Turkish Journal of Nephrology
Original Article

Acute Renal Failure in the Neonatal Period in the Eastern Anatolia Region

1.

Erzurum Bölge Eğitim ve Araştırma Hastanesi, Yenidoğan Yoğun Bakım Ünitesi, Erzurum, Türkiye

2.

Karadeniz Teknik Üniversitesi, Tıp Fakültesi, Pediatri Anabilim Dalı, Neonatoloji Bilim Dalı, Trabzon, Türkiye

3.

Erzurum Bölge Eğitim ve Araştırma Hastanesi, Çocuk Nefrolojisi Kliniği, Erzurum, Türkiye

Turkish J Nephrol 2012; 21: 287-292
DOI: 10.5262/tndt.2012.1003.15
Read: 1068 Downloads: 755 Published: 11 February 2019

OBJECTIVE: To evaluate the clinical and laboratory characteristics of acute kidney injury (AKI) in newborns followed up in our neonatal intensive care unit (NICU).

MATERIAL and METHODS: This prospective study was performed in 59 newborns referred to our NICU through the completion of previously prepared forms. The Mann-Whitney U test and Student t-test were used for statistical analysis. Ethical committee approval was obtained for the study.

RESULTS: Eight hundred eighteen newborns were followed up in our NICU during the study period, 59 of whom (7.2%) were diagnosed as AKI. In terms of type of renal failure, 80% of the cases had prerenal AKI, 17% had renal AKI and 3% had postrenal AKI. Eighty-three percent of cases with prerenal AKI had dehydration secondary to breast-feeding malnutrition. Thirty percent of cases with renal AKI had prolonged prerenal AKI. The clinical course of AKI was oliguric/unuric in 43 cases. Mortality rate was 1.7%.

CONCLUSION: These results show that the most important cause of AKI in our region is inadequate breast-feeding. We think that this problem can be signifi cantly reduced by mothers receiving adequate training regarding breast-feeding and its importance during pregnancy and after delivery, and that babies should be discharged once the physician is sure that they are breast-fed adequately by their mothers.

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EISSN 2667-4440