Vista de Recomendaciones sobre la vacunación contra SARS-CoV-2 en pacientes en diálisis y lista de espera de trasplante renal
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Fecha
2022
Autores
Yomayusa González, Nancy
González González, Camilo Alberto
Yama, Erica
Aroca Martínez, Gustavo
Chacón Acevedo, Kelly Rocío
Robayo, Adriana
Baquero Rodríguez, Richard
Montero, Camilo
Torres Serrano, Rodolfo Eduardo
Restrepo, Cesar
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Asociación Colombiana de Nefrología e Hipetensión Arterial
Resumen
Contexto: las personas con diálisis se consideran una población de alto riesgo de infección por
SARS-CoV-2, complicaciones y muerte. En Colombia, cerca del 44 % de la población en diálisis
es menor de 60 años, adicionalmente, por los mismos retos que ha impuesto la pandemia a los
programas de trasplantes, se ha incrementado notoriamente la población joven que debe seguir
en diálisis al no tener opción a corto plazo de un trasplante renal, por lo tanto, las limitaciones
en el acceso temprano a la vacunación contra SARS-CoV-2 agudizarían los problemas de esta
población, provocando pérdidas considerables en años de vida que la vacuna podría salvar.
Objetivo: el objetivo del presente documento es sintetizar los principales motivos por los que se
recomienda la priorización de la vacunación de los pacientes en diálisis crónica y lista de espera
para trasplante renal.
Métodología: se realizó una búsqueda rápida de información sobre la vacunación en pacientes
con ERC en diálisis o en espera de trasplante renal. La información resultante fue analizada críticamente por expertos en nefrología para la formulación de recomendaciones. Los resultados de
la búsqueda se presentan a manera de síntesis narrativa.
Resultados: a partir de la información revisada y discutida por los expertos en nefrología se
proponen 4 recomendaciones para la vacunación contra el virus SARS-Cov-2.
Conclusiones: la Asociación Colombiana de Nefrología e Hipertensión Arterial, la Asociación Colombiana de Nefrología Pediátrica y la Asociación Colombiana de Trasplante de Órganos, comprometidos
con la salud de los pacientes con enfermedad renal en diálisis y listas de espera de trasplantes en
Colombia, se unen a la solicitud mundial de generar recomendaciones para la vacunación contra
SARS-CoV-2.
Background: People on dialysis are considered a high-risk population for SARS-CoV-2 infection, complications, and death. In Colombia, about 44 % of the population on dialysis is under 60 years of age. In addition, due to the same challenges that the pandemic has imposed on transplant programs, the young population that must continue on dialysis has increased markedly, as they have no option in the short term of a kidney transplant, therefore, the limitations in early access to vaccination against SARS-CoV-2 would exacerbate the problems of this population, causing considerable losses in years of life that the vaccine could save. Purpose: The objective of this document is to summarize the main reasons why the prioritization of vaccination of patients on chronic dialysis and on the kidney transplant waiting list is recommended. Methodology: A rapid search for information on vaccination in patients with CKD on dialysis or awaiting kidney transplantation was performed. The resulting information was critically analyzed by experts in nephrology for the formulation of recommendations. The search results are presented as a narrative synthesis. Results: Based on the information reviewed and discussed by nephrology experts, 4 recommendations are proposed for vaccination against the SARS-Cov-2 virus. Conclusions: The Colombian Association of Nephrology and Arterial Hypertension (ASOCOLNEF), the Colombian Association of Pediatric Nephrology (ACONEPE) and the Colombian Association of Organ Transplantation (ACTO), committed to the health of patients with kidney disease on dialysis and transplant waiting lists in Colombia, join to generate recommendations for prioritization and vaccination against SARS-CoV-2
Background: People on dialysis are considered a high-risk population for SARS-CoV-2 infection, complications, and death. In Colombia, about 44 % of the population on dialysis is under 60 years of age. In addition, due to the same challenges that the pandemic has imposed on transplant programs, the young population that must continue on dialysis has increased markedly, as they have no option in the short term of a kidney transplant, therefore, the limitations in early access to vaccination against SARS-CoV-2 would exacerbate the problems of this population, causing considerable losses in years of life that the vaccine could save. Purpose: The objective of this document is to summarize the main reasons why the prioritization of vaccination of patients on chronic dialysis and on the kidney transplant waiting list is recommended. Methodology: A rapid search for information on vaccination in patients with CKD on dialysis or awaiting kidney transplantation was performed. The resulting information was critically analyzed by experts in nephrology for the formulation of recommendations. The search results are presented as a narrative synthesis. Results: Based on the information reviewed and discussed by nephrology experts, 4 recommendations are proposed for vaccination against the SARS-Cov-2 virus. Conclusions: The Colombian Association of Nephrology and Arterial Hypertension (ASOCOLNEF), the Colombian Association of Pediatric Nephrology (ACONEPE) and the Colombian Association of Organ Transplantation (ACTO), committed to the health of patients with kidney disease on dialysis and transplant waiting lists in Colombia, join to generate recommendations for prioritization and vaccination against SARS-CoV-2
Descripción
Palabras clave
Vacuna, Infecciones por coronavirus, Diálisis, Insuficiencia renal crónica, Trasplante de riñón, Chronic Kidney, Chronic Kidney Disease-Mineral and Bone Disorder, Renal Insufficiency Chronic, Quality of Life, Consensus, Diagnosis, Therapeutics
