COMDORA-SBN recommendations for patients with rare kidney diseases in relation to the Covid-19 pandemic
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1590/2175-8239-JBN-2020-S109 http://hdl.handle.net/11449/211274 |
Resumo: | During the Covid-19 pandemic, the issue is how to maintain adequate care for people with other diseases. In this document, the SBN Rare Diseases Committee (COMDORA) gives some guidelines on the care of patients with rare kidney diseases. These patients should follow the recommendations for the general population, bearing in mind that, as they have chronic kidney disease, they are included in the risk group for more serious outcomes if they develop Covid-19. Non-essential decision-making procedures should be postponed. In stable cases under appropriate treatment, we must choose to contact our patients remotely, using teleconsultations and home exam collections (if possible). In the presence of a symptom or sign of decompensation of the underlying disease, or infection with Sars-cov-2, advise the patient to seek medical assistance. The patient should not be waiting to get worse. Changes to the prescription should only be made on a scientific basis. Dosage suspension or change is not recommended, even in cases in which the patient needs to go to a center to receive his medication; in this case, the infusion center must follow the recommendations of the Ministry of Health. If the patient develops Covid-19 and uses any drugs, check the need for dose adjustment of the routine medications. Avoid the use of antimetabolics and anti-CD20 in patients with Covid-19, as they reduce viral clearance and predispose to bacterial infections. Contact between the patient and the medical team is essential; changes are recommended only with specialized medical guidance. |
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COMDORA-SBN recommendations for patients with rare kidney diseases in relation to the Covid-19 pandemicChronic kidney diseaserare diseasesCovid-19Sars-cov-2During the Covid-19 pandemic, the issue is how to maintain adequate care for people with other diseases. In this document, the SBN Rare Diseases Committee (COMDORA) gives some guidelines on the care of patients with rare kidney diseases. These patients should follow the recommendations for the general population, bearing in mind that, as they have chronic kidney disease, they are included in the risk group for more serious outcomes if they develop Covid-19. Non-essential decision-making procedures should be postponed. In stable cases under appropriate treatment, we must choose to contact our patients remotely, using teleconsultations and home exam collections (if possible). In the presence of a symptom or sign of decompensation of the underlying disease, or infection with Sars-cov-2, advise the patient to seek medical assistance. The patient should not be waiting to get worse. Changes to the prescription should only be made on a scientific basis. Dosage suspension or change is not recommended, even in cases in which the patient needs to go to a center to receive his medication; in this case, the infusion center must follow the recommendations of the Ministry of Health. If the patient develops Covid-19 and uses any drugs, check the need for dose adjustment of the routine medications. Avoid the use of antimetabolics and anti-CD20 in patients with Covid-19, as they reduce viral clearance and predispose to bacterial infections. Contact between the patient and the medical team is essential; changes are recommended only with specialized medical guidance.Santa Casa de Misericórdia de Juiz de ForaSanta Casa de Belo HorizonteUniversidade Estadual Paulista, Faculdade de MedicinaUniversidade Estadual de CampinasUniversidade de São Paulo, Unidade de Transplante RenalGrupo CSB, Departamento de NefrologiaSanta Casa de Belo Horizonte, Unidade de Nefrologia PediátricaUniversidade Federal da BahiaUniversidade de São Paulo, Instituto da CriançaUniversidade Estadual Paulista, Faculdade de MedicinaSociedade Brasileira de NefrologiaSanta Casa de Misericórdia de Juiz de ForaSanta Casa de Belo HorizonteUniversidade Estadual Paulista (Unesp)Universidade Estadual de Campinas (UNICAMP)Universidade de São Paulo (USP)Grupo CSBUniversidade Federal da BahiaColares, Vinícius SardãoMiranda, Silvana MariaAndrade, Luis Gustavo Modelli De [UNESP]Palma, Lilian Monteiro PereiraCastro, Maria Cristina Ribeiro DeSilva, Cassiano Augusto BragaPenido, Maria Goretti Moreira GuimarãesSobral, RobertaVaisbich, Maria Helena2021-07-14T10:21:56Z2021-07-14T10:21:56Z2020-08-26info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article36-40application/pdfhttp://dx.doi.org/10.1590/2175-8239-JBN-2020-S109Brazilian Journal of Nephrology. Sociedade Brasileira de Nefrologia, v. 42, n. 2 suppl 1, p. 36-40, 2020.0101-28002175-8239http://hdl.handle.net/11449/21127410.1590/2175-8239-JBN-2020-S109S0101-28002020000500036S0101-28002020000500036.pdfSciELOreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengBrazilian Journal of Nephrologyinfo:eu-repo/semantics/openAccess2023-12-04T06:17:05Zoai:repositorio.unesp.br:11449/211274Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462023-12-04T06:17:05Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
