Community-Acquired Acute Kidney Injury in Asia

  • 1 Vivek Kumar, MD, DM, is assistant professor, Department of Nephrology, PGIMER, Chandigarh, India. Vivekanand Jha, MD DM FRCP FAMS, is executive director, The George Institute for Global Health, India, professor of nephrology and James Martin Fellow, University of Oxford, conjoint professor of medicine, University of New South Wales, Sydney, and president, International Society of Nephrology.
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Asia is synonymous with diversity, which is reflected in the epidemiology of kidney diseases, especially acute kidney injury (AKI). In contrast to people in the industrialized developed countries, most Asian people, especially those living in rural areas with relatively limited access to healthcare, continue to bear a large burden of AKI. This condition develops in these communities secondary to locally prevalent health issues of public health importance.

The 0by25 Global Snapshot study by the International Society of Nephrology showed that 80% of the burden of AKI in low- and middle-income countries of Asia is community acquired. Community-acquired AKI (CA-AKI) predominantly