Renal transplantation in human immunodeficiency virus (HIV)-positive children
Renal transplantation is being performed in adult human immunodeficiency virus (HIV)-positive patients and increasingly in paediatric patients as well. A multidisciplinary team involving an infectious disease professional is required to assist with HIV viral-load monitoring and in choosing the most...
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| Published in | Pediatric nephrology (Berlin, West) Vol. 30; no. 4; pp. 541 - 548 |
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| Main Authors | , |
| Format | Journal Article |
| Language | English |
| Published |
Berlin/Heidelberg
Springer Berlin Heidelberg
01.04.2015
Springer Springer Nature B.V |
| Subjects | |
| Online Access | Get full text |
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| Abstract | Renal transplantation is being performed in adult human immunodeficiency virus (HIV)-positive patients and increasingly in paediatric patients as well. A multidisciplinary team involving an infectious disease professional is required to assist with HIV viral-load monitoring and in choosing the most appropriate highly active antiretroviral therapy (HAART). Drug interactions complicate immunosuppressant therapy and require careful management. The acute rejection rates appear to be similar in adults to those in noninfective transplant recipients. Induction with basiliximab and calcineurin-based immunosuppression appears to be safe and effective in these recipients. Prophylaxis is advised for a variety of infections and may need life-long administration, especially in children. Organ shortage remains a significant problem, and kidneys from deceased HIV-positive donors have been used successfully in a small study population. Overall, with careful planning and close follow-up, successful renal transplantation for paediatric HIV-infected recipients is possible. |
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| AbstractList | Renal transplantation is being performed in adult human immunodeficiency virus (HIV)-positive patients and increasingly in paediatric patients as well. A multidisciplinary team involving an infectious disease professional is required to assist with HIV viral-load monitoring and in choosing the most appropriate highly active antiretroviral therapy (HAAR T). Drug interactions complicate immunosuppressant therapy and require careful management. The acute rejection rates appear to be similar in adults to those in noninfective transplant recipients. Induction with basiliximab and calcineurin-based immunosuppression appears to be safe and effective in these recipients. Prophylaxis is advised for a variety of infections and may need life-long administration, especially in children. Organ shortage remains a significant problem, and kidneys from deceased HIV-positive donors have been used successfully in a small study population. Overall, with careful planning and close follow-up, successful renal transplantation for paediatric HIV-infected recipients is possible. Keywords Paediatric HIV-infected renal transplantation * Acute kidney injury * HAART * Immunosuppression Renal transplantation is being performed in adult human immunodeficiency virus (HIV)-positive patients and increasingly in paediatric patients as well. A multidisciplinary team involving an infectious disease professional is required to assist with HIV viral-load monitoring and in choosing the most appropriate highly active antiretroviral therapy (HAAR T). Drug interactions complicate immunosuppressant therapy and require careful management. The acute rejection rates appear to be similar in adults to those in noninfective transplant recipients. Induction with basiliximab and calcineurin-based immunosuppression appears to be safe and effective in these recipients. Prophylaxis is advised for a variety of infections and may need life-long administration, especially in children. Organ shortage remains a significant problem, and kidneys from deceased HIV-positive donors have been used successfully in a small study population. Overall, with careful planning and close follow-up, successful renal transplantation for paediatric HIV-infected recipients is possible. Renal transplantation is being performed in adult human immunodeficiency virus (HIV)-positive patients and increasingly in paediatric patients as well. A multidisciplinary team involving an infectious disease professional is required to assist with HIV viral-load monitoring and in choosing the most appropriate highly active antiretroviral therapy (HAART). Drug interactions complicate immunosuppressant therapy and require careful management. The acute rejection rates appear to be similar in adults to those in noninfective transplant recipients. Induction with basiliximab and calcineurin-based immunosuppression appears to be safe and effective in these recipients. Prophylaxis is advised for a variety of infections and may need life-long administration, especially in children. Organ shortage remains a significant problem, and kidneys from deceased HIV-positive donors have been used successfully in a small study population. Overall, with careful planning and close follow-up, successful renal transplantation for paediatric HIV-infected recipients is possible. |
| Audience | Academic |
| Author | Kala, Udai K. McCulloch, Mignon I. |
| Author_xml | – sequence: 1 givenname: Mignon I. surname: McCulloch fullname: McCulloch, Mignon I. email: mignonmcculloch@yahoo.co.uk organization: Department of Paediatrics, Red Cross Children’s Hospital, University of Cape Town – sequence: 2 givenname: Udai K. surname: Kala fullname: Kala, Udai K. organization: Department of Paediatrics, Chris Hani Baragwanath Academic Hospital, University of Witwatersrand |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/24691821$$D View this record in MEDLINE/PubMed |
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| CitedBy_id | crossref_primary_10_1007_s00467_022_05819_4 crossref_primary_10_6002_ect_PediatricSymp2022_L8 crossref_primary_10_1080_23744235_2017_1371852 crossref_primary_10_1097_QAD_0000000000002809 crossref_primary_10_1007_s11904_019_00460_7 |
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| Snippet | Renal transplantation is being performed in adult human immunodeficiency virus (HIV)-positive patients and increasingly in paediatric patients as well. A... |
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| SubjectTerms | Adults Antiretroviral Therapy, Highly Active Child Health aspects HIV HIV seropositivity HIV Seropositivity - complications HIV Seropositivity - diagnosis HIV-1 - immunology Human immunodeficiency virus Humans Immune system Immunosuppression - methods Infections Kidney diseases Kidney Failure, Chronic - surgery Kidney Transplantation Kidney transplants Kidneys Medicine Medicine & Public Health Multidisciplinary teams Nephrology Pediatrics Review Transplantation Urogenital system Urology Viral Load |
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| Title | Renal transplantation in human immunodeficiency virus (HIV)-positive children |
| URI | https://link.springer.com/article/10.1007/s00467-014-2782-y https://www.ncbi.nlm.nih.gov/pubmed/24691821 https://www.proquest.com/docview/1655966711 https://search.proquest.com/docview/1668251835 |
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