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
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