Acute Kidney Injury, i.e. rapid loss of kidney function,
faces gross negligence from public awareness and research. It is inadequately
addressed in medical education and training. Delayed diagnosis, poor management
and prolonged hospital stay have all inflated health care costs. Another major
cause of concern is the proven association between traditional medicines and
acute kidney injury.
The susceptibility of kidney to toxic insults is much high
when compared to other organs. Many folk medicines can damage the kidneys. With
a very large number people using traditional remedies throughout the world,
with rates of use as high as 80% in some populations, it is high time that we
shift our attention to this global problem. Yet, it would be wrong to lay the
entire blame on alternative therapies; 18% to 26% of cases of AKI are drug
induced, meaning, the ones prescribed by the health care systems.
There is an urgent need to raise awareness of AKI amongst
physicians and hospital staff. Health care physicians who are not kidney
specialists are often the ones who manage the early stages of acute kidney
injury. This initial care is of utmost importance in reducing the severity of
Just as heart attack and stroke campaigns have done admirable
works in making the respective evils more recognisable, it is necessary to
increase public awareness regarding the 'kidney attack'. March
, 2013 will mark the eighth World Kidney Day and is jointly organized by the International Society of
Nephrology (ISN) and the International Federation of Kidney Foundations (IFKF).
1. Acute kidney injury
associated with the use of traditional medicines: Valerie A
Luyckx & Saraladevi Naicker, Nature Reviews Nephrology 4
, 664-671 (December 2008)
2.RCPE UK Consensus
Conference on "Management of acute kidney injury: the role of fluids, ealerts
and biomarkers" 16 & 17 November 2012 Authors/members of Consensus Panel:
Feehally J (Co-Chair);Gilmore I (Co-Chair); Barasi S; Bosomworth M; Christie B;
Davies A; Dhesi J; Dowdle R; Gibbins C; Gonzalez I; Harding S; Lamont D; Murphy
G; Ostermann M; Parr J; Stevens PE.