Philippine Society of Nephrology, Inc

Philippine Society of Nephrology, Inc.
a component society of the Philippine College of Physicians

a sub-specialty society of the Philippine Medical Association
an affiliate society of the International Society of Nephrology
OFFICERS AND BOARD MEMBERS

2021 – 2022
January 21, 2022
NOEL M. CASTILLO, M.D.
President
MAALIDDIN B. BIRUAR, M.D. To: All PSN Members

Vice-President
GINGERLITA ALLA-SAMONTE, M.D.

Secretary Re: PSN Updated Recommendations on the Isolation or Quarantine of COVID-19
PELAGIO L. ESMAQUEL, JR., M.D.
Treasurer
Vaccinated and Unvaccinated Hemodialysis (HD) Patients and HD Facilities health
RICARDO A. FRANCISCO, JR., M.D. care workers
Board Member
___________________________________________________________________
VIMAR A. LUZ, M.D.
Board Member
AGNES TORRIJOS-CRUZ, M.D. 1. The Philippine Society of Nephrology (PSN) recommends that the 2020 PSN-
Board Member
PSMID-PHIC interim guidelines on the placement of Covid-19 probable or
GLENN R. BUTUYAN, M.D.
Board Member confirmed HD patients (vaccinate or in hemodialysis facilities as follows:
ELIZABETH B. ESTOESTA, M.D.
Board Member
ELIZABETH S. MONTEMAYOR, M.D.

a. Placement of COVID-19 close contact, suspect or confirmed
Immediate Past President
hemodialysis patients using transmission-based precautions
VISION STATEMENT i. Close contact, suspected or COVID-19 confirmed patients with
moderate to severe symptoms should be admitted in a
The Philippine Society of Nephrology, Inc. is a
cohesive body that ensures adherence to the highest hospital and should undergo hemodialysis treatment either of
standards of excellence in training and research in the
field of Nephrology. It commits itself to train, the following area, with doors closed:
regulate, and support its members to enable them to
be globally competitive, ethical, excellent, and
1. patient’s own room using portable RO machine
compassionate. 2. Single isolation room at the dialysis complex
It is a dynamic partner of Medical and
Professional Societies, and a foremost source of
knowledge and information. The PSN, Inc. serves as
ii. Only patients with confirmed COVID-19 infection can be
liaison between its members and various support and cohorted together at the COVID floor or ward using portable
regulatory institutions.
RO machine or in the last shift in the dialysis complex. They
The society is committed to the highest quality
care for patients as it leads renal related public health should however maintain at least 2 meters of separation from
programs especially those that are relevant to the other patients at all times.
Filipino people.
MISSION STATEMENT
iii. COVID-19 suspect or confirmed patients who are
The Philippine Society of Nephrology, Inc.
promotes and disseminates current knowledge and
asymptomatic or with mild symptoms should undergo home or
information in Nephrology. It provides guidelines in facility quarantine and undergo hemodialysis treatment on an
the delivery of nephrologic care, and ensures the
strict implementation of these guidelines. Through outpatient basis in dedicated COVID-19 area or shift of the
accreditation, it enforces global training and research
standards.
hemodialysis facility.
The society provides information on members’
needs and problems, as well as expertise and iv. Patient with different etiology of respiratory symptoms (non-
recommendations for policy formulation regarding
renal disease. It shall initiate, recommend, promote,
COVID) should not be cohorted together with COVID-19
and coordinate public health programs geared suspect or confirmed patients.
towards awareness, prevention, and treatment of
renal disease.
Room 2406 One San Miguel Avenue v. COVID-19 suspect or confirmed patients being transferred to
Condominium, San Miguel Avenue Corner
Shaw Boulevard, Ortigas Center
the hemodialysis facility for dialysis treatment should be
Pasig City, Philippines transported via designated vehicle provided by the local RESU,
Tel. No. (63-2) 82816364)
Telefax. (63-2) 86871187) an ambulance or in a private vehicle and monitored for
E-mail address: psnmanila@gmail.com
Website: www.psn.org.ph
symptoms

2021 – 2022 b. Placement of the following hemodialysis patients at the Main Dialysis
Unit using Standard Precautions
President
MAALIDDIN B. BIRUAR, M.D. i. COVID-19 Confirmed Symptomatic Patients mild to critical,

