title: Russells Viper Envenomation-associated Acute Kidney Injury in Children in Southern India.
abstract: OBJECTIVE
  To determine the frequency and risk factors of acute kidney injury in children with Russells viper envenomation using Acute Kidney Injury Network definition and classification system.
  
  
  METHODS
  A prospective observational study recruiting 61 subjects managed as per the National Snakebite Protocol.
  
  
  RESULTS
  45.9% of envenomed children had acute kidney injury. The median (IQR) of the maximum serum creatinine level during hospitalization was 2 (1.3-4.8) mg/dL. The distribution of stages 1, 2 and 3 of acute kidney injury was 32.1%, 17.9% and 50% respectively. Dialysis was required in 35.7% of the children with acute kidney injury.
  
  
  CONCLUSIONS
  Acute kidney injury is common with Russells viper envenomation. Native treatments and bleeding manifestations were associated with acute kidney injury in our patient population.
authors.affiliation: Departments of Pediatrics, *Biochemistry and #Community Medicine; Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India. Correspondence to: Dr. Subramanian Mahadevan, Professor, Department of Pediatrics, JIPMER, Puducherry 605 006, India. mahadevan.subramanian80@gmail.com.
authors.forename: Sriram
authors.initials: S
authors.lastname: Krishnamurthy
authors.forename: Kuralvanan
authors.initials: K
authors.lastname: Gunasekaran
authors.forename: Subramanian
authors.initials: S
authors.lastname: Mahadevan
authors.forename: Zachariah
authors.initials: Z
authors.lastname: Bobby
authors.forename: Ajith Prabhu
authors.initials: AP
authors.lastname: Kumar
mesh_terms: D058186:Acute Kidney Injury / Q000453:epidemiology* / Q000209:etiology* / Q000628:therapy; D000818:Animals; D002648:Child; D005260:Female; D006470:Hemorrhage; D006801:Humans; D007194:India / Q000453:epidemiology; D008297:Male; D011446:Prospective Studies; D017840:Daboia; D012909:Snake Bites / Q000150:complications* / Q000453:epidemiology*; D016896:Treatment Outcome