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Managing Pediatric Kidney Diseases Amid Disasters: Challenges and Solutions.
Sevcan A Bakkaloglu1, Ayşe Balat2, Rupesh Raina3
1Faculty of Medicine, Department Pediatric Nephrology, Gazi University, Ankara, Türkiye.
Disasters impact children's kidney health, worsening existing conditions and causing acute kidney injury. Preparedness and access to care are crucial for managing these kidney challenges in pediatric populations.
Area of Science:
- Pediatric Nephrology
- Disaster Medicine
- Environmental Health
Background:
- Disasters, both natural and man-made, significantly affect children's kidney health globally.
- Infrastructure disruption leads to limited access to essential resources like food, water, and medical care, exacerbating kidney conditions.
- Climate change poses additional challenges to essential services like kidney replacement therapy.
Purpose of the Study:
- To highlight the impact of disasters on pediatric kidney disease.
- To emphasize the need for preparedness in managing kidney-related challenges in children post-disaster.
- To underscore the importance of maintaining chronic kidney care during emergencies.
Main Methods:
- Review of existing literature on disaster impacts on kidney health.
- Analysis of challenges in providing acute and chronic kidney care during emergencies.
- Discussion of preparedness strategies for medical professionals and healthcare systems.
Main Results:
- Disasters can lead to dehydration and worsen underlying kidney disease in children.
- Acute kidney injury is a significant concern, requiring rapid recognition and management, including for crush syndrome.
- Maintaining access to medications and dialysis is critical for children with chronic kidney conditions.
Conclusions:
- Effective disaster preparedness and collaboration are essential for mitigating kidney challenges in children.
- Ensuring access to clean water, food, and medical care is paramount during and after disasters.
- Continuous medical education and planning are vital for healthcare providers to manage pediatric kidney issues in disaster scenarios.
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