Chronic kidney disease and COVID-19: the importance of hydration
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chronic kidney disease, acute kidney injury, COVID-19, SARS, proteinuria, organism hydration status.

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Avendaño Echavez LG, Palmera Hernández JL, Riascos Palacios WB. Chronic kidney disease and COVID-19: the importance of hydration. Rev. Colomb. Nefrol. [Internet]. 2020 May 21 [cited 2024 Jul. 16];7(Supl.2). Available from:


Asis well known since December, alarms went off for the appearance of the COVID-19 disease (Coronavirus 2019) in China, which is caused by the SARS-CoV-2 virus and has spread worldwide. Frequent symptoms include fever, fatigue, myalgia, dry cough, anorexia, dyspnea and sputum production, and less common symptoms such as headache, odynophagia, rhinorrhea, and other symptoms other than breathing, such as gastrointestinal symptoms due to nausea and diarrhea. Proteinuria in any degree, hematuria of any degree, increased creatinine variation in a patient with elevated baseline creatinine, and the generation of AKI 2 and 3 are those directly related to in-hospital mortality from the renal point of view, which means that we must study chronic kidney disease even more, in order to take the necessary preventive measures. Regarding hydration, it is considered, therefore, that if the patient presents good diuresis, the 2 liters of excretion would be necessary to eliminate the unnecessary solutes from the body, considering that this amount is achieved by also adding extrarenal losses. Therefore, if the patient maintains adequate urinary function despite his degree of kidney failure, a fluid intake of between 2.5 and 3.5 liters achieves the goals, also taking into account. Patients with chronic kidney disease should take preventive measures, even more so as they are a risk population, therefore remembering some, which are the best strategy to avoid viral transmission: frequent hand washing, social distancing, avoiding contact with people infected or suspected of infection with the SARS-CoV-2 virus, wearing face masks, maintaining hygiene at home, washing surfaces or cleaning them with alcohol-based substances and something that cannot be forgotten, remember that we are learning from the virus and that we must keep us informed of the behavior of the same and of the changes that it may generate in the population and in the behavior of the disease, so as to take the measures.
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Cheng Y, Luo R, Wang K, Zhang M, Wang Z, Dong L, et al. Kidney disease is associated with in-hospital death of patients with COVID19. Kidney Int. 2020 May;97(5):829-38.

Lipsitch M, Swerdlow DL, Finelli L. Defining the Epidemiology of Covid-19 - Studies Needed. N Engl J Med. 2020;382:1194-6.

Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, et al. A novel coronavirusfrom patients with pneumonia in China, 2019. N EnglJ Med. 2020;382(8):727-33.

Shen C, Wang Z, Zhao F, Yang Y, Li J, Yuan J, et al. Treatment of 5 Critically Ill Patients With COVID-19 With Convalescent Plasma. Jama. 2020;(29):1-8.

Bajema KL, Oster AM, McGovern OL, Lindstrom S, Stenger MR, Anderson TC, et al. Persons Evaluated for 2019 Novel Coronavirus - United States, January 2020. MMWR Morb Mortal Wkly Rep. 2020;69(6):166-70.

Wang D, Hu B, Hu C, Zhu F, Liu X, Zhang J, et al. Clinical Characteristics of 138 Hospitalized Patients with 2019 Novel CoronavirusInfected Pneumonia in Wuhan, China. JAMA. 2020;323(11):1061-9.

Kimball A, Hatfield KM, Arons M, James A, Taylor J, Spicer K, et al. Asymptomatic and Presymptomatic SARS-CoV-2 Infections in Residents of a Long-Term Care Skilled Nursing Facility - King County, Washington, March 2020. MMWR Morb Mortal Wkly Rep. 2020;69(13):377-81.

Lopera-Medina MM. La enfermedad renal crónica en Colombia: Necesidades en salud y respuesta del Sistema General de Seguridad Social en Salud. Rev Gerenc y Polit Salud. 2016;15(30):212-33.

Fondo Colombiano de Enfermedades de Alto Costo. Enfermedad renal crónica, hipertensión arterial y diabetes mellitus. 2015;152.ón_de_la_Enfermedad_Ren al_Crónica_en_Colombia_2015.pdf

Kliger AS, Silberzweig J. Mitigating Risk of COVID-19 in Dialysis Facilities. Clin J Am Soc Nephrol [Internet]. 2020;15(5):707-9-.

Mizumoto K, Kagaya K, Zarebski A, Chowell G. Estimating the asymptomatic proportion of coronavirus disease 2019 (COVID-19) cases on board the Diamond Princess cruise ship, Yokohama, Japan, 2020. Eurosurveillance. 2020;25(10):1-5.

Rule AD, Amer H, Cornell LD, Taler SJ, Cosio FG, Kremers WK, Textor SC SM. The association between age and nephrosclerosis on renal biopsy among healthy adults. Ann Intern Med. 2010 May;152(9):561-7. 201005040-00006

Chan JFW, Yuan S, Kok KH, To KKW, Chu H, Yang J, et al. A familial cluster of pneumonia associated with the 2019 novel coronavirus indicating person- to-person transmission: a study of a family cluster. Lancet. 2020;395(10223):514-23.

Fahmi I. #Covid19 Coronavirus Disease 2019. DroneEmprit [Internet]. 2020;2019(February):1-19.

2020). https://www. who. int/dg/speeches/detail/who-director-general-s- opening-remarks-at-the-media-briefing-on-covi.-19-24-febrero- 2020 (Consultado el 26 de febrero de Palabras de apertura del Director General de la Organización Mundial de la Salud en la conferencia de prensa sobre COVID-19 - 24 de febrero de 2020. director-general-s-openingremarks-at- the-media-briefing-on-covid-19 -.

Shi H, Han X, Jiang N, Cao Y, Alwalid O, Gu J, et al. Radiological findings from 81 patients with COVID-19 pneumonia in Wuhan, China: a descriptive study. Lancet Infect Dis. 2020;20(4):425-34.

Evento: COVID-19 Novel Coronavirus 2019. 2020.

Chen N, Zhou M, Dong X, Qu J, Gong F, Han Y, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. Lancet. 2020;395(10223):507-13.

Courtney RJ. Novel Coronavirus Infection in Hospitalized Infants Under 1 Year of Age in China. 2014;129(6):802-4.

2020. https://www. entnet. org/content/coronavirus-diseas.-2019-resources (consultado el 23 de marzo de. COVID-19. 2020.

Lorenzo V. Doctor, how much should I drink? Nefrologia. 2014;34(6):693-7.


Erratum: Kidney Disease: Improving Global Outcomes (KDIGO) CKD-MBD Update Work Group. KDIGO 2017 Clinical Practice Guideline Update for the Diagnosis, Evaluation, Prevention, and Treatment of Chronic Kidney Disease– Mineral and Bone Disorder (CKD-MBD). Ki. Kidney Int Suppl. 2017;7(3):e1.

Base E. Chapter 2: Definition, identification, and prediction of CKD progression. Kidney Int Suppl. 2013;3(1):63-72. Available from:

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