{"id":1134,"date":"2020-07-23T12:27:12","date_gmt":"2020-07-23T10:27:12","guid":{"rendered":"https:\/\/fjarno.org\/revista-renal\/?p=1134"},"modified":"2020-07-27T10:09:56","modified_gmt":"2020-07-27T08:09:56","slug":"com-hem-adaptat-lassistencia-nefrologica-durant-la-pandemia","status":"publish","type":"post","link":"https:\/\/fjarno.org\/revista-renal\/com-hem-adaptat-lassistencia-nefrologica-durant-la-pandemia\/","title":{"rendered":"Com hem adaptat l\u2019assist\u00e8ncia nefrol\u00f2gica durant la pand\u00e8mia?"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-1137 size-medium alignright\" src=\"https:\/\/fjarno.org\/revista-renal\/wp-content\/uploads\/2020\/07\/merce-borras-sans-169x300.jpg\" alt=\"Merc\u00e8 Borr\u00e0s Sans\" width=\"169\" height=\"300\" srcset=\"https:\/\/fjarno.org\/revista-renal\/wp-content\/uploads\/2020\/07\/merce-borras-sans-169x300.jpg 169w, https:\/\/fjarno.org\/revista-renal\/wp-content\/uploads\/2020\/07\/merce-borras-sans-237x420.jpg 237w, https:\/\/fjarno.org\/revista-renal\/wp-content\/uploads\/2020\/07\/merce-borras-sans.jpg 550w\" sizes=\"auto, (max-width: 169px) 100vw, 169px\" \/><br \/>\n<span class=\"NomAutor\">Dra. Merc\u00e8 Borr\u00e0s Sans<\/span><br \/><span class=\"CarrecAutor\">Cap del Servei de Nefrologia de l\u2019hospital Joan XXIII de Tarragona<\/span><\/p>\n<p><em>La Fundaci\u00f3 Renal Jaume Arn\u00f3 m\u2019ha convidat a explicar l\u2019organitzaci\u00f3 del Servei de Nefrologia durant la pand\u00e8mia del coronavirus, SARS Covid-19, una situaci\u00f3 molt excepcional perqu\u00e8, entre altres raons, mai hav\u00edem viscut una pand\u00e8mia, el germen era desconegut i les informacions que es rebien sovint eren contradict\u00f2ries.<\/em><\/p>\n<p>En la fase inicial preparat\u00f2ria, la incertesa i la por eren les emocions a flor de pell, per\u00f2 ben aviat van quedar definits dos objectius: assegurar l\u2019assist\u00e8ncia i garantir la seguretat dels pacients i els professionals.<\/p>\n<p>Per assegurar l\u2019assist\u00e8ncia, vam dividir l\u2019equip m\u00e8dic en dos grups: un treballava des de casa atenent telef\u00f2nicament els pacients ambulatoris i l\u2019altre ho feia presencialment a l\u2019hospital: persones en hemodi\u00e0lisi cr\u00f2nica, ingressats i diagnosticats de Covid-19. Cada setmana es canviaven les tasques sense tenir cap tipus de contacte presencial entre els professionals per assegurar, en cas d\u2019infecci\u00f3 d\u2019algun membre del grup i del confinament dels seus contactes, que es disposava de l\u2019altre grup.<\/p>\n<p>L<strong>\u2019equip d\u2019infermeria<\/strong> tamb\u00e9 es va dividir en dos grups, amb torns de<strong> 12 hores, 3 dies<\/strong> <strong>a la setmana<\/strong>, sense possibilitat de canvi i sempre atenent els mateixos malalts. Tampoc tenien cap contacte entre els dos grups pels mateixos motius.<\/p>\n<p>Pel que fa a garantir la seguretat, des del primer moment vam seguir les recomanacions generals del hospital i les espec\u00edfiques de les societats cient\u00edfiques nefrol\u00f2giques adaptades a les caracter\u00edstiques del centre.<\/p>\n<p><strong>El m\u00e9s efectiu era el confinament<\/strong>: evitar venir a l\u2019hospital i entrar en contacte amb altres afectats i professionals. Per aix\u00f2 tota la consulta l\u2019hem anat fent per via telef\u00f2nica. <strong>No hem deixat de fer cap consulta programada<\/strong> i aix\u00ed hem evitat una llista d\u2019espera llarga.<\/p>\n<p>En el cas dels pacients de <strong>di\u00e0lisi peritoneal<\/strong> i amb<strong> trasplantament renal<\/strong>, l\u2019atenci\u00f3 sempre ha estat telef\u00f2nica i nom\u00e9s han vingut a l\u2019hospital en cas d\u2019urg\u00e8ncia. Les persones trasplantades, at\u00e8s el risc elevat d\u2019infecci\u00f3 pel tractament immunosupressor, no feien el control anal\u00edtic si estaven estables i, per tant, se les tornava a citar m\u00e9s endavant.