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J Nephropathol. 2022;11(1): e7.
doi: 10.34172/jnp.2022.07
  Abstract View: 39
  PDF Download: 22

Original Article

Prevalence and clinical presentation of COVID-19 infection in hemodialysis patients

Azra Kenarkoohi 1 ORCID logo, Maryam Maleki 2 * ORCID logo, Bahareh Ghiasi 3 * ORCID logo, Elham Bastani 4 ORCID logo, Iraj Pakzad 1 ORCID logo, Mahtab Bonyadi 5 ORCID logo, Amir Abdoli 6 ORCID logo, Shahab Falahi 7 ORCID logo

1 Department of Microbiology, Faculty of Medicine, Ilam University of Medical Sciences, Ilam, Iran
2 Department of Physiology, Faculty of Medicine, Ilam University of Medical Sciences, Ilam, Iran
3 Department of Nephrology, Faculty of Medicine, Ilam University of Medical Sciences, Ilam, Iran, Iran
4 Department of Internal Medicine, School of Medicine, Ilam University of Medical Sciences, Ilam, Iran
5 Clinical Research Development, Mostafa Khomeini Hospital, Ilam University of Medical Sciences, Ilam, Iran
6 Department of Parasitology and Mycology, School of Medicine, Jahrom University of Medical Sciences, Jahrom, Iran
7 Zoonotic Diseases Research Center, Ilam Ilam University of Medical Sciences, Ilam, Iran
*Corresponding authors: Maryam Maleki, Email; Maryammaleki777@yahoo.com, maleki-m@medilam.ac.ir and Bahareh Ghiasi, Email: bahar55gh@yahoo.com, ghiasi-b@medilam.ac.ir

Abstract

Introduction: Hemodialysis (HD) patients are at increased risk for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. Objectives: The aim of this study was to evaluate the prevalence and clinical symptoms of SARS-CoV-2 infection in HD patients.

Patients and Methods: This is a single-center study conducted at HD center, in Ilam, Iran. The study was included 87 HD patients to be tested. SARS-CoV-2 infection was diagnosed with confirmed test by rRT-PCR (real-time reverse transcription polymerase chain reaction) assay.

Results: Around 35.63% of HD patients were diagnosed as COVID-19 infection; most of them were male (74.4%). Dyspnea (58.1%) and cough (45.2%) were the most common symptoms among HD cases with SARS-CoV-2 infection. Diabetes (16.1%) and hypertension (19.4%) were the most coexisting medical illnesses. About 12.9% of patients needed ICU care. Additionally, 16.1% of our patients died, which all of them were male.

Conclusion: This study showed a high prevalence of COVID-19 among our HD group, accompanied by mild symptoms. The HD population is probably among the most sensitive and high-risk groups for COVID-19 because of advanced age, comorbidities disease, low-immune function and frequent required visits, and patient overload in HD centers. Preventive measures should be taken in order to minimize the virus transmission in dialysis centers.

Keywords: SARS coronavirus, SARS-CoV-2, Hemodialysis, COVID-19

Implication for health policy/practice/research/medical education:

This study showed high prevalence of COVID-19 among hemodialysis (HD) group, accompanied by mild symptoms. The HD population is probably among the most sensitive and high-risk groups for COVID-19 because of advanced age, comorbidities disease, low-immune function and frequent required visits, and patient congestion in HD centers.

Please cite this paper as: Kenarkoohi A, Maleki M, Ghiasi B, Bastani E, Pakzad I, Bonyadi M, Abdoli A, Falahi S. Prevalence and clinical presentation of COVID-19 infection in hemodialysis patients. J Nephropathol. 2022;11(1):e07. DOI: 10.34172/jnp.2022.07.


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Submitted: 10 Feb 2021
Accepted: 31 Mar 2021
ePublished: 18 May 2021
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