title: Solid organ transplantation: referral, management, and outcomes in HIV-infected patients.
abstract: Advances in HIV management make it difficult to deny solid organ transplantation to HIV-infected patients based on futility arguments. Preliminary studies suggest that both patient and graft survival are similar in HIV-negative and HIV-positive transplant recipients. While there has been no significant HIV disease progression, substantial interactions between immunosuppressants and antiretroviral drugs necessitate careful monitoring. The evaluation and management of HIV-infected transplant candidates and recipients require excellent communication among a multidisciplinary team, the primary HIV care provider, and the patient. Timely referral for transplant evaluation will prevent unnecessary mortality during the pre-transplant evaluation process.
authors.affiliation: University of California, San Francisco, USA.
authors.forename: Michelle E
authors.initials: ME
authors.lastname: Roland
authors.forename: Laurie L
authors.initials: LL
authors.lastname: Carlson
authors.forename: Lynda A
authors.initials: LA
authors.lastname: Frassetto
authors.forename: Peter G
authors.initials: PG
authors.lastname: Stock
mesh_terms: D015658:HIV Infections; D006801:Humans; D016377:Organ Transplantation; D018579:Patient Selection; D011379:Prognosis; D012017:Referral and Consultation