Chronic Kidney Disease in HIV-Infected Patients

Publication Date: September 24, 2014

Key Points

Key Points

  • The risk of chronic kidney disease (CKD) is increased in individuals infected with human immunodeficiency virus (HIV) compared with the general population.
  • In African Americans, HIV infection imparts a risk for end-stage renal disease (ESRD) that is of similar magnitude to that of diabetes.
  • -infected patients, including direct effects by HIVA constellation of potential factors contributes to excess kidney disease in HIV-infected patients, including direct effects by HIV infection, HIV-associated immune activation, drug toxicity, coinfection with hepatitis C virus, and a high prevalence of traditional kidney disease risk factors.

Diagnosis

...agnosi...

...nitoring...

...SA recommends monitoring creatinine-based e...

...onitoring kidney damage with urinalysi...


...aluation

...mends that the evaluation of new-onset or...

...commends that HIV-infected patients with kidney...

...sible, IDSA recommends establishing perm...

...IDSA recommends avoiding the use...

...1. Chronic Kidney Disease Classification A...

...Classification of Albuminuria and P...

...Risk Factors for CKD and ESRD: Data From St...

...3. Laboratory Indicators of Proximal Tubu...


Treatment

...reatmen...

Managem...

...SA recommends that clinicians prescri...

...ecommends that clinicians use either...

...recommends that patients with biopsy-confirme...

...ients infected with HIV who have a GFR

...fovir-treated patients who experience...


...diovascular Drugs

...DSA recommends using angiotensin-conve...

IDSA recommends that HIV-infected indiv...

...suggests that clinicians consider...


...ood Pressure...

...mmends a target blood pressure of...

...ests a target blood pressure of 30-30...


...ticosteroid...

...sts that clinicians consider corticost...


...y Transplantation...

...s that HIV providers assess patients wi...

...ecommends that HIV providers assess patients...


Children and Adolescents with HIV

...hildren and Adolescents with...

Screenin...

...lar to adults, IDSA recommends that children an...

...gests avoiding tenofovir as part of first-line...


...reatment...

...recommends that children and adolescents w...

...suggests using ACE inhibitors or AR...

...hat corticosteroids NOT be used in children with...

...g of Antiretroviral Drugs for HIV-...