Ulyanovsk Medico-biological Journal

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THE MODERN CRITERIA FOR ACUTE KIDNEY INJURY IN PATIENTS WITH HEMORRHAGIC FEVER WITH RENAL SYNDROME

A.M. Shutov1, E.A. Astapenko1, G.A. Savinova2, V.H. Rechnik2, T.S. Kiseleva3, M.V.Menzorov1

1Ulyanovsk State University

2Ulyanovsk Central Clinical Hospital

3Dimitrovgrad Clinical Hospital № 172

 

The article is devoted to diagnosis of acute kidney injury (AKI) in patients with Hemorrhagic fever with renal syndrome (HFRS). It is shown the criteria RIFLE and AKIN. It helps to compare they. More than 90 % of patients with HFRS have AKI. Alterations in urine output is smaller sensitive marker of renal dysfunction in HFRS compared with creatinine criteria.

Key words: acute kidney injury, AKIN criteria, Hemorrhagic fever with renal syndrome, RIFLE criteria.

 

References

  1. Шутов, А.М. Гемодиализ в лечении острой почечной недостаточности при геморрагической лихорадке с почечным синдромом / А.М. Шутов, Л.А. Шутова, Г.Р. Шапиро // Тер. архив. – 1996. – № 6. – С. 31–32.

  2. Bagshaw, S.M. A comparison of the RIFLE and AKIN criteria for acute kidney injury in critically ill patients Nephrology Dialysis Transplantation / S.M. Bagshaw, C. George, R.A. Bellomo // ANZICS Database Management Committi. Dial. Transplant. –2008. – Vol. 23. – P. 1569–1574.

  3. Acute renal failure–definition, outcome measures, animal models, fluid therapy and information technology needs: the Second International Consensus Conference of the Acute Dialysis Quality Initiative (ADQI) Group / R. Bellomo [et al.] // Crit. Care. – 2004. – Vol. 8. – P. 204–212.

  4. Acute kidney injury classification: comparison of AKIN and RIFLE criteria / С.H. Chang [et al.] // Shock. – 2010. – Vol. 33. – P. 247–252.

  5. Plasma neutrophil gelatinase-associated lipocalin is an early biomarker for acute kidney injury in an adult ICU population / N. Dinna [et al.] // Intensive Care Med. – 2010. – Vol. 36. – P. 444–451.

  6. Clinical accuracy of RIFLE and Acute Kidney Injury Network (AKIN) criteria for acute kidney injury in patients undergoing cardiac surgery / L. Englberger [et al.] // Crit. Care. – 2011. – Jan. 13, 15 (1). – P. 16.

  7. Clinical accuracy of RIFLE and Acute Kidney Injury Network (AKIN) criteria for acute kidney injury in patients undergoing cardiac surgery / L. Englberger [et al.] // Crit. Care. – 2011. – Vol. 15. – P. 16.

  8. Defining urine output criterion for acute kidney injury in critically ill patients / M. Etienne [et al.] // Nephrol. Dial. Transplant. – 2011. – Vol. 26. – P. 509–515.

  9. Acute kidney injury in tropical acute febrile illness in a tertiary care centre – RIFLE criteria validation / B. Gopal Basu [et al.] // Nephrol. Dial. Transplant. – 2011. – Vol. 26. – P. 524–531.

  10. Acute Kidney Injury in Patients with Hemorrhagic Fever with Renal Syndrome Caused by Hantaan Virus: Comparative Evaluation by RIFLE and AKIN Criteria / D. Han [et al.] // Vector Borne Zoonotic Dis. – 2010. – Dec 13.

  11. Acute kidney injury in critically ill patients classified by AKIN versus RIFLE using the SAPS 3 database / M. Joannidis [et al.] // Intensive Care Med. – 2009. – Oct. 35(10). – P. 1692–1702.

  12. Acute kidney injury in critically ill patients classified by AKIN versus RIFLE using the SAPS 3 database / M. Joannidis [et al.] // Intensive Care Med. – 2009. – Vol. 35. – P. 1692–1702.

  13. Urinary biomarkers in the clinical prognosis and early detection of acute kidney injury / J.L. Koyner [et al.] // Clin. J. Am. Soc. Nephrol. – 2010. – Dec. 5 (12). – P. 2154–2165.

  14. Kuzman, I. Clinical picture of hemorrhagic fever with renal syndrome in Croatia / I. Kuzman // Acta Med. Croatica. – 2003. – Vol. 57(5). – P. 393–397.

  15. Does furosemide prevent renal dysfunction in high-risk cardiac surgical patients? Results of a double-blinded prospective randomised trial / B. Mahesh [et al.] // Eur. J. Cardiothorac Surg. – 2008. – Vol. 33. – P. 370–376.

  16. Patterns for Hemorrhagic Fever with Renal Syndrome Caused by Puumala Virus / H. Marika [et al.] // Emerging Infectious Diseases. – Vol. 16. – No. 10. – October 2010. – P. 1584–1586.

