Do not overlook the children: the unique needs of children with kidney diseases during disasters.

IF 2.4 3区医学 Q3 PERIPHERAL VASCULAR DISEASE

Current Opinion in Nephrology and Hypertension Pub Date : 2025-11-01 Epub Date: 2025-08-01 DOI:10.1097/MNH.0000000000001108

Lale Sever, Nur Canpolat

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引用次数: 0

Abstract

Purpose of review: Children with kidney diseases are among the most vulnerable populations in disaster settings due to their age-specific physiological features, need for specialized care, and dependence on caregivers. This review highlights the importance of disaster preparedness tailored to pediatric kidney patients and proposes practical measures.

Recent findings: Natural and man-made disasters continue to disrupt healthcare globally, often leading to poor outcomes in patients with chronic diseases. Despite international efforts, preparedness for pediatric kidney patients - including those with chronic kidney disease not on dialysis, those on hemodialysis or peritoneal dialysis, and transplant recipients - remains limited. Disasters frequently cause medication shortages, treatment interruptions, underdialysis, and increased risk of infection. Pediatric patients face unique logistical and clinical challenges, such as lack of age-appropriate dialysis supplies and trained personnel.

Summary: Disaster preparedness strategies at the unit, regional, and national levels are essential to reduce risks and improve outcomes for pediatric kidney patients during disasters. These strategies must include pediatric-specific resources, trained personnel, caregiver education, and integration with broader emergency systems and official authorities. International nephrology societies and humanitarian organizations can also provide valuable support.

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不要忽视儿童：灾害期间肾病儿童的独特需求。

综述目的：肾病儿童是灾害环境中最脆弱的人群之一，因为他们具有特定年龄的生理特征，需要专门护理，并且依赖于照顾者。这篇综述强调了为儿童肾病患者量身定制备灾的重要性，并提出了切实可行的措施。最近的研究发现：自然灾害和人为灾害继续破坏全球医疗保健，往往导致慢性病患者预后不良。尽管国际社会做出了努力，但对儿童肾病患者（包括不进行透析的慢性肾病患者、接受血液透析或腹膜透析的患者以及接受肾移植的患者）的准备工作仍然有限。灾害经常导致药物短缺、治疗中断、透析不足和感染风险增加。儿科患者面临着独特的后勤和临床挑战，例如缺乏适合年龄的透析用品和训练有素的人员。摘要：单位、区域和国家层面的备灾战略对于减少灾害期间儿童肾病患者的风险和改善预后至关重要。这些战略必须包括儿科专用资源、训练有素的人员、护理人员教育以及与更广泛的应急系统和官方当局的整合。国际肾脏病学会和人道主义组织也可以提供宝贵的支持。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Opinion in Nephrology and Hypertension 医学-泌尿学与肾脏学

CiteScore

5.70

自引率

6.20%

发文量

132

审稿时长

6-12 weeks

期刊介绍： A reader-friendly resource, Current Opinion in Nephrology and Hypertension provides an up-to-date account of the most important advances in the field of nephrology and hypertension. Each issue contains either two or three sections delivering a diverse and comprehensive coverage of all the key issues, including pathophysiology of hypertension, circulation and hemodynamics, and clinical nephrology. Current Opinion in Nephrology and Hypertension is an indispensable journal for the busy clinician, researcher or student.