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Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Acute renal failure in critically ill HIV-infected patients. | Available online http ccforum.eom content 11 1 404 Letter Acute renal failure in critically ill HIV-infected patients José António Lopes1 Joana Fernandes2 Sofia Jorge1 José Neves2 Francisco Antunes2 and Mateus Martins Prata1 1 Department of Nephrology and Renal Transplantation Hospital de Santa Maria Av. Prof. Egas Moniz 1649-035 Lisbon Portugal 2Department of Infectious Diseases Hospital de Santa Maria Av. Prof. Egas Moniz 1649-035 Lisbon Portugal Corresponding author José António Lopes jalopes93@hotmail.com Published 23 January 2007 This article is online at http ccforum.com content 11 1 404 2007 BioMed Central Ltd Critical Care 2007 11 404 doi 10.1186 cc5141 Abstract Acute renal failure ARF is common among hospitalized HIV-infected patients 1 . To our knowledge however data regarding ARF in HIV-infected patients in the intensive care unit are still lacking. We evaluated retrospectively the incidence of ARF as well as its aetiology risk factors therapy and outcome among HIV-infected patients admitted to the Infectious Diseases Intensive Care Unit of our hospital between January 2002 and June 2006. ARF was defined by means of the Risk Injury Failure Loss End-stage classification 2 . ARF was considered if there was at least a 1.5-fold increase of serum creatinine or a urinary output lower than 0.5 ml kg hour for 6 hours. Ninety-seven patients mean age 42.7 12.2 years 77 male 69 Caucasian were evaluated. Forty-six patients 47.4 mean age 43.2 11.1 years P not significant 39 male P not significant 38 Caucasian P not significant had some degree of renal dysfunction and did not differ in terms of age gender race type of HIV CD4 lymphocyte count stage of HIV infection Highly Active Antiretroviral Therapy comorbidity and severity of illness. Sepsis n 39 84 was the most common aetiology. Seven patients 15.2 received renal replacement therapy continuous venovenous haemodiafiltration . By multivariate regression analysis age 60 years odds ratio 5.32 95 confidence interval .
