Abstract
ABSTRACTDuring 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.
Highlights
Durante a pandemia da Covid-19, fica a questão de como manter o atendimento adequado aos portadores de outras doenças
Alterações na prescrição só devem ser feitas com embasamento científico
Instruct the patient to contact the medical team if symptoms suggestive of SARS-CoV-2 infection occur, so that he/she can receive instructions regarding the need to go to a medical service for clinical, laboratory or imaging exam, or any intervention if necessary
Summary
Durante a pandemia da Covid-19, fica a questão de como manter o atendimento adequado aos portadores de outras doenças. Instruct the patient to contact the medical team if symptoms suggestive of SARS-CoV-2 infection occur, so that he/she can receive instructions regarding the need to go to a medical service for clinical, laboratory or imaging exam, or any intervention if necessary. Patients with glomerular diseases, in which the delay in immunosuppressive treatment may determine worsening of renal function, this should be promptly instituted, as, for example, Braz.
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