首页> 外文期刊>Current opinion in HIV and AIDS >Renal disease: the effects of HIV and antiretroviral therapy and the implications for early antiretroviral therapy initiation.
【24h】

Renal disease: the effects of HIV and antiretroviral therapy and the implications for early antiretroviral therapy initiation.

机译:肾脏疾病:艾滋病毒和抗逆转录病毒疗法的影响及其对早期抗逆转录病毒疗法启动的影响。

获取原文
获取原文并翻译 | 示例
           

摘要

PURPOSE OF THE REVIEW: This review will summarize the relevant literature supporting the early initiation of antiretroviral therapy among persons with HIV and kidney disease. RECENT FINDINGS: Recent guidelines support the initiation of antiretroviral therapy among persons with HIVAN as soon as the diagnosis of kidney disease is made. However, few patients with HIV and kidney disease undergo renal biopsy to determine the histology of their renal lesion. Observational studies, however, suggest that antiretroviral therapy is associated with a lesser risk of new AIDS defining illness and mortality associated with the presence of proteinuria or increased creatinine. These abnormalities are seen in a larger proportion of persons with HIV than only those that undergo biopsy. Therefore, these markers could describe the subgroup of patients at highest risk of poor outcomes and potentially prompt the consideration of earlier initiation of therapy on an individual basis. SUMMARY: Early initiation of antiretroviral therapy probably improves outcomes among persons with HIVAN. The presence of proteinuria or an elevated creatinine could prompt consideration for early initiation of antiretroviral therapy on a case-by-case basis.
机译:审查的目的:这篇综述将总结相关文献,以支持在艾滋病毒和肾脏疾病患者中尽早开展抗逆转录病毒疗法。最近的发现:最近的指南支持在诊断出肾脏疾病后立即开始对HIVAN患者进行抗逆转录病毒疗法。但是,很少有HIV和肾脏疾病患者接受肾脏活检以确定其肾脏病变的组织学。然而,观察性研究表明,抗逆转录病毒疗法与新发艾滋病(定义为蛋白尿或肌酐升高相关的疾病和死亡率)的风险较小。与仅进行活检的人相比,在艾滋病毒感染者中看到这些异常的比例更大。因此,这些标志物可以描述预后不良风险最高的患者亚组,并可能促使个体考虑更早开始治疗。摘要:早期开始抗逆转录病毒治疗可能会改善HIVAN患者的预后。蛋白尿或肌酐升高可根据具体情况提示考虑尽早开始抗逆转录病毒治疗。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱:kefu@zhangqiaokeyan.com

京公网安备:11010802029741号 ICP备案号:京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有
  • 客服微信

  • 服务号