Conclusions: Universal precautions are standard for dialysis units, including hand washing, gloves, masks and aprons. On the 27 th March 2020 South Africa went into hard lockdown due to an emerging coronavirus epidemic. Lockdown improved compliance and contributed to containment. Symptom based testing would have missed 7 early cases of infection, potentially exposing staff and other patients to mortal harm. Monthly screening would have allowed us to detect the two patients who became seriously ill in August earlier. Vulnerability seems to be increased by shared public transport. Crowding at hospital entrances may reasonably create opportunities for spread.As we anticipate a second wave, it is imperative that universal testing of all who access healthcare facilities be implemented. The role of antibody testing in this regard remains to be elucidated. Social issues governing exposure are a more difficult long-term challenge.
in 52.8%. ARI on admission was found in 81.1%. 35.8% of patients underwent dialysis on admission and 41,5% pregressed to terminal stage of chronic kidney disease.The mean proteinuria was 3.11g / 24h +/-2.79 with extremes of 2.19 and 2.97g / 24h. nophrotic syndrom was present in 22,6% of patiens. Renal biopsy was performed in 23 cases It showed myeloma cast nephropathy in 14 patients, AL amyloidosis in 9 patients, a case of membranoproliferative glomerulonephritis (MPGN) and a case of membranous nephropathy (MN).The majority of patients received a chemotheray (80,8%), only 7 patients had a graft of hematopoietic stem cells .26,4% of cases showed a favorable renal evolution and 73,6% had a bad evolution of renal function. The mean of overal survival was 17,97. The major cause of death was infectious complications and progression of the disease. Conclusions: Renal impairement in MM is a commen complication that worsen the prognosis of the disease.Treating early and efficacy with new chemotheray drugs can stop or delay the progression and improve survival outcomes.
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