The importance of screening as a contagion containment tool of SARS-CoV-2 virus of hemodialysis patients
DOI:
https://doi.org/10.33448/rsd-v11i5.28311Keywords:
COVID-19; Coronavirus; Screening; Chronic Kidney Failure; Dialysis.Abstract
Analyze the application of screening as a contagion containment toll of SARS-COV-2 virus in hemodialysis patients. Descriptive observational study was done in a hemodialysis clinical at São Paulo state (Brazil), during March 2020 to May 2021. A survey of the World Health Organization and the Ministry of Health guidelines and the strategies adopted to face the COVID-19 pandemic was carried out. The team of collaborators developed and implemented a screening process at the clinic. This study evaluated patients in hemodialysis program (n=65) and multidisciplinary collaborators team (n=51). After surveying the strategies to be adopted by collaborators to fight the pandemic, a screening process was created aiming at the flow of patient care. This process provided training for collaborators, in addition to separating care for patients with and without flu signs and symptoms. Of the patients, 15.4% (n=10) had confirmation of SARS-COV-2 contamination by RT-PCR. Only 1 patient evolves to death, with no covid-related cause. Among collaborators team, 15.7% (n=8) confirmed contamination with the virus. Of these, only 1 possibly had contamination during infected patient care. In this study, it can be concluded that the implementation of the screening process provided to hemodialysis patients, with and without flu-like symptoms, a more effective care, as well as a safer environment for the entire collaborator team and for the patients.
References
Araujo, A. dos S., & Comassetto, I. (2021). O protagonismo do Enfermeiro na organização de serviços de saúde durante a pandemia da COVID-19. Research, Society and Development, 10(1), e48110112014. https://doi.org/10.33448/rsd-v10i1.12014
Azevedo Filho, E. R.; Praça, I. R.; Sandim, L. S.; Ramos, R.; de Oliveira, M. L. C.; Gomes, L. de O. (2020). Perfil dos casos notificados e confirmados de COVID-19 entre abril e maio de 2020 no Distrito Federal. REVISA - Revista de Divulgação Científica Sena Aires, 9.
Azevedo, J. M. R., & Barbosa, M. A. (2007). Triagem em serviços de saúde: percepções dos usuários. Rev. Enferm. UERJ, 15(1), 33–39.
Basile, C., Combe, C., Pizzarelli, F., Covic, A., Davenport, A., Kanbay, M., Kirmizis, Di., Schneditz, D., Van Der Sande, F., & Mitra, S. (2020). Recommendations for the prevention, mitigation and containment of the emerging SARS-CoV-2 (COVID-19) pandemic in haemodialysis centres. Nephrology Dialysis Transplantation, 35(5), 737–741. https://doi.org/10.1093/ndt/gfaa069
Brasil, M. da S. (2020). Diagnóstico e Tratamento da COVID-19. Secretaria De Ciência, Tecnologia, Inovação E Insumos Estratégicos Em Saúde, 1, 1–398.
Chafekar, A., & Fielding, B. C. (2018). MERS-CoV: Understanding the latest human coronavirus threat. Viruses, 10(2). https://doi.org/10.3390/v10020093
Cheng, Y., Luo, R., Wang, K., Zhang, M., Wang, Z., Dong, L., Li, J., Yao, Y., Ge, S., & Xu, G. (2020). Kidney disease is associated with in-hospital death of patients with COVID-19. Kidney International, 97(5), 829–838. https://doi.org/10.1016/j.kint.2020.03.005
Clarfield, A. M., Dwolatzky, T., Brill, S., Press, Y., Glick, S., Shvartzman, P., & Doron, I. (2020). Israel Ad Hoc COVID-19 Committee: Guidelines for Care of Older Persons During a Pandemic. Journal of the American Geriatrics Society, 68(7), 1370–1375. https://doi.org/10.1111/jgs.16554
D’Souza, Gypsyamber; Golub, Elizabeth T ; Gange, S. J. (2019). The Changing Science of HIV Epidemiology in the United States. Am J Epidemiol, 188(12), 2061–2068. https://doi.org/doi: 10.1093/aje/kwz211
De Wit, E., Van Doremalen, N., Falzarano, D., & Munster, V. J. (2016). SARS and MERS: Recent insights into emerging coronaviruses. Nature Reviews Microbiology, 14(8), 523–534. https://doi.org/10.1038/nrmicro.2016.81
Esteves, L. A., Ribeiro, A. T., da Silva, E. G., Moraes Amato, M. C., Rodrigues, L. B.-H., Tedeschi, H., dos Santos, M. J., Lebrao, G., & Joaquim, A. F. (2019). Avaliação da segurança, da efetividade e da reprodutibilidade na utilização de telemedicina para triagem neurocirúrgica. Eisntein, 105(4), 1–7. https://doi.org/10.31744/einstein
Fineberg, H. V. (2014). Pandemic Preparedness and Response — Lessons from the H1N1 Influenza of 2009. New England Journal of Medicine, 370(14), 1335–1342. https://doi.org/10.1056/nejmra1208802
Flecknoe, D., Charles Wakefield, B., & Simmons, A. (2018). Plagues & wars: the ‘Spanish Flu’ pandemic as a lesson from history. Medicine, Conflict and Survival, 34(2), 61–68. https://doi.org/10.1080/13623699.2018.1472892
Mesenburg, Marilia Arndt; Halla, Pedro Curi; Menezes, Ana Maria Baptista; Barros, A., JD; Horta, Bernardo Lessa; de Barros, F. C., & Hartwig, Fernando Pires; Jacques, Nadège; da Silveira, M. F. (2021). Doenças crônicas não transmissíveis e covid-19 : resultados do estudo. Revista de Saude Publica, 55, 38.
