Community-acquired acute kidney injury in tropical countries

摘要: Community-acquired acute kidney injury (AKI) has a varied aetiology and is prevalent in developing tropical countries. In this Review, the authors discuss main causes of community-acquired AKI countries effect climate socioeconomic factors on disease prevalence. The also future strategies to reduce burden tropics. markedly different from developed with temperate climate, which exemplifies influence that environment can have epidemiology human diseases. presentation reflect ethnicity, factors, climatic ecological characteristics Tropical zones are characterized by high year-round temperatures absence frost, supports propagation infections cause AKI, including malaria, leptospirosis, HIV diarrhoeal Other major envenomation; ingestion toxic herbs or chemicals; poisoning; obstetric complications. These associated low levels income, poor access treatment, social cultural practices (such as use traditional herbal medicines treatments) contribute outcomes patients AKI. Most preventable, but improve require both improvements basic public health, achieved through effective interventions, increased medical care (especially for established AKI).