Canadian Association of Paediatric Nephrologists COVID-19 Rapid Response: Home and In-Center Dialysis Guidance

Purpose of the program: This article provides guidance on optimizing the management of pediatric patients with end-stage kidney disease (ESKD) who will be or are being treated with any form of home or in-center dialysis during the COVID-19 pandemic. The goals are to provide the best possible care fo...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Abdullah Alabbas, Elizabeth Harvey, Amrit Kirpalani, Chia Wei Teoh, Cherry Mammen, Kristen Pederson, Rose Nemec, T. Keefe Davis, Anna Mathew, Brendan McCormick, Cheryl A. Banks, Charles H. Frenette, David A. Clark, Deborah Zimmerman, Elena Qirjazi, Fabrice Mac-Way, Hans Vorster, John E. Antonsen, Joanne E. Kappel, Jennifer M. MacRae, Juliya Hemmett, Karthik K. Tennankore, Louise M. Moist, Michael Copland, Michael McCormick, Rita S. Suri, Rajinder S. Singh, Sara N. Davison, Mathieu Lemaire, Rahul Chanchlani
Formato:	article
Lenguaje:	EN
Publicado:	SAGE Publishing 2021
Materias:	Diseases of the genitourinary system. Urology RC870-923
Acceso en línea:	https://doaj.org/article/52306632e7ce437ea208d3f501095968
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:52306632e7ce437ea208d3f501095968
record_format	dspace
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the genitourinary system. Urology RC870-923
spellingShingle	Diseases of the genitourinary system. Urology RC870-923 Abdullah Alabbas Elizabeth Harvey Amrit Kirpalani Chia Wei Teoh Cherry Mammen Kristen Pederson Rose Nemec T. Keefe Davis Anna Mathew Brendan McCormick Cheryl A. Banks Charles H. Frenette David A. Clark Deborah Zimmerman Elena Qirjazi Fabrice Mac-Way Hans Vorster John E. Antonsen Joanne E. Kappel Jennifer M. MacRae Juliya Hemmett Karthik K. Tennankore Louise M. Moist Michael Copland Michael McCormick Rita S. Suri Rajinder S. Singh Sara N. Davison Mathieu Lemaire Rahul Chanchlani Canadian Association of Paediatric Nephrologists COVID-19 Rapid Response: Home and In-Center Dialysis Guidance
description	Purpose of the program: This article provides guidance on optimizing the management of pediatric patients with end-stage kidney disease (ESKD) who will be or are being treated with any form of home or in-center dialysis during the COVID-19 pandemic. The goals are to provide the best possible care for pediatric patients with ESKD during the pandemic and ensure the health care team’s safety. Sources of information: The core of these rapid guidelines is derived from the Canadian Society of Nephrology (CSN) consensus recommendations for adult patients recently published in the Canadian Journal of Kidney Health and Disease ( CJKHD ). We also consulted specific documents from other national and international agencies focused on pediatric kidney health. Additional information was obtained by formal review of the published academic literature relevant to pediatric home or in-center hemodialysis. Methods: The Leadership of the Canadian Association of Paediatric Nephrologists (CAPN), which is affiliated with the CSN, solicited a team of clinicians and researchers with expertise in pediatric home and in-center dialysis. The goal was to adapt the guidelines recently adopted for Canadian adult dialysis patients for pediatric-specific settings. These included specific COVID-19-related themes that apply to dialysis in a Canadian environment, as determined by a group of senior renal leaders. Expert clinicians and nurses with deep expertise in pediatric home and in-center dialysis reviewed the revised pediatric guidelines. Key findings: We identified 7 broad areas of home dialysis practice management that may be affected by the COVID-19 pandemic: (1) peritoneal dialysis catheter placement, (2) home dialysis training, (3) home dialysis management, (4) personal protective equipment, (5) product delivery, (6) minimizing direct health care providers and patient contact, and (7) caregivers support in the community. In addition, we identified 8 broad areas of in-center dialysis practice management that may be affected by the COVID-19 pandemic: (1) identification of patients with COVID-19, (2) hemodialysis of patients with confirmed COVID-19, (3) hemodialysis of patients not yet known to have COVID-19, (4) management of visitors to the dialysis unit, (5) handling COVID-19 testing of patients and staff, (6) safe practices during resuscitation procedures in a pandemic, (7) routine hemodialysis care, and (8) hemodialysis care under fixed dialysis resources. We make specific suggestions and recommendations for each of these areas. Limitations: At the time when we started this work, we knew that evidence on the topic of pediatric dialysis and COVID-19 would be severely limited, and our resources were also limited. We did not, therefore, do formal systematic review or meta-analysis. We did not evaluate our specific suggestions in the clinical environment. Thus, this article’s advice and recommendations are primarily expert opinions and subject to the biases associated with this level of evidence. To expedite the publication of this work, we created a parallel review process that may not be as robust as standard arms’ length peer-review processes. Implications: We intend these recommendations to help provide the best care possible for pediatric patients prescribed in-center or home dialysis during the COVID-19 pandemic, a time of altered priorities and reduced resources.
