key: cord-0765890-ca35g5uo
authors: Lim, Chiao Yuen; Lim, Yee Yin; Tan, Jackson
title: The Evolving Practice of Nephrology During the COVID-19 Pandemic in Brunei Darussalam
date: 2021-10-13
journal: Kidney Int Rep
DOI: 10.1016/j.ekir.2021.10.003
sha: 3fc4ea693fafca27bef5a0815a4729dd8fd847cf
doc_id: 765890
cord_uid: ca35g5uo

nan

time required. Clearance measurements and PET are deferred. Patients on epoetin-beta are converted to Mircera to reduce clinic visits.

As advocated by the International Society of Nephrology, COVID-19 vaccination is prioritized for our dialysis population, through in-center vaccination. 4 With this initiative, we have boosted the two doses vaccination rate amongst the dialysis population from <5% to >70% in less than 2 months.

The lasting effect of COVID-19 will continue to impact all aspects of nephrology. As we move into uncharted territory, we need to explore creative ways with flexibility and clear strategies, to implement dialysis care and for emergency preparedness in the future.

Advice patients to stay at home and not turn up at dialysis facility if unwell.

Ensure triaging (contact and travel history, fever, influenza-like illness) before allowing entrance into the facility. Security checkpoints to ensure no patients on quarantine order are allowed entry to the facility.

Physical distancing in waiting areas.

Every patient to use a fixed station throughout, preferably with the same nurse, for ease of contact tracing if needed.

Compulsory wearing of surgical masks by all patients throughout the HD sessions.

Discouraged to eat or drink throughout the HD sessions.

Educate all staff on the importance of hand hygiene and use of personal protective equipment (PPE). 

Global Dialysis Perspective: Brunei Darussalam

Outcomes of Patients on Maintenance Dialysis Hospitalized with COVID-19

The urgent need to vaccinate dialysis patients against severe acute respiratory syndrome coronavirus 2: a call to action