<\/p>\n<p>Pel que fa als pacients d\u2019<strong>hemodi\u00e0lisi cr\u00f2nica<\/strong>, es van aplicar una s\u00e8rie de mesures, com ara prendre\u2019ls la temperatura abans d\u2019entrar per evitar que un malalt amb infecci\u00f3 o sospit\u00f3s d\u2019infecci\u00f3 de Covid-19 entr\u00e9s a la sala de di\u00e0lisi; es van extremar les mesures d\u2019higiene (rentat de mans obligatori abans d\u2019entrar i neteja despr\u00e9s de la connexi\u00f3, entre d\u2019altres); les de protecci\u00f3 (mascareta), i es van evitar situacions de risc (com la retirada de la mascareta per menjar).<\/p>\n<p>A la Unitat d\u2019Hemodi\u00e0lisi, vam designar un <strong>espai exclusiu<\/strong> per a malalts amb <strong>infecci\u00f3<\/strong> i un per a malalts amb <strong>sospita<\/strong>. A m\u00e9s, les persones ingressades amb infecci\u00f3 tamb\u00e9 es dialitzaven a la unitat, per tant, vam haver de traslladar temporalment o definitivament alguns malalts als centres d\u2019hemodi\u00e0lisi o a la unitat de l\u2019hospital Pius de Valls.<\/p>\n<p>Ja en aquesta fase inicial organitzativa es va fer evident que tots \u00e9rem part d\u2019un mateix equip: tot l\u2019equip del <strong>Servei de Nefrologia<\/strong>, el dels centres de di\u00e0lisi de <strong>Reus<\/strong> i <strong>Llevant<\/strong> i el del <strong>Pius de Valls<\/strong> van col\u00b7laborar en tot moment amb l\u2019objectiu d\u2019assegurar la millor assist\u00e8ncia possible. Es van crear els circuits assistencials i de derivaci\u00f3 necessaris en cada moment, i remarco \u201c<strong>en cada moment<\/strong>\u201d, perqu\u00e8 ha estat un proc\u00e9s que hem anat modificant en funci\u00f3 dels requeriments i les poques evid\u00e8ncies que anaven sorgint.<\/p>\n<p>Una situaci\u00f3 d\u2019incertesa, por i canvis r\u00e0pids i continus \u00e9s el pitjor escenari per a <strong>les persones amb malaltia renal<\/strong> i, malgrat tot, la resposta ha estat molt bona. Ells <strong>han completat l\u2019equip<\/strong> col\u00b7laborant amb tots els canvis i fent un \u00fas racional dels recursos sanitaris.<\/p>\n<p>Tal com resumia una professional del servei un cop acceptat el risc de contagi i l\u2019abs\u00e8ncia de certeses, hem vist que, <strong>m\u00e9s enll\u00e0 de les nostres individualitats, som capa\u00e7os de col\u00b7laborar tots a una, pacients i professionals, pel b\u00e9 com\u00fa<\/strong>.<\/p>\n<p>La pand\u00e8mia no ha acabat i hem de continuar alerta, tamb\u00e9 \u00e9s l\u2019hora d\u2019analitzar tot el que ha passat. A hores d\u2019ara podem afirmar que <strong>la SARS Covid-19 pot provocar insufici\u00e8ncia renal aguda que requereix di\u00e0lisi i que es recupera si l\u2019evoluci\u00f3 \u00e9s favorable<\/strong>.<\/p>\n<p>Pel que fa als malalts en tractament renal substitutiu, al Registre de la Societat Espanyola de Nefrologia, hem registrat<strong> 1.710 casos d\u2019infecci\u00f3<\/strong>, en qu\u00e8 el percentatge m\u00e9s elevat correspon als malalts en hemodi\u00e0lisi cr\u00f2nica de centre o hospital; en segon lloc, als malalts amb trasplantament renal i, finalment, als malalts en di\u00e0lisi peritoneal. Pel que fa a l\u2019evoluci\u00f3, tamb\u00e9 segueix aquest ordre de pitjor resultat a millor.<\/p>\n<p><strong>I el futur?<\/strong> Les recomanacions actuals s\u00f3n promoure l\u2019atenci\u00f3 telem\u00e0tica i les t\u00e8cniques de tractament domicili\u00e0ries. En nefrologia, tant els professionals com les persones amb malaltia renal hem de trobar la millor manera i la m\u00e9s segura d\u2019incorporar aquestes eines que han demostrat ser efectives en la reducci\u00f3 del risc de contagi.<\/p>\n<p>Per acabar, el treball en equip ens ha perm\u00e8s superar la crisi aguda, i de ben segur que ens permetr\u00e0 adoptar les estrat\u00e8gies per superar aquest repte i els que puguin sorgir.