Acute kidney injury requiring renal replacement therapy during the COVID-19 pandemic: what are our options for treating it in Latin America?

doi:10.1016/j.kint.2020.12.021

Editorial

. 2021 Mar;99(3):524-527.

doi: 10.1016/j.kint.2020.12.021. Epub 2020 Dec 31.

Acute kidney injury requiring renal replacement therapy during the COVID-19 pandemic: what are our options for treating it in Latin America?

Lilia M Rizo-Topete¹, Rolando Claure-Del Granado², Daniela Ponce³, Raul Lombardi⁴

Affiliations

¹ Division of Nephrology, Universidad Autónoma de Nuevo León, Hospital Universitario "José Eleuterio González", Monterrey, Nuevo León, Mexico; Department of Medicine, Universidad de Monterrey, Hospital Christus Muguerza Alta Especialidad, Monterrey, Nuevo León, Mexico.
² Division of Nephrology, Hospital Obrero No 2 - Caja Nacional de Salud, Cochabamba, Bolivia; Department of Medicine, Universidad Mayor de San Simon, School of Medicine, Cochabamba, Bolivia; Acute Kidney Injury Committee, Latin American Society of Nephrology and Hypertension (SLANH). Electronic address: rclaure@yahoo.com.
³ Department of Medicine, Universidade Estadual Paulista (UNESP), Sao Paulo, Sao Paulo, Brazil; Division of Nephrology, Hospital Das Clínicas Faculdade de Medicina de Botucatu (HCFMB), Sao Paulo, Sao Paulo, Brazil.
⁴ Acute Kidney Injury Committee, Latin American Society of Nephrology and Hypertension (SLANH); Division of Nephrology, School of Medicine, Universidad de la República, Montevideo, Uruguay.

PMID: 33388364
PMCID: PMC7774483
DOI: 10.1016/j.kint.2020.12.021

Editorial

Acute kidney injury requiring renal replacement therapy during the COVID-19 pandemic: what are our options for treating it in Latin America?

Lilia M Rizo-Topete et al. Kidney Int. 2021 Mar.

. 2021 Mar;99(3):524-527.

doi: 10.1016/j.kint.2020.12.021. Epub 2020 Dec 31.

Authors

Lilia M Rizo-Topete¹, Rolando Claure-Del Granado², Daniela Ponce³, Raul Lombardi⁴

Affiliations

¹ Division of Nephrology, Universidad Autónoma de Nuevo León, Hospital Universitario "José Eleuterio González", Monterrey, Nuevo León, Mexico; Department of Medicine, Universidad de Monterrey, Hospital Christus Muguerza Alta Especialidad, Monterrey, Nuevo León, Mexico.
² Division of Nephrology, Hospital Obrero No 2 - Caja Nacional de Salud, Cochabamba, Bolivia; Department of Medicine, Universidad Mayor de San Simon, School of Medicine, Cochabamba, Bolivia; Acute Kidney Injury Committee, Latin American Society of Nephrology and Hypertension (SLANH). Electronic address: rclaure@yahoo.com.
³ Department of Medicine, Universidade Estadual Paulista (UNESP), Sao Paulo, Sao Paulo, Brazil; Division of Nephrology, Hospital Das Clínicas Faculdade de Medicina de Botucatu (HCFMB), Sao Paulo, Sao Paulo, Brazil.
⁴ Acute Kidney Injury Committee, Latin American Society of Nephrology and Hypertension (SLANH); Division of Nephrology, School of Medicine, Universidad de la República, Montevideo, Uruguay.

PMID: 33388364
PMCID: PMC7774483
DOI: 10.1016/j.kint.2020.12.021

No abstract available

Keywords: acute kidney injury; continuous renal replacement therapy; hemodialysis; peritoneal dialysis.

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Figures

**Figure 1**
**Proposed approach for the provision of renal replacement therapy (RRT) and modality selection in Latin America during coronavirus disease 2019 (COVID-19) pandemic.** Overview of a stepwise approach for providing RRT to patients with COVID-19; in hemodynamically unstable patients, continuous renal replacement therapy (CRRT) is the therapy of choice if available, and prolonged intermittent renal replacement therapy (PIRRT) and peritoneal dialysis (PD) can be used if CRRT is not available. In hemodynamically stable patients, intermittent hemodialysis (IHD) and PD can be used. Selection should be based on local equipment availability, supplies, and local expertise. APD, automated peritoneal dialysis; AKI, acute kidney injury; CVVH, continuous veno-venous hemofiltration; CVVHD, continuous veno-venous hemodialysis; CVVHDF, continuous veno-venous hemodiafiltration; Qb, blood flow rate; Qd, dialysis fluid flow rate; SCUF, slow continuous ultrafiltration; UF, ultrafiltration; UFnet, net ultrafiltration.

