Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
7
pubmed:dateCreated
2004-6-23
pubmed:abstractText
Reviewed are the clinical features and outcome of 12 chronic dialysis patients (six men) who contracted severe acute respiratory syndrome (SARS) compared with 23 sex- and age-matched nonuremic SARS patients as controls. Eight were on peritoneal dialysis (PD) and four on hemodialysis. Mean age was 58 +/- 12 yr for the dialysis patients, and 57 +/- 12 yr for the controls. The presenting symptoms of dialysis patients were similar to the controls. With appropriate protection measures, hemodialysis was performed in a dedicated area of the SARS isolation ward, while PD was continued as intermittent PD. In all seven patients with PD effluent tested, SARS-related coronavirus (CoV) could not be identified by polymerase chain reaction (PCR) or viral culture. Three dialysis patients had persistent positive stool PCR after 5 wk, whereas all nondialysis patients had negative stool PCR after 1 wk. Despite dosage adjustment, ribavirin-induced hemolytic anemia was more severe in the dialysis patients. Dialysis patients required longer hospitalization than the controls, but the mortality was similar. With appropriate protective measures, dialysis could be safely performed. Dialysis patients with SARS often require prolonged hospitalization. Furthermore, these patients may have an extended period of viral shedding, which should be carefully monitored for the purpose of infection control.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Jul
pubmed:issn
1046-6673
pubmed:author
pubmed:issnType
Print
pubmed:volume
15
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1883-8
pubmed:meshHeading
pubmed-meshheading:15213277-Aged, pubmed-meshheading:15213277-Anemia, Hemolytic, pubmed-meshheading:15213277-Case-Control Studies, pubmed-meshheading:15213277-Communicable Diseases, Emerging, pubmed-meshheading:15213277-Coronavirus, pubmed-meshheading:15213277-Female, pubmed-meshheading:15213277-Hospitalization, pubmed-meshheading:15213277-Humans, pubmed-meshheading:15213277-Infection Control, pubmed-meshheading:15213277-Male, pubmed-meshheading:15213277-Middle Aged, pubmed-meshheading:15213277-Models, Statistical, pubmed-meshheading:15213277-Peritoneal Dialysis, pubmed-meshheading:15213277-Polymerase Chain Reaction, pubmed-meshheading:15213277-Renal Dialysis, pubmed-meshheading:15213277-SARS Virus, pubmed-meshheading:15213277-Severe Acute Respiratory Syndrome, pubmed-meshheading:15213277-Time Factors, pubmed-meshheading:15213277-Treatment Outcome
pubmed:year
2004
pubmed:articleTitle
Severe acute respiratory syndrome in dialysis patients.
pubmed:affiliation
Department of Medicine and Therapeutics, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong SAR.
pubmed:publicationType
Journal Article