LINFECTION A COVID 19 CHEZ LES HEMODIALYSES CHRONIQUES A BRAZZAVILLE
Journal: International Journal of Advanced Research (Vol.10, No. 12)Publication Date: 2022-12-20
Authors : Daniel Tony Eyeni Sinomono Gael Honal Mahoungou Eric Pierre Ngabe Gandzali Audrey Missamou Paule Onguemby; Richard Loumingou Moukengue;
Page : 348-352
Keywords : Covid-19 Hemodialysis Patients Brazzaville;
- LINFECTION A COVID 19 CHEZ LES HEMODIALYSES CHRONIQUES A BRAZZAVILLE
- PREMIERES PONCTIONS DE FISTULE ARTERIO-VEINEUSE NATIVE CHEZ LES HEMODIALYSES CHRONIQUES A BRAZZAVILLE
- Valuation du taux d’hémoglobine dans une population algérienne d’hémodialysés chroniques. Sommes-nous conformes aux recommandations ? étude multicentrique sur une période de 18 mois
- LISCHEMIE MESENTERIQUE AIGUE AU COURS DE LINFECTION VIRALE TYPE COVID-19 : A PROPOS DUN CAS
- PRISE EN CHARGE DES PERSONNES ATTEINTES DE TROUBLES MUSCULO SUELETTIQUES ET DE MALADIES CHRONIQUES NON TRANSMISSIBLES PAR DES ACTIVITES PHYSIQUES ADAPTEES SANTE (APS) DURANT LE CONFINEMENT EN PERIODE DE COVID 19 AU SENEGAL
Abstract
Background: Due to their immunosuppression to varying degrees and significant comorbidity, patients on chronic dialysis have an increased risk of developing severe acute respiratory syndrome 2 (SARS-CoV-2) at Covid 19. We wanted to describe the incidence, risk factors and outcomes of Covid 19 infection in these patients in Brazzaville. Patients and methods: The study was carried out in a private hemodialysis center in Brazzaville (Congo). The data was collected retrospectively. Included were chronic hemodialysis patients who tested positive for Covid-19 between April 1, 2020 and November 30, 2021. We assessed disease characteristics, mortality, risk factors for infection and mortality from multivariate logistic regression analyses. Results: During the study period, 14 out of 46 hemodialysis patients (30.4%) were diagnosed with Covid-19 infection. Their average age was 42.3 ± 8.7 years with a male predominance (sex-ratio = 2.5). Among them, 13 (92.8%) presented with respiratory distress requiring hospitalization and the mortality rate was 42.8% only one was vaccinated against covid-19 (Vaccine from the Johnson Johnson laboratory). Significant predictors associated with infection included HIV (OR= 12.4 95% CI 17.1–43.7) and diabetes mellitus (OR= 9.7 95% CI 17.1– 43.7), the main risk factor for death is the suspension of hemodialysis sessions (OR= 14 95% CI 16.9–68.7). Conclusion: Patients on chronic hemodialysis are at increased risk of SRASCoV-2 infection and mortality from the Covid-19 coronavirus disease. It will be necessary to work to vaccinate these patients as a priority and to maintain the regularity of their weekly sessions by creating an intra-hospital emergency hemodialysis unit.
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