Detección precoz del daño renal agudo en el paciente con sepsis grave en la Unidad de Cuidados Intensivos Pediátricos. Detección clínica y bioquímica temprana.

Abstract

Background: Acute renal damage is a syndrome in which there is a sudden failure of kidney functions (1, 6). It ranges from subtle electrolyte disturbances to the requirement for renal replacement therapy (1) 10% of patients hospitalized for any cause have any degree of acute renal damage. It is estimated that between 5-12% of children requiring admission to an intensive care unit have varying degrees of renal damage (8). Sepsis and septic shock are the main causes of acute renal failure (4). Objectives: To know the prevalence of acute renal damage, through clinical and biochemical parameters, in patients with severe sepsis admitted to the pediatric intensive care unit of the "Dr. Roberto Gilbert Elizalde "between July and December 2016. Method: An observational, prospective, longitudinal and descriptive research was carried out, with a descriptive level of research, with research design of prevalence study. Results: During the study period, a total of 92 patients with severe sepsis were admitted, of whom 9 developed according to the KDIGO guide some stage of acute renal damage, which represents a prevalence rate of 1.91%. For every 1000 hospital admissions, the prevalence rate of acute renal damage in patients with severe sepsis was 19.11 x 1000. Conclusions: The application of the KDIGO guide, early predicts the development of acute renal failure, as well as administration timely renal replacement therapy.