Disclaimer
is Guideline attempts to define principles of practice that should produce high-quality patient
care. It is applicable to specialists, primary care practitioners, and providers at all levels. is
Guideline should not be considered exclusive of other methods of care reasonably directed at
obtaining the same results. e ultimate judgment concerning the propriety of any course of
conduct must be made by the clinician aer consideration of each individual patient situation.
Neither IGC, the medical associations, nor the authors endorse any product or service associated
with the distributor of this clinical reference tool.
Abbreviations
ACE, angiotensin-converting enzyme; ARB, angiotensin II receptor blocker; ACR,
albumin-to-creatinine ratio; AER, albumin excretion rate; ART, antiretroviral therapy;
ARV, antiretroviral; ATV, atazanavir; bid, twice daily; CKD, chronic kidney disease;
CKD-EPI, Chronic Kidney Disease Epidemiolog y Collaboration; CrCl, creatinine
clearance; CYP3A4, cytochrome P450 isoenzyme 3A4; ESRD, end-stage renal disease;
FE
phos
, fractional excretion of phosphate; FE
UA
, fractional excretion of uric acid; GFR,
glomerular filtration rate; HD, hemodialysis; HIV, human immunodeficiency virus;
HIVAN, HIV-associated nephropathy; INSTI, integrase strand transfer inhibitor;
LPV, lopinavir; min, minute; NNRTI, nonnucleoside reverse transcriptase inhibitor;
NR, not reported; PCR, protein-to-creatinine ratio; P
creat
, plasma concentration of
creatinine; PD, peritoneal dialysis; PER, protein excretion rate; PI, protease inhibitor;
PO, by mouth; P
phos
, plasma concentration of phosphorus; P
UA
, plasma concentration
of uric acid; qhs, every night at bedtime; RCT, randomized controlled trial; tid, 3 times
daily; TmP/GFR, tubular maximum for phosphate corrected for glomerular filtration
rate; U
alb
, urine concentration of albumin; uAPR, urine albumin-to-protein ratio; U
creat
,
urine concentration of creatinine; U
phos
, urine concentration of phosphorus; U
prot
, urine
concentration of protein; U
UA
, urine concentration of uric acid; WHO, World Health
Organization
Source
Lucas GM, Ross MJ, Stock PG, et al. Clinical practice guideline for the management of
chronic kidney disease in patients infected with HIV: 2014 update by the HIV Medicine
Association of the Infectious Diseases Society of America. Clin Infect Dis. 2014 Sep 17. pii:
ciu617. [Epub ahead of print]
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