HEMOLYTIC-UREMIC SYNDROME – WHEN TO START HEMODIALYSIS

Intestinal infections have always been and remain an urgent problem in medicine. Often bloody diarrhea (hemocolitis) is the first manifestation of hemolytic-uremic syndrome (HUS), characterized by triad microangiopathic hemolytic anemia, thrombocytopenia, acute kidney injury. Treatment supportive, hemodialysis needs list treatment. There are no specific criteria for determining when to start sessions if HUS diagnosed. The article presents cases was started various stages duration HUS. Based on literary sources our experience, we believe that specifically case syndrome: Considering expected results, starting (invasive manipulation) as soon diuresis decreases (the amount urine secreted within six hours ≤ 0.5 ml/kg) provides more benefits than manipulation after „traditional“ (life threatening findings) indications dialysis. In case, this way managing patient much less stressful, significantly cost-effective successful.