Vice-President
recovered who fulfilled all of the following:
Secretary a. At least 14 days have passed since symptoms first
Treasurer
appeared;
RICARDO A. FRANCISCO, JR., M.D.
b. At least 3 days (72 hours) have passed since recovery
Board Member defined as resolution of fever without the use of fever-
VIMAR A. LUZ, M.D.
Board Member
reducing medications and improvement in respiratory
AGNES TORRIJOS-CRUZ, M.D. symptoms (e.g., cough, shortness of breath);
Board Member
c. One (1) negative result of an FDA Emergency Use
Board Member Authorized COVID-19 molecular assay for detection of
ELIZABETH B. ESTOESTA, M.D. SARS-CoV-2 RNA taken on day 10 from onset of
Board Member

symptoms.
VISION STATEMENT
ii. COVID-19 Confirmed Asymptomatic Patients who fulfilled all
of the following:
cohesive body that ensures adherence to the highest a. 14 days have passed since the date of their first positive
field of Nephrology. It commits itself to train,
COVID19 rt-PCR test, assuming that they have not
regulate, and support its members to enable them to subsequently developed symptoms since their positive
compassionate. test.
b. One (1) negative result of an FDA Emergency Use
Professional Societies, and a foremost source of Authorized COVID-19 molecular assay for detection of
liaison between its members and various support and SARS-CoV-2 RNA taken on day 10 from the first positive
RT PCR result.
care for patients as it leads renal related public health
programs especially those that are relevant to the iii. COVID-19 Probable, clinically recovered who fulfilled the
Filipino people.
following:
MISSION STATEMENT
a. At least 14 days have passed since symptoms first
The Philippine Society of Nephrology, Inc. appeared;
information in Nephrology. It provides guidelines in b. At least 3 days (72 hours) have passed since recovery
strict implementation of these guidelines. Through
defined as resolution of fever without the use of fever-
accreditation, it enforces global training and research reducing medications and improvement in respiratory
standards.
symptoms (e.g., cough, shortness of breath);
needs and problems, as well as expertise and c. One (1) negative result of an FDA Emergency Use
Authorized COVID-19 molecular assay for detection of
and coordinate public health programs geared SARS-CoV-2 RNA taken on day 10 from onset of
renal disease. symptoms
Room 2406 One San Miguel Avenue
d. COVID-19 suspects (placed on an empiric transmission-
Condominium, San Miguel Avenue Corner based precautions), clinically recovered who, after
Pasig City, Philippines work-up and evaluation, has been assessed to be a
Tel. No. (63-2) 82816364)
Telefax. (63-2) 86871187)
NON-COVID case and with one (1) NEGATIVE RT PCR
E-mail address: psnmanila@gmail.com results.

2021 – 2022
c. Assessment and Placement of Hemodialysis patients with
President persistently positive RT-PCR result on Day 14
MAALIDDIN B. BIRUAR, M.D.
Vice-President
For COVID-19 patients with persistently positive rt-PCR result on
Secretary Day 14 (from onset of symptoms or from the first positive test for
Treasurer
asymptomatic patients) who are clinically improved stable may be
allowed to undergo dialysis treatment following this algorithm:
Board Member
VIMAR A. LUZ, M.D.

Board Member
AGNES TORRIJOS-CRUZ, M.D.

Board Member

Board Member

Board Member

VISION STATEMENT

cohesive body that ensures adherence to the highest
compassionate.

liaison between its members and various support and
2. PSN recommends the following updated work restriction or isolation period
and negative COVID-19 test requirements for fully vaccinated HD facilities
programs especially those that are relevant to the health care workers (HCWs) with probable or confirmed COVID-19 infection:
Filipino people.
MISSION STATEMENT
1. Probable COVID-19 Infection (7 days isolation)
The Philippine Society of Nephrology, Inc. 1. At least 4 days have passed since symptoms first appeared;
information in Nephrology. It provides guidelines in 2. At least 3 days (72 hours) have passed since recovery defined as
resolution of fever without the use of fever-reducing medications
accreditation, it enforces global training and research and improvement in respiratory symptoms (e.g., cough, shortness
standards.
of breath);
needs and problems, as well as expertise and
2. Confirmed asymptomatic (7 day isolation)
and coordinate public health programs geared 1. 7 days have passed since the date of their first positive COVID19 rt-
renal disease. PCR test, assuming that they have not subsequently developed
symptoms since their positive test.
Condominium, San Miguel Avenue Corner 2. One (1) negative result of an FDA Emergency Use Authorized
Pasig City, Philippines COVID-19 molecular assay for detection of SARS-CoV-2 RNA of FDA
Tel. No. (63-2) 82816364)
Telefax. (63-2) 86871187)
approved Rapid Antigen Test taken on day 5-6 from the first
E-mail address: psnmanila@gmail.com positive RT PCR result.

