Evaluating and managing neonatal acute renal failure in a resource-poor setting.
Indian J Pediatr
;
2009 Mar; 76(3): 293-6
Article
in English
| IMSEAR
| ID: sea-82563
ABSTRACT
Acute renal failure (ARF) is encountered in neonatal care where it may be associated with significant morbidities. Pre-renal failure, which is due to impaired renal tissue perfusion, is the commonest type of ARF. It is amenable to treatment with excellent prognosis following prompt diagnosis and timely institution of appropriate intervention. Unfortunately, ARF in the newborn is usually asymptomatic and it is only suspected when a newborn infant has not been observed to pass urine over several hours or when serum Creatinine is observed to be elevated or rising. In resource-poor settings, it is often difficult to conduct detailed evaluation of suspected cases of newborn ARF due to lack of appropriate equipments and infrastructure. Similarly, therapeutic facilities are sparse and there is heavy reliance on conservative management of cases. Such difficulties encountered in the evaluation and management of newborns with ARF in most parts of the developing world, like Nigeria, where diagnostic and therapeutic facilities are limited are highlighted.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Poverty
/
Prognosis
/
Humans
/
Infant, Newborn
/
Risk Factors
/
Renal Dialysis
/
Renal Replacement Therapy
/
Azotemia
/
Acute Kidney Injury
/
Infant, Newborn, Diseases
Type of study:
Etiology study
/
Prognostic study
/
Risk factors
Country/Region as subject:
Africa
Language:
English
Journal:
Indian J Pediatr
Year:
2009
Type:
Article
Similar
MEDLINE
...
LILACS
LIS