Sleep can affect the incidence of chronic kidney disease

Health Care, Heart Care Foundation of India, Medicine Comments Off

Only about 10% to 15% of kidney patients get requisite treatment

New Delhi, 05 May 2018: Sleep duration is extremely vital for kidney disease patients, a recent research has indicated. It can influence the health-related quality of life (HRQOL) experienced by individuals with chronic kidney disease (CKD).Sleep of adequate quantity and quality is essential for homeostatic regulation, and excess sleep is associated with metabolic diseases such as obesity, diabetes, and hypertension, all of which are risk factors of CKD.

Of all the patients who develop end stage kidney failure in India, only 10% to 15% get proper treatment. About 6000 undergo kidney transplant, 60,000 undergo hemodialysis, and another 6000 prefer to take peritoneal dialysis in a year. Rest of around six-lakh people die for want of renal replacement therapy.

Speaking about this, Padma Shri Awardee Dr K K Aggarwal, President, Heart Care Foundation of India, said, “CKD is characterized by a gradual loss of kidney function over time and may eventually lead to kidney failure, leading patients to undergo dialysis or a kidney transplant. The signs and symptoms are not noticeable until the disease is fairly well advanced, and the condition has become severe. By this time, most of the damage is irreversible. At an advanced stage of CKD, dangerous levels of fluid, electrolytes, and wastes can build up in the body. Those with underlying conditions such as diabetes, high blood pressure, cardiovascular disease, abnormal kidney structure, and a family history of the disease are at more risk. Additionally, those who smoke and are obese can also be potential candidates for CKD over the longer term.”

Some symptoms of this condition include nausea, vomiting, loss of appetite, fatigue and weakness, sleep problems, decreased mental sharpness, muscle twitches and cramps, edema, persistent itching, chest pain, shortness of breath, and hypertension.

Adding further, Dr Aggarwal, who is also the Group Editor of IJCP, said, “Some key measures to keep kidney diseases at bay is to monitor and treat conditions and diseases like obesity and Dyslipidemia, respectively. If blood pressure and blood sugar can be kept under control, more than 50% of CKD can be prevented.”

Some tips from HCFI.

Keep fit and active, it helps reduce your blood pressure and on the move for kidney health.
Keep regular control of your blood sugar level as about half of people who have diabetes develop kidney damage.
Monitor your blood pressure. It is also the most common cause of kidney damage. The normal blood pressure level is 120/80. Between this level and 129/89, you are considered prehypertensive and should adopt lifestyle and dietary changes.
Eat healthy and keep your weight in check as this can help prevent diabetes, heart disease and other conditions associated with CKD. Reduce your salt intake. The recommended sodium intake is 5 to 6 grams of salt per day. In order to reduce your salt intake, try and limit the amount of processed and restaurant food.
Maintain a healthy fluid intake. Traditional wisdom has long suggested drinking 1.5 to 2 liters (3 to 4 pints) of water per day. Consuming plenty of fluid helps the kidneys clear sodium, urea and toxins from the body which, in turn, results in a “significantly lower risk” of developing CKD.
Do not smoke as it slows the flow of blood to the kidneys. Smoking also increases the risk of kidney cancer by about 50%.
Do not take over-the-counter pills on a regular basis: drugs like ibuprofen are known to cause kidney damage and disease if taken regularly.

Hand hygiene is the fundamental principle to prevent infection

Health Care Comments Off

Hand hygiene is the fundamental principle to prevent infection. It is also the single most important, simplest, effective and least expensive intervention to prevent and control the spread of infections in hospital and other healthcare settings.

Hands of the healthcare workers are among the most common routes of transmission of pathogens. Lack of or inadequate adherence to hand hygiene means the hands remain contaminated and result in either between-patient or within-patient cross-transmission, occurrence of infection and spread of antimicrobial resistance. It is the transient flora of the hand, which is responsible for cross transmission of pathogens and spread of infection, through contaminated hands. The transient flora is also more amenable to removal by hand hygiene unlike the true resident flora of the hand.

Hand hygiene reduces the risk of healthcare associated infections (HCAIs) and reduces the associated morbidity and mortality.

The WHO has devised ‘My 5 Moments for Hand Hygiene’, which defines the key moments during patient care, when hand hygiene should be done.

Before touching a patient
Before clean/aseptic procedures
After body fluid exposure/risk
After touching a patient
After touching patient surroundings
Hand hygiene is handwashing with soap and water or the use of alcohol-based hand disinfection with an alcohol-based hand rub.

Handrubbing with alcohol-based rub is mostly recommended as it is faster and easier and should be done whenever you enter and exit a room and prior to any procedure. Soap and water should be used when hands are visibly dirty or visibly soiled with blood or other body fluids or after using the toilet or if exposure to potential spore-forming pathogens is strongly suspected or proven, including outbreaks of Clostridium difficile. Handwashing with soap and water should also be done in patients with known or suspected norovirus infection. Alcohol does not kill norovirus or the spores of C. difficile.

The WHO recommends that handwashing with soap and water should be done for 15-20 seconds, and hand rubbing with alcohol-based rubs should be done as per the six steps described in its guidelines for about 20 seconds. The Centers for Disease Control and Prevention (CDC) recommends three steps for hand rubbing with alcohol.

It is important to remember that wearing gloves does not preclude the need for hand hygiene by either handrubbing or handwashing.

All this is well-known to us all; nevertheless, let us take a few minutes to reaffirm our commitment to these guidelines, today being World Hand Hygiene Day and adhere to its theme “It’s in your hands – prevent sepsis in health care” in letter and spirit. This is the need of the hour.

Dr KK Aggarwal

Padma Shri AwardeeVice President CMAAOGroup Editor-in-Chief IJCP Publications

President Heart Care Foundation of India

Immediate Past National President IMA