• Marcelo de Sousa Tavares, Maria Goretti Moreira Guimarães Penido, Olberes Vitor Braga de Andrade, Vera Hermina Kalika Koch, Rejane de Paula Bernardes, Clotilde Druck Garcia, José A Moura-Neto, Marcelo Mazza Nascimento, and Lilian Monteiro Pereira Palma.
• Sociedade Brasileira de Nefrologia, Departamento de Nefrologia Pediátrica, São Paulo, SP, Brazil.
• J Bras Nefrol. 2020 Aug 26; 42 (2 suppl 1): 32-35.

IntroductionThe impact of the new coronavirus (SARS-COV-2) and its worldwide clinical manifestations (COVID-19) imposed specific regional recommendations for populations in need of specialized care, such as children and adolescents with kidney diseases, particularly in renal replacement therapies (RRT). We present the recommendations of the Brazilian Society of Nephrology regarding the treatment of pediatric patients with kidney diseases during the COVID-19 pandemic.MethodsArticles and documents from medical societies and government agencies on specific recommendations for children on RRT in relation to COVID-19 as well as those focused on epidemiological aspects of this condition in Brazil Were evaluated and analyzed.ResultsWe present recommendations on outpatient care, transportation to dialysis centers, peritoneal dialysis, hemodialysis, and kidney transplantation in children and adolescents during the COVID-19 pandemic in Brazil.DiscussionDespite initial observations of higher mortality rates in specific age groups (the elderly) and with comorbidities (obese, diabetics, and those with cardiovascular diseases), patients with chronic kidney disease (CKD) on RRT are particularly prone to develop COVID-19. Specific measures must be taken to reduce the risk of contracting SARS-CoV-2 and developing COVID-19, especially during transport to dialysis facilities, as well as on arrival and in contact with other patients.

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