Evaluation of kidney function tests in HIV‐positive patients receiving combined antiretroviral therapy

Autor: Mustafa Kemal Çelen, Yasar Yildirim, Emre Aydin, Fatma Yilmaz Aydin, Yakup Demir
Přispěvatelé: Dicle Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, İç Hastalıklar Ana Bilim Dalı, Aydın, Emre E., Aydın, Fatma Yılmaz, Demir, Yakup, Yıldırım, Yaşar, Çelen, Mustafa Kemal, Aydın, Emre
Rok vydání: 2021
Předmět:
Zdroj: International Journal of Clinical Practice. 75
ISSN: 1742-1241
1368-5031
DOI: 10.1111/ijcp.14542
Popis: Introduction: Human Immunodeficiency virus is a chronic infection that attacks the immune system of the human body, particularly CD4 T lymphocytes. Combined antiretroviral therapies are highly effective in virological suppression of human immunodeficiency virus infection. It has been shown that some retroviral therapies have a higher nephrotoxicity potential. As a result of renal injury, serum creatinine increases, and the estimated glomerular filtration rate is reduced. The aim of our study was to assess changes in kidney function during a 24-month period in HIV-positive patients who were begun on combined antiretroviral therapy. Material-method: A total of 127 HIV positive patients were enrolled. The patients were divided into five groups; patients who received no therapy were designated as Group 1; those that received Dolutegravir/Abacavir/Lamivudine combination as Group 2; those that received Elvitegravir/Cobicistat/Emtricitabine/Tenofovir Alafenamide Fumarate combination as Group 3; those that received Emtricitabine/Tenofovir Disoproxil Fumarate/Dolutegravir combination as Group 4; and those that received Emtricitabine/Tenofovir Disoproxil Fumarate/Raltegravir combination as Group 5. We compared the effects of these drugs on estimated glomerular filtration rate during a 24-month follow-up period. Results: At the 24th month of therapy, a significant difference was observed between the eGFR levels of the study groups (p:0.05). Serum creatinine level was significantly higher in Groups 4 and 5 compared to the other groups (p
Databáze: OpenAIRE