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De-isolation of COVID-19-positive hemodialysis patients in the outpatient setting: a single-center experience.

Published on May 8, 2020in Kidney International8.306
· DOI :10.1016/J.KINT.2020.04.021
Caroline Dudreuilh1
Estimated H-index: 1
(Guy's and St Thomas' NHS Foundation Trust),
Nicola Kumar1
Estimated H-index: 1
(Guy's and St Thomas' NHS Foundation Trust)
+ 3 AuthorsDimitrios-Anestis Moutzouris2
Estimated H-index: 2
(Guy's and St Thomas' NHS Foundation Trust)
Abstract
  • References (3)
  • Citations (2)
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References3
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We report temporal patterns of viral shedding in 94 patients with laboratory-confirmed COVID-19 and modeled COVID-19 infectiousness profiles from a separate sample of 77 infector–infectee transmission pairs. We observed the highest viral load in throat swabs at the time of symptom onset, and inferred that infectiousness peaked on or before symptom onset. We estimated that 44% (95% confidence interval, 25–69%) of secondary cases were infected during the index cases’ presymptomatic stage, in setti...
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Social distancing is one of the community mitigation measures that may be recommended during influenza pandemics. Social distancing can reduce virus transmission by increasing physical distance or reducing frequency of congregation in socially dense community settings, such as schools or workplaces. We conducted a systematic review to assess the evidence that social distancing in non-healthcare workplaces reduces or slows influenza transmission. Electronic searches were conducted using MEDLINE, ...
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Patients with advanced chronic kidney disease (CKD) or who are on hemodialysis (HD) could have increased susceptibility to the 2019 coronavirus disease (COVID-19) given their pre-existing comorbidities, older age, compromised immune system, and regular visits to populated outpatient dialysis centers. This study included 14 consecutive patients on HD or with advanced CKD who initiated HD after being diagnosed with laboratory-confirmed COVID-19 from February to April 2020 in hospitals throughout D...
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#1T. Alp Ikizler (Vandy: Vanderbilt University)H-Index: 65
Abstract The clinical presentation and mortality rate in maintenance hemodialysis (MHD) patients with COVID-19 are not well established. Recent data from Italy and Spain suggest that these patients present with wide range of symptoms, with a significant portion being asymptomatic. There is prolonged positivity of pharyngeal swabs in MHD patients. The mortality rates are very high, reaching almost 30%. These data highlight the importance of diligent oversight and care of MHD patients during COVID...
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