Phases, evaluation and treatment of acute renal tubular necrosis


  • Najlaa Matouq Baddour Department of Nephrology, Al Noor Hospital, Mecca, Saudi Arabia
  • Mishari Mohammad Beragdar College of Medicine, Baha University, Al Baha, Saudi Arabia
  • Khaled Hussein Bagais Department of Internal Medicine, Jeddah Eye Hospital, Jeddah, Saudi Arabia
  • Khalid Abdullah Alattas Security Forces Hospital, Arar, Saudi Arabia
  • Muaid Hashem Morad College of Medicine, Baha University, Al Baha, Saudi Arabia
  • Muataz Abdulmoghni Aljunaid Department of Internal Medicine, Dr. Samir Abbas Hospital, Jeddah, Saudi Arabia
  • Naif Mishkhas Alazwari Department of Internal Medicine, King Fahad Armed Forces Hospital, Jeddah, Saudi Arabia
  • Abdulilah Ateeq Alsolami College of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia
  • Mohammed Omar Aljiffry Department of Nephrology, King Fahad General Hospital, Jeddah, Saudi Arabia
  • Mohammed Omar Yahya Department of Internal Medicine, King Abdulaziz Hospital, Jeddah, Saudi Arabia
  • Hanadi Halil Alenazi Public Health, Hail General Hospital, Hail, Saudi Arabia



ATN, Kidney injury, Renal function, Management, Evaluation


Acute renal tubular necrosis (ATN) is a severe kidney injury characterized by the death of renal tubular cells, resulting in impaired kidney function. This condition is associated with high morbidity and mortality rates, necessitating effective management strategies. This article provides a comprehensive overview of the evaluation and management of ATN. The evaluation process involves a combination of clinical assessment, laboratory investigations, and imaging modalities to confirm the diagnosis, identify the underlying cause, and assess the severity of the renal injury. The management of ATN encompasses addressing the underlying cause, providing supportive care, and preventing complications. This includes pharmacological interventions, fluid management, electrolyte balance, and renal replacement therapy in severe cases. Patient education, close monitoring, and preventive measures play critical roles in optimizing outcomes. Understanding the phases of ATN, including initiation, maintenance, and recovery, is essential to tailoring management strategies. Further research is needed to advance diagnostic modalities, therapeutic interventions, and preventive strategies for ATN, leading to improved patient outcomes.


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How to Cite

Baddour, N. M., Beragdar, M. M., Bagais, K. H., Alattas, K. A., Morad, M. H., Aljunaid, M. A., Alazwari, N. M., Alsolami, A. A., Aljiffry, M. O., Yahya, M. O., & Alenazi, H. H. (2023). Phases, evaluation and treatment of acute renal tubular necrosis. International Journal Of Community Medicine And Public Health, 10(8), 2980–2984.



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