The Influence of HIV and Schistosomiasis on Renal Function: A Cross-sectional Study among Children at a Hospital in Tanzania
Identifieur interne : 001347 ( Main/Exploration ); précédent : 001346; suivant : 001348The Influence of HIV and Schistosomiasis on Renal Function: A Cross-sectional Study among Children at a Hospital in Tanzania
Auteurs : Neema M. Kayange ; Luke R. Smart [États-Unis] ; Jennifer A. Downs [États-Unis] ; Mwanaisha Maskini ; Daniel W. Fitzgerald [États-Unis] ; Robert N. Peck [États-Unis]Source :
- PLoS Neglected Tropical Diseases [ 1935-2727 ] ; 2015.
Abstract
Schistosomiasis and HIV are both associated with kidney disease. Prevalence and factors associated with abnormal renal function among HIV-infected children in Africa compared to uninfected controls have not been well described in a schistosomiasis endemic area.
This cross-sectional study was conducted at the Sekou Toure Regional Hospital HIV clinic in Mwanza, Tanzania. A total of 122 HIV-infected children and 122 HIV-uninfected siblings were consecutively enrolled. Fresh urine was obtained for measurement of albuminuria and
A high prevalence of renal dysfunction exists among both HIV-infected Tanzanian children and their HIV-uninfected siblings. Schistosomiasis was strongly associated with renal dysfunction.
Url:
DOI: 10.1371/journal.pntd.0003472
PubMed: 25612312
PubMed Central: 4303314
Affiliations:
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Kayange</name><affiliation><nlm:aff id="aff001"><addr-line>Department of Pediatrics, Weill Bugando School of Medicine, Catholic University of Health and Allied Sciences, Mwanza, United Republic of Tanzania</addr-line></nlm:aff><wicri:noCountry code="subfield">United Republic of Tanzania</wicri:noCountry></affiliation></author><author><name sortKey="Smart, Luke R" sort="Smart, Luke R" uniqKey="Smart L" first="Luke R." last="Smart">Luke R. Smart</name><affiliation><nlm:aff id="aff001"><addr-line>Department of Pediatrics, Weill Bugando School of Medicine, Catholic University of Health and Allied Sciences, Mwanza, United Republic of Tanzania</addr-line></nlm:aff><wicri:noCountry code="subfield">United Republic of Tanzania</wicri:noCountry></affiliation><affiliation wicri:level="2"><nlm:aff id="aff002"><addr-line>Center for Global Health, Weill Cornell Medical College, New York, New York, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Center for Global Health, Weill Cornell Medical College, New York, New York</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Downs, Jennifer A" sort="Downs, Jennifer A" uniqKey="Downs J" first="Jennifer A." last="Downs">Jennifer A. 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Fitzgerald</name><affiliation wicri:level="2"><nlm:aff id="aff002"><addr-line>Center for Global Health, Weill Cornell Medical College, New York, New York, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Center for Global Health, Weill Cornell Medical College, New York, New York</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation><affiliation wicri:level="2"><nlm:aff id="aff003"><addr-line>Division of Infectious Diseases, Department of Medicine, Weill Cornell Medical College, New York, New York, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Infectious Diseases, Department of Medicine, Weill Cornell Medical College, New York, New York</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Peck, Robert N" sort="Peck, Robert N" uniqKey="Peck R" first="Robert N." last="Peck">Robert N. Peck</name><affiliation><nlm:aff id="aff001"><addr-line>Department of Pediatrics, Weill Bugando School of Medicine, Catholic University of Health and Allied Sciences, Mwanza, United Republic of Tanzania</addr-line></nlm:aff><wicri:noCountry code="subfield">United Republic of Tanzania</wicri:noCountry></affiliation><affiliation wicri:level="2"><nlm:aff id="aff002"><addr-line>Center for Global Health, Weill Cornell Medical College, New York, New York, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Center for Global Health, Weill Cornell Medical College, New York, New York</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation><affiliation wicri:level="2"><nlm:aff id="aff003"><addr-line>Division