FEATURES OF KIDNEY DAMAGE IN HIV-INFECTED

Autor: M.O. Sokolenko, M.O. Andrushchak, V.D. Moskalyuk, I.V. Balanyuk, Y.I. Boyko
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Медична наука України, Vol 17, Iss 1, Pp 29-34 (2021)
ISSN: 2664-4738
Popis: Relevance. In HIV-infected patients, renal disease, which is characterized by severe clinical manifestations, can significantly affect the prognosis of life. Given the growing number of HIV-infected people in the world and the increase in the life expectancy of such patients, an increase in the number of HIV-infected people in need of expensive renal replacement therapy, as well as kidney transplantation, should be expected. But the question of the nature of kidney damage in HIV infection in Ukraine is still insufficiently covered. The objective of the work is to establish the clinical and laboratory features of kidney damage in HIV infection. Materials and methods. 292 patients with HIV were examined. Screening for markers of kidney damage (albuminuria/proteinuria) was performed by test systems (using urine strips). The results obtained with the help of test strips were considered as indicative. In the presence of ≥1+ proteinuria in the screening test, which corresponded to a gradation of 30 mg/l, repeated urine analyzes were performed with quantitative determination of protein on a spectrophotometer, separated in time from 3 days to one week. The functional state of the kidneys was assessed by an integrated indicator that characterizes the degree of preservation/loss of mass of active nephrons. The criterion for renal impairment was a decrease in glomerular filtration rate (GFR)
Databáze: OpenAIRE