{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,17]],"date-time":"2026-05-17T02:27:23Z","timestamp":1778984843747,"version":"3.51.4"},"reference-count":20,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2011,6,16]],"date-time":"2011-06-16T00:00:00Z","timestamp":1308182400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2011,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Aim:\u2002<\/jats:bold> The aim of this study was to present the clinical course and treatment outcomes of patients with acute kidney injury (AKI) after septic unsafe abortion.<\/jats:p><jats:p><jats:bold>Material and Methods:\u2002<\/jats:bold> Medical records of patients with AKI after septic unsafe abortion admitted at Khon Kaen Hospital between January 2003 and December 2009 were reviewed.<\/jats:p><jats:p><jats:bold>Results:\u2002<\/jats:bold> Forty\u2010four patients with an average age of 24.3\u2003years were included and 25% were teenage girls. The most common method of induced abortion was transvaginal chemical injection (81.8%). One patient had a hysterectomy due to severe peritonitis and sepsis that was not responsive to medical treatment. AKI developed on day 4.5\u2003\u00b1\u20033.6 with the range of onset 1\u201314\u2003days after induced abortion. Oliguric AKI was present in 70.4% of patients with the mean duration of oliguria of 7.4\u2003\u00b1\u20035\u2003days. Seventeen patients required dialysis. The mortality rate was 9%. The average duration of recovery from AKI was 24.8\u2003\u00b1\u200316.6\u2003days.<\/jats:p><jats:p><jats:bold>Conclusions:\u2002<\/jats:bold> Conservative treatment of AKI\u2010related septic unsafe abortion was dialysis without hysterectomy. The treatment results were minimal morbidity and mortality. Conservative management may be a better alternative to hysterectomy for the treatment of septic unsafe abortion with AKI. However the current study was a retrospective study, and we were not able to obtain certain follow\u2010up data, such as fertility outcomes after recovery. Therefore, further study of these issues should be considered.<\/jats:p>","DOI":"10.1111\/j.1447-0756.2011.01567.x","type":"journal-article","created":{"date-parts":[[2011,6,16]],"date-time":"2011-06-16T22:16:57Z","timestamp":1308262617000},"page":"1525-1531","source":"Crossref","is-referenced-by-count":8,"title":["Acute kidney injury complicating septic unsafe abortion: Clinical course and treatment outcomes of 44 cases"],"prefix":"10.1111","volume":"37","author":[{"given":"Sukanya","family":"Srinil","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thanachai","family":"Panaput","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2011,6,16]]},"reference":[{"key":"e_1_2_6_2_2","first-page":"1704","volume-title":"Clinical Nephrology","author":"Beaufils MB","year":"2005"},{"key":"e_1_2_6_3_2","first-page":"901","volume-title":"Maternal\u2010Fetal Medicine: Principles and Practices","author":"Davison JM","year":"2004"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1136\/pgmj.71.834.208"},{"key":"e_1_2_6_5_2","first-page":"417","volume-title":"Acute Renal Failure","author":"Lindheimer MD","year":"1993"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0950-3552(05)80324-4"},{"key":"e_1_2_6_7_2","first-page":"14","article-title":"Pregnancy\u2010related acute renal failure","volume":"32","author":"Stratta P","year":"1989","journal-title":"Clin Nephrol"},{"key":"e_1_2_6_8_2","doi-asserted-by":"crossref","first-page":"333","DOI":"10.1016\/S0889-8545(21)00276-X","article-title":"Acute renal failure in pregnancy","volume":"18","author":"Maikranz P","year":"1991","journal-title":"Obstet Gynecol Clin N Am"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM196910022811401"},{"key":"e_1_2_6_10_2","first-page":"319","article-title":"Septic abortion with renal failure treated by hysterectomy","volume":"54","author":"Cohen M","year":"1978","journal-title":"S Afr Med J"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/0020-7292(82)90070-4"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM197504032921404"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.4103\/0971-4065.45291"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1080\/08860220600583658"},{"key":"e_1_2_6_15_2","unstructured":"World Health Organization.Prevention and management of unsafe abortion. Report of a Technical Working Group. Geneva WHO.1992."},{"key":"e_1_2_6_16_2","first-page":"776","volume-title":"Te Lind's Operative Gynecology","author":"Kottke MJ","year":"2008"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1341-8076.2004.00146.x"},{"key":"e_1_2_6_18_2","doi-asserted-by":"publisher","DOI":"10.1186\/cc2872"},{"key":"e_1_2_6_19_2","doi-asserted-by":"publisher","DOI":"10.1172\/JCI200422353"},{"key":"e_1_2_6_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0146-0005(95)80044-1"},{"key":"e_1_2_6_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(97)00056-2"}],"container-title":["Journal of Obstetrics and Gynaecology Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1447-0756.2011.01567.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1447-0756.2011.01567.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,15]],"date-time":"2023-10-15T10:48:46Z","timestamp":1697366926000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/j.1447-0756.2011.01567.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,6,16]]},"references-count":20,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2011,11]]}},"alternative-id":["10.1111\/j.1447-0756.2011.01567.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1447-0756.2011.01567.x","archive":["Portico"],"relation":{},"ISSN":["1341-8076","1447-0756"],"issn-type":[{"value":"1341-8076","type":"print"},{"value":"1447-0756","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,6,16]]}}}