COMDORA-SBN recommendations for patients with rare kidney diseases in relation to the Covid-19 pandemic |
title |
COMDORA-SBN recommendations for patients with rare kidney diseases in relation to the Covid-19 pandemic |
spellingShingle |
COMDORA-SBN recommendations for patients with rare kidney diseases in relation to the Covid-19 pandemic Colares, Vinícius Sardão Chronic kidney disease rare diseases Covid-19 Sars-cov-2 |
title_short |
COMDORA-SBN recommendations for patients with rare kidney diseases in relation to the Covid-19 pandemic |
title_full |
COMDORA-SBN recommendations for patients with rare kidney diseases in relation to the Covid-19 pandemic |
title_fullStr |
COMDORA-SBN recommendations for patients with rare kidney diseases in relation to the Covid-19 pandemic |
title_full_unstemmed |
COMDORA-SBN recommendations for patients with rare kidney diseases in relation to the Covid-19 pandemic |
title_sort |
COMDORA-SBN recommendations for patients with rare kidney diseases in relation to the Covid-19 pandemic |
author |
Colares, Vinícius Sardão |
author_facet |
Colares, Vinícius Sardão Miranda, Silvana Maria Andrade, Luis Gustavo Modelli De [UNESP] Palma, Lilian Monteiro Pereira Castro, Maria Cristina Ribeiro De Silva, Cassiano Augusto Braga Penido, Maria Goretti Moreira Guimarães Sobral, Roberta Vaisbich, Maria Helena |
author_role |
author |
author2 |
Miranda, Silvana Maria Andrade, Luis Gustavo Modelli De [UNESP] Palma, Lilian Monteiro Pereira Castro, Maria Cristina Ribeiro De Silva, Cassiano Augusto Braga Penido, Maria Goretti Moreira Guimarães Sobral, Roberta Vaisbich, Maria Helena |
author2_role |
author author author author author author author author |
dc.contributor.none.fl_str_mv |
Santa Casa de Misericórdia de Juiz de Fora Santa Casa de Belo Horizonte Universidade Estadual Paulista (Unesp) Universidade Estadual de Campinas (UNICAMP) Universidade de São Paulo (USP) Grupo CSB Universidade Federal da Bahia |
dc.contributor.author.fl_str_mv |
Colares, Vinícius Sardão Miranda, Silvana Maria Andrade, Luis Gustavo Modelli De [UNESP] Palma, Lilian Monteiro Pereira Castro, Maria Cristina Ribeiro De Silva, Cassiano Augusto Braga Penido, Maria Goretti Moreira Guimarães Sobral, Roberta Vaisbich, Maria Helena |
dc.subject.por.fl_str_mv |
Chronic kidney disease rare diseases Covid-19 Sars-cov-2 |
topic |
Chronic kidney disease rare diseases Covid-19 Sars-cov-2 |
description |
During the Covid-19 pandemic, the issue is how to maintain adequate care for people with other diseases. In this document, the SBN Rare Diseases Committee (COMDORA) gives some guidelines on the care of patients with rare kidney diseases. These patients should follow the recommendations for the general population, bearing in mind that, as they have chronic kidney disease, they are included in the risk group for more serious outcomes if they develop Covid-19. Non-essential decision-making procedures should be postponed. In stable cases under appropriate treatment, we must choose to contact our patients remotely, using teleconsultations and home exam collections (if possible). In the presence of a symptom or sign of decompensation of the underlying disease, or infection with Sars-cov-2, advise the patient to seek medical assistance. The patient should not be waiting to get worse. Changes to the prescription should only be made on a scientific basis. Dosage suspension or change is not recommended, even in cases in which the patient needs to go to a center to receive his medication; in this case, the infusion center must follow the recommendations of the Ministry of Health. If the patient develops Covid-19 and uses any drugs, check the need for dose adjustment of the routine medications. Avoid the use of antimetabolics and anti-CD20 in patients with Covid-19, as they reduce viral clearance and predispose to bacterial infections. Contact between the patient and the medical team is essential; changes are recommended only with specialized medical guidance. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-08-26 2021-07-14T10:21:56Z 2021-07-14T10:21:56Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1590/2175-8239-JBN-2020-S109 Brazilian Journal of Nephrology. Sociedade Brasileira de Nefrologia, v. 42, n. 2 suppl 1, p. 36-40, 2020. 0101-2800 2175-8239 http://hdl.handle.net/11449/211274 10.1590/2175-8239-JBN-2020-S109 S0101-28002020000500036 S0101-28002020000500036.pdf |
url |
http://dx.doi.org/10.1590/2175-8239-JBN-2020-S109 http://hdl.handle.net/11449/211274 |
identifier_str_mv |
Brazilian Journal of Nephrology. Sociedade Brasileira de Nefrologia, v. 42, n. 2 suppl 1, p. 36-40, 2020. 0101-2800 2175-8239 10.1590/2175-8239-JBN-2020-S109 S0101-28002020000500036 S0101-28002020000500036.pdf |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Brazilian Journal of Nephrology |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
36-40 application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Nefrologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Nefrologia |
dc.source.none.fl_str_mv |
SciELO reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
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1792961996029689856 |