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Wainstein M, Spyrison N, Dai D, Ghadimi M, Chávez-Iñiguez JS, Rizo-Topete L, Citarella BW, Merson L, Pole JD, Claure-Del Granado R, Johnson DW, Shrapnel S; ISARIC Characterization Group. Wainstein M, et al. Kidney Int Rep. 2023 May 27;8(8):1514-30. doi: 10.1016/j.ekir.2023.05.015. Online ahead of print. Kidney Int Rep. 2023. PMID: 37360820 Free PMC article.
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References

1. Burki T. COVID-19 in Latin America. Lancet Infect Dis. 2020;20:547–548. - PMC - PubMed
1. Miller M.J., Loaiza J.R., Takyar A., Gilman R.H. COVID-19 in Latin America: novel transmission dynamics for a global pandemic? PLoS Negl Trop Dis. 2020;14 - PMC - PubMed
1. Lombardi R., Ferreiro A., Claure-Del Granado R., et al. EPILAT-IRA study: a contribution to the understanding of the epidemiology of acute kidney injury in Latin America. PLoS One. 2019;14 - PMC - PubMed
1. Lombardi R., Rosa-Diez G., Ferreiro A., et al. Acute kidney injury in Latin America: a view on renal replacement therapy resources. Nephrol Dial Transplant. 2014;29:1369–1376. - PubMed
1. Perez-Padilla R., de la Rosa-Zamboni D., Ponce de Leon S., et al. Pneumonia and respiratory failure from swine-origin influenza A (H1N1) in Mexico. N Engl J Med. 2009;361:680–689. - PubMed

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[1] Burki T. COVID-19 in Latin America. Lancet Infect Dis. 2020;20:547–548. - PMC - PubMed

[2] Burki T. COVID-19 in Latin America. Lancet Infect Dis. 2020;20:547–548. - PMC - PubMed

[3] Miller M.J., Loaiza J.R., Takyar A., Gilman R.H. COVID-19 in Latin America: novel transmission dynamics for a global pandemic? PLoS Negl Trop Dis. 2020;14 - PMC - PubMed

[4] Miller M.J., Loaiza J.R., Takyar A., Gilman R.H. COVID-19 in Latin America: novel transmission dynamics for a global pandemic? PLoS Negl Trop Dis. 2020;14 - PMC - PubMed

[5] Lombardi R., Ferreiro A., Claure-Del Granado R., et al. EPILAT-IRA study: a contribution to the understanding of the epidemiology of acute kidney injury in Latin America. PLoS One. 2019;14 - PMC - PubMed

[6] Lombardi R., Ferreiro A., Claure-Del Granado R., et al. EPILAT-IRA study: a contribution to the understanding of the epidemiology of acute kidney injury in Latin America. PLoS One. 2019;14 - PMC - PubMed

[7] Lombardi R., Rosa-Diez G., Ferreiro A., et al. Acute kidney injury in Latin America: a view on renal replacement therapy resources. Nephrol Dial Transplant. 2014;29:1369–1376. - PubMed

[8] Lombardi R., Rosa-Diez G., Ferreiro A., et al. Acute kidney injury in Latin America: a view on renal replacement therapy resources. Nephrol Dial Transplant. 2014;29:1369–1376. - PubMed

[9] Perez-Padilla R., de la Rosa-Zamboni D., Ponce de Leon S., et al. Pneumonia and respiratory failure from swine-origin influenza A (H1N1) in Mexico. N Engl J Med. 2009;361:680–689. - PubMed

[10] Perez-Padilla R., de la Rosa-Zamboni D., Ponce de Leon S., et al. Pneumonia and respiratory failure from swine-origin influenza A (H1N1) in Mexico. N Engl J Med. 2009;361:680–689. - PubMed

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Acute kidney injury requiring renal replacement therapy during the COVID-19 pandemic: what are our options for treating it in Latin America?

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Acute kidney injury requiring renal replacement therapy during the COVID-19 pandemic: what are our options for treating it in Latin America?

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