HIV associated nephropathy screening

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Ali Poyan Mehr, M.D. [2];Associate Editor(s)-in-Chief: Krzysztof Wierzbicki M.D. [3]

Overview

Screening for kidney disease is recommended in high risk populations in all patients with seropositive HIV-1 (upon detection).  

Screening

Screening for kidney disease is recommended in high risk populations in all patients with seropositive HIV-1 (upon detection).

According to the U.S. Preventive Service Task Force, clinicians should screen adolescents and adults ages 15 to 65 for HIV infection.

According to the Center of Disease Control, people should get tested at least once a year in there life time. Those who have high risk factors for HIV are recommended to be screened more frequently. The CDC suggests that people with risk factors should be tested at least once a year. According to recent reports the CDC recommends that sexually active gay and bisexual men should be tested more often, every 3-6 months.

The American College of Obstetricians and Gynecologists also recommend that woman ages 13 to 64 be screened for HIV at least once. Patients that are in an increased state of infection, such as: intravenous drug users, men who have sex with other men, and sex with multiple sex partners.

According to Guidelines by the American College of Obstetricans and Gynecologists, screening during pregnancy are:

  • Pregnant woman should all be screened early for HIV during each pregnancy, on an opt-out basis.
  • HIV screening should be repeated in the third trimester in women that live in areas where the prevalence or incidence of HIV are high.
  • Pregnant woman who are not tested for HIV early in pregnancy or who have no record of HIV screening clinicians should offer a rapid screening tests upon labor and delivery, on an opt-out basis when applicable.
  • When a rapid HIV test is positive during labor, antiretroviral prophylaxis should be given immediately when waiting for other supplement tests.
  • If the diagnosis of HIV is prevalent, women should undergo special care with an HIV specialist to properly manage the infection.

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