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Q:1 How the factors such as age,gender and sociocnomics status affect the outcomes of HIV infected patients on dialysis?

Q:2 What are the specific complications that HIV infected patient experience during dialysis and how can these complications be managed effectively?

Q:3 What nutritional support is require to improve outcomes of HIV infected patients on dialysis?

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1-HIV patients should be screened regularly for early detection of kidney disease?

2-Is there should be a test for screening of HIV before dialysis of every new patient?

3-Is kidney transplant a better option for HIV patient with ckd than dialysis?

4-Is there should be a separate dialysis set up in every hospital for HIV patients?

5-The survival of HIV patients with ckd increased with dialysis?

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When HIV patients come for dialysis, three main questions to consider are:

1. What is the patient's current viral load and CD4 count?

Understanding the patient's HIV status helps determine the risk of immune reconstitution inflammatory syndrome (IRIS) and guides management of antiretroviral therapy (ART) during dialysis.

2. What is the patient's current antiretroviral therapy (ART) regimen?

Knowing the patient's ART regimen helps identify potential drug interactions with dialysis-related medications and ensures that the patient's HIV treatment plan is not compromised during dialysis.

3. What are the patient's vascular access options, and how will they be managed?

HIV patients on dialysis are at higher risk of developing infections and vascular access complications. Careful planning and management of vascular access options, such as arteriovenous fistulas (AVFs) or central venous catheters (CVCs), are crucial to minimize these risks.

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1-when HIV infected patient visit for dialysis, what type of dialysis should be consider and how well, the patient is tolerating it?

2- The patient adhering to antiretroviral therapy(ART), are there any challenges in managing ART with dialysis?

3- what is the patient mental health status (e.g., depression or anxiety) due to managing both HIV and ESRD?

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Q#1 What are the potential risks of drug interactions between antiretroviral medications and dialysis treatments, and how can healthcare providers mitigate these risks?

Q#2 How do infections, such as vascular access-related infections or peritonitis, contribute to the overall health outcomes and mortality in HIV-infected individuals undergoing dialysis?

Q#3 How do psychosocial factors, including mental health and adherence to treatment, impact the quality of life and survival of HIV-infected individuals on dialysis?

Q#4 How does the presence of HIV in dialysis patients affect the likelihood of developing complications such as malnutrition or anemia, and what are the best management approaches?

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1) Patient information

■Age -----

■Gender-----

■Martial status----

■Family history of the disease----

■Current viral load(If known)----

■How often a week undergo diaylsis----

2) Impact of diaylsis on your viral load?

■ Stable ■ Increases ■ decreases

3) What is your health status since the start of diaylsis?

■ Better ■ Worse ■ Same

3) Have you experience any diaylsis related complecations? (Interaction b/w ART and diaylsis, Low Blood pressure , Fever, chills)

■ Yes ■ No ■ Sometimes

4) What is your financial status?

■ Employed ■ Unemployed ■ Own business

5) Do you feel the cost of treatment of HIV and diaylsis is hurting your financial status?

■ Yes ■No

6) Is there any social welfare hospital in your area equiped with facility of diaylsis fot HIV patients.

■ Yes ■ No

7) Do you think there must be a data based entery system for the HIV patients going through the diaylsis in different parts of the Country?(To somehow decrease the risk factors for normal diaylsis patients)

■ Yes ■ No

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*1- what type of dialysis you are receiving?*

a) hemodialysis

b) peritoneal dialysis

*2-How well do you feel your HIV is being managed alongside dialysis?*

a)Very well – No major issues

b)Somewhat well – Some minor complications

c)Poorly – Frequent health issues

d)Not sure

*3-What are your biggest challenges in managing both HIV and dialysis?*(Select all that apply)

a)Medication management and side effects

b)Frequent hospital visits and time commitment

c)Financial burden

d) Emotional or mental health struggles

e)Limited access to specialized care

f)No major challenges

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1. What strategies have you found effective in coping with the challenges of managing both HIV and Dialysis treatment?

2. How do you feel about discussing your HIV status with dialysis clinical staff?

3.How has your HIV status affected your experience with dialysis treatment?