Management of Peritoneal Dialysis-Associated Emergencies during the COVID-19 Pandemic: The Experience of a Center of Excellence

Author:

Iorga Cristian12,Iorga Cristina Raluca12,Andreiana Iuliana13,Stancu Simona Hildegard13,Bengulescu Iustinian12,Constantin Traian14ORCID,Strambu Victor12

Affiliation:

1. Faculty of Medicine, “Carol Davila” University of Medicine and Pharmacy, 050474 Bucharest, Romania

2. Surgery Clinic, “Dr. Carol Davila” Clinical Nephrology Hospital, 010731 Bucharest, Romania

3. Nephrology Clinic, “Dr. Carol Davila” Clinical Nephrology Hospital, 010731 Bucharest, Romania

4. Department of Urology, “Prof. Dr. Th. Burghele” Hospital, 050652 Bucharest, Romania

Abstract

The COVID-19 pandemic struck unexpectedly; emergency services and chronic care institutions, including dialysis centers, were overloaded. A significant problem was the care of COVID-positive patients alongside the care of chronically dialyzed patients who presented emergencies. In our hospital, which became a COVID support center for dialysis patients with severe forms of the disease, we had to care for PD patients with dialysis-related emergencies. We present two cases of patients managed on an outpatient basis or 1-day hospitalization who were treated successfully without compromising the quality of the care provided. We used remote monitoring, worked in a multidisciplinary team, and shortened the duration of the patients’ hospitalization (and implicitly the risk of contact). In pandemic conditions, the advantage of PD was the possibility of patient isolation; in the first 6 months of the pandemic, we recorded no deaths in this category of patients. In hemodialysis patients, infection and mortality rates were high. Although we expected an increase in the number of peritoneal dialysis patients in the post-pandemic period, this did not happen. We continue to plead for the popularization of the PD method among patients and doctors, which has proven advantages in pandemic conditions.

Publisher

MDPI AG

Reference24 articles.

1. World Health Organization (2022, March 28). Coronavirus Disease (COVID-19) 2022. Available online: https://www.who.int/health-topics/coronavirus.

2. (2020, April 20). Ministry of Health. Available online: www.ms.ro.

3. Challenges for Peritoneal Dialysis Centers Before and During the COVID-19 Pandemic in Mexico;Doubova;Arch. Med. Res.,2022

4. Operational considerations for peritoneal dialysis management during the COVID-19 pandemic;Yang;Clin. Kidney J.,2020

5. Strategies for Management of Peritoneal Dialysis Patients in Singapore during COVID-19 Pandemic;Htay;Ann. Acad. Med. Singap.,2020

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