The renal sonographic findings in HIV/AIDS adult patients with proteinuria and cd4+ count correlation at Mwananyamala care and treatment clinic.

Abstract

Objective: To determine renal sonographic findings in HIV/AIDS adult patients with proteinuria and CD4+ count correlation at Mwananyamala CTC clinic, from July to December 2012.

Methods: This was a cross-sectional study which evaluated 152 patients with HIV/AIDS. There patients underwent right kidney sonography, urinalysis for proteinuria and leukocyte estimation, Renal cortical echogenicity was graded using Hricak standardized scoring method.Patients not consented, HIV negative,CD4+count taken within three months,hypertension,Diabetic mellitus,chronic kidney diseases,cardiac disease and infection of urinary tract were excluded frim the study.The patients were recruited from HIV/AIDS clinic(CTC) from July 2012.A systemic random sampling was. most current CD4+ count of not more than three months was taken from patients file. Renal cortical echogenicity,CD4+count, and proteinuria were analyzed for correlation.

Results: This study shows that there is high significant association between level of proteinuria and renal echogenicity appearance in HIV/AIDS adult patients 4(P<001).There is significant relation between right renal length and level of proteinuria in HIV/AIDS patients (p<0.001). This study also revealed that there is no relation between right renal length and level of CD4+count(P=0.982) the study revealed also patients with higher CD4+ counts had renal echogenicity grade III however there was no significant association.It was shown that the most frequent renal echogenicity was normal renal length??

Conclusions:The following were observed:

1. The level of proteinuria and the renal length can be used as good indicator for renal parenchymal disease in HIV/AIDS patients. 2. There is no relation between level of CD4+ count and renal sonographic appearance. 3. The most frequent renal echogenicity is .