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?:abstract
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Dialysis patients are a risk group for SARS-CoV-2 infection and possibly further complications, but we have little information The aim of this paper is to describe the experience of the first month of the SARS-CoV-2 pandemic in a hospital haemodialysis (HD) unit serving the district of Madrid with the second highest incidence of COVID-19 (almost 1,000 patients in 100,000h) In the form of a diary, we present the actions undertaken, the incidence of COVID-19 in patients and health staff, some clinical characteristics and the results of screening all the patients in the unit We started with 90 patients on HD: 37 (41 1%) had COVID-19, of whom 17 (45 9%) were diagnosed through symptoms detected in triage or during the session, and 15 (40 5%) through subsequent screening of those who, until that time, had not undergone SARS-CoV-2 PCR testing Fever was the most frequent symptom, 50% had lymphopenia and 18 4% <95% O2 saturation Sixteen (43 2%) patients required hospital admission and 6 (16 2%) died We found a cluster of infection per shift and also among those using public transport In terms of staff, of the 44 people involved, 15 (34%) had compatible symptoms, 4 (9%) were confirmed as SARS-CoV-2 PCR cases by occupational health, 9 (20%) required some period of sick leave, temporary disability to work (ILT), and 5 were considered likely cases CONCLUSIONS: We detected a high prevalence of COVID-19 with a high percentage detected by screening;hence the need for proactive diagnosis to stop the pandemic Most cases are managed as outpatients, however severe symptoms are also appearing and mortality to date is 16 2% In terms of staff, 20% have required sick leave in relation to COVID-19
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