ckd and infectious diseases in asia pacific challenges and opportunities.亚太地区慢性肾病和传染病挑战和机遇精品.pdfVIP

World Kidney Forum CKD and Infectious Diseases in Asia Pacific: Challenges and Opportunities Vivekanand Jha, MD, DM, FRCP,1,2,3 and Narayan Prasad, MD, DM4 The exact number of patients with chronic kidney disease (CKD) in Asia Pacific is un- WKF Advisory Board certain. In numeric terms, the region is home to the largest population of patients with untreated chronic kidney failure. The climatic, geographic, social, cultural, economic, and Christopher G. Winearls, environmental diversity within this region is higher than in any other part of the world. Large MBChB, DPhil, FRCP parts of the region face a climate-related burden of infectious diseases. Infections Oxford, United Kingdom contribute to the development and progression of CKD and complicate the course of pa- Dwomoa Adu, MBBChir, tients with pre-existing CKD (especially those on dialysis therapy or who are immuno- MD, FRCP suppressed), increase the cost of CKD care, and contribute to mortality and morbidity. Accra, Ghana Kidney involvement is a feature of several infectious diseases prevalent in Asia Pacific. Examples include malaria, leptospirosis, scrub typhus, tuberculosis, hepatitis B and C Garabed Eknoyan, MD virus, dengue hemorrhagic fever, and Hantaan virus infections. The contribution of Houston, Texas infection-associated acute kidney injury to the overall burden of CKD has not been e