care clinicians. During the epidemic period of SARS-CoV-2 infection, all patients should be instructed to strengthen self-management. Once the SARS-CoV-2 infection was found in dialysis patients, early stratified management should be carried out within 72 hours after the first positive nucleic acid or antigen test results, which includes early antiviral therapy, early recognition, and transferring severe patients from community or primary hospital to a referral hospital promptly. Guidance for dietary and sports rehabilitation after SARS-CoV-2 infection should also be started as soon as possible.