Chronic Kidney Disease in HIV-Infected Patients: Updated Guidelines

Target Population: Clinicians who treat HIV-infected adults and children in the U.S.

Background

This guideline updates the version published in 2005.

Key Recommendations

• Creatinine-based estimated glomerular filtration rate (eGFR) monitoring should be performed when antiretroviral therapy (ART) is started or changed and at least twice annually in stable patients. Of the GFR-estimating equations, the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) creatinine equation is preferred.

• Urinalysis or quantitative measurement of albuminuria/proteinuria should be performed at baseline, when ART is started or changed, and at least annually in stable patient…