Abstract
Malaysia has been hit with third wave of pandemic COVID-19 since September 2020 till date with sudden surge of cases which mainly involved the vulnerable group with comorbidities. Dialysis dependent End Stage Renal Failure (ESRF) patient are at high risk for COVID-19 infection and its unfavorable sequalae. They are relatively immunosuppressed and had frequent encounters with health care setting, hence increase the risk for persistent exposure and recurrent infection. However, the persistence or recurrent positivity in immunocompromised patient poses a dilemma in regard to the infectivity status and future protection in this population.
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