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Covid-19 in Egyptian hemodialysis and kidney transplant children: retrospective analysis of single center experience

Article scientifique 2022 Anglais

Résumé

BACKGROUND: Chronic kidney disease stage 5 (CKD 5) populations have peculiar risk for severe Covid-19 infection. Moreover; pediatric data are sparse and lacking. The aim of this study is to report our experience in CKD 5 children treated by hemodialysis (CKD 5D) and CKD 5 children after kidney transplantation (KTR) during one year of Covid-19 pandemic. METHODS: Retrospective analysis of 57 CKD 5 children with Covid-19 like symptoms during 1 year pandemic was performed. A cohort of 19 confirmed patients (13 CKD 5D and 6 KTR) was analyzed in details as regard clinical, laboratory, radiological criteria, management and their short term outcome. RESULTS: CONCLUSION: Pediatric patients on regular HD (CKD 5D) are at higher risk and worse outcome of Covid-19 infection than KT recipients (KTR). Pre-existing HTN and shorter duration after KT are potential risk factors. Reversible AGD after KT and CVC related infections in HD patients are additional presenting features of Covid-19 infection.

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Fadel, F., Sabry, S., Mawla, M., Galal, R., Salah, D., Helmy, R., Ramadan, Y., Elzayat, W., Abdelfattah, M., Alazem, E. (2022). Covid-19 in Egyptian hemodialysis and kidney transplant children: retrospective analysis of single center experience. https://doi.org/10.1186/s13052-022-01345-z

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Fatina I. Fadel Samar Sabry Mohamed A. Abdel Mawla Rasha Essam Eldin Galal Doaa M. Salah Rasha Helmy Yasmen Ramadan Wessam Abdelrahman Elzayat May Abdelfattah Eman Abobakr Abd Alazem

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