Effects of Anti-Retroviral Drugs on Liver and Kidney function among HIV Patients Attending Gitwe District Hospital

Authors

  • ISHIMWE Alain Prudence University of Gitwe, Faculty of Education, Department of Sciences, Rwanda https://orcid.org/0009-0001-0807-5088
  • MUTABAZI Donatien University of Gitwe, Faculty of Education, Department of Sciences, Rwanda
  • GATEMBEZI Tharcisse University of Gitwe, Faculty of Education, Department of Sciences, Rwanda
  • HABIYAREMYE Israel University of Gitwe, Faculty of Nursing, Department of General Nursing, Rwanda
  • MUKAMANA Marie Louise University of Gitwe, Faculty of Nursing, Department of General Nursing, Rwanda
  • NSABIYAREMYE Lauben University of Gitwe, Director of Quality, Rwanda

Abstract

Background: About 35.3 million people were living with HIV and AIDS worldwide by 2012 up from 33.4 million in 2008 and more than 25 million have died since the first cases were reported in 1981. Sub-Saharan Africa is the worst affected region with an estimated 25 million people (70.8%) of the global total. The population of Sub-Saharan Africa accounts for only 11-12% of the world’s population. The pandemic killed an estimated 1.4 million people in 2012 of which 1.2 million of the cases were from sub-Saharan Africa. The goal of ART is to suppress viral replication and have impaired immunity restored but its major drawback is adverse effects accompanying its use. HAART toxicity has emerged as an important complication and eventually a major reason for ART switch and/or discontinuation. Acute drug toxicities still exist, and although typically not life-threatening, they can affect the quality of life and patients’ willingness to adhere to their treatment regimens.

Aim: the present study aimed to assess the effects of anti-retroviral drugs on liver and kidney function among HIV patients at Gitwe District Hospital.

Methodology: The study used both cross-sectional and retrospective study. A total number of 118 patients participated in the study. Blood samples were examined to assess the effect of HAART on liver and kidney.

Results: Prevalence of abnormal liver and renal analytes in HAART treated were 42.4%.

Conclusion: The study recommended that Gitwe District Hospital and Ministry of Health should establish stringent measures in investigating and screening liver and renal dysfunction by taking blood samples for full hemogram. There are also needs for improvement of diagnostic ability of organs among patients on HAART by the health workers. Routine screening should be encouraged as a prophylactic measure.

Keywords: Anti-Retroviral Drugs, human immune-deficiency virus, Liver function, Kidney function.

Keywords:

Anti-Retroviral Drugs, human immune-deficiency virus, Liver function, Kidney function

DOI

https://doi.org/10.22270/jddt.v15i2.6863

Author Biographies

ISHIMWE Alain Prudence , University of Gitwe, Faculty of Education, Department of Sciences, Rwanda

Ines-Ruhengeri, Faculty of Health Sciences, Department of Biomedical Laboratory Sciences, Rwanda.

 

MUTABAZI Donatien , University of Gitwe, Faculty of Education, Department of Sciences, Rwanda

University of Gitwe, Faculty of Education, Department of Sciences, Rwanda

GATEMBEZI Tharcisse , University of Gitwe, Faculty of Education, Department of Sciences, Rwanda

University of Gitwe, Faculty of Education, Department of Sciences, Rwanda

HABIYAREMYE Israel , University of Gitwe, Faculty of Nursing, Department of General Nursing, Rwanda

University of Gitwe, Faculty of Nursing, Department of General Nursing, Rwanda

MUKAMANA Marie Louise , University of Gitwe, Faculty of Nursing, Department of General Nursing, Rwanda

University of Gitwe, Faculty of Nursing, Department of General Nursing, Rwanda

NSABIYAREMYE Lauben , University of Gitwe, Director of Quality, Rwanda

University of Gitwe, Director of Quality, Rwanda

References

1. Barrios, A., Rivas, P., Muñoz, J., & Polo, R. Clinical implications of aging in HIV patients on antiretroviral therapy. HIV Medicine, 2021;22(3), 243-255.

2. De Boer, M. G., Boender, T. S., van den Berk, G. E., et al. Liver disease and hepatitis co-infection in HIV patients on antiretroviral therapy. Journal of Hepatology, 2021; 75(5), 1174-1184.

3. Gazzola, L., Raimondo, M., & Monforte, A. D. Mitochondrial toxicity and long-term side effects of antiretroviral therapy. The Lancet HIV, 2018; 5(8), e442-e451.

4. Grinsztejn, B., Nguyen, B. Y., Katlama, C., & Lambert-Niclot, S. The impact of nucleoside reverse transcriptase inhibitors on mitochondrial toxicity in HIV treatment. AIDS, 2021;35(11), 1457-1466.

5. Hernandez-Romieu, A. C., Garg, S., Rosenberg, E. S., et al. Hepatotoxicity and non-nucleoside reverse transcriptase inhibitors. AIDS Research and Human Retroviruses,2019; 35(6), 481-489.

6. Jose, S., Hamzah, L., Campbell, L. J., et al. Tenofovir-associated nephrotoxicity: A longitudinal analysis of kidney function in HIV-positive patients. Journal of Infectious Diseases,2020; 221(9), 1433-1443.

7. Kohli, R., Loomba, R., & Greenbaum, A. Hepatitis B and C co-infection and the progression of liver disease in HIV patients. Hepatology International, 2021; 15(3), 517-530.

8. Kovari, H., Sabin, C. A., Ledergerber, B., et al. Antiretroviral drug-related kidney disease: Incidence and risk factors. Kidney International, 2020; 97(4), 872-879.

9. Li, H., Munoz, F. M., & Verna, E. C. Hepatitis co-infection in HIV-infected individuals and the impact of antiretroviral therapy. Journal of Viral Hepatitis, 2020; 27(11), 1182-1193.

10. Kuehn, B. Rwanda Celebrates Progress Toward HIV Control. JAMA,2019; 322, (19), 1853 1853. https://doi.org/10.1001/jama.2019.18548

11. Andrade, R. J., & Robles‐Díaz, M. Diagnostic and prognostic assessment of suspected drug‐induced liver injury in clinical practice. Liver International,2020; 40 (1), 6-17. https://doi.org/10.1111/liv.14271 PMid:31578817

12. Simon, V., Ho, D. D., & Karim, Q. A. HIV/AIDS epidemiology, pathogenesis, prevention, and treatment. The Lancet, 2016;368(9534), 489-504. https://doi.org/10.1016/S0140-6736(06)69157-5 PMid:16890836

Published

15-02-2025
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How to Cite

1.
ALAIN PRUDENCE I, Donatien M, Tharcisse G, Israel H, Marie Louise M, Lauben N. Effects of Anti-Retroviral Drugs on Liver and Kidney function among HIV Patients Attending Gitwe District Hospital. J. Drug Delivery Ther. [Internet]. 2025 Feb. 15 [cited 2025 Mar. 21];15(2):29-33. Available from: https://jddtonline.info/index.php/jddt/article/view/6863

How to Cite

1.
ALAIN PRUDENCE I, Donatien M, Tharcisse G, Israel H, Marie Louise M, Lauben N. Effects of Anti-Retroviral Drugs on Liver and Kidney function among HIV Patients Attending Gitwe District Hospital. J. Drug Delivery Ther. [Internet]. 2025 Feb. 15 [cited 2025 Mar. 21];15(2):29-33. Available from: https://jddtonline.info/index.php/jddt/article/view/6863

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