Open AccessStrategies for Management of Peritoneal Dialysis Patients in Singapore during COVID-19 Pandemic
Author(s) -
Htay Htay,
Penelope Maxine Pk Wong,
Rui-En Ryan Choo,
Ubaidullah Shaik Dawood,
Marjorie Wai Yin Foo,
Mathini Jayaballa,
Grace Lee,
Martin B. Lee,
Yan Lun Allen Liu,
Sanmay Low,
Alexander K. Ng,
Elizabeth Ley Oei,
Yong Pey See,
Rajat Tagore,
Yinxia Tai,
Adrian Liew
Publication year - 2020
Publication title -
annals, academy of medicine, singapore/annals of the academy of medicine, singapore
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.299
H-Index - 60
ISSN - 0304-4602
DOI - 10.47102/annals-acadmedsg.2020250
Subject(s) - medicine , peritoneal dialysis , pandemic , renal replacement therapy , covid-19 , intensive care medicine , dialysis , peritonitis , acute kidney injury , nephrology , emergency medicine , disease , infectious disease (medical specialty)
AbstractPeritoneal dialysis (PD) is the only well-established home-based dialysis therapy in Singapore.As it is a home-based modality, PD should be considered as a preferred mode of kidneyreplacement therapy (KRT) for patients with kidney failure during this COVID-19 pandemicas it avoids frequent visits to hospitals and/or satellite dialysis centres. The highly infectiousnature of this virus has led to the implementation of the Disease Outbreak Response SystemCondition orange status in Singapore since early February 2020. This paper summarisesthe strategies for management of several aspects of PD in Singapore during this COVID-19pandemic, including PD catheter insertion, PD training, home visit and assisted PD, outpatientPD clinic, inpatient management of PD patients with or without COVID-19 infection, PD asKRT for COVID-19 patients with acute kidney injury, management of common complicationsin PD (peritonitis and fluid overload), and management of PD inventory.Keywords: Home-based dialysis, kidney failure, practice, SARS-CoV-2