Corona Virus and Dialysis

By | 6 April 2021

Coronavirus and Dialysis

1- What is coronavirus? What are the symptoms?

Coronaviruses are a large family of viruses that cause more serious diseases from the common cold such as MERS-CoV (Middle East Respiratory Syndrome) and SARS-CoV (Severe Acute Respiratory Syndrome). The main system affected by coronavirus is the organ respiratory tract.

Coronavirus (COVID-19) can infect young people without symptoms. The most common symptoms are fever, cough, weakness, muscle pain, and shortness of breath. Headache, taste and smell disorder, mild diarrhea, and redness of the eyes are common symptoms. The typical sign of lung infection is the ground glass image seen on tomography. In severe cases, pneumonia, severe respiratory failure, heart-kidney failure, and death may occur.

2- How is the clinic of coronavirus infection?

Young healthy people can pass the infection without any symptoms. 80% of the society also progresses with a flu-like sore throat, runny nose, and mild cough. In a healthy population, it causes serious lung infection that requires approximately 5% intensive care admission and 2.4% deaths.

In patients who develop severe respiratory failure during corona infection, the blood oxygen level decreases, and the need for respiratory support may develop. Additional bacterial infections may develop in the lung during this follow-up. Cardiac muscle involvement, coagulation problems, neurological problems, and intestinal findings can also be seen in the course of the disease.

Corona infection can be more severe in elderly people, in the presence of additional diseases such as high blood pressure, diabetes, and in people with a diagnosis of organ failure.

Coronavirus infection has a more severe course in patients with a diagnosis of chronic kidney disease. Therefore, protective measures must be followed with maximum attention.

3- How is corona transmitted?

Coronavirus spreads through droplets scattered by coughing and sneezing. Droplets contact the mucous membranes of healthy people, causing these people to become ill. Close contact (closer than 1.5) is required for the disease to be transmitted from person to person in this way.

Since corona is a heavy virus in nature, it easily adheres and remains on the surfaces, and it can be transmitted to our hands from surfaces such as door handles and electric switches that we touch with our hands.

Normally, a person who gets the disease can start spreading the virus before they realize they are sick and before symptoms appear. The period between the intake of the virus and the emergence of the symptoms of the disease is called the incubation period. The incubation period is considered to be 2-14 days.

The transmission time of the patient diagnosed with corona is considered to be an average of 14 days from the diagnosis.

4- What are the suggestions for healthy people not to be infected with the Coronavirus?

Coronavirus can infect without symptoms. For this reason, the person with the corona infection can infect his environment even when he is feeling healthy.

Due to the adherence of the coronavirus to surfaces, care should be taken not to rub hands on the face and eyes as much as possible, it is recommended to wash hands and clean with frequent antibacterial gel when coming from the outside environment. It is important to clean mobile phones, pens, glasses, etc. items used outdoors with alcohol.

It is very important to comply with the social isolation rule.

5- How is corona infection diagnosed?

The diagnosis of coronavirus is made with a test that we can look at the structure we call “RNA” with molecular methods. The coronavirus test is performed in the National Virology Reference Laboratory of the General Directorate of Public Health and in designated Public Health Laboratories.

The test is sent to reference centers working 24/7 from the moment the relevant physician makes a decision and is concluded within 36 hours at the earliest.

The time of taking the corona test through the nose with specially equipped clothes for the corona test (when the symptoms of the disease appear), for example taking the correct method, proper transportation conditions, will increase the accuracy of the test. In case of doubt, a test can be taken from the lungs with bronchial flushing. It can be repeated 3-4 days later.

6- Basic golden rules for protection from corona infection

  • When your hands come from outside, in case of contact with people, regularly wash them with soap and water for 20 seconds or rub them with an alcohol-based liquid
  • To comply with the social rule in the outdoor environment (at least 1.5 meters between people)
  • Wearing a mask in the outdoor environment
  • Covering your nose and mouth with a disposable tissue or the inside of your elbow while coughing or sneezing
  • Removing outdoor clothing when coming home and cleaning items such as mobile phones with alcohol

Special protection recommendations for dialysis patients from coronavirus

  • Strict compliance with social isolation, mask use, and disinfection rules
  • Using a mask in the vehicle if using a service to access dialysis patients from coronavirus
  • Hand washing or using hand sanitizer during entry and exit to dialysis
  • Covering your nose and mouth with a disposable tissue or the inside of your elbow while coughing or sneezing
  • Not having a companion with the patient during dialysis
  • Paying attention to a gap of approximately 2 meters between patient beds during dialysis.
  • On returning home, take off all clothes very carefully and wash your hands very well. Take a shower immediately if possible
  • Cleaning mobile phones, bags, computers and similar items used outdoors by wiping with alcohol
  • Avoiding social meetings such as home visits, giving up greeting habits such as handshaking and hugging
  • Regular cleaning of frequently touched surfaces such as door handles and switches at home is required.
  • People with the possibility of illness at home should definitely wear a mask and not share the same environment with the patient, and if possible, separate the toilet.
  • If there are symptoms of cough, fever, shortness of breath, it is very important to warn the dialysis center before coming to dialysis.

It is important that you have your temperature measured at the center entrance, wash your hands, and not remove your mask during treatment.

If there are symptoms of cough, fever, and shortness of breath, it is very important to warn the dialysis center before coming to dialysis to protect from coronavirus

At the dialysis entrance of the center, he will evaluate you, determine your dialysis bed coronavirus, and perform examination and referral procedures in case of doubt.

Why should we isolate ourselves?

In the process of chronic kidney failure, the immune system is weakened. It is known that corona infection is more severe in patients with a diagnosis of renal failure. In case of additional diseases such as diabetes, heart disease, use of drugs that suppress the immune system such as steroids, and a history of cancer, the possibility of corona infection to progress more severely increases.

Due to the possibility of healthy people passing the disease without symptoms, we need to protect ourselves from all possible contamination risks with maximum attention.

Does the flu vaccine or pneumococcal vaccine protect from Coronavirus?

Flu vaccination should be done at the beginning of the season. Pneumococcal vaccine is protective for life. These vaccines protect from flu and pneumonia, but do not protect from Coronavirus. When the coronavirus vaccine is developed, it will be very important for people in the risk group to get this vaccine.

Is there a cure for Corona Virus infection?

Antibiotics (preferably azithromycin), chloroquine, and redeliver are used in patients with severe disease. In intensive care patients, monoclonal antibody treatments are applied because the immune system is highly stimulated. Searches for anti-virus drugs and various experimental treatments for treatment are ongoing.