Clinical and epidemiological characteristics of acute renal irritation in case of severe community-acquired pneumonia in young people

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Abstract

An observational descriptive study was conducted in 220 patients aged 18–44 years without comorbidities treated for severe community-acquired pneumonia in the intensive care unit from 2011 to 2017. Acute kidney injury developed in 25.4% of patients and in 85.7% were on artificial lung ventilation. Acute kidney injury significantly increased the duration of hospital stay (28 days vs. 23 days in patients without acute kidney injury), in the intensive care unit (4 days vs. 3, respectively) and mortality (10.7% vs. 0.6%, respectively). By the time of discharge from the hospital, in 99.52% of the surviving patients, the signs of acute kidney injury resolved, diuresis and serum creatinine normalized. At a 3-month follow-up, there were no signs of impaired renal function in all patients. In the treatment of patients with severe community-acquired pneumonia, it is necessary to be vigilant by doctors, monitor kidney function, prevent the development of acute kidney damage, and, in case of its occurrence, promptly start nephroprotection and renal replacement therapy.

About the authors

D. I. Korabelnikov

1586th Military Clinical Hospital of the Ministry of Defense of the Russian Federation; The F.P.Gaaza Moscow Medical and Social Institute

Email: dkorabelnikov@mail.ru

кандидат медицинских наук, полковник медицинской службы запаса

Russian Federation, Podolsk, Moscow Region; Moscow

P. P. Konovalov

1586th Military Clinical Hospital of the Ministry of Defense of the Russian Federation

Author for correspondence.
Email: dkorabelnikov@mail.ru

доцент, полковник медицинской службы

 

Russian Federation, Podolsk, Moscow Region

M. O. Magomedaliev

1586th Military Clinical Hospital of the Ministry of Defense of the Russian Federation; The F.P.Gaaza Moscow Medical and Social Institute

Email: dkorabelnikov@mail.ru

майор медицинской службы

Russian Federation, Podolsk, Moscow Region; Moscow

S. E. Khoroshilov

The N.N.Burdenko Main Military Clinical Hospital of the Ministry of Defense of the Russian Federation

Email: dkorabelnikov@mail.ru

доктор медицинских наук, полковник медицинской службы запаса

Russian Federation, Moscow

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Copyright (c) 2022 Korabelnikov D.I., Konovalov P.P., Magomedaliev M.O., Khoroshilov S.E.


СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: № 01975 от 30.12.1992.

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