Saudi Journal of Kidney Diseases and Transplantation

LETTER TO THE EDITOR
Year
: 2020  |  Volume : 31  |  Issue : 5  |  Page : 1161-

Home Dialysis: Lessons from COVID-19 and Other Viral Outbreaks


Abdelaali Bahadi, Driss ElKabbaj 
 Department of Nephrology, Dialysis and Kidney Transplantation, Military Teaching Hospital; Faculty of Medicine, Mohammed the V University, Rabat, Morocco

Correspondence Address:
Abdelaali Bahadi
Department of Nephrology, Dialysis and Kidney Transplantation, Military Teaching Hospital; Faculty of Medicine, Mohammed the V University, Rabat
Morocco




How to cite this article:
Bahadi A, ElKabbaj D. Home Dialysis: Lessons from COVID-19 and Other Viral Outbreaks.Saudi J Kidney Dis Transpl 2020;31:1161-1161


How to cite this URL:
Bahadi A, ElKabbaj D. Home Dialysis: Lessons from COVID-19 and Other Viral Outbreaks. Saudi J Kidney Dis Transpl [serial online] 2020 [cited 2021 Sep 28 ];31:1161-1161
Available from: https://www.sjkdt.org/text.asp?2020/31/5/1161/301192


Full Text



To the Editor,

Many influenza pandemic outbreaks were seen in the last 15 years, the first was H5N1 (avian influenza A),[1] then H1N1 and the coronavirus SRAS and MERS. Currently, the COVID-19 has caused not less than 130,000 infected humans and 8000 deaths. In Morocco, at this time, there are 54 confirmed cases and two deaths, and we are sure that will not be the last outbreak.

Patients with end-stage renal disease (ESRD) are among the groups at high risk for influenza-related complications,[2] and many nephrology societies have published guidelines to manage patients during such a period. However, it is still very difficult to implement, particularly at a dialysis center. Those patients cannot be isolated at home if they have an infection and not many medical centers will be able to treat all these patients in intensive care units if needed. Patients on home therapy are easier to manage in this situation because we can deliver their needs at home. Cho et al found that the risk of pandemic influenza was lower in a PD group than in a HD group.[3] In our country, like many other developing countries, only less than 5% of the dialysis patients are on peritoneal dialysis and no one on home hemodialysis.[4] We feel that this current outbreak of COVID-19 points to the need to rapidly develop home dialysis to manage patient with ESRD and reduce the number of patients with ESRD in hemodialysis centers.

Conflict of interest: None declared.

References

1Available from: https://www.cdc.gov/flu/ avianflu/h5n1-people.htm. [Last accessed on 1 October 2020].
2National Center for Immunization and Respiratory Diseases, CDC, Centers for Disease Control and Prevention (CDC). Use of influenza A (H1N1) 2009 monovalent vaccine: recommendations of the Advisory Committee on Immunization Practices (ACIP), 2009. MMWR Recomm Rep 2009;58:1-8.
3Cho JH, Do JY, Kim SH, et al. Impact of dialysis modality on the incidence of 2009 pandemic H1N1 influenza in end-stage renal disease patients. Perit Dial Int 2011;31:347-50.
4Bahadi A, El Farouki MR, Zajjari Y, El Kabbaj D. Initiating hemodialysis in Morocco: Impact of late referral. Nephrol Ther 2017;13: 525-31.