  17. Acute Kidney Injury Network: report of an initiative to improve outcomes in acute kidney injury / R.L. Mehta [et al.] // Crit. Care. – 2007. – Vol. 11. – P. 31.

  18. Characterization and outcome following Puumala virus infection: a retrospective analysis of 75 cases / N. Braun [et al.] // Nephrol. Dial. Transplant. – 2010. – Vol. 25. – P. 2997–3003.

  19. A comparison of the RIFLE and AKIN criteria for acute kidney injury in critically ill patients / Sean M. Bagshaw, Carol George, Rinaldo Bellomo for the ANZICS Database Management Committe // Nephrol. Dial. Transplant. – 2008. – Vol. 23. – P. 1569–1574.

  20. Self, W.H. Novel biomarkers: help or hindrance to patient care in the emergency department? / W.H. Self, T.W. Barrett // Ann. Emerg. Med. – 2010. – Jul. – Vol. 56(1). – P. 60–61.

  21. Settergren, B. Clinical aspects of nephropa­thia epidemica (Puumala virus infection) in Europe: a review / B. Settergren // Scand. J. Infect. Dis. – 2000. – Vol. 32. – P. 125–132.

  22. Commonly used surrogates for baseline renal function affect the classification and prognosis of acute kidney injury / E.D. Siew [et al.] // Kidney Int. – 2010. – Vol. 77. – P. 536–542.

  23. Neutrophil Gelatinase-Associated Lipocalin as a Predictor of Complications and Mortality in Patients Undergoing Non-Cardiac Major Surgery / L. Shavit [et al.] // Kidney Blood Press Res. – 2011. – Feb. 11. – Vol. 34(2). – P. 116–124.

  24. Hantavirus infections in Europe / O. Vapa­lahti [et al.] // Lancet Infect Dis. – 2003. – Vol. 3. – P. 653–661.

  25. Defining acute kidney injury: playing hide-and-seek with the unknown man? / V.B. Wim [et al.] // Nephrol. Dial. Transplant. – 2011. – Vol. 26. – P. 399–401.

  26. Parameters for assessing the severity of clinical presentation of hemorrhagic fever with kidney syndrome / M. Zivkoviz [et al.] // Med. Pregl. – 2010. – May–Jun. – Vol. 63 (5–6). – P. 361–365.

  27. Acute kidney injury classification: comparison of AKIN and RIFLE criteria / C.H. Chang [et al.] // Shock. – 2010. – Vol. 33. – P. 247–252.

 

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УДК 616.988.26:616.61-07

СОВРЕМЕННЫЕ КРИТЕРИИ ДИАГНОСТИКИ ОСТРОГО ПОВРЕЖДЕНИЯ ПОЧЕК У БОЛЬНЫХ ГЕМОРРАГИЧЕСКОЙ ЛИХОРАДКОЙ С ПОЧЕЧНЫМ СИНДРОМОМ

А.М. Шутов1, Е.А. Астапенко1, Г.А. Савинова2, В.Н. Речник2, Т.С. Киселева3, М.В. Мензоров1

1Ульяновский государственный университет

2Центральная городская клиническая больница, Ульяновск

3Клиническая больница № 172 ФМБА России, Димитровград

 

Статья посвящена проблеме своевременной диагностики острого повреждения почек у больных геморрагической лихорадкой с почечным синдромом (ГЛПС). Рассматриваются основные положения классификации ОПП RIFLE и AKIN. Установлено, что более 90 % больных ГЛПС имеют ОПП. Критерии RIFLE и AKIN по критерию диурез менее чувствительны, чем по критерию креатинин сыворотки, для диагностики ОПП при ГЛПС.

Ключевые слова: геморрагическая лихорадка с почечным синдромом, критерии AKIN, критерии RIFLE, острое повреждение почек.

 

Литература

  1. Шутов, А.М. Гемодиализ в лечении острой почечной недостаточности при геморрагической лихорадке с почечным синдромом / А.М. Шутов, Л.А. Шутова, Г.Р. Шапиро // Тер. архив. – 1996. – № 6. – С. 31–32.

  2. Bagshaw, S.M. A comparison of the RIFLE and AKIN criteria for acute kidney injury in critically ill patients Nephrology Dialysis Transplantation / S.M. Bagshaw, C. George, R.A. Bellomo // ANZICS Database Management Committi. Dial. Transplant. –2008. – Vol. 23. – P. 1569–1574.

  3. Acute renal failure–definition, outcome measures, animal models, fluid therapy and information technology needs: the Second International Consensus Conference of the Acute Dialysis Quality Initiative (ADQI) Group / R. Bellomo [et al.] // Crit. Care. – 2004. – Vol. 8. – P. 204–212.

  4. Acute kidney injury classification: comparison of AKIN and RIFLE criteria / С.H. Chang [et al.] // Shock. – 2010. – Vol. 33. – P. 247–252.

  5. Plasma neutrophil gelatinase-associated lipocalin is an early biomarker for acute kidney injury in an adult ICU population / N. Dinna [et al.] // Intensive Care Med. – 2010. – Vol. 36. – P. 444–451.

