Strategies for Management of Peritoneal Dialysis Patients in Singapore during COVID-19 Pandemic

Author:

Htay Htay1,Wong Penelope Maxine PK2,Choo Rui-En Ryan2,Dawood Ubaidullah S3,Marjorie Wai Yin Foo Marjorie Wai Yin1,Jayaballa Mathini1,Lee Grace1,Lee Martin Beng-Huat4,Liu Yan Lun Allen5,Low Sanmay6,Ng Alvin Kok Heong7,Oei Elizabeth Ley1,See Yong Pey2,Tagore Rajat6,Tai Yinxia2,Liew Adrian8

Affiliation:

1. Singapore General Hospital, Singapore

2. Tan Tock Seng Hospital, Singapore

3. Duke-NUS Medical School, Singapore

4. National University of Singapore, Singapore

5. Khoo Teck Puat Hospital, Singapore

6. Ng Teng Fong General Hospital, Singapore

7. Changi General Hospital, Singapore

8. Mount Elizabeth Novena Hospital, Singapore

Abstract

Abstract Peritoneal dialysis (PD) is the only well-established home-based dialysis therapy in Singapore. As it is a home-based modality, PD should be considered as a preferred mode of kidney replacement therapy (KRT) for patients with kidney failure during this COVID-19 pandemic as it avoids frequent visits to hospitals and/or satellite dialysis centres. The highly infectious nature of this virus has led to the implementation of the Disease Outbreak Response System Condition orange status in Singapore since early February 2020. This paper summarises the strategies for management of several aspects of PD in Singapore during this COVID-19 pandemic, including PD catheter insertion, PD training, home visit and assisted PD, outpatient PD clinic, inpatient management of PD patients with or without COVID-19 infection, PD as KRT for COVID-19 patients with acute kidney injury, management of common complications in PD (peritonitis and fluid overload), and management of PD inventory. Keywords: Home-based dialysis, kidney failure, practice, SARS-CoV-2

Publisher

Academy of Medicine, Singapore

Subject

General Medicine

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