Nephrotoxicity during tenofovir treatment: a three-year follow-up study in a Brazilian reference clinic

Autor: Lauro Ferreira da Silva Pinto Neto, Bil Randerson Bassetti, Igor Hernandes Valvassoura Fraga, Carolina Rocio Oliveira Santos, Paula Daher Ximenes, Angélica Espinosa Miranda
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Zdroj: Brazilian Journal of Infectious Diseases, Vol 20, Iss 1, Pp 14-18 (2016)
Druh dokumentu: article
ISSN: 1413-8670
DOI: 10.1016/j.bjid.2015.09.004
Popis: In this study, 275 patients in use of tenofovir were retrospectively followed-up for three years to evaluate risk factors involved in impaired renal function. Analysis of variance (ANOVA) and Tukey's test were used to verify any differences in creatinine levels and estimated clearance at 0, 6, 12, 24 and 36 months, adjusting for the co-variables sex, skin color, age >50 years, arterial hypertension, diabetes and the use of the ritonavir-boosted protease inhibitors (PI/r) lopinavir/r or atazanavir/r. The software package STATISTICA 10® was used for statistical analysis. The patients’ mean age was 43.2 ± 10.7 years. Systemic arterial hypertension (SAH) and diabetes were found in 20.4% and 8.7% of the patients, respectively. Overall, 96.7% were on tenofovir associated with lamivudine (TDF + 3TC), 39.3% on lopinavir/r, 29.8% on efavirenz, and 17.6% on atazanavir/r. There was a statistically significant difference in estimated creatinine clearance at 24 months, when the co-variables male (F = 3.95; p = 0.048), SAH (F = 6.964; p = 0.009), and age over 50 years (F = 45.81; p
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