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Dra. Merc\u00e8 Borr\u00e0s SansCap del Servei de Nefrologia de l\u2019hospital Joan XXIII de Tarragona La Fundaci\u00f3 Renal Jaume Arn\u00f3 m\u2019ha convidat a explicar l\u2019organitzaci\u00f3 del Servei de Nefrologia durant la pand\u00e8mia del coronavirus, SARS Covid-19, una situaci\u00f3 molt excepcional perqu\u00e8, entre altres raons, mai hav\u00edem viscut una pand\u00e8mia, el germen era desconegut i les informacions [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":1135,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[25,11],"tags":[32],"class_list":{"0":"post-1134","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-frja","8":"category-salut-ciencia","9":"tag-numero-3"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Com hem adaptat l\u2019assist\u00e8ncia nefrol\u00f2gica durant la pand\u00e8mia? | Revista Renal<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/fjarno.org\/revista-renal\/com-hem-adaptat-lassistencia-nefrologica-durant-la-pandemia\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Com hem adaptat l\u2019assist\u00e8ncia nefrol\u00f2gica durant la pand\u00e8mia? | Revista Renal\" \/>\n<meta property=\"og:description\" content=\"Dra. Merc\u00e8 Borr\u00e0s SansCap del Servei de Nefrologia de l\u2019hospital Joan XXIII de Tarragona La Fundaci\u00f3 Renal Jaume Arn\u00f3 m\u2019ha convidat a explicar l\u2019organitzaci\u00f3 del Servei de Nefrologia durant la pand\u00e8mia del coronavirus, SARS Covid-19, una situaci\u00f3 molt excepcional perqu\u00e8, entre altres raons, mai hav\u00edem viscut una pand\u00e8mia, el germen era desconegut i les informacions [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/fjarno.org\/revista-renal\/com-hem-adaptat-lassistencia-nefrologica-durant-la-pandemia\/\" \/>\n<meta property=\"og:site_name\" content=\"Revista Renal\" \/>\n<meta property=\"article:published_time\" content=\"2020-07-23T10:27:12+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2020-07-27T08:09:56+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/fjarno.org\/revista-renal\/wp-content\/uploads\/2020\/07\/adaptacio-assistencia-nefrologica-pandemia.noopt_.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"700\" \/>\n\t<meta property=\"og:image:height\" content=\"700\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Fundaci\u00f3 Renal\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@FundacioRenal\" \/>\n<meta name=\"twitter:site\" content=\"@FundacioRenal\" \/>\n<meta name=\"twitter:label1\" content=\"Escrit per\" \/>\n\t<meta name=\"twitter:data1\" content=\"Fundaci\u00f3 Renal\" \/>\n\t<meta name=\"twitter:label2\" content=\"Temps estimat de lectura\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 minuts\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/fjarno.org\\\/revista-renal\\\/com-hem-adaptat-lassistencia-nefrologica-durant-la-pandemia\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/fjarno.org\\\/revista-renal\\\/com-hem-adaptat-lassistencia-nefrologica-durant-la-pandemia\\\/\"},\"author\":{\"name\":\"Fundaci\u00f3 Renal\",\"@id\":\"https:\\\/\\\/fjarno.org\\\/revista-renal\\\/#\\\/schema\\\/person\\\/6c5c12a9ec40ee87635fba0ac40b9cde\"},\"headline\":\"Com hem adaptat l\u2019assist\u00e8ncia nefrol\u00f2gica durant la pand\u00e8mia?\",\"datePublished\":\"2020-07-23T10:27:12+00:00\",\"dateModified\":\"2020-07-27T08:09:56+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/fjarno.org\\\/revista-renal\\\/com-hem-adaptat-lassistencia-nefrologica-durant-la-pandemia\\\/\"},\"wordCount\":962,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/fjarno.org\\\/revista-renal\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/fjarno.org\\\/revista-renal\\\/com-hem-adaptat-lassistencia-nefrologica-durant-la-pandemia\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/fjarno.org\\\/revista-renal\\\/wp-content\\\/uploads\\\/2020\\\/07\\\/adaptacio-assistencia-nefrologica-pandemia.noopt_.jpg\",\"keywords\":[\"N\u00famero 3\"],\"articleSection\":[\"FRJA\",\"SALUT I CI\u00c8NCIA\"],\"inLanguage\":\"ca\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/fjarno.org\\\/revista-renal\\\/com-hem-adaptat-lassistencia-nefrologica-durant-la-pandemia\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/fjarno.org\\\/revista-renal\\\/com-hem-adaptat-lassistencia-nefrologica-durant-la-pandemia\\\/\",\"url\":\"https:\\\/\\\/fjarno.org\\\/revista-renal\\\/com-hem-adaptat-lassistencia-nefrologica-durant-la-pandemia\\\/\",\"name\":\"Com hem adaptat l\u2019assist\u00e8ncia nefrol\u00f2gica durant la pand\u00e8mia? 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