Abstract
In the French-speaking part of Belgium, between march and end of may 2020, 284 patients have suffered a Covid-19 infection, 7,9% of the prevalent dialysis population. Some of them have been diagnosed through rt-PCT as they were symptomatic, others, asymptomatic, being diagnosed by swab viral culture. Fifty two patients died (18% of the positive patients). The vast majority of them were patients on hemodialysis, only ten cases have been observed in patients on home dialysis techniques. Primary renal disease were diabetes or renal hypertensive disease in more than 50% of the patients and the most important comorbidities were cardiac ischemic or congestive disease, autonomy problems, cancer and smoking habits.
Highlights
Alors que les autorités politiques et sanitaires belges tergiversaient encore sur les mesures préventives à mettre en place pour endiguer l’épidémie attendue de Covid-19, l’American Society of Nephrology publiait dès le 27 février 2020 de premières recommandations pour la gestion du Covid-19 au sein des unités de dialyse dont les points clés étaient la séparation des patients et la détection précoce des patients atteints [1]
Some of them have been diagnosed through rt-PCT as they were symptomatic, others, asymptomatic, being diagnosed by swab viral culture
The vast majority of them were patients on hemodialysis, only ten cases have been observed in patients on home dialysis techniques
Summary
EPIDEMIE DU COVID-19 EN BELGIQUE FRANCOPHONE : Regard sur les patients dialysés en techniques ambulatoires. COVID-19 EPIDEMIC IN THE DIALYSIS UNITS OF THE FRENCH SPEAKING PART OF BELGIUM : Special insight into patients on home dialysis. Clin.Univ.St-Luc, Bruxelles, Belgique 7 Hop.de la Citadelle, Liège, Belgique 8 Centre hosp. En Belgique francophone, pendant la période mars à fin mai 2020, 284 patients en dialyse ont contracté le Covid-19, soit 7,9% de la population prévalente, qu’ils aient été diagnostiques par rt-PCT parce que symptomatiques ou dépistés par culture virale systématique alors qu’asymptomatiques. Cinquante-deux décès ont été observés soit 18% de la population atteinte. La toute grand majorité de ces patients (274) étaient traités par hémodialyse en centre, seuls 10 patients étaient en traitement à domicile. Leurs maladies rénales primitives étaient à plus de 50% des diabète et pathologies vasculaires hypertensives et leurs comorbidités essentielles, les pathologies cardiovasculaires ischémiques et congestives, les problèmes d’autonomie, les néoplasies et le tabagisme
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