of Infectious Diseases, Department of Medicine, Weill Cornell Medical College, New York, New York, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Infectious Diseases, Department of Medicine, Weill Cornell Medical College, New York, New York</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author></analytic><series><title level="j">PLoS Neglected Tropical Diseases</title><idno type="ISSN">1935-2727</idno><idno type="eISSN">1935-2735</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Schistosomiasis and HIV are both associated with kidney disease. Prevalence and factors associated with abnormal renal function among HIV-infected children in Africa compared to uninfected controls have not been well described in a schistosomiasis endemic area.</p></sec><sec><title>Methodology/Principal Findings</title><p>This cross-sectional study was conducted at the Sekou Toure Regional Hospital HIV clinic in Mwanza, Tanzania. A total of 122 HIV-infected children and 122 HIV-uninfected siblings were consecutively enrolled. Fresh urine was obtained for measurement of albuminuria and <italic>Schistosoma</italic> circulating cathodic antigen. Blood was collected for measurement of serum creatinine. Estimated glomerular filtration rate (eGFR) was calculated using the modified Schwartz equation. Renal dysfunction was defined operationally as eGFR<60mL/min/1.73m2 and/or albuminuria>20mg/L in a single sample. Among 122 HIV-infected children, 61/122 (50.0%) met our criteria for renal dysfunction: 54/122 (44.3%) had albuminuria>20mg/L and 9/122 (7.4%) had eGFR<60. Among 122 HIV-uninfected children, 51/122 (41.8%) met our criteria for renal dysfunction: 48/122 (39.3%) had albuminuria>20mg/L and 6/122 (4.9%) had eGFR<60. Schistosomiasis was the only factor significantly associated with renal dysfunction by multivariable logistic regression (OR = 2.51, 95% CI 1.46–4.31, p = 0.001).</p></sec><sec><title>Conclusions/Significance</title><p>A high prevalence of renal dysfunction exists among both HIV-infected Tanzanian children and their HIV-uninfected siblings. Schistosomiasis was strongly associated with renal dysfunction.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Choi, Ai" uniqKey="Choi A">AI Choi</name></author><author><name sortKey="O Are, A" uniqKey="O Are A">A O’Hare</name></author><author><name sortKey="Rodriguez, R" uniqKey="Rodriguez R">R Rodriguez</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fabian, J" uniqKey="Fabian J">J Fabian</name></author><author><name sortKey="Naicker, S" uniqKey="Naicker S">S Naicker</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Msango, L" uniqKey="Msango L">L Msango</name></author><author><name sortKey="Downs, Ja" uniqKey="Downs J">JA Downs</name></author><author><name sortKey="Kalluvya, Se" uniqKey="Kalluvya S">SE Kalluvya</name></author><author><name sortKey="Kidenya, Br" uniqKey="Kidenya B">BR 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Kayange</name><name sortKey="Maskini, Mwanaisha" sort="Maskini, Mwanaisha" uniqKey="Maskini M" first="Mwanaisha" last="Maskini">Mwanaisha Maskini</name></noCountry><country name="États-Unis"><region name="État de New York"><name sortKey="Smart, Luke R" sort="Smart, Luke R" uniqKey="Smart L" first="Luke R." last="Smart">Luke R. Smart</name></region><name sortKey="Downs, Jennifer A" sort="Downs, Jennifer A" uniqKey="Downs J" first="Jennifer A." last="Downs">Jennifer A. Downs</name><name sortKey="Downs, Jennifer A" sort="Downs, Jennifer A" uniqKey="Downs J" first="Jennifer A." last="Downs">Jennifer A. Downs</name><name sortKey="Fitzgerald, Daniel W" sort="Fitzgerald, Daniel W" uniqKey="Fitzgerald D" first="Daniel W." last="Fitzgerald">Daniel W. Fitzgerald</name><name sortKey="Fitzgerald, Daniel W" sort="Fitzgerald, Daniel W" uniqKey="Fitzgerald D" first="Daniel W." last="Fitzgerald">Daniel W. Fitzgerald</name><name sortKey="Peck, Robert N" sort="Peck, Robert N" uniqKey="Peck R" first="Robert N." last="Peck">Robert N. Peck</name><name sortKey="Peck, Robert N" sort="Peck, Robert N" uniqKey="Peck R" first="Robert N." last="Peck">Robert N. Peck</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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