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

被引：1

作者：

Gorriz, Jose L. ^{[1
]}

Gutierrez, Felix ^{[2
]}

Trullas, Joan C. ^{[3
]}

Arazo, Piedad ^{[4
]}

Arribas, Jose R. ^{[5
]}

Barril, Guillermina ^{[6
]}

Cervero, Miguel ^{[7
]}

Cofan, Frederic ^{[8
]}

Domingo, Pere ^{[9
]}

Estrada, Vicente ^{[10
]}

Fulladosa, Xavier ^{[11
]}

Galindo, Maria J. ^{[12
]}

Gracia, Silvia ^{[13
]}

Iribarren, Jose A. ^{[14
]}

Knobel, Hernando ^{[15
]}

Lopez-Aldeguer, Jose ^{[16
]}

Lozano, Fernando ^{[17
]}

Martinez-Castelao, Alberto ^{[11
]}

Martinez, Esteban ^{[8
]}

Mazuecos, Maria A. ^{[18
]}

Miralles, Celia ^{[19
]}

Montanes, Rosario ^{[12
]}

Negredo, Eugenia ^{[20
]}

Palacios, Rosario ^{[21
]}

Perez-Elias, Maria J. ^{[22
]}

Portilla, Joaquin ^{[23
]}

Praga, Manuel ^{[24
]}

Quereda, Carlos ^{[21
]}

Rivero, Antonio ^{[25
]}

Santamaria, Juan M. ^{[26
]}

Sanz, Jose ^{[27
]}

Sanz, Jesus ^{[6
]}

Miro, Jose M. ^{[8
]}

机构：

[1] Hosp Univ Dr Peset, Valencia, Spain

[2] Univ Miguel Hernandez, Hosp Gen Univ Elche, Alicante, Spain

[3] Univ Girona, Hosp St Jaume de Olot, Olot, Girona, Spain

[4] Hosp Univ Miguel Servet, Zaragoza, Spain

[5] Hosp Univ La Paz, IdiPAZ, Madrid, Spain

[6] Hosp Univ Princesa, Madrid, Spain

[7] Hosp Univ Severo Ochoa, Madrid, Spain

[8] Univ Barcelona, Hosp Clin, IDIBAPS, Barcelona, Spain

[9] Univ Autonoma Barcelona, Hosp Santa Creu & St Pau, E-08193 Barcelona, Spain

[10] Hosp Clin San Carlos, Madrid, Spain

[11] Univ Barcelona, Hosp Univ Bellvitge, IDIBELL, Barcelona, Spain

[12] Hosp Clin Univ, Valencia, Spain

[13] Fundacio Puigvert, Barcelona, Spain

[14] Hosp Univ Donostia, San Sebastian, Spain

[15] Hosp Univ Nuestra Senora del Mar, Barcelona, Spain

[16] Hosp Univ La Fe, IISLaFe, Valencia, Spain

[17] Hosp Univ Virgen del Valme, Seville, Spain

[18] Hosp Univ Puerta del Mar, Cadiz, Spain

[19] Hosp Univ Xeral, Vigo, Pontevedra, Spain

[20] Hosp Badalona Germans Trias & Pujol, Barcelona, Spain

[21] Hosp Univ Virgen de la Victoria, Malaga, Spain

[22] Hosp Univ Ramon y Cajal, IRYCIS, Madrid, Spain

[23] Univ Miguel Hernandez, Hosp Gen Univ, Alicante, Spain

[24] Hosp Univ 12 Octubre, Madrid, Spain

[25] Hosp Univ Reina Sofia, Cordoba, Spain

[26] Hosp Basurto, Bilbao, Spain

[27] Hosp Univ Principe Asturias, Madrid, Spain

来源：

ENFERMEDADES INFECCIOSAS Y MICROBIOLOGIA CLINICA | 2014年 / 32卷 / 09期

关键词：

AIDS; Human immunodeficiency virus; Chronic kidney disease; Renal failure; Tenofovir; Renal toxicity; Antiretroviral therapy; Renal transplantation;

D O I：

10.1016/j.eimc.2014.09.002

中图分类号：

R51 [传染病];

学科分类号：

100401 ;

摘要：

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.

引用

页码：583 / 597

页数：15

共 3 条

[1] Consensus document on the management of renal disease in HIV-infected patients [J].

Gorriz, Jose L. ;

Gutierrez, Felix ;

Trullas, Joan C. ;

Arazo, Piedad ;

Arribas, Jose R. ;

Barril, Guillermina ;

Cervero, Miguel ;

Cofan, Frederic ;

Domingo, Pere ;

Estrada, Vicente ;

Fulladosa, Xavier ;

Galindo, Mara J. ;

Gracia, Silvia ;

Iribarren, Jose A. ;

Knobel, Hernando ;

Lopez-Aldeguer, Jose ;

Lozano, Fernando ;

Martinez-Castelao, Alberto ;

Martinez, Esteban ;

Mazuecos, Maria A. ;

Miralles, Celia ;

Montanes, Rosario ;

Negredo, Eugenia ;

Palacios, Rosario ;

Perez-Elias, Mara J. ;

Portilla, Joaquin ;

Praga, Manuel ;

Quereda, Carlos ;

Rivero, Antonio ;

Santamaria, Juan M. ;

Sanz, Jose ;

Sanz, Jesus ;

Miro, Jose M. .

NEFROLOGIA, 2014, 34 :1-81

[2]

Gutierrez F, 2010, ENFERM INFEC MICR CL, V28

[3]

Quereda Rodriguez-Navarro Carlos, 2009, Nefrologia, V29, P7, DOI 10.3265/NEFROLOGIA.2009.29.S.E.noID.36.free

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