The Japanese Journal of Clinical Dialysis Vol.29 No.11(2-3)

Theme Current trends and issues for medical management of acute kidney injury in Japan
Title Early diagnosis and prevention of drug-induced AKI
Publish Date 2013/10
Author Kiyoshi Mori Medical Innovation Center, Kyoto University Graduate School of Medicine
Author Takashige Kuwabara Department of Medicine and Clinical Science, Kyoto University Graduate School of Medicine
Author Hideki Yokoi Department of Medicine and Clinical Science, Kyoto University Graduate School of Medicine
Author Masato Kasahara Department of Medicine and Clinical Science, Kyoto University Graduate School of Medicine
Author Masashi Mukoyama Department of Medicine and Clinical Science, Kyoto University Graduate School of Medicine
Author Kazuwa Nakao Department of Medicine and Clinical Science, Kyoto University Graduate School of Medicine
[ Summary ] Novel biomarkers have emerged for the early diagnosis of AKI, primarily through experiments in animals. The usefulness of these is currently being evaluated in various clinical settings. In this article, we briefly review the characteristics of drug-induced kidney damage and discuss 1) early diagnosis of AKI induced by anti-cancer drugs, antibiotics and NSAIDs using novel AKI biomarkers, 2) therapeutic drug monitoring, and 3) prevention of AKI with hydration.
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