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      Successful delivery of RRT in Ebola virus disease.

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          Abstract

          AKI has been observed in cases of Ebola virus disease. We describe the protocol for the first known successful delivery of RRT with subsequent renal recovery in a patient with Ebola virus disease treated at Emory University Hospital, in Atlanta, Georgia. Providing RRT in Ebola virus disease is complex and requires meticulous attention to safety for the patient, healthcare workers, and the community. We specifically describe measures to decrease the risk of transmission of Ebola virus disease and report pilot data demonstrating no detectable Ebola virus genetic material in the spent RRT effluent waste. This article also proposes clinical practice guidelines for acute RRT in Ebola virus disease.

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          Author and article information

          Journal
          J Am Soc Nephrol
          Journal of the American Society of Nephrology : JASN
          American Society of Nephrology (ASN)
          1533-3450
          1046-6673
          Jan 2015
          : 26
          : 1
          Affiliations
          [1 ] Divisions of Pulmonary, Allergy, and Critical Care, Renal Medicine, and michael.connor@emory.edu hfranch@emory.edu.
          [2 ] Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia; Department of Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, Georgia;
          [3 ] Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia;
          [4 ] Infectious Diseases Institute, Mulago Hospital Complex, Kampala, Uganda;
          [5 ] US Centers for Disease Control and Prevention, Atlanta, Georgia; and.
          [6 ] Renal Medicine, and Research Service, Atlanta Department of Veterans Affairs Medical Center, Decatur, Georgia michael.connor@emory.edu hfranch@emory.edu.
          Article
          ASN.2014111057
          10.1681/ASN.2014111057
          4279752
          25398785
          40ad89cc-fab2-465a-89f7-7f278c0848a6
          Copyright © 2015 by the American Society of Nephrology.
          History

          AKI,Ebola virus disease,biocontainment isolation,continuous RRT

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