Back to Search Start Over

Management of Peritoneal Dialysis-Associated Emergencies during the COVID-19 Pandemic: The Experience of a Center of Excellence

Authors :
Cristian Iorga
Cristina Raluca Iorga
Iuliana Andreiana
Simona Hildegard Stancu
Iustinian Bengulescu
Traian Constantin
Victor Strambu
Source :
Life, Vol 14, Iss 7, p 805 (2024)
Publication Year :
2024
Publisher :
MDPI AG, 2024.

Abstract

The COVID-19 pandemic struck unexpectedly; emergency services and chronic care institutions, including dialysis centers, were overloaded. A significant problem was the care of COVID-positive patients alongside the care of chronically dialyzed patients who presented emergencies. In our hospital, which became a COVID support center for dialysis patients with severe forms of the disease, we had to care for PD patients with dialysis-related emergencies. We present two cases of patients managed on an outpatient basis or 1-day hospitalization who were treated successfully without compromising the quality of the care provided. We used remote monitoring, worked in a multidisciplinary team, and shortened the duration of the patients’ hospitalization (and implicitly the risk of contact). In pandemic conditions, the advantage of PD was the possibility of patient isolation; in the first 6 months of the pandemic, we recorded no deaths in this category of patients. In hemodialysis patients, infection and mortality rates were high. Although we expected an increase in the number of peritoneal dialysis patients in the post-pandemic period, this did not happen. We continue to plead for the popularization of the PD method among patients and doctors, which has proven advantages in pandemic conditions.

Details

Language :
English
ISSN :
20751729
Volume :
14
Issue :
7
Database :
Directory of Open Access Journals
Journal :
Life
Publication Type :
Academic Journal
Accession number :
edsdoj.20cfdbc3fba4d2f817d202ecbcbe0d0
Document Type :
article
Full Text :
https://doi.org/10.3390/life14070805