Acute Kidney Injury and Sepsis

Surg Infect (Larchmt). 2018 Feb/Mar;19(2):216-224. doi: 10.1089/sur.2017.261. Epub 2018 Jan 5.

Abstract

Background: Worldwide, both acute kidney injury (AKI) and sepsis are significant clinical complications, particularly in critical care patients. Sepsis is an important cause of AKI, and AKI is a common complication of sepsis.

Methods: We reviewed the literature, including current practice guidelines, on sepsis-associated AKI.

Results: We assessed causes of renal failure, potential mechanisms of sepsis-associated acute kidney injury, current practice guidelines, diagnostic criteria and methods, prevention strategies, treatment options, and outcomes.

Conclusion: In patients with sepsis-associated AKI, appropriate fluid resuscitation and maintenance of blood pressure are important to prevent further kidney damage. Despite multiple clinical trials, the mechanisms of sepsis-associated AKI and the best treatment options remain unclear.

Keywords: acute renal failure; renal; sepsis.

Publication types

  • Review

MeSH terms

  • Acute Kidney Injury / diagnosis*
  • Acute Kidney Injury / epidemiology
  • Acute Kidney Injury / physiopathology
  • Acute Kidney Injury / therapy*
  • Disease Management*
  • Humans
  • Practice Guidelines as Topic
  • Sepsis / complications*