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. 2020 May 28;5(7):1090–1094. doi: 10.1016/j.ekir.2020.05.018

Table 4.

Summary of strategies to optimize care and limit spread of severe acute respiratory syndrome coronavirus 2 among HD patients

Reducing the spread of infection
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    Active triage and isolation inside rooms of patients in HD units with suspected COVID-19. These patients should be prioritized in the allocation of side rooms (exception hepatitis B–positive patients).

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    Use of separate transportation for those with suspected and/or confirmed disease.

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    Active follow-up of patients who miss HD sessions.

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    Use of personal protective equipment by both health care professionals and patients.

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    Use of a dedicated COVID-19–positive HD unit for all confirmed cases.

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    Active repatriation of asymptomatic patients back to base unit only after 2 consecutive negative COVID-19 swabs.

Optimizing care for patients
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    Continued 3-times-a-week HD sessions for existing patients.

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    Incremental 2-times-a-week HD for new patients.

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    Increased physician presence at COVID-19–positive HD unit to monitor parameters.

COVID-19, coronavirus disease 2019; HD, hemodialysis.