| 特集名 | 透析室の感染症へどう対応するか | |
|---|---|---|
| 題名 | HIV感染患者をサテライト施設で受け入れるには | |
| 発刊年月 | 2018年 06月 | |
| 著者 | 日ノ下 文彦 | 国立国際医療研究センター病院腎臓内科 |
| 【 要旨 】 | わが国では，human immunodeficiency virus（HIV）感染患者が増えており，慢性腎臓病（CKD）を合併して血液透析に至る患者の増加が見込まれている．近年，抗ウイルス療法の進歩によりHIV感染症がコントロールできるようになったにもかかわらず，未だに「致命的な疾患」という誤ったイメージのままの医師や医療従事者が多い． サテライトでスムーズにHIV感染透析患者を受け入れるには，まずHIV感染症に関する最低限の知識を習得したうえで，ガイドラインに則って対応すれば問題はない．HIVはhepatitis B virus（HBV）に比し感染力はきわめて弱く，HIV感染患者の血液透析は決して困難なことではない． |
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| Theme | Dealing with infections in hemodialysis facilities | |
|---|---|---|
| Title | To accept human immunodeficiency virus (HIV)-infected patients at maintenance hemodialysis facilities | |
| Author | Fumihiko Hinoshita | Department of Nephrology, Center Hospital of the National Center for Global Health and Medicine |
| [ Summary ] | The number of human immunodeficiency virus (HIV)-infected patients is increasing in our country. Consequently, the number of patients with HIV infection and concomitant chronic kidney disease (CKD) who need hemodialysis (HD) is expected to increase. A great number of physicians and healthcare providers still wrongly consider HIV infection to be a fatal disease, although HIV infection has recently been shown to be well controlled with appropriate treatment. HD facilities would easily accept HIV-infected patients on HD if the staff managing such units are aware of at least the basic facts regarding HIV infection and follow the guidelines to treat HIV-infected patients undergoing HD. Infectivity of HIV is lower than that of the hepatitis B virus, and it is not very difficult to hemodialyze HIV-infected patients. |
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