Kidney Transplantation in Patients with HIV

Abstract

Individuals with HIV are at increased risk for ESKD. Kidney transplantation is the best treatment for ESKD in the HIV+ population. Despite reduced access to transplantation, patients who are HIV+ have excellent outcomes and clearly benefit from receiving one. Common post-transplant complications and management concerns, including the optimal antiretroviral regimen, immunosuppression protocols, infectious prophylaxis, hepatitis C coinfection, metabolic complications, and malignancy are all discussed.

Keywords: HIV infections; anti-retroviral agents; chronic; coinfection; hepatitis C; immunosuppression; kidney failure; kidney transplantation; transplantation.