Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Aug 11;72(32):871-876.
doi: 10.15585/mmwr.mm7232a4.

SARS-CoV-2 Infection and Death Rates Among Maintenance Dialysis Patients During Delta and Early Omicron Waves - United States, June 30, 2021-September 27, 2022

Jose Navarrete, Gregory Barone, Iram Qureshi, Austin Woods, Kira Barbre, Lu Meng, Shannon Novosad, Qunna Li, Minn Minn Soe, Jonathan Edwards, Emily Wong, Hannah E Reses, Sydney Guthrie, John Keenan, Leticia Lamping, Meeyoung Park, Sorie Dumbuya, Andrea L Benin, Jeneita Bell

SARS-CoV-2 Infection and Death Rates Among Maintenance Dialysis Patients During Delta and Early Omicron Waves - United States, June 30, 2021-September 27, 2022

Jose Navarrete et al. MMWR Morb Mortal Wkly Rep. .

Abstract

Persons receiving maintenance dialysis are at increased risk for SARS-CoV-2 infection and its severe outcomes, including death. However, rates of SARS-CoV-2 infection and COVID-19-related deaths in this population are not well described. Since November 2020, CDC's National Healthcare Safety Network (NHSN) has collected weekly data monitoring incidence of SARS-CoV-2 infections (defined as a positive SARS-CoV-2 test result) and COVID-19-related deaths (defined as the death of a patient who had not fully recovered from a SARS-CoV-2 infection) among maintenance dialysis patients. This analysis used NHSN dialysis facility COVID-19 data reported during June 30, 2021-September 27, 2022, to describe rates of SARS-CoV-2 infection and COVID-19-related death among maintenance dialysis patients. The overall infection rate was 30.47 per 10,000 patient-weeks (39.64 among unvaccinated patients and 27.24 among patients who had completed a primary COVID-19 vaccination series). The overall death rate was 1.74 per 10,000 patient-weeks. Implementing recommended infection control measures in dialysis facilities and ensuring patients and staff members are up to date with recommended COVID-19 vaccination is critical to limiting COVID-19-associated morbidity and mortality.

PubMed Disclaimer

Conflict of interest statement

All authors have completed and submitted the International Committee of Medical Journal Editors form for disclosure of potential conflicts of interest. No potential conflicts of interest were disclosed.

Figures

FIGURE 1
FIGURE 1
SARS-CoV-2 infections per 10,000 patient-weeks among maintenance dialysis patients, by COVID-19 primary (A) and booster dose (B) vaccination status — National Healthcare Safety Network, United States, June 30, 2021–September 27, 2022
FIGURE 2
FIGURE 2
Age-stratified population-based SARS-CoV-2 incidence (A) and COVID-19–related death rates (B) among the overall U.S. population and SARS-CoV-2 incidence (C) and COVID-19–related deaths (D) among maintenance dialysis patients — United States, June 30, 2021–September 27, 2022 * COVID-19 case surveillance public use data. https://data.cdc.gov/Case-Surveillance/COVID-19-Case-Surveillance-Public-Use-Data/vbim-akqf † COVID-19–related deaths were defined as those among patients who died before fully recovering from SARS-CoV-2 infection. § Data source: National Healthcare Safety Network.
See this image and copyright information in PMC

References

    1. United States Renal Data System. 2022 USRDS Annual Data Report: epidemiology of kidney disease in the United States. Bethesda, MD: National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases; 2022. https://usrds-adr.niddk.nih.gov/2022
    1. Brogan M, Ross MJ. COVID-19 and kidney disease. Annu Rev Med 2023;74:1–13. 10.1146/annurev-med-042420-104753 - DOI - PubMed
    1. Torres R, Toro L, Sanhueza ME, et al. Clinical efficacy of SARS-CoV-2 vaccination in hemodialysis patients. Kidney Int Rep 2022;7:2176–85. 10.1016/j.ekir.2022.07.007 - DOI - PMC - PubMed
    1. CDC. Rates of COVID-19 cases and deaths by vaccination status. Atlanta, GA: US Department of Health and Human Services, CDC; 2022. Accessed June 27, 2023. https://covid.cdc.gov/covid-data-tracker/#rates-by-vaccine-status
    1. El Karoui K, Hourmant M, Ayav C, Glowacki F, Couchoud C, Lapidus N; REIN Registry. Vaccination and COVID-19 dynamics in dialysis patients. Clin J Am Soc Nephrol 2022;17:395–402. 10.2215/CJN.10300721 - DOI - PMC - PubMed

Substances