Blood filters in children with COVID-19 and acute kidney injury: A review.


Journal

Therapeutic apheresis and dialysis : official peer-reviewed journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy
ISSN: 1744-9987
Titre abrégé: Ther Apher Dial
Pays: Australia
ID NLM: 101181252

Informations de publication

Date de publication:
Jun 2022
Historique:
revised: 11 12 2021
received: 25 09 2021
accepted: 03 01 2022
pubmed: 9 1 2022
medline: 3 5 2022
entrez: 8 1 2022
Statut: ppublish

Résumé

COVID-19 has challenged the global healthcare system through rapid proliferation and lack of existing treatment resulting in over 180 million cases and 3.8 million deaths since December 2019. Although pediatric patients only comprise 1%-2% of diagnosed cases, their incidence of acute kidney injury ranges from 8.2% to 18.2% compared to 49% in adults. Severe infection, initiated by dysregulated host response, can lead to multiorgan failure. In this review, we focus on the use of various blood filters approved for use in pediatric kidney replacement therapy to mitigate adverse effects of severe illness. Therapeutic effects of these blood filters range from cytokine removal (CytoSorb, HA330, HCO/MCO), endotoxin removal (Toraymyxin, CPFA), both cytokine and endotoxin removal (oXiris), and nonspecific removal of proteins (PMMA) that have already been established and can be used to mitigate the various effects of the cytokine storm syndrome in COVID-19.

Identifiants

pubmed: 34997670
doi: 10.1111/1744-9987.13793
doi:

Substances chimiques

Cytokines 0
Endotoxins 0

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

566-582

Informations de copyright

© 2022 International Society for Apheresis and Japanese Society for Apheresis.

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Auteurs

Rupesh Raina (R)

Akron Nephrology Associates/Cleveland Clinic Akron General Medical Center, Akron, Ohio, USA.
Department of Nephrology, Akron Children's Hospital, Akron, Ohio, USA.

Sidharth Kumar Sethi (SK)

Pediatric Nephrology, Kidney Institute, Medanta, The Medicity Hospital, Gurgaon, Haryana, India.

Ronith Chakraborty (R)

Akron Nephrology Associates/Cleveland Clinic Akron General Medical Center, Akron, Ohio, USA.

Siddhartha Singh (S)

Akron Nephrology Associates/Cleveland Clinic Akron General Medical Center, Akron, Ohio, USA.
Department of Nephrology, Akron Children's Hospital, Akron, Ohio, USA.

Sharon Teo (S)

Department of Paediatrics, Khoo Teck Puat-National University Children's Medical Institute, National University Hospital, Singapore, Singapore.

Amrit Khooblall (A)

Akron Nephrology Associates/Cleveland Clinic Akron General Medical Center, Akron, Ohio, USA.

Giovanni Montini (G)

Pediatric Nephrology, Dialysis and Transplant Unit, Fondazione Ca' Granda IRCCS, Policlinico di Milano, Milan, Italy.
Department of Clinical Sciences and Community Health, University of Milano, Milan, Italy.

Timothy Bunchman (T)

Pediatric Nephrology & Transplantation, Children's Hospital of Richmond at VCU, Richmond, Virginia, USA.

Rezan Topaloglu (R)

Department of Pediatric Nephrology, Hacettepe University School of Medicine, Ankara, Turkey.

Hui Kim Yap (HK)

Department of Paediatrics, Khoo Teck Puat-National University Children's Medical Institute, National University Hospital, Singapore, Singapore.
Department of Pediatrics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.

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