  6. Clinical accuracy of RIFLE and Acute Kidney Injury Network (AKIN) criteria for acute kidney injury in patients undergoing cardiac surgery / L. Englberger [et al.] // Crit. Care. – 2011. – Jan. 13, 15 (1). – P. 16.

  7. Clinical accuracy of RIFLE and Acute Kidney Injury Network (AKIN) criteria for acute kidney injury in patients undergoing cardiac surgery / L. Englberger [et al.] // Crit. Care. – 2011. – Vol. 15. – P. 16.

  8. Defining urine output criterion for acute kidney injury in critically ill patients / M. Etienne [et al.] // Nephrol. Dial. Transplant. – 2011. – Vol. 26. – P. 509–515.

  9. Acute kidney injury in tropical acute febrile illness in a tertiary care centre – RIFLE criteria validation / B. Gopal Basu [et al.] // Nephrol. Dial. Transplant. – 2011. – Vol. 26. – P. 524–531.

  10. Acute Kidney Injury in Patients with Hemorrhagic Fever with Renal Syndrome Caused by Hantaan Virus: Comparative Evaluation by RIFLE and AKIN Criteria / D. Han [et al.] // Vector Borne Zoonotic Dis. – 2010. – Dec 13.

  11. Acute kidney injury in critically ill patients classified by AKIN versus RIFLE using the SAPS 3 database / M. Joannidis [et al.] // Intensive Care Med. – 2009. – Oct. 35(10). – P. 1692–1702.

  12. Acute kidney injury in critically ill patients classified by AKIN versus RIFLE using the SAPS 3 database / M. Joannidis [et al.] // Intensive Care Med. – 2009. – Vol. 35. – P. 1692–1702.

  13. Urinary biomarkers in the clinical prognosis and early detection of acute kidney injury / J.L. Koyner [et al.] // Clin. J. Am. Soc. Nephrol. – 2010. – Dec. 5 (12). – P. 2154–2165.

  14. Kuzman, I. Clinical picture of hemorrhagic fever with renal syndrome in Croatia / I. Kuzman // Acta Med. Croatica. – 2003. – Vol. 57(5). – P. 393–397.

  15. Does furosemide prevent renal dysfunction in high-risk cardiac surgical patients? Results of a double-blinded prospective randomised trial / B. Mahesh [et al.] // Eur. J. Cardiothorac Surg. – 2008. – Vol. 33. – P. 370–376.

  16. Patterns for Hemorrhagic Fever with Renal Syndrome Caused by Puumala Virus / H. Marika [et al.] // Emerging Infectious Diseases. – Vol. 16. – No. 10. – October 2010. – P. 1584–1586.

  17. Acute Kidney Injury Network: report of an initiative to improve outcomes in acute kidney injury / R.L. Mehta [et al.] // Crit. Care. – 2007. – Vol. 11. – P. 31.

  18. Characterization and outcome following Puumala virus infection: a retrospective analysis of 75 cases / N. Braun [et al.] // Nephrol. Dial. Transplant. – 2010. – Vol. 25. – P. 2997–3003.

  19. A comparison of the RIFLE and AKIN criteria for acute kidney injury in critically ill patients / Sean M. Bagshaw, Carol George, Rinaldo Bellomo for the ANZICS Database Management Committe // Nephrol. Dial. Transplant. – 2008. – Vol. 23. – P. 1569–1574.

  20. Self, W.H. Novel biomarkers: help or hindrance to patient care in the emergency department? / W.H. Self, T.W. Barrett // Ann. Emerg. Med. – 2010. – Jul. – Vol. 56(1). – P. 60–61.

  21. Settergren, B. Clinical aspects of nephropa­thia epidemica (Puumala virus infection) in Europe: a review / B. Settergren // Scand. J. Infect. Dis. – 2000. – Vol. 32. – P. 125–132.

  22. Commonly used surrogates for baseline renal function affect the classification and prognosis of acute kidney injury / E.D. Siew [et al.] // Kidney Int. – 2010. – Vol. 77. – P. 536–542.

  23. Neutrophil Gelatinase-Associated Lipocalin as a Predictor of Complications and Mortality in Patients Undergoing Non-Cardiac Major Surgery / L. Shavit [et al.] // Kidney Blood Press Res. – 2011. – Feb. 11. – Vol. 34(2). – P. 116–124.

  24. Hantavirus infections in Europe / O. Vapa­lahti [et al.] // Lancet Infect Dis. – 2003. – Vol. 3. – P. 653–661.

  25. Defining acute kidney injury: playing hide-and-seek with the unknown man? / V.B. Wim [et al.] // Nephrol. Dial. Transplant. – 2011. – Vol. 26. – P. 399–401.

  26. Parameters for assessing the severity of clinical presentation of hemorrhagic fever with kidney syndrome / M. Zivkoviz [et al.] // Med. Pregl. – 2010. – May–Jun. – Vol. 63 (5–6). – P. 361–365.

  27. Acute kidney injury classification: comparison of AKIN and RIFLE criteria / C.H. Chang [et al.] // Shock. – 2010. – Vol. 33. – P. 247–252.