HIV感染患者における透析医療の推進に関する調査

  • 秋葉 隆
    東京女子医科大学腎臓病総合医療センター血液浄化療法科
  • 日ノ下 文彦
    国立国際医療研究センター腎臓内科

書誌事項

タイトル別名
  • Survey of dialysis facilities for HIV-infected dialysis patients
  • HIV カンセン カンジャ ニ オケル トウセキ イリョウ ノ スイシン ニ カンスル チョウサ

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We investigated the present situation of dialysis facilities accepting HIV-infected endstage renal disease patients. We sent questionnaires to 3,802 Japanese dialysis facilities, and obtained 1,552 responses (40.82% recovery rate). Those which had experience of accepting HIV-infected dialysis patients were 94 facilites (6.2%), and 1,434 (93.8%) had no such experience. Eighty-nine HIV-infected patients were dialyzed in November, 2011 in Japan (60 facilities, range: 1~7 patients, 1.48±1.12 persons (mean±S. D.)). Sixty-nine of these (74.2%) answered yes to the question of whether they would continue to accept HIV-infected dialysis patients. In facilities with no experience of HIV-infected dialysis patient acceptance, 227 facilities (15.7%) would accept them if referred, and 445 facilities (30.7%) are preparing for acceptance from now on. A total of 776 facilities (53.6%) refused the future acceptance of HIV-infected dialysis patients. The reasons for being “hard to accept” were “the difficulties to prepare the dedicated bed and dialysis machines”, “the procedures for HIV-infected dialysis patients are not clearly organized”, and “back-up facilities for sudden changes in patients' conditions are not available”. We conclude that there are many difficulties for private sector facilities to accept HIV-infected dialysis patients due to the lack of public assistance.

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