Nihon Toseki Igakkai Zasshi
Online ISSN : 1883-082X
Print ISSN : 1340-3451
ISSN-L : 1340-3451
Research for the facilitation of dialysis therapy in HIV-infected patients:
questionnaire on base hospitals for HIV infection
Takashi AkibaFumihiko HinoshitaAkifumi Imamura
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JOURNAL FREE ACCESS

2013 Volume 46 Issue 9 Pages 931-936

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Abstract
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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© 2013 The Japanese Society for Dialysis Therapy
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