2021 – 2022
3. Confirmed Mild to moderate COVID-19 infection (10 day isolation)

President 1. At least 7 days have passed since symptoms first appeared;
MAALIDDIN B. BIRUAR, M.D.
Vice-President
2. At least 3 days (72 hours) have passed since recovery defined as
Secretary and improvement in respiratory symptoms (e.g., cough, shortness
Treasurer
of breath);
RICARDO A. FRANCISCO, JR., M.D. 3. One (1) negative result of an FDA Emergency Use Authorized
Board Member
COVID-19 molecular assay for detection of SARS-CoV-2 RNA or FDA
VIMAR A. LUZ, M.D.
Board Member approved Rapid Antigen Test taken on day 7-9 from onset of
AGNES TORRIJOS-CRUZ, M.D. symptoms.
Board Member

Board Member 4. Confirmed Severe and Critical COVID-19 infection (21 days isolation)
Board Member
1. At least 18 days have passed since symptoms first appeared;
VISION STATEMENT and improvement in respiratory symptoms (e.g., cough, shortness
of breath);
cohesive body that ensures adherence to the highest 3. One (1) negative result of an FDA Emergency Use Authorized
field of Nephrology. It commits itself to train, COVID-19 molecular assay for detection of SARS-CoV-2 RNA or RAT
taken on day 18-20 from onset of symptoms.
compassionate.
It is a dynamic partner of Medical and 3. PSN highly recommends the following work restriction or isolation period for
partially vaccinated or unvaccinated HD facilities health care workers (HCWs)
liaison between its members and various support and with probable or confirmed COVID-19 infection who are

care for patients as it leads renal related public health 1. Probable COVID-19 Infection (10 days isolation)
programs especially those that are relevant to the
Filipino people.
1. At least 7 days have passed since symptoms first appeared;
MISSION STATEMENT
and improvement in respiratory symptoms (e.g., cough, shortness
information in Nephrology. It provides guidelines in of breath);
standards.
2. Confirmed asymptomatic (10 day isolation)
1. 10 days have passed since the date of their first positive COVID19
needs and problems, as well as expertise and rt-PCR test, assuming that they have not subsequently developed
renal disease. It shall initiate, recommend, promote, symptoms since their positive test.
and coordinate public health programs geared
2. One (1) negative result of an FDA Emergency Use Authorized
renal disease. COVID-19 molecular assay for detection of SARS-CoV-2 RNA taken
Room 2406 One San Miguel Avenue on day 7-9 from the first positive RT PCR result.
Pasig City, Philippines
Tel. No. (63-2) 82816364)
Telefax. (63-2) 86871187)

2021 – 2022
3. Confirmed asymptomatic, mild to moderate COVID-19 infection (10 days
President isolation)
MAALIDDIN B. BIRUAR, M.D. 1. At least 7 days have passed since symptoms first appeared;
Vice-President
Secretary resolution of fever without the use of fever-reducing medications
PELAGIO L. ESMAQUEL, JR., M.D. and improvement in respiratory symptoms (e.g., cough, shortness
Treasurer

of breath);
Board Member 3. One (1) negative result of an FDA Emergency Use Authorized COVID-
VIMAR A. LUZ, M.D.
Board Member
19 molecular assay for detection of SARS-CoV-2 RNA or FDA
AGNES TORRIJOS-CRUZ, M.D.
approved RAT taken on day7- 9 from onset of symptoms.
Board Member

