HIV associated nephropathy prevention: Difference between revisions
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{{HIV associated nephropathy}} | {{HIV associated nephropathy}} | ||
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== Overview == | |||
[[Human Immunodeficiency Virus (HIV)|HIV]]-positive patients should be screened for [[Chronic kidney disease|chronic kidney disease (CKD)]]. Interventions in HIV-positive patients with renal disease should be done in order to slow the progress and prevent [[End stage renal disease|end stage renal disease (ESRD)]] and they should be referred to a [[nephrologist]]. | |||
== HIV Associated Nephropathy Prevention == | |||
* [[Human Immunodeficiency Virus (HIV)|HIV]]-positive patients should be screened for [[Chronic kidney disease|chronic kidney disease (CKD)]] since it will improve the outcomes. Screening measurements for renal disorders are: | |||
** [[Blood pressure]] measurment | |||
** Checking of [[Creatinine|Cr]] and [[Glomerular filtration rate|GFR]] (kidney function) | |||
** Checking of [[proteinuria]] on urine examination | |||
** Administration and monitoring of cART and/or [[ACE inhibitor|ACE inhibitors]]/[[Angiotensin II receptor antagonist|ARBs]] | |||
* In patients with HIV associated nephropathy the following interventions should be done in order to slow the progress of kidney disease and prevent [[End stage renal disease|end stage renal disease (ESRD)]]: | |||
** Blood pressure control (ACE inhibitors or ARBs) | |||
** [[Diabetes]] control | |||
** Avoidance of [[nephrotoxic drugs]] | |||
** Smoking cessation | |||
** Dyslipidemia treatment | |||
* HIV-positive patients with renal disease should be referred to a [[nephrologist]] for the following reasons: | |||
** Early management of CKD | |||
** Disease progression monitoring | |||
** Monitoring of complications | |||
** Preparation for [[dialysis]] | |||
** Preparation for [[kidney transplantation]] | |||
* Kidney biopsy is an essential tool for evaluation and identification of HIV-associated and other kidney diseases in HIV-positive patients, which is important in the management and treatment of the patients. | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
Revision as of 06:21, 26 June 2020
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HIV associated nephropathy Microchapters |
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Differentiating HIV associated nephropathy from other Diseases |
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Diagnosis |
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Treatment |
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Case Studies |
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HIV associated nephropathy prevention On the Web |
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American Roentgen Ray Society Images of HIV associated nephropathy prevention |
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Risk calculators and risk factors for HIV associated nephropathy prevention |
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Overview
HIV-positive patients should be screened for chronic kidney disease (CKD). Interventions in HIV-positive patients with renal disease should be done in order to slow the progress and prevent end stage renal disease (ESRD) and they should be referred to a nephrologist.
HIV Associated Nephropathy Prevention
- HIV-positive patients should be screened for chronic kidney disease (CKD) since it will improve the outcomes. Screening measurements for renal disorders are:
- Blood pressure measurment
- Checking of Cr and GFR (kidney function)
- Checking of proteinuria on urine examination
- Administration and monitoring of cART and/or ACE inhibitors/ARBs
- In patients with HIV associated nephropathy the following interventions should be done in order to slow the progress of kidney disease and prevent end stage renal disease (ESRD):
- Blood pressure control (ACE inhibitors or ARBs)
- Diabetes control
- Avoidance of nephrotoxic drugs
- Smoking cessation
- Dyslipidemia treatment
- HIV-positive patients with renal disease should be referred to a nephrologist for the following reasons:
- Early management of CKD
- Disease progression monitoring
- Monitoring of complications
- Preparation for dialysis
- Preparation for kidney transplantation
- Kidney biopsy is an essential tool for evaluation and identification of HIV-associated and other kidney diseases in HIV-positive patients, which is important in the management and treatment of the patients.