Executive summary of the recommendations on the evaluation and management of renal disease in human immunodeficiency virus-infected patients


Por: Gorriz, JL, Gutierrez, F, Trullas, JC, Arazo, P, Arribas, JR, Barril, G, Cervero, M, Cofan, F, Domingo, P, Estrada, V, Fulladosa, X, Galindo, MJ, Gracia, S, Iribarren, JA, Knobel, H, Lopez-Aldeguer, J, Lozano, F, Martinez-Castelao, A, Martinez, E, Mazuecos, MA, Miralles, C, Montanes, R, Negredo, E, Palacios, R, Perez-Elias, MJ, Portilla, J, Praga, M, Quereda, C, Rivero, A, Santamaria, JM, Sanz, J, Sanz, J, Miro, JM

Publicada: 1 nov 2014
Resumen:
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. (C) 2014 Elsevier Espana, S.L.U. and Sociedad Espanola de Enfermedades Infecciosas y Microbiologia Clinica. All rights reserved.

Filiaciones:
Gorriz, JL:
 Hosp Univ Dr Peset, Valencia, Spain

Gutierrez, F:
 Univ Miguel Hernandez, Hosp Gen Univ Elche, Alicante, Spain

Trullas, JC:
 Univ Girona, Hosp St Jaume de Olot, Olot, Girona, Spain

Arazo, P:
 Hosp Univ Miguel Servet, Zaragoza, Spain

Arribas, JR:
 Hosp Univ La Paz, IDIPAZ, Madrid, Spain

Barril, G:
 Hosp Univ Princesa, Madrid, Spain

Cervero, M:
 Hosp Univ Severo Ochoa, Madrid, Spain

Cofan, F:
 Univ Barcelona, Hosp Clin, IDIBAPS, Barcelona, Spain

Domingo, P:
 Univ Autonoma Barcelona, Hosp Santa Creu & St Pau, E-08193 Barcelona, Spain

Estrada, V:
 Hosp Clin San Carlos, Madrid, Spain

Fulladosa, X:
 Univ Barcelona, Hosp Univ Bellvitge, IDIBELL, Barcelona, Spain

Galindo, MJ:
 Hosp Clin Univ, Valencia, Spain

Gracia, S:
 Fundacio Puigvert, Barcelona, Spain

Iribarren, JA:
 Hosp Univ Donostia, San Sebastian, Spain

Knobel, H:
 Hosp Univ Nuestra Senora del Mar, Barcelona, Spain

Lopez-Aldeguer, J:
 Hosp Univ La Fe, IISLaFe, Valencia, Spain

Lozano, F:
 Hosp Univ Virgen del Valme, Seville, Spain

Martinez-Castelao, A:
 Univ Barcelona, Hosp Univ Bellvitge, IDIBELL, Barcelona, Spain

Martinez, E:
 Univ Barcelona, Hosp Clin, IDIBAPS, Barcelona, Spain

Mazuecos, MA:
 Hosp Univ Puerta del Mar, Cadiz, Spain

Miralles, C:
 Hosp Univ Xeral, Vigo, Pontevedra, Spain

Montanes, R:
 Hosp Clin Univ, Valencia, Spain

Negredo, E:
 Hosp Badalona Germans Trias & Pujol, Barcelona, Spain

Palacios, R:
 Hosp Univ Virgen de la Victoria, Malaga, Spain

Perez-Elias, MJ:
 Hosp Univ Ramon y Cajal, IRYCIS, Madrid, Spain

Portilla, J:
 Univ Miguel Hernandez, Hosp Gen Univ, Alicante, Spain

Praga, M:
 Hosp Univ 12 Octubre, Madrid, Spain

Quereda, C:
 Hosp Univ Virgen de la Victoria, Malaga, Spain

Rivero, A:
 Hosp Univ Reina Sofia, Cordoba, Spain

Santamaria, JM:
 Hosp Basurto, Bilbao, Spain

Sanz, J:
 Hosp Univ Princesa, Madrid, Spain

 Hosp Univ Principe Asturias, Madrid, Spain

Sanz, J:
 Hosp Univ Princesa, Madrid, Spain

 Hosp Univ Principe Asturias, Madrid, Spain

Miro, JM:
 Univ Barcelona, Hosp Clin, IDIBAPS, Barcelona, Spain
ISSN: 0213005X





ENFERMEDADES INFECCIOSAS Y MICROBIOLOGIA CLINICA
Editorial
EDICIONES DOYMA S A, TRAV DE GRACIA 17-21, 08021 BARCELONA, SPAIN, España
Tipo de documento: Article
Volumen: 32 Número: 9
Páginas: 583-597
WOS Id: 000344908100008
ID de PubMed: 25303781

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