Research for the facilitation of dialysis therapy in HIV-infected patients:

DOI Web Site 20 References
  • Akiba Takashi
    Department of Blood Purification, Kidney Center, Tokyo Women's Medical University
  • Hinoshita Fumihiko
    Department of Nephrology, National Center for Global Health and Medicine Hospital
  • Imamura Akifumi
    Department of Infectious Disease, Tokyo Metropolitan Center and Infectious Disease Center, Komagome Hospital

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Other Title
  • HIV感染者における透析医療の推進に関する研究
  • HIV感染者における透析医療の推進に関する研究 : 拠点病院でのアンケート調査
  • HIV カンセンシャ ニ オケル トウセキ イリョウ ノ スイシン ニ カンスル ケンキュウ : キョテン ビョウイン デ ノ アンケート チョウサ
  • questionnaire on base hospitals for HIV infection
  • ―拠点病院でのアンケート調査―

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In 2012, we conducted a survey for the facilitation of dialysis therapy for HIV-infected CKD patients, and found that there must be many obstacles for private dialysis facilities to accept HIV-infected dialysis patients without public assistance. From these results, we conducted a survey of the base hospitals for AIDS across the country for activities to support dialysis facilities. Sending a questionnaire to 380 base hospitals, core base hospitals, and block base hospitals, 190 responses (response rate 50.0%) were analyzed. Their average bed number was 542. They had 3.79 urologists and 3.05 nephrologists, with 17.2 dialysis machines. A total of 44 patients needed substitution therapy, 28 were treated with hemodialysis, and 16 with peritoneal dialysis. Initiation and chronic therapy was supplied in 19 cases at their own hospital, initiation at their own hospital but chronic therapy at other dialysis facilities in 11 cases, and initiation and chronic therapy at other dialysis facilities in 7 cases. Although the facilities of 3/4 support medical care for “needle-stick injuries” of dialysis staff, 69.7% of base hospitals do not supply HIV post-exposure prophylaxis medicine to dialysis facilities for accidents at night and during holidays. Educational activities for the neighborhood by base hospitals were not done regularly in 63%. Educational activities for dialysis staff were done in only 6％ of base hospitals. We found that the relationships between the base hospital and satellite dialysis facilities were not close. We must enhance the closeness of cooperation between base hospitals and neighborhood dialysis facilities.

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