Follow-up and Management of Kidney Transplant Recipients During the COVID-19 Lockdown: the experience of an Italian Transplant Center, Including Two Cases of COVID-19 Pneumonia
| العنوان: | Follow-up and Management of Kidney Transplant Recipients During the COVID-19 Lockdown: the experience of an Italian Transplant Center, Including Two Cases of COVID-19 Pneumonia |
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| المؤلفون: | Barbara Binda, Monica Di Norcia, Diana Lupi, Davide Chiappori, Alessandro Grimaldi, Alessandra Panarese, Filippo Montali, Anna Cecilia Carucci, Andrea Natili, Giovanna Picchi, Viviana Martinez, Gaia Sinatti, Francesco Pisani, Fabrizio D’Anselmi, Laura Lancione |
| المصدر: | Transplantation Proceedings |
| بيانات النشر: | The Author(s). Published by Elsevier Inc., 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, Telemedicine, medicine.medical_treatment, Population, Pneumonia, Viral, MEDLINE, Aftercare, 030230 surgery, Article, 03 medical and health sciences, Betacoronavirus, 0302 clinical medicine, Postoperative Complications, Risk Factors, Health care, Pandemic, Lockdown, medicine, Humans, Viral, COVID-19 pneumonia, education, Kidney transplant, Pandemics, Kidney transplantation, Immunosuppression Therapy, Transplantation, education.field_of_study, business.industry, SARS-CoV-2, COVID-19, Immunosuppression, Pneumonia, Middle Aged, medicine.disease, Kidney Transplantation, Italy, Infectious disease (medical specialty), Emergency medicine, Quarantine, Coronavirus Infections, Female, 030211 gastroenterology & hepatology, Surgery, business |
| الوصف: | Background COVID-19 is a new infectious disease which emerged in China in late 2019 and is now spreading around the world. Social distancing measures were needed to reduce transmission, and lockdown included restricted access to healthcare facilities. The impact of COVID-19 on transplant recipients is unknown but, considering their immunosuppression status and associated comorbidities, they should be considered a high risk population. Methods A kidney transplant center in Central Italy implemented a strategy to maintain follow-up of kidney transplant recipients by phone and e-mail during lockdown. Telephone interviews were used administer a clinical questionnaire to patients, and e-mail was used to receive the results of diagnostic tests conducted in outpatient settings. Results From March 17 to April 23, 2020, a total of 143 kidney transplant recipients were contacted. Twenty-eight patients needed in-hospital consultation for problems unrelated to COVID-19, 3 of whom needed hospitalization. Eleven patients were managed at home for mild urinary or respiratory diseases, and one was referred to the hematologist. We identified 2 suspected cases of COVID-19 infection, and referred them to hospital care. Immunosuppressive therapy was modulated, and intravenous corticosteroids and potentially effective antiviral therapy were administered, with a favorable outcome. Conclusion In the context of a lockdown, such as that occurring in response to COVID-19, we suggest implementing remote surveillance programs in kidney transplant recipients, with the help of any available technology, and offering medical consulting and logistic support as needed. Highlights • Lockdown has helped contain the transmission of COVID-19 in Italy. • Lockdown measures include reduced access to medical care for chronic conditions. • Kidney transplant recipients are fragile (immunosuppression and comorbidities). • Remote surveillance programs in fragile populations are needed. • Immunosuppression modulation is advised for COVID-19 in kidney transplant patients. |
| اللغة: | English |
| تدمد: | 1873-2623 0041-1345 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::dbbfbca4b8eab7e316610fe62a35f02aTest http://europepmc.org/articles/PMC7321021Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....dbbfbca4b8eab7e316610fe62a35f02a |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 18732623 00411345 |
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