Board Member 4. Confirmed Severe and Critical COVID-19 infection (21 days)
ELIZABETH B. ESTOESTA, M.D. 1. At least 18 days have passed since symptoms first appeared;
Board Member
Immediate Past President resolution of fever without the use of fever-reducing medications
and improvement in respiratory symptoms (e.g., cough, shortness
VISION STATEMENT
of breath);
3. One (1) negative result of an FDA Emergency Use Authorized
standards of excellence in training and research in the COVID-19 molecular assay for detection of SARS-CoV-2 RNA or
regulate, and support its members to enable them to Rapid Antigen Test (RAT) taken on day 18-20 from onset of
compassionate. symptoms.
Professional Societies, and a foremost source of 4. PSN recommends that HD facilities health care workers (HCWs) with Confirmed
liaison between its members and various support and COVID-19 infection AND a persistently positive second or subsequent rt-PCR or
RAT test done on day 7-10 ( mild to moderate infection) or 18-20 (for severe to
The society is committed to the highest quality critical infection) from onset of illness or 7-9 days after first positive results
programs especially those that are relevant to the (for asymptomatic HCW) may be allowed to return to work until completion of
Filipino people.
an additional 7 days quarantine from day 10 or 21 after the second or
MISSION STATEMENT subsequent positive rt-PCR or RAT test results taken provided he/she was
The Philippine Society of Nephrology, Inc. evaluated and cleared to have clinically recovered from COVID-19 infection by
information in Nephrology. It provides guidelines in an IDS consultant or attending physician.
accreditation, it enforces global training and research 5. PSN recommends that the unvaccinated Chronic Kidney Disease Stage 5
standards.
dialysis patients be protected from undue exposure to COVID-19 asymptomatic
The society provides information on members’ carriers or symptomatic spreaders in the unit by allocating an isolation room
recommendations for policy formulation regarding for their hemodialysis treatments or if not readily available, by doing the
and coordinate public health programs geared treatment at a corner or end of row station of the dialysis unit, away from the
renal disease.
main flow or traffic and separated by at least 2 meters from the nearest fully
vaccinated patient or watchers in all directions.
Tel. No. (63-2) 82816364)
Telefax. (63-2) 86871187)

2021 – 2022
6. PSN recommends that PSN members and dialysis center medical directors
President conduct regular lectures or lay fora on COVID-19 infection control practices at
MAALIDDIN B. BIRUAR, M.D. home and at the dialysis unit and the benefits of vaccination to dialysis and
Vice-President
patients with chronic kidney disease.
Secretary

Treasurer
7. PSN recommends that PSN members who are dialysis unit head may consider
performing regular targeted SARS-COV-2 or Rapid Antigen testing of all dialysis
Board Member patients (example every two weeks) in their units in close coordination and
VIMAR A. LUZ, M.D.
Board Member
consultation with the dialysis center or hospital infection control unit
AGNES TORRIJOS-CRUZ, M.D. coordinators or head respectively, subject to availability of testing kits in the
Board Member
area.
Board Member

Board Member

Board of Trustees
Immediate Past President Philippine Society of Nephrology FY 2021-2022
VISION STATEMENT

References:
compassionate. 1. Interim Guidelines in the PSN-PSMID-PHICS Interim Guidelines in the
Prevention and Control of COVID19 Infection in Hemodialysis Facilities Version
Professional Societies, and a foremost source of 2.0 as of 16 October 2020
liaison between its members and various support and
2. Department of Health Updated Quarantine or Isolation Period
Recommendations for the General Public and Healthcare Workers as of 13
programs especially those that are relevant to the January 2022
Filipino people.
MISSION STATEMENT

information in Nephrology. It provides guidelines in
standards.

and coordinate public health programs geared
renal disease.

Tel. No. (63-2) 82816364)
Telefax. (63-2) 86871187)

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Philippine Society of Nephrology, Inc.

a component society of the Philippine College of Physicians

OFFICERS AND BOARD MEMBERS

MAALIDDIN B. BIRUAR, M.D. To: All PSN Members

GINGERLITA ALLA-SAMONTE, M.D.

ELIZABETH S. MONTEMAYOR, M.D.

OFFICERS AND BOARD MEMBERS

MAALIDDIN B. BIRUAR, M.D. i. COVID-19 Confirmed Symptomatic Patients mild to critical,

ELIZABETH S. MONTEMAYOR, M.D.

OFFICERS AND BOARD MEMBERS

VIMAR A. LUZ, M.D.

AGNES TORRIJOS-CRUZ, M.D.

GLENN R. BUTUYAN, M.D.

ELIZABETH B. ESTOESTA, M.D.

ELIZABETH S. MONTEMAYOR, M.D.

The Philippine Society of Nephrology, Inc. is a

It is a dynamic partner of Medical and

OFFICERS AND BOARD MEMBERS

3. Confirmed Mild to moderate COVID-19 infection (10 day isolation)

GLENN R. BUTUYAN, M.D.

The society is committed to the highest quality

OFFICERS AND BOARD MEMBERS

RICARDO A. FRANCISCO, JR., M.D.

GLENN R. BUTUYAN, M.D.

OFFICERS AND BOARD MEMBERS

PELAGIO L. ESMAQUEL, JR., M.D.

ELIZABETH B. ESTOESTA, M.D.

ELIZABETH S. MONTEMAYOR, M.D.

The Philippine Society of Nephrology, Inc. is a

The Philippine Society of Nephrology, Inc.

The society provides information on members’

Room 2406 One San Miguel Avenue

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