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| Thread: Hemodialysis and HIV | |||
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| jonathan * new member Joined: 29/11/05 Posts: 1 |
Hemodialysis and HIV 29/11/05 11:32 AM Hi all. At TBH we've recently become exposed for the first time to patients who have become HIV positive while on chronc hemodialysis. Just 2 questions: 1. Should these patients be treated in isolation, and, 2. Should they remain on the renal transplant waiting list. (See Kidney Int. April 2005) Thanks |
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| trevorg *** regular contributor Joined: 07/11/05 Posts: 27 |
RE: Hemodialysis and HIV 29/11/05 1:24 PM Rightly or wrongly, at Baragwanath we feel the infective risk to other patients is low, so we dialyse our HIV positive patients (1 at present) along with everyone else. We are not putting such people up for transplantation unless they are able to: 1. demonstrate compliance with ARV's 2. be stable on ARV's for 3-6 months 3. have undetectable viral loads and rising CD4's 4. bring forward their own living donor Not sure what to do about those not yet requiring ARV's??? |
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| razeen *** regular contributor Joined: 29/10/05 Posts: 27 |
RE: Hemodialysis and HIV 14/12/05 2:47 PM Has anyone got some official guidelines in this regard? CDC etc? |
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| razeen *** regular contributor Joined: 29/10/05 Posts: 27 |
RE: Haemodialysis and HIV 14/12/05 3:11 PM The CDC says "Routine testing of hemodialysis patients for HIV infection for infection control purposes is not necessary or recommended. However, patients with risk factors for HIV infection should be tested so that, if infected, they can receive proper medical care and counseling regarding preventing transmission of the virus (201). Infection control precautions recommended for all hemodialysis patients (see Recommended Practices at a Glance) are sufficient to prevent HIV transmission between patients. HIV-infected patients do not have to be isolated from other patients or dialyzed separately on dedicated machines. In addition, they can participate in dialyzer reuse programs. Because HIV is not transmitted efficiently through occupational exposures, reprocessing dialyzers from HIV-positive patients should not place staff members at increased risk for infection." See http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5005a1.htm and also http://content.karger.com/ProdukteDB/produkte.asp?Aktion=ShowFulltext&ProduktNr=223979&Ausgabe=230417&ArtikelNr=81041 "http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5005a1.htm |
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| mothoat * new member Joined: 26/07/06 Posts: 3 |
CKD Statistics in South Africa 26/07/06 2:36 PM Dear all I would like to know what the current estimates for the prevalance and incidence rates of CKD in South Africa are and what proportion of patients are in Stages 3-5. Regards |
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