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Published in: Pediatric Nephrology 12/2023

13-04-2023 | Heart Surgery | Review

Drugs in treating paediatric acute kidney injury

Authors: Caoimhe Costigan, Steve Balgobin, Michael Zappitelli

Published in: Pediatric Nephrology | Issue 12/2023

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Abstract

Acute kidney injury (AKI) is a complex syndrome which affects a significant proportion of hospitalized children. The breadth and impact of AKI on health outcomes in both adults and children have come to the fore in recent years with increasing awareness encouraging research advancement. Despite this, management strategies for most types of AKI remain heavily reliant on fluid and electrolyte management, hemodynamic optimization, nephrotoxin avoidance and appropriate initiation of kidney replacement therapy. Specific drugs targeting the mechanisms involved in AKI remain elusive. Recent improvement in appreciation of the complexity of AKI pathophysiology has allowed for greater opportunity to consider novel therapeutic agents. A number of drugs specifically targeting AKI are in various stages of development. This review will consider some novel and repurposed agents; interrogate the plausibility of the proposed mechanisms of action, as they relate to what we know about the pathophysiology of AKI; and review the level of existing literature supporting their efficacy. The evidence base, particularly in children, is limited.
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Metadata
Title
Drugs in treating paediatric acute kidney injury
Authors
Caoimhe Costigan
Steve Balgobin
Michael Zappitelli
Publication date
13-04-2023
Publisher
Springer Berlin Heidelberg
Published in
Pediatric Nephrology / Issue 12/2023
Print ISSN: 0931-041X
Electronic ISSN: 1432-198X
DOI
https://doi.org/10.1007/s00467-023-05956-4

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