Sepsis related to acute kidney injury: A literature review
DOI:
https://doi.org/10.33448/rsd-v13i12.47682Keywords:
Acute kidney injury; Sepsis; Kidney.Abstract
Introduction: Sepsis is an organic dysfunction caused by a response to an infection, one of the most affected organs is the kidney, causing acute kidney injury (AKI). The aim of this study is to relate the most recent evidence of understanding the pathophysiology and use of biomarkers of sepsis related to acute kidney injury. Methodology: This research is a narrative review of the literature, which sought to address acute kidney injury in sepsis. The research used the Scielo, PubMed MEDLINE and LILACS databases, with the keywords “sepsis” and “acute kidney injury”. Results and Discussion: A discussion stands out indicating that sepsis-induced AKI takes into account criteria such as sepsis from the Surviving Sepsis Campaign and those of AKI from KDIGO. Biomarkers are important when there is AKI related to sepsis. Its diagnosis is made through tools such as SOFA, SIRS and NEWS, but qSOFA is no longer used in this identification. Treatment is with broad-spectrum antibiotics, with caution in the use of nephrotoxic agents, and norepinephrine as a first-line vasopressor. Conclusion: It is understood, therefore, that through this study it was possible to understand more about the pathophysiology of sepsis related to acute kidney injury, with inflammation being prevalent as an essential factor for AKI. Furthermore, there is still a prevalence of people who require hemodialysis or renal replacement after sepsis with acute kidney injury, making evident the need for study and training of professionals in the area.
References
Balkrishna, A., Sinha, S., Kumar, A., Arya, V., Gautam, A. K., Valis, M., Kuca, K., Kumar, D., & Amarowicz, R. (2023). Sepsis-mediated renal dysfunction: Pathophysiology, biomarkers and role of phytoconstituents in its management. Biomedicine & Pharmacotherapy, 165, 115183. https://doi.org/10.1016/j.biopha.2023.115183
Bento, A. V. (2012). Como fazer uma revisão de literatura: considerações teóricas e práticas. Revista JÁ, 65, 42-44 https://edisciplinas.usp.br/pluginfile.php/5664211/mod_forum/intro/Como%20fazer%20uma%20revisão%20da%20literatura.pdf?time=1584711916950
Bernichel, C. R. & Meneguin S. (2020). Fatores de risco para injúria renal aguda em pacientes clínicos intensivos. Acta paulista de enfermagem, 33, 1-8. http://dx.doi.org/10.37689/ acta-ape/2020AO0064
Chang, Y.-M., Chou, Y.-T., Kan, W.-C., & Shiao, C.-C. (2022). Sepsis and acute kidney injury: A review focusing on the bidirectional interplay. International Journal of Molecular Sciences, 23(16), 9159. https://doi.org/10.3390/ijms23169159
Echer, I. C. (2001). A revisão de literatura na construção do trabalho científico. Revista gaúcha de enfermagem. 22(2), 5-20. https://lume.ufrgs.br/handle/10183/23470
Evans, L., Rhodes, A., Alhazzani, W., Antonelli, M., Coopersmith, C. M., French, C., Machado, F. R., Mcintyre, L., Ostermann, M., Prescott, H. C., Schorr, C., Simpson, S., Wiersinga, W. J., Alshamsi, F., Angus, D. C., Arabi, Y., Azevedo, L., Beale, R., Beilman, G., … Levy, M. (2021). Surviving Sepsis Campaign: International guidelines for management of sepsis and septic shock (2021). Critical care medicine, 49(11), e1063–e1143. https://doi.org/10.1097/CCM.0000000000005337
