Pediatric Nephrologyhttp5/doi.org/10.1007/s00467-023-05884-3GUIDELINESNutritional management of children with acute kidney injury-clinicalpractice recommendations from the Pediatric Renal Nutrition TaskforceMolly R.Wong Vega.Dana Cerminara'.An Desloovere2.Fabio Paglialonga3.Jose Renken-Terhaerdt.Johan Vande Walle2.Vanessa Shaws.Stella Stabouli5.Caroline Elizabeth Anderson?.Dieter Haffner8.Christina L.Nelms.Nonnie Polderman10.Leila Qizalbash11.Jetta Tuokkola12.Bradley A.Warady9.Rukshana Shroffs.Larry A.Greenbaum13.14Received:22 November 2022/Revised:9 January 2023/Accepted:10 January 2023eThe Author(s)2023AbstractThe nutritional management of children with acute kidney injury (AKI)is complex.The dynamic nature of AKI necessitatesfrequent nutritional assessments and adjustments in management.Dietitians providing medical nutrition therapies to thispatient population must consider the interaction of medical treatments and AKI status to effectively support both the nutri-tion status of patients with AKI as well as limit adverse metabolic derangements associated with inappropriately prescribednutrition support.The Pediatric Renal Nutrition Taskforce (PRNT),an international team of pediatric renal dietitians andpediatric nephrologists,has developed clinical practice recommendations(CPR)for the nutritional management of childrenwith AKI.We address the need for intensive collaboration between dietitians and physicians so that nutritional management isoptimized in line with AKI medical treatments.We focus on key challenges faced by dietitians regarding nutrition assessment.Furthermore,we address how nutrition support should be provided to children with AKI while taking into account the effectof various medical treatment modalities of AKI on nutritional needs.Given the poor quality of evidence available,a Delphisurvey was conducted to seek consensus from international experts.Statements with a low grade or those that are opinion-based must be carefully considered and adapted to individual patient needs,based on the clinical judgment of the treatingphysician and dietitian.Research recommendations are provided.CPRs will be regularly audited and updated by the PRNT.Keywords Acute kidney injury.Nutrition.Continuous kidney replacement therapy.Pediatric Renal Nutrition TaskforceClinical practice recommendations☒Molly R.Wong VegaHannover Medical School,Children's Hospital,Hannover,mrvega@texaschildrens.orgGermanyTexas Children's Hospital,Houston,TX.USA9Children's Mercy Kansas City,Kansas City,MO.USAUniversity Hospital Ghent,Ghent,Belgium10 British Columbia Children's Hospital,Vancouver,Canada113Fondazione IRCCS Ca'Granda Ospedale MaggioreGreat Northern Children's Hospital,Newcastle Upon Tyne.UKPoliclinico,Milan,Italy4Wilhemina Children's Hospital.University Medical Center12New Children's Hospital and Clinical Nutrition Unit,Internal Medicine and Rehabilitation.University of HelsinkiUtrecht.Utrecht.The Netherlandsand Helsinki University Hospital,Helsinki,Finland5Un
