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Update on sepsis-associated acute kidney injury: emerging targeted therapies

Authors Doyle JF, Forni LG

Received 14 February 2016

Accepted for publication 29 March 2016

Published 7 November 2016 Volume 2016:10 Pages 149—156

DOI https://doi.org/10.2147/BTT.S87385

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Colin Mak

Peer reviewer comments 2

Editor who approved publication: Dr Doris Benbrook

James F Doyle,1 Lui G Forni1,2

1Department of Intensive Care, Medicine and Surrey Peri-Operative Anaesthesia and Critical Care Collaborative Research Group, Royal Surrey County Hospital NHS Foundation Trust, 2Faculty of Health and Medical Sciences, University of Surrey, Guildford, Surrey, UK

Abstract: Sepsis-associated acute kidney injury (SA-AKI) is an independent predictor of increased mortality and morbidity. It is essential that further advances in the treatment of sepsis should prioritize targeted therapies in SA-AKI in order to improve these bleak outcomes. As yet, a unique therapy that effectively reduces the impact of acute kidney injury has not been demonstrated. However, the emergence of novel targeted therapies, perhaps in combination, has the possibility of significantly reducing the long-term sequelae of an episode of SA-AKI. In this review, we will focus on the shared etiology of these conditions and how this is managed with targeted therapy and finally the emerging novel therapies that may play an additional role to current treatment strategies.

Keywords: sepsis, acute kidney injury, novel targeted therapy outcome

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