Solid organ transplantation: referral, management, and outcomes in HIV-infected patients.
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.
Roland
Michelle E
ME
University of California, San Francisco, USA.
Carlson
Laurie L
LL
Frassetto
Lynda A
LA
Stock
Peter G
PG
D015658:HIV Infections; D006801:Humans; D016377:Organ Transplantation; D018579:Patient Selection; D011379:Prognosis; D012017:Referral and Consultation