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

Citation:
Covid-19 in Egyptian hemodialysis and kidney transplant children: retrospective analysis of single center experience., Fadel, Fatina I., Sabry Samar, Mawla Mohamed Abdel A., Galal Rasha Essam Eldin, Salah Doaa M., Helmy Rasha, Ramadan Yasmen, Elzayat Wessam, Abdelfattah May, and Abd Alazem Eman Abobakr , Italian journal of pediatrics, Volume 48, Issue 1, p.149, (2022)

Abstract:

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.