Absence of SARS-CoV-2 in the effluent of peritoneal dialysis patients. Issue 5 (September 2020)

• Record Type: Journal Article
• Authors: Candellier, Alexandre; Scohy, Anaïs; Gillet, Nicolas; Muylkens, Benoit; Morelle, Johann; Belkhir, Leïla; Coupeau, Damien; Jadoul, Michel; Goffin, Éric
• Is Part Of: Peritoneal dialysis international. Volume 40:Issue 5(2020)
• Page Start: 499
• Page End: 503
• Publication Date: 2020-09
• Subjects: COVID-19 -- peritoneal dialysis -- peritoneal effluent -- SARS-CoV-2; Peritoneal dialysis -- Periodicals; Continuous ambulatory peritoneal dialysis -- Periodicals; 617.461059
• DOI: 10.1177/0896860820953061
• Languages: English
• ISSNs: 0896-8608

Abstract

The pandemic of respiratory disease (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is life-threatening in peritoneal dialysis (PD) patients. In PD patients with systemic viral infections, peritoneal effluent may be theoretically contaminated. We searched for the presence of SARS-CoV-2 genetic material by real-time reverse transcriptase–polymerase chain reaction assays in serial PD effluents of three PD infected patients. Nasopharyngeal swabs obtained at admission showed high viral load in all three patients, whereas none of the PD effluent specimen tested positive, even after dialysate concentration. Those results support at most a very low SARS-CoV-2 dissemination risk by the peritoneal effluent of PD patients. Imposing special disposal procedures, such as the instillation of hypochlorite in the drainage bags to prevent viral spread to health-care workers, are probably not required.