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血液透析单位中严重急性呼吸综合征冠状病毒2(新冠病毒19)感染的预防与控制

[Prevention and control of SARS-CoV-2 (Covid-19) coronavirus infection in hemodialysis units.].

作者信息

Vega-Vega Olynka, Arvizu-Hernández Mauricio, Domínguez-Cherit José Guillermo, Sierra-Madero Juan, Correa-Rotter Ricardo

机构信息

Departamento de Nefrología y Metabolismo Mineral, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán. Ciudad de México, México.

Escuela de Medicina y Ciencias de la Salud, Instituto Tecnológico y de Estudios Superiores de Monterrey. Ciudad de México, México.

出版信息

Salud Publica Mex. 2020 May-Jun;62(3):341-347. doi: 10.21149/11330.

Abstract

The SARS-CoV-2 pandemic is of hich risk for patients on chronic hemodialysis due to their immunosuppressed state, advanced age, and the coexistence of significant comorbidities, in particular cardiovascular disease, diabetes mellitus, and others. Additionally, they constitute a closed conglomerate since they come to treatment regularly, spending hours in the treatment places, exposed to a possible acquisition of the infection. Finally, going to their treatment regularly prevents them from remaining in home isolation and with potential exposure. These recommendations summarize the interventions proposed by three international organizations and add some suggested by national experts, with the aim to early identify the patients and health personnel at risk and reducing the risk of infection.

摘要

由于处于免疫抑制状态、高龄以及存在严重合并症,特别是心血管疾病、糖尿病等,新型冠状病毒肺炎大流行对接受慢性血液透析的患者构成高风险。此外,他们定期前来接受治疗,在治疗场所停留数小时,形成了一个封闭的群体,面临感染的可能。最后,定期前往治疗使他们无法居家隔离,存在潜在暴露风险。这些建议总结了三个国际组织提出的干预措施,并增加了国家专家提出的一些建议,旨在早期识别有风险的患者和卫生人员,降低感染风险。

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