新冠肺炎疫情於美國大流行以來,末期腎臟疾病人因需做血液透析治療,須定期到洗腎中心,因此成為感染新冠肺炎的高危險群;有些洗腎中心建議採取將已感染,與疑似感染新冠肺炎的末期腎臟疾病人集中於同一個洗腎中心接受血液透析治療,對於有少部分採腹膜透析治療的末期腎臟疾病者,建議居家透析治療;然而,有些腎臟科醫師卻持不同看法,不主張讓病人到陌生的洗腎中心接受血液透析治療;因此在新冠肺炎疫情尚未控制之前,建議病人減少血液透析治療的時間,既可減低其被新冠肺炎感染的風險,又可有限度的兼顧其常規的血液透析治療

(財團法人國家衛生研究院 蔡慧如博士摘要整理)

Suzanne Watnick, MD, got the call at 9 pm Friday, February 28. A man in his 50s who received dialysis treatments at a Northwest Kidney Centers facility in Seattle was the first person with coronavirus disease 2019 (COVID-19) to die in the United States.

Watnick, the nonprofit dialysis organization’s chief medical officer, immediately called Elizabeth McNamara, RN, vice president of patient care services and chief nursing officer. The patient had last undergone dialysis at one of Northwest Kidney Centers’ 19 sites a week earlier.

Author:Rita Rubin
原文連結:https://jamanetwork.com/journals/jama/fullarticle/2764821