Brazilian Journal of Nephrology (Nov 2021)

Use of non-conventional biomarkers in the early diagnosis of acute kidney injury in preterm newborns with sepsis

  • Joycilene da Silva Barbosa,
  • Geraldo Bezerra da Silva Júnior,
  • Gdayllon Cavalcante Meneses,
  • Alice Maria Costa Martins,
  • Elizabeth De Francesco Daher,
  • Rosângela Pinheiro Gonçalves Machado,
  • Romélia Pinheiro Gonçalves Lemes

DOI
https://doi.org/10.1590/2175-8239-jbn-2020-0222

Abstract

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Abstract Acute kidney injury (AKI) is a common finding in Neotatal Intensive Care Units (NICU). Sepsis is one the main causes of AKI in preterm newborns. AKI has been associated with significant death rates. Early detection of the condition is the first step to improving prevention, treatment, and outcomes, while decreasing length of hospitalization, care costs, and morbimortality. AKI may progress to chronic kidney disease (CKD), a condition linked with dialysis and greater risk of cardiovascular disease. This review article aims to discuss cases of AKI in preterm newborns with sepsis, the use of biomarkers in lab workup, and the use of non-conventional biomarkers for the early identification of AKI.

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