How is HIV-related ESRD treated?

Updated: May 09, 2018
  • Author: Moro O Salifu, MD, MPH, FACP; Chief Editor: Vecihi Batuman, MD, FASN  more...
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Answer

Answer

Persons with well-controlled HIV infection and ESRD are candidates for both hemodialysis and peritoneal dialysis and should be evaluated for kidney transplantation. Early discussion and planning is important so that use of hemodialysis catheters can be avoided, as HIV-infected persons are at similar, if not higher, risk for infection and other complications related to catheter use. [1]  

Although large studies demonstrate a clear benefit of organ transplantation for HIV-postive patients with ESRD, HIV-positive patients experience high rates of acute allograft rejection (AR). 


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