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Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Blood+Purif 2021 ; 50 (1): 129-131 Nephropedia Template TP
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Continuous Renal Replacement Therapy for a Patient with Severe COVID-19 #MMPMID32526746
Katagiri D; Ishikane M; Ogawa T; Kinoshita N; Katano H; Suzuki T; Fukaya T; Hinoshita F; Ohmagari N
Blood Purif 2021[]; 50 (1): 129-131 PMID32526746show ga
The outbreak of coronavirus disease 2019 (COVID-19) is a global health threat. It is a respiratory disease, and acute kidney injury (AKI) is rare; however, if a patient develops severe AKI, renal replacement therapy (RRT) should be considered. Recently, we had a critically ill COVID-19 patient who developed severe AKI and needed continuous RRT (CRRT). To avoid the potential risk of infection from CRRT effluents, we measured severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) genetic material in the effluents by qRT-PCR, and low copy numbers of the viral genome were detected. Due to unstable hemodynamic status in critically ill patients, CRRT should be the first choice for severe AKI in COVID-19 patients. We suggest prevention of clinical infection and control during administration of RRT in the acute phase of COVID-19 patients with AKI or multiple organ failure.