Fonseca, J. A., Gameiro, J., Marques, F., & Lopes, J. A. (2020). Timing of initiation of renal replacement therapy in sepsis-associated acute kidney injury. Journal of Clinical Medicine, 9(5), 1413. https://doi.org/10.3390/jcm9051413
Harris, P. L., & Umberger, R. A. (2020). Long-term renal outcomes in adults with sepsis-induced acute kidney injury. Dimensions of Critical Care Nursing, 39(5), 259–268. https://doi.org/10.1097/dcc.0000000000000432
He, F.-F., Wang, Y.-M., Chen, Y.-Y., Huang, W., Li, Z.-Q., & Zhang, C. (2022). Sepsis-induced AKI: From pathogenesis to therapeutic approaches. Frontiers in Pharmacology, 13, 981578. https://doi.org/10.3389/fphar.2022.981578
Kim, J. Y., Yee, J., Yoon, H. Y., Han, J. M., & Gwak, H. S. (2022). Risk factors for vancomycin-associated acute kidney injury: A systematic review and meta-analysis. British journal of clinical pharmacology, 88(9), 3977–3989. https://doi.org/10.1111/bcp.15429
Kounatidis, D., Vallianou, N. G., Psallida, S., Panagopoulos, F., Margellou, E., Tsilingiris, D., Karampela, I., Stratigou, T., & Dalamaga, M. (2024). Sepsis-associated acute kidney injury: Where are we now? Medicina, 60(3), 434. https://doi.org/10.3390/medicina60030434
Kwak, S. H., Ahn, S., Shin, M. H., Leem, A. Y., Lee, S. H., Chung, K., Kim, Y. S., Lee, S. Y., & Park, M. S. (2023). Identification of biomarkers for the diagnosis of sepsis-associated acute kidney injury and prediction of renal recovery in the intensive care unit. Yonsei Medical Journal, 64(3), 181–190. https://doi.org/10.3349/ymj.2022.0324
Legrand, M., Bagshaw, S. M., Bhatraju, P. K., Azra Bihorac, Caniglia, E., Khanna, A. K., Kellum, J. A., Koyner, J., Harhay, M. O., Zampieri, F. G., Zarbock, A., Chung, K., Liu, K., Mehta, R., Pickkers, P., Ryan, A., Bernholz, J., Dember, L., Gallagher, M., & Rossignol, P. (2024). Sepsis-associated acute kidney injury: Recent advances in enrichment strategies, sub-phenotyping and clinical trials. Critical Care, 28(1), 92. https://doi.org/10.1186/s13054-024-04877-4
Li, J. C., Wang, L. J., Feng, F., Chen, T. T., Shi, W. G., & Liu, L. P. (2023). Role of heparanase in sepsis related acute kidney injury (Review). Experimental and therapeutic medicine, 26(2), 379. https://doi.org/10.3892/etm.2023.12078
Patel, P. P. & Egodage, T. (2024). Failing kidneys: renal replacement therapies in the ICU. Trauma Surgery & Acute Care Open, 9(Suppl 2), e001381. https://doi.org/10.1136/tsaco-2024-001381
Patel, S., Puri, N., & Dellinger, R. P. (2022). Sepsis management for the nephrologist. Clinical Journal of the American Society of Nephrology, 17(6), 880-889. https://doi.org/10.2215/CJN.14381121
Peerapornratana, S., Manrique-Caballero, C. L., Gómez, H., & Kellum, J. A. (2019). Acute kidney injury from sepsis: Current concepts, epidemiology, pathophysiology, Prevention and Treatment. Kidney International, 96(5), 1083–1099. https://doi.org/10.1016/j.kint.2019.05.026
Petejova, N., Martinek, A., Zadrazil, J., Kanova, M., Klementa, V., Sigutova, R., Kacirova, I., Hrabovsky, V., Svagera, Z., & Stejskal, D. (2020). Acute kidney injury in septic patients treated by selected nephrotoxic antibiotic agents—pathophysiology and biomarkers—a review. International Journal of Molecular Sciences, 21(19), 7115. https://doi.org/10.3390/ijms21197115
Pires, B. C., Carvalho, N. M. S. de, Lopes, J. R., Azevedo, G. A. & Silva, K. L. (2020). Injúria renal aguda durante sepse grave em ambiente hospitalar. Brazilian Journal of Health Review, 3(5), 13557-13564. https://doi.org/10.34119/bjhrv3n5-177
