The importance of screening as a contagion containment tool of SARS-CoV-2 virus of hemodialysis patients

Authors

DOI:

https://doi.org/10.33448/rsd-v11i5.28311

Keywords:

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/

Published

13/04/2022

How to Cite

VASQUES ANDRADE, R.; OKUYAMA, C. E.; CERQUEIRA LIMA, A. T.; NOGUEIRA DINIZ, S. The importance of screening as a contagion containment tool of SARS-CoV-2 virus of hemodialysis patients. Research, Society and Development, [S. l.], v. 11, n. 5, p. e47911528311, 2022. DOI: 10.33448/rsd-v11i5.28311. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/28311. Acesso em: 16 nov. 2024.

Issue

Section

Health Sciences