DDHK. ORG – Acute kidney failure is attacking children. Bond Doctor Indonesian Children (IDAI) reported that there were 152 cases of mysterious acute kidney disorders or atypical progressive acute kidney disorders in children as of Tuesday (18/10/2022).
Reported from detikHealth, failed kidney mysterious acute cases in DKI Jakarta increased by 49 cases. There have even been 152 cases of children in Indonesia experiencing mysterious acute kidney disorders as of October 14, 2022, according to IDAI.
As many as 69 percent of them reported not urinating at all (anuria).
To monitor kidney failure, the Ministry of Health asked the Pharmacy-Nakes to temporarily stop the syrup. This prohibition is issued indefinitely.
All health workers were also asked by the Indonesian Ministry of Health to temporarily stop prescribing medicines in syrup or liquid form.
The Indonesian Ministry of Health also released the criteria for the category of suspect to probable related to acute kidney failure, namely:
Cases of Suspected Kidney Failure
Cases of disease in children aged 0-18 years with symptoms of anuria or oliguria that occur suddenly.
Suspected cases are added with no history of previous kidney disorders or chronic kidney disease, with or without prodromal symptoms such as fever, diarrhea, vomiting, cough, runny nose. On laboratory examination, there was an increase in urea creatinine of more than 1,5 times or an increase of more than equal to 0,3 mg/dL/, and ultrasound examination revealed normal kidney shape and size, no abnormalities such as stones, cysts, or masses.
Deputy Minister of Health, Dr. Dante Saksono Harbuwono, emphasized that paracetamol is still safe and can be consumed.
He said the dangerous ingredient in the drug was ethylene glycol (ED), not paracetamol.
"It's not the paracetamol that can't be done. Paracetamol is still safe, but there are paracetamol drugs that contain ethylene glycol,” said the Deputy Minister of Health.
"What should not be because some of these drugs contain ethylene glycol," he continued.
However, for the sake of vigilance, the Ministry of Health has temporarily stopped the preparation of syrup medicines and asked health workers not to prescribe syrup medicines to children.
Explanation of BPOM Triggers Kidney Failure
The Food and Drug Supervisory Agency (BPOM RI) has opened up about concerns about the emergence of similar drugs as in Gambia, which triggered 70 cases of West African children dying.
This is because 192 children in Indonesia are also reported to have mysterious or unknown acute kidney failure.
The BPOM RI confirmed that the drugs suspected of triggering acute kidney failure in Gambian children, namely Promethazine Oral Solution, Kofexmalin Baby Cough Syrup, Makoff Baby Cough Syrup, and Magrip N Cold Syrup, were not registered in Indonesia.
None of the drugs produced by Maiden Pharmaceutical, India, has received a distribution permit from BPOM RI.
There are two contents that are associated with the 'culprit' of children experiencing acute kidney failure. Is ethylene glycol (EG) and diethylene glycol (DEG) beyond reasonable limits.
Both of these contents have also been banned by BPOM RI on syrup drug products for children and adults, but EG and DEG called BPOM RI could be at risk of being found as contaminants in drugs.
"EG and DEG can be found as contaminants in glycerin or propylene glycol which are used as additional solvents, BPOM has set a maximum limit of EG and DEG on these two additives according to international standards," explained BPOM RI in a written statement quoted on Wednesday (19/10). /2022/XNUMX).
With cases of kidney failure, it's good to be careful. (DDHK News)
