Preliminary study on screening for proteinuria using urine test strips in patients living with HIV at Fann's CHNU in Dakar

Abstract

Glomerulopathy and other kidney disorders are frequent during the natural history of HIV infection even if their incidence decreased with HAART. They are almost always responsible of proteinuria and/or hematuria. We have conducted a preliminary study on the prevalence of proteinuria screened by urinary strip in PLWHIV followed up at the clinic of infectious diseases at Fann teaching hospital in Dakar. It was a prospective study from August 1st to October 30th, 2008. We enrolled all patients both indoor and outdoor positive for HIV presenting a proteinuria without concurrent urinary infection. We collected sociodemographic data, natural history, factors related to proteinuria and nephropathy. Data entering and analysis were done using Epi Info version 6.04 software. We have used Chi square test to compare qualitative variables and p 100000copies/mm3 ; BMI < 18.5kg/m2 ; Hemoglobin level < 8.5 g/dl, chemoprophylaxis with Cotrimoxazole and WHO clinical stage 3 and 4. The frequency of nephropathy during HIV infection in infectious diseases ward of Fann in Dakar suggest to include screening with urinary strip in the initial and follow up checking of all patient infected by HIV. And in all cases favoring factors of this nephropathy should be corrected. Kidney biopsy could help for better studies.