Moura, B. R. S., & Nogueira, L. de S. (2020). Performance of the rapid triage conducted by nurses at the emergency entrance. Revista Latino-Americana de Enfermagem, 28, e3378. https://doi.org/10.1590/1518-8345.3467.3378
Murray, M. J. (2003). The Canadian Triage and Acuity Scale: A Canadian perspective on emergency department triage. Emergency Medicine, 15(1), 6–10. https://doi.org/10.1046/j.1442-2026.2003.00400.x
Park, H. Y., Lee, E. J., Ryu, Y. W., Kim, Y., Kim, H., Lee, H., & Yi, S. J. (2015). Epidemiological investigation of MERS-CoV spread in a single hospital in South Korea, may to june 2015. Eurosurveillance, 20(25), 1–5. https://doi.org/10.2807/1560-7917.ES2015.20.25.21169
Pecly, I. M. D., Azevedo, R. B., & Muxfeldt, E. S. (2020). COVID-19 e doença renal crônica : uma revisão abrangente. Braz. J. Nephrol., 43(3), 1–17.
Pétré, B., Servotte, J. C., Piazza, J., Ghuysen, A., Margat, A., Gagnayre, R., & Leclercq, D. (2020). CEdRIC: Strategy for patient education during covid-19 triage. Western Journal of Emergency Medicine, 21(6). https://doi.org/10.5811/WESTJEM.2020.7.47907
Pio-Abreu, A., do Nascimento, M. M., Vieira, M. A., de Menezes Neves, P. D. M., Lugon, J. R., & Sesso, R. (2020). High mortality of CKD patients on hemodialysis with Covid-19 in Brazil. Journal of Nephrology, 33(5), 875–877. https://doi.org/10.1007/s40620-020-00823-z
Queiroz, J. S., & Marques, P. F. (2020). Gerenciamento de enfermagem no enfrentamento da COVID-19 nos serviços de hemodiálise. Enfermagem Em Foco, 11(1.ESP), 196–198. https://doi.org/10.21675/2357-707x.2020.v11.n1.esp.3536
Schwartz, J., & King, Chwan Chuen; Yen, M. Y. (2020). Protecting Healthcare Workers During the Coronavirus Disease 2019 (COVID-19) Outbreak: Lessons From Taiwan’s Severe Acute Respiratory Syndrome Response. Clin Infect Dis, 71(15), 858–860. https://doi.org/10.15797/concom.2019..23.009
Titball, R.W.; Hill, J. ; Lawton, D.G.; Brown, K. A. (2003). Yersinia pestis and the plague. Biochemical Society Transactions, 31, 104–107. https://doi.org/10.1309/dqm93r8qnqwbfyu8
Wang, Q., Wang, X., & Lin, H. (2020). The role of triage in the prevention and control of COVID-19. Infection Control and Hospital Epidemiology, 41(7), 772–776. https://doi.org/10.1017/ice.2020.185
Wee, L. E., Fua, T. P., Chua, Y. Y., Ho, A. F. W., Sim, X. Y. J., Conceicao, E. P., Venkatachalam, I., Tan, K. B. K., & Tan, B. H. (2020). Containing COVID-19 in the Emergency Department: The Role of Improved Case Detection and Segregation of Suspect Cases. Academic Emergency Medicine, 27(5), 379–387. https://doi.org/10.1111/acem.13984
WHO. (2020). Strategic Preparedness. World Health Organization (WHO), February, 7.
WHO. (2021a). Timeline: WHO’s COVID-19 response. 2021. https://www.who.int/emergencies/diseases/novel-coronavirus-2019/interactive-timeline#event-0
WHO. (2021b). WHO Coronavirus (COVID-19) Dashboard. 2021. https://covid19.who.int/
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Renato Vasques Andrade; Cristina Eunice Okuyama; Ana Tereza Cerqueira Lima; Susana Nogueira Diniz
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.