Renal replacement therapy for patients suffering from multiple Asian giant hornet stings: A retrospective study.

Abstract

From June 2013 to June 2018, patients suffering from Asian giant hornet stings were treated with renal replacement therapy (RRT) in our hospital. We analysed the efficacy of different modalities of RRT in these patients. A comprehensive clinical history was recorded and a complete physical examination was done for each patient. Three different treatment plans were used in these patients according to the acute physiology and chronic health evaluation (APACHE) II score. These were: (i) haemoperfusion (HP) and intermittent haemodialysis (IHD); (ii) HP and continuous veno-venous haemofiltration (CVVH); and (iii) HP, CVVH and plasma exchange (PE). The average time of RRT was shorter in HP and CVVH or HP, CVVH and PE groups than in the HP and IHD group, and the patients who received HP and CVVH or HP, CVVH and PE had lower levels of blood urea nitrogen and serum creatinine after RRT for 7 days. Our study suggests that HP and CVVH or HP, CVVH and PE are effective treatments for patients suffering from Asian giant hornet stings, who require RRT.