1. (at least quartely clinical and “basic” laboratory examinations)
Standard monitoring of kidney function in HIV-infected patients
Serum creatinine and standard urinalysis
(for protein, glucose, blood search) to be performed at least quarterly, plus calculated glomerular filtration rate (GFR)
(CD or MDRD estimates)
GFR <90 mL/minute,
plus proteinuria
GFR >90 mL/min,
no proteinuria
- arterial pressure
- proteinuria
- phosphoremy
- serum glycemia
- Arterial gas analysis
Routine follow-up
(at least quartely clinical and
“basic” laboratory examinations)
To be considered/excluded:
HIVAN
familiar history/modifiable risk factors
major vascular “events”
arterial hypertension
metabolic syndrome
diabetes mellitus
aging -> increased comorbidities
adverse drugs events (polipharmacy)
Proteinuria, or hyperglycemia,
or hypophosphoremia,
or ecographic abnormalities,
or estimated GFR <60
mL/minute
Normal
clinical/laboratory
parameters,
and stable GFR rate
>60 mL/minute
Nephrologic
consultancy!
Monitoring
within 3 months 1