format	article
author	Abdullah Alabbas Elizabeth Harvey Amrit Kirpalani Chia Wei Teoh Cherry Mammen Kristen Pederson Rose Nemec T. Keefe Davis Anna Mathew Brendan McCormick Cheryl A. Banks Charles H. Frenette David A. Clark Deborah Zimmerman Elena Qirjazi Fabrice Mac-Way Hans Vorster John E. Antonsen Joanne E. Kappel Jennifer M. MacRae Juliya Hemmett Karthik K. Tennankore Louise M. Moist Michael Copland Michael McCormick Rita S. Suri Rajinder S. Singh Sara N. Davison Mathieu Lemaire Rahul Chanchlani
author_facet	Abdullah Alabbas Elizabeth Harvey Amrit Kirpalani Chia Wei Teoh Cherry Mammen Kristen Pederson Rose Nemec T. Keefe Davis Anna Mathew Brendan McCormick Cheryl A. Banks Charles H. Frenette David A. Clark Deborah Zimmerman Elena Qirjazi Fabrice Mac-Way Hans Vorster John E. Antonsen Joanne E. Kappel Jennifer M. MacRae Juliya Hemmett Karthik K. Tennankore Louise M. Moist Michael Copland Michael McCormick Rita S. Suri Rajinder S. Singh Sara N. Davison Mathieu Lemaire Rahul Chanchlani
author_sort	Abdullah Alabbas
title	Canadian Association of Paediatric Nephrologists COVID-19 Rapid Response: Home and In-Center Dialysis Guidance
title_short	Canadian Association of Paediatric Nephrologists COVID-19 Rapid Response: Home and In-Center Dialysis Guidance
title_full	Canadian Association of Paediatric Nephrologists COVID-19 Rapid Response: Home and In-Center Dialysis Guidance
title_fullStr	Canadian Association of Paediatric Nephrologists COVID-19 Rapid Response: Home and In-Center Dialysis Guidance
title_full_unstemmed	Canadian Association of Paediatric Nephrologists COVID-19 Rapid Response: Home and In-Center Dialysis Guidance
title_sort	canadian association of paediatric nephrologists covid-19 rapid response: home and in-center dialysis guidance
publisher	SAGE Publishing
publishDate	2021
url	https://doaj.org/article/52306632e7ce437ea208d3f501095968
work_keys_str_mv	AT abdullahalabbas canadianassociationofpaediatricnephrologistscovid19rapidresponsehomeandincenterdialysisguidance AT elizabethharvey canadianassociationofpaediatricnephrologistscovid19rapidresponsehomeandincenterdialysisguidance AT amritkirpalani canadianassociationofpaediatricnephrologistscovid19rapidresponsehomeandincenterdialysisguidance AT chiaweiteoh canadianassociationofpaediatricnephrologistscovid19rapidresponsehomeandincenterdialysisguidance AT cherrymammen canadianassociationofpaediatricnephrologistscovid19rapidresponsehomeandincenterdialysisguidance AT kristenpederson canadianassociationofpaediatricnephrologistscovid19rapidresponsehomeandincenterdialysisguidance AT rosenemec canadianassociationofpaediatricnephrologistscovid19rapidresponsehomeandincenterdialysisguidance AT tkeefedavis canadianassociationofpaediatricnephrologistscovid19rapidresponsehomeandincenterdialysisguidance AT annamathew canadianassociationofpaediatricnephrologistscovid19rapidresponsehomeandincenterdialysisguidance AT brendanmccormick canadianassociationofpaediatricnephrologistscovid19rapidresponsehomeandincenterdialysisguidance AT cherylabanks canadianassociationofpaediatricnephrologistscovid19rapidresponsehomeandincenterdialysisguidance AT charleshfrenette canadianassociationofpaediatricnephrologistscovid19rapidresponsehomeandincenterdialysisguidance AT davidaclark canadianassociationofpaediatricnephrologistscovid19rapidresponsehomeandincenterdialysisguidance AT deborahzimmerman canadianassociationofpaediatricnephrologistscovid19rapidresponsehomeandincenterdialysisguidance AT elenaqirjazi canadianassociationofpaediatricnephrologistscovid19rapidresponsehomeandincenterdialysisguidance AT fabricemacway canadianassociationofpaediatricnephrologistscovid19rapidresponsehomeandincenterdialysisguidance AT hansvorster canadianassociationofpaediatricnephrologistscovid19rapidresponsehomeandincenterdialysisguidance AT johneantonsen canadianassociationofpaediatricnephrologistscovid19rapidresponsehomeandincenterdialysisguidance AT joanneekappel canadianassociationofpaediatricnephrologistscovid19rapidresponsehomeandincenterdialysisguidance AT jennifermmacrae canadianassociationofpaediatricnephrologistscovid19rapidresponsehomeandincenterdialysisguidance AT juliyahemmett canadianassociationofpaediatricnephrologistscovid19rapidresponsehomeandincenterdialysisguidance AT karthikktennankore canadianassociationofpaediatricnephrologistscovid19rapidresponsehomeandincenterdialysisguidance AT louisemmoist canadianassociationofpaediatricnephrologistscovid19rapidresponsehomeandincenterdialysisguidance AT michaelcopland canadianassociationofpaediatricnephrologistscovid19rapidresponsehomeandincenterdialysisguidance AT michaelmccormick canadianassociationofpaediatricnephrologistscovid19rapidresponsehomeandincenterdialysisguidance AT ritassuri canadianassociationofpaediatricnephrologistscovid19rapidresponsehomeandincenterdialysisguidance AT rajinderssingh canadianassociationofpaediatricnephrologistscovid19rapidresponsehomeandincenterdialysisguidance AT sarandavison canadianassociationofpaediatricnephrologistscovid19rapidresponsehomeandincenterdialysisguidance AT mathieulemaire canadianassociationofpaediatricnephrologistscovid19rapidresponsehomeandincenterdialysisguidance AT rahulchanchlani canadianassociationofpaediatricnephrologistscovid19rapidresponsehomeandincenterdialysisguidance