Poston, J. T., & Koyner, J. L. (2019). Sepsis associated acute kidney injury. BMJ, 364, k4891. https://doi.org/10.1136/bmj.k4891
Ramires, M. L. V., Leite, M. F. B., Lo, D. Z. Y., da Silveira, L. B., Ferraz, L. J. R., Pardini, A., Sakashita, A. M., Kondo, A. T., Olivato, G. B., Durão, M. de S., Rodrigues, A. M., Chiloff, D. M., de Almeida, D. C., & Goes, M. A. (n.d.). Relation between red blood cell distribution width and acute kidney injury in patients with sepsis. Einstein, 20, eAO6828. https://doi.org/10.31744/einstein_journal/2022AO6828
Ronco, C., Bellomo, R., & Kellum, J. A. (2019). Acute kidney injury. The Lancet, 394(10212), 1949–1964. https://doi.org/10.1016/s0140-6736(19)32563-2
Somaili M. (2022). Early versus delayed strategies for renal replacement therapy initiation in adult patients with severe acute kidney injury complicating septic shock: A systematic review and meta-analysis. Saudi journal of kidney diseases and transplantation: an official publication of the Saudi Center for Organ Transplantation, Saudi Arabia, 33(3), 449–486. https://doi.org/10.4103/1319-2442.385969
Wald, R., Gaudry, S., da Costa, B. R., Adhikari, N. K. J., Bellomo, R., Du, B., Gallagher, M. P., Hoste, E. A., Lamontagne, F., Joannidis, M., Liu, K. D., McAuley, D. F., McGuinness, S. P., Nichol, A. D., Ostermann, M., Palevsky, P. M., Qiu, H., Pettilä, V., Schneider, A. G., Smith, O. M., … STARRT-AKI Investigators (2023). Initiation of continuous renal replacement therapy versus intermittent hemodialysis in critically ill patients with severe acute kidney injury: a secondary analysis of STARRT-AKI trial. Intensive care medicine, 49(11), 1305–1316. https://doi.org/10.1007/s00134-023-07211-8
Wei, W., Zhao, Y., Zhang, Y., Shou, S., & Jin, H. (2023). The early diagnosis and pathogenic mechanisms of sepsis-related acute kidney injury. Open Life Sciences, 18(1), 20220700. https://doi.org/10.1515/biol-2022-0700
Xie, Y., Huang, P., Zhang, J., Tian, R., Jin, W., Xie, H., Du, J., Zhou, Z., & Wang, R. (2021). Biomarkers for the diagnosis of sepsis-associated acute kidney injury: Systematic review and meta-analysis. Annals of Palliative Medicine, 10(4), 4159–4173. https://doi.org/10.21037/apm-20-1855
Zarbock, A., Koyner, J. L., Gomez, H., Pickkers, P., Forni, L., Nadim, M. K., Bell, S., Joannidis, M., Kashani, K., Pannu, N., Meersch, M., Reis, T., Rimmelé, T., Bagshaw, S. M., Bellomo, R., Cantaluppi, V., Deep, A., Rosa, S. De, Fernandez-Perez, X., & usain-Syed, F. (2024). Sepsis-associated acute kidney injury - treatment standard. Nephrology Dialysis Transplantation, 39(1), 26-35. https://doi.org/10.1093/ndt/gfad142
Zarbock, A., Nadim, M. K., Pickkers, P., Gomez, H., Bell, S., Joannidis, M., Kashani, K., Koyner, J. L., Pannu, N., Meersch, M., Reis, T., Rimmelé, T., Bagshaw, S. M., Bellomo, R., Cantaluppi, V., Deep, A., de Rosa, S., Perez-Fernandez, X., Husain-Syed, F., … Forni, L. G. (2023). Sepsis-associated acute kidney injury: consensus report of the 28th Acute Disease Quality Initiative workgroup. Nature Reviews. Nephrology, 19(19). https://doi.org/10.1038/s41581-023-00683-3
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Copyright (c) 2024 Willian Júnio Rodrigues Mendonça; Talita Maques da Silva; Ana Cláudia de Brito Ledo; Victor Augusto Vaz Silva
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