Kidney Patients Are More Vulnerable To COVID-19 Infections: Science & Tech Ministry
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Kidney patients are more vulnerable to COVID-19 (Coronavirus) infections, and it presents particular challenges for patients on dialysis said Ministry of Science and Technology in India based on a paper entitled “The Novel Coronavirus 2019 epidemic and the Kidneys”, written by an expert group of nephrologists from around the world including China.
Patients with damaged kidneys, also known as uremic patients, are particularly vulnerable to infection and may exhibit greater variations in clinical symptoms and infectivity.
“Unlike other at-risk individuals, these patients do not have the ability to stay at home and not interact with others. Despite the high risk they face, they must travel to dialysis centers 2–3 times every week. This significantly increases the risk of transmission of infection to patients themselves, family members, medical staff and facility workers, and all others,” says Prof. Vivekanand Jha, Executive Director, George Institute for Global Health India and President of the International Society of Nephrology. He added that the involvement of kidney in COVID-19 infection seems to be frequent. When the infection is severe, it becomes an independent predictor of mortality.
The paper reports that a study of 59 patients with COVID-19 found that 34% of patients developed massive albuminuria on the first day of admission, and 63% developed proteinuria during their stay in hospital which means massive leak of protein in their urine.
“The management of patients on dialysis who have been suspected to have been in contact with COVID-19 should be carried out according to strict protocols to minimize risk to other patients and healthcare personnel taking care of these patients,” said Prof. Jha.
It is recommended that persons with potential COVID-19 risk must be given the same supportive care as given to critically ill patients. Supportive care includes bed rest, nutritional and fluid support, maintenance of blood pressure and oxygenation, prevention and treatment of complications by providing organ support, maintaining hemodynamic stability, and preventing secondary infection.
Latest update by Union Health Ministry: Now, 223 is the total number of confirmed COVID2019 cases in India. Out of which 22 discharged, 4 deaths, 1 migrated.