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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.