_version_	1718439671682301952
spelling	oai:doaj.org-article:52306632e7ce437ea208d3f5010959682021-11-10T23:03:25ZCanadian Association of Paediatric Nephrologists COVID-19 Rapid Response: Home and In-Center Dialysis Guidance2054-358110.1177/20543581211053458https://doaj.org/article/52306632e7ce437ea208d3f5010959682021-11-01T00:00:00Zhttps://doi.org/10.1177/20543581211053458https://doaj.org/toc/2054-3581Purpose of the program: This article provides guidance on optimizing the management of pediatric patients with end-stage kidney disease (ESKD) who will be or are being treated with any form of home or in-center dialysis during the COVID-19 pandemic. The goals are to provide the best possible care for pediatric patients with ESKD during the pandemic and ensure the health care team’s safety. Sources of information: The core of these rapid guidelines is derived from the Canadian Society of Nephrology (CSN) consensus recommendations for adult patients recently published in the Canadian Journal of Kidney Health and Disease ( CJKHD ). We also consulted specific documents from other national and international agencies focused on pediatric kidney health. Additional information was obtained by formal review of the published academic literature relevant to pediatric home or in-center hemodialysis. Methods: The Leadership of the Canadian Association of Paediatric Nephrologists (CAPN), which is affiliated with the CSN, solicited a team of clinicians and researchers with expertise in pediatric home and in-center dialysis. The goal was to adapt the guidelines recently adopted for Canadian adult dialysis patients for pediatric-specific settings. These included specific COVID-19-related themes that apply to dialysis in a Canadian environment, as determined by a group of senior renal leaders. Expert clinicians and nurses with deep expertise in pediatric home and in-center dialysis reviewed the revised pediatric guidelines. Key findings: We identified 7 broad areas of home dialysis practice management that may be affected by the COVID-19 pandemic: (1) peritoneal dialysis catheter placement, (2) home dialysis training, (3) home dialysis management, (4) personal protective equipment, (5) product delivery, (6) minimizing direct health care providers and patient contact, and (7) caregivers support in the community. In addition, we identified 8 broad areas of in-center dialysis practice management that may be affected by the COVID-19 pandemic: (1) identification of patients with COVID-19, (2) hemodialysis of patients with confirmed COVID-19, (3) hemodialysis of patients not yet known to have COVID-19, (4) management of visitors to the dialysis unit, (5) handling COVID-19 testing of patients and staff, (6) safe practices during resuscitation procedures in a pandemic, (7) routine hemodialysis care, and (8) hemodialysis care under fixed dialysis resources. We make specific suggestions and recommendations for each of these areas. Limitations: At the time when we started this work, we knew that evidence on the topic of pediatric dialysis and COVID-19 would be severely limited, and our resources were also limited. We did not, therefore, do formal systematic review or meta-analysis. We did not evaluate our specific suggestions in the clinical environment. Thus, this article’s advice and recommendations are primarily expert opinions and subject to the biases associated with this level of evidence. To expedite the publication of this work, we created a parallel review process that may not be as robust as standard arms’ length peer-review processes. Implications: We intend these recommendations to help provide the best care possible for pediatric patients prescribed in-center or home dialysis during the COVID-19 pandemic, a time of altered priorities and reduced resources.Abdullah AlabbasElizabeth HarveyAmrit KirpalaniChia Wei TeohCherry MammenKristen PedersonRose NemecT. Keefe DavisAnna MathewBrendan McCormickCheryl A. BanksCharles H. FrenetteDavid A. ClarkDeborah ZimmermanElena QirjaziFabrice Mac-WayHans VorsterJohn E. AntonsenJoanne E. KappelJennifer M. MacRaeJuliya HemmettKarthik K. TennankoreLouise M. MoistMichael CoplandMichael McCormickRita S. SuriRajinder S. SinghSara N. DavisonMathieu LemaireRahul ChanchlaniSAGE PublishingarticleDiseases of the genitourinary system. UrologyRC870-923ENCanadian Journal of Kidney Health and Disease, Vol 8 (2021)

Canadian Association of Paediatric Nephrologists COVID-19 Rapid Response: Home and In-Center Dialysis Guidance

Ejemplares similares