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Acute kidney injury in rural workers: An environmental-stress nephropathy

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datacite.rightshttp://purl.org/coar/access_right/c_abf2spa
dc.contributor.authorMusso, Carlos G.
dc.contributor.authorAroca-Martínez, Gustavo
dc.contributor.authorAvendaño-Echavez, Lil
dc.contributor.authorCadena-Bonfanti, Andrés
dc.contributor.authorCastillo, Luis
dc.contributor.authorGonzález-Torres, Henry
dc.contributor.authorConde, Juan C.
dc.contributor.authorNavarro-Quiroz, Elkin
dc.contributor.authorPeña-Vargas, William
dc.contributor.authorHernandez, Sandra
dc.contributor.authorVelez-Verbel, María de los Ángeles
dc.contributor.authorPerez, Rafael
dc.contributor.authorSierra, Angélica
dc.contributor.authorRua, Zenen
dc.contributor.authorPalmera, Jorge
dc.contributor.authorTerrasa, Sergio
dc.date.accessioned2023-11-16T13:59:49Z
dc.date.available2023-11-16T13:59:49Z
dc.date.issued2023
dc.description.abstractIntroduction: Mesoamerican nephropathy is a tubule-interstitial nephropathy whose etiology is still unknown. However, clinical cases like Mesoamerican nephropathy have been described in other geographically distant and ethnically diverse regions. Still, they all have a common factor: the intensity of heat and rural physical labor. Objective: To study whether this entity could occur among rural workers in a non-Mesoamerican region with similar climatic and working conditions, in the Colombian Caribbean countryside, and to consider how much repetitive dehydration could weigh in its pathogenesis. Methodology: An observational study was carried out, based on field work in a farm in Sitio Nuevo (Colombia) with 28 rural worker volunteers (rice fields), who were measured for weight, blood pressure, and blood and urine samples to measure electrolytes and osmolarity, at 2 times of the day (morning and evening). Results: Of the 28 young men workers evaluated, 5 (18 %) presented a significant increase in serum creatinine during the day (0.8±0.15 vs 1.2±0.17, p<0.001). The volume of water ingested by the workers was highly variable (2,861 ± 1,591 cc). There was a significant increase in serum sodium (p<0.001), and urinary osmolarity (p=0.01) values between morning and afternoon values in these 5 patients. Conclusions: Eighteen percent (18 %) of the workers evaluated developed parameters compatible with acute kidney injury and dehydration during the workday in the Colombian Caribbean countryside.eng
dc.description.abstractIntroducción: la nefropatía mesoamericana es una nefropatía túbulo-intersticial cuya etiología aún se desconoce. Sin embargo, se han descrito casos clínicos similares a esta en otras regiones geográficamente distantes y étnicamente diversas. Aun así, todos tienen un factor común: la intensidad del calor y el trabajo físico rural. Objetivo: estudiar si esta entidad podría presentarse entre trabajadores rurales de una región no mesoamericana con condiciones climáticas y laborales similares, en el campo del Caribe colombiano y considerar cuánto podría pesar en su patogénesis la deshidratación repetitiva. Materiales y metodología: se realizó un estudio observacional, basado en un trabajo de campo en una finca de Sitio Nuevo (Colombia) en 28 voluntarios trabajadores rurales (arrozales), a quienes se les tomó peso, presión arterial y muestras de sangre y orina para medir electrolitos y osmolaridad, en 2 momentos del día (mañana y tarde). Resultados: de los 28 trabajadores jóvenes evaluados, 5 (18 %) presentaron aumento significativo de la creatinina sérica durante el día (0,8±0,15 vs 1,2±0,17, p<0,001). El volumen de agua ingerido por los trabajadores fue muy variable (2.861 ± 1.591 cc). Hubo un aumento significativo en los valores de sodio sérico (p<0,001) y osmolaridad urinaria (p=0,01) entre los valores de la mañana y la tarde en estos 5 pacientes. Conclusión: el dieciocho por ciento de los trabajadores evaluados desarrolló parámetros compatibles con daño renal agudo y deshidratación durante la jornada laboral en el campo del Caribe colombiano.spa
dc.format.mimetypepdfspa
dc.identifier.citationMusso CG, Aroca-Martínez G, Avendaño-Echavez L, Cadena-Bonfanti A, Castillo L, Gonzàlez-Torres H, et al. Acute kidney injury in rural workers: An environmentalstress nephropathy. Rev. Colomb. Nefrol. 2023; 10(3), e670. https://doi.org/10.22265/acnef.10.3.670spa
dc.identifier.doihttp://doi.org/10.22265/acnef.10.3.670
dc.identifier.issn23897708
dc.identifier.issn25005006(en línea)
dc.identifier.urihttps://hdl.handle.net/20.500.12442/13428
dc.identifier.urlhttps://revistanefrologia.org/index.php/rcn/article/view/670/1068
dc.language.isoengeng
dc.publisherAsociación Colombiana de Nefrología e Hipertensión Arterialspa
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 Internacional*
dc.rights.accessrightsinfo:eu-repo/semantics/openAccessspa
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.sourceRevista Colombiana de Nefrologíaspa
dc.sourceRev. Colomb. Nefrol.spa
dc.sourceVol. 10 No.3, (2023)
dc.subjectAcute kidney injuryeng
dc.subjectChronic interstitial nephritis of agricultural communities (CINAC)eng
dc.subjectMesoamerican nephropathyeng
dc.subjectLesión renal agudaspa
dc.subjectNefritis intersticial crónica de comunidades agrícolas (CINAC)spa
dc.subjectNefropatía mesoamericanaspa
dc.titleAcute kidney injury in rural workers: An environmental-stress nephropathyeng
dc.title.translatedLesión renal aguda en trabajadores rurales: una nefropatía por estrés ambientalspa
dc.type.driverinfo:eu-repo/semantics/articlespa
dc.type.spaArtículo científicoeng
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