Recommendations from the Brazilian Society of Nephrology for approaching Covid-19 Diagnostic Testing in Dialysis Units

J Bras Nefrol. 2020 Aug 26;42(2 suppl 1):4-8. doi: 10.1590/2175-8239-JBN-2020-S102.
[Article in English, Portuguese]

Abstract

The Covid-19 pandemic brought several challenges to the healthcare system: diagnosis, treatment and measures to prevent the spread of the disease. With the greater availability and variety of diagnostic tests, it is essential to properly interpret them. This paper intends to help dialysis units concerning the use of clinical criteria and diagnostic tests for decision making regarding the discontinuation of isolation of patients with suspected or confirmed Covid-19, as well as the return to work activities for employees with suspected or confirmed Covid-19.

A pandemia da Covid-19 trouxe desafios ao sistema de saúde em diversas esferas: diagnóstico, tratamento e medidas para evitar a disseminação da doença. Com a maior disponibilização e variedades de testes diagnósticos, torna-se fundamental sua adequada interpretação. Este posicionamento pretende orientar unidades de diálise em relação ao uso de critérios clínicos e testes diagnósticos para a tomada de decisão referente à descontinuação do isolamento de pacientes com suspeita ou confirmação de Covid-19, assim como para o retorno às atividades laborais de colaboradores com suspeita ou confirmação de Covid-19.

Publication types

  • Practice Guideline

MeSH terms

  • Algorithms
  • Betacoronavirus*
  • Brazil
  • COVID-19
  • COVID-19 Testing
  • Checklist
  • Clinical Decision-Making
  • Clinical Laboratory Techniques / methods
  • Clinical Laboratory Techniques / standards*
  • Coronavirus Infections / diagnosis*
  • Coronavirus Infections / epidemiology
  • Humans
  • Nephrology / standards*
  • Occupational Diseases / diagnosis
  • Pandemics
  • Patient Isolation
  • Pneumonia, Viral / diagnosis*
  • Pneumonia, Viral / epidemiology
  • Real-Time Polymerase Chain Reaction / methods
  • Real-Time Polymerase Chain Reaction / standards
  • Renal Dialysis*
  • Return to Work*
  • SARS-CoV-2
  • Societies, Medical / standards
  • Urology Department, Hospital / standards