Recognition And Management Of Community-Acquired Acute Kidney Injury In Low- Resource Settings In Th

Whether the application of point-of-care (POC) serum creatinine and urine dipstick testing with an education and training program would be a feasible strategy to optimize the detection as well as the treatment of acute kidney injury (AKI) in the community in 3 low-resource countries, was investigated in this multicenter, non-randomized feasibility study in low-resource settings. Patients at moderate to high AKI risk were identified, using a symptom-based risk score, from those who presented to healthcare centers in the cities Cochabamba, Bolivia; Dharan, Nepal; and Blantyre, Malawi. These patients were grouped as having chronic kidney disease (CKD), acute kidney disease (AKD), or no kidney disease (NKD), based on POC testing for serum creatinine and urine dipstick at enrollment. Within 7 days, the development of AKI occurred in 30%. Overall mortality was identified to be the highest in patients who had CKD, followed by those with AKD, AKI, and NKD. Findings support the feasibility of executing a comprehensive program using POC testing and protocol-based management to enhance the identification as well as treatment of AKI and AKD among high-risk patients in primary care.

​

Source