At one time, newborns with diseased or absent kidneys had few options other than adult-sized dialysis machines. Today, aquapheresis therapy is a treatment option to provide renal support for neonates.
In 2020, St. Louis Children’s Hospital began using aquapheresis therapy to care for babies with congenital or acquired renal disorders, one of few centers in the country to offer this advanced treatment.
Dr. Eileen Ciccia, Washington University pediatric nephrologist at St. Louis Children’s Hospital, joins us to talk about renal disease in newborns, aquapheresis therapy, and its impact on NICU care.
At one time, newborns with diseased or absent kidneys had few options other than adult-sized dialysis machines. Today, aquapheresis therapy is a treatment option to provide renal support for neonates. 
For children with a history of penicillin allergy, new evidence suggests a vast majority of kids could be “de-labeled” after undergoing a risk assessment and oral challenge in the pediatric emergency room. George Hoganson, MD, a Washington University emergency medicine fellow at St. Louis Children’s Hospital, is collaborating on a two-year, multi-center study to test children described as penicillin allergic, but who very likely do not have a true penicillin allergy in the St. Louis Children's Hospital Emergency Department.