Home medical nutrition during SARS-CoV-2 pandemic
The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the cause of a worldwide rapidly spreading illness, Coronavirus Disease 2019 (COVID-19). Patients fed enterally and parenterally at home are exposed to the same risk of infection as the general population, but more prone to complications than others. Therefore the guidance for care-givers and care-takers of these patients is needed.
A novel coronavirus, named severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), resulted in an acute respiratory illness epidemic in Wuhan, China in the late 2019. The World Health Organization (WHO) termed the illness caused by the microbe the Coronavirus Disease 2019 (COVID-19). At the moment, the COVID-19 had become a pandemic and had affected over 3.000.000 individuals in more than 210 countries, and resulted in more than 234.000 deaths worldwide.
Home medical nutrition (HMN) patients, both fed enterally (home enteral nutrition, HEN) and parenterally (home parenteral nutrition, HPN), are at the same risk of infection as the general population, but much more exposed to the risk of severe complications of COVID-19 (due to impaired immunity and co-morbidities). They require specialized care and increased attention.
To improve this situation, a panel of Polish HMN experts decided to prepare and publish statements that can be used during the everyday care of HMN patients, being fully aware that most of these have not been validated. Nonetheless, the main aim was to pragmatically implement nutritional care in HMN individuals to improve patient care in order to cope with the current crisis.
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