Department of Critical Care Medicine, SMI, Montevideo, Uruguay.
Department of Nephrology, Hospital Italiano Buenos Aires, Buenos Aires, Argentina.
Nephrol Dial Transplant. 2014 Jul;29(7):1369-76. doi: 10.1093/ndt/gfu078. Epub 2014 Apr 16.
Acute kidney injury (AKI) has increasingly been recognized as an important public health issue due to its rising frequency, its associations with early and late adverse outcomes and its economic burden.
Given the importance of determining the available resources to address this serious issue, the AKI Committee of SLANH conducted a survey to obtain information about infrastructure, human resources and equipment devoted to the treatment of AKI in Latin America
A total of 246 units from 14 countries participated in the survey, the majority of them pertaining to nephrology divisions in teaching hospitals. Intermittent hemodialysis was universally performed by all of the units, and less frequently, slow extended dialysis (40%) and continuous renal replacement therapy (23%) were performed. Seventy-nine units (30%) perform peritoneal dialysis, but only 51 (19%) of them reported having treated at least 1 patient with this technique in the last 3 months pre-survey. The vast majority of the units reported adequate water treatment and use of modern filter membranes. Most of the patients received renal replacement therapy (RRT) in the intensive care unit. Specific causes of AKI were reported in different frequencies, with a heterogeneous pattern among the countries. Septic abortion, hemolytic-uremic syndrome, community-acquired diarrhea and leptospirosis were the etiologies most frequently associated with AKI.
To our knowledge, this report was the first available study of the equipment and human resources utilized for RRT in AKI patients in Latin America.
急性肾损伤（AKI）的发病率不断上升，与早期和晚期不良预后相关，且经济负担沉重，因此越来越被认为是一个重要的公共卫生问题。
鉴于确定解决这一严重问题的可用资源的重要性，SLANH 的 AKI 委员会进行了一项调查，以获取有关拉丁美洲治疗 AKI 的基础设施、人力资源和设备的信息。
共有来自 14 个国家的 246 个单位参与了调查，其中大多数是教学医院的肾病科。所有单位都普遍进行间歇性血液透析，较少进行缓慢扩展透析（40%）和连续肾脏替代治疗（23%）。79 个单位（30%）进行腹膜透析，但只有 51 个（19%）报告在调查前 3 个月至少用该技术治疗了 1 名患者。绝大多数单位报告说水的处理和现代滤膜的使用都得到了妥善处理。大多数患者在重症监护病房接受肾脏替代治疗（RRT）。AKI 的具体病因报告的频率不同，各国之间的模式也存在差异。感染性流产、溶血尿毒综合征、社区获得性腹泻和钩端螺旋体病是与 AKI 最相关的病因。
据我们所知，这是首次对拉丁美洲 AKI 患者 RRT 所使用的设备和人力资源进行的可用研究。
