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[Executive summary of the recommendations on the evaluation and management of renal disease in human immunodeficiency virus-infected patients].
- Source :
-
Enfermedades infecciosas y microbiologia clinica [Enferm Infecc Microbiol Clin] 2014 Nov; Vol. 32 (9), pp. 583-97. Date of Electronic Publication: 2014 Oct 07. - Publication Year :
- 2014
-
Abstract
- The aim of this article is to update the 2010 recommendations on the evaluation and management of renal disease in human immunodeficiency virus (HIV)-infected patients. Renal function should be monitored in all HIV-infected patients. The basic renal work-up should include measurements of serum creatinine, estimated glomerular filtration rate by CKD-EPI, urine protein-to-creatinine ratio, and urinary sediment. Tubular function tests should include determination of serum phosphate levels and urine dipstick for glycosuria. In the absence of abnormal values, renal screening should be performed annually. In patients treated with tenofovir, or with risk factors for chronic kidney disease (CKD), more frequent renal screening is recommended. In order to prevent disease progression, potentially nephrotoxic antiretroviral drugs are not recommended in patients with CKD or risk factors for CKD. The document provides indications for renal biopsy and advises on the optimal time for referral of a patient to the nephrologist. The indications for and evaluation and management of dialysis and renal transplantation are also addressed.<br /> (Copyright © 2014 Elsevier España, S.L.U. y Sociedad Española de Enfermedades Infecciosas y Microbiología Clínica. All rights reserved.)
- Subjects :
- Adenine adverse effects
Adenine analogs & derivatives
Adenine therapeutic use
Algorithms
Anti-HIV Agents adverse effects
Anti-HIV Agents therapeutic use
Biopsy
Cardiovascular Diseases complications
Disease Management
Evidence-Based Medicine
HIV Infections drug therapy
Hepatitis, Viral, Human complications
Hepatitis, Viral, Human surgery
Humans
Kidney pathology
Kidney Diseases chemically induced
Kidney Diseases complications
Kidney Diseases diagnosis
Kidney Function Tests
Kidney Transplantation
Liver Transplantation
Phosphorous Acids adverse effects
Phosphorous Acids therapeutic use
Postoperative Complications prevention & control
Referral and Consultation
Renal Replacement Therapy
Risk Factors
HIV Infections complications
Kidney Diseases therapy
Subjects
Details
- Language :
- Spanish; Castilian
- ISSN :
- 1578-1852
- Volume :
- 32
- Issue :
- 9
- Database :
- MEDLINE
- Journal :
- Enfermedades infecciosas y microbiologia clinica
- Publication Type :
- Academic Journal
- Accession number :
- 25303781
- Full Text :
- https://doi.org/10.1016/j.eimc.2014.09.002