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Renal transplantation between HIV-positive donors and recipients justified.
- Source :
-
South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde [S Afr Med J] 2012 Mar 02; Vol. 102 (6), pp. 497-8. Date of Electronic Publication: 2012 Mar 02. - Publication Year :
- 2012
-
Abstract
- HIV infection was previously an absolute contraindication to renal transplantation. However, with the advent of highly active antiretroviral therapy (HAART), renal transplantation using HIV-negative donor kidneys has successfully been employed for HIV-infected patients with end-stage renal failure. In resource-limited countries, places on dialysis programmes are severely restricted; HIV-infected patients, like many others with co-morbidity, are often denied treatment. Kidneys (and other organs) from HIV-infected deceased donors are discarded. The transplantation of HIV-positive donor kidneys to HIV-infected recipients is now a viable alternative to chronic dialysis or transplantation of HIV-negative donor kidneys. This significantly increases the pool of donor kidneys to the advantage of HIV-positive and -negative patients. Arguments are presented that led to our initiation of renal transplantation from HIV-positive deceased donors to HIV-positive recipients at Groote Schuur Hospital, Cape Town.
Details
- Language :
- English
- ISSN :
- 0256-9574
- Volume :
- 102
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde
- Publication Type :
- Academic Journal
- Accession number :
- 22668948
- Full Text :
- https://doi.org/10.7196/samj.5754