Health and Me

Rachel V Thomas

HIV No Longer Barrier To Organ Transplants, Say Delhi Doctors After Successful Kidney Surgery

While a weakened immune system and fear of complications once denied people with HIV access to organ transplants, doctors at a Delhi hospital have now challenged the idea with a successful <span>kidney transplant</span> surgery on a 43-year-old HIV-positive patient from <span>Ethiopia</span>. 

According to the team of doctors from the Max Super Speciality Hospital, Patparganj, who successfully performed the complex living donor <span>kidney</span> transplant, advancements in antiretroviral therapy and transplant protocols have made such procedures increasingly safe in carefully selected cases. 

“HIV is no longer a barrier to organ transplantation when managed appropriately,” said Dr. Ravi Kumar Singh, Senior Consultant, Nephrology and Transplant Physician at <span>Max Hospital</span>, Patparganj. 

“With strict selection criteria and coordinated multidisciplinary care, patients with well-controlled HIV can achieve outcomes comparable to the general transplant population.”

<strong>Also read:</strong> <a href="https://www.healthandme.com/health-news/india-identifies-219-districts-as-priority-for-intensified-hiv-aids-interventions-article-153881199" data-type="tilCustomLink">India Identifies 219 Districts As Priority For Intensified HIV/AIDS Interventions</a> 

<h2>Kidney Transplant In HIV Positive Patient</h2>

The patient, who had been living with HIV for 10 years, developed end-stage renal disease 3 years ago and has been dependent on regular dialysis since then. 

Before the surgery, the patient underwent extensive evaluation to ensure optimal control of HIV, including a stable immune profile and undetectable viral load. 

The patient’s 33-year-old wife donated one of her kidneys. Compatibility testing confirmed matching blood groups and a negative cross-match, enabling the team to proceed with the transplant. 

“Kidney transplantation in patients with HIV requires a highly meticulous and coordinated approach, given the complexities of balancing immunosuppression with ongoing antiretroviral therapy,” said Dr. Paresh Jain, Senior Director, Urology, Robotic Surgery &amp; Renal Transplant. 

“In this case, careful pre-transplant evaluation, precise surgical execution, and close post-operative monitoring were critical to ensuring a successful outcome. This procedure reflects how advances in transplant science and surgical expertise are enabling us to safely expand access to life-saving transplants for patients who were once considered high-risk,” he added. 

Following the transplant, the patient has shown encouraging recovery, has been taken off dialysis, and is gradually returning to normal daily activities, the doctors said. The patient also continues on a carefully monitored regimen of immunosuppressive and antiretroviral therapy, they added. 

<strong>Also read: </strong><a href="https://www.healthandme.com/health-wellness/indias-silent-crisis-why-we-must-embrace-deceased-donor-organ-transplantation-article-153816239" data-type="tilCustomLink">India's Silent Crisis: Why We Must Embrace Deceased Donor Organ Transplantation</a>

 <h2>Can People With HIV Get A Transplant? </h2>

With advancements in antiretroviral therapy (ART), enabling people to live longer, HIV has now become a chronic, manageable condition. However, the HIV positive patients are now more likely to die from end-stage organ disease than from AIDS-related infections. 

As per the US National Institutes of Health, people with HIV can successfully donate or receive transplanted organs with reasonable success rates. 

However, health care providers must consider and monitor potential drug interactions, kidney and liver function, and HIV viral suppression in people with HIV receiving a transplant. 

Further, the NIH advised HIV positive patients to continue taking all prescribed HIV medicines before and after transplant.

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HIV- Human Immunodeficiency Disease

kidney transplant

organ transplant

aids

max hospital

ethiopia

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While a weakened immune system and fear of complications once denied people with HIV access to organ transplants, doctors at a Delhi hospital have now challenged the idea with a successful kidney transplant surgery on a 43-year-old HIV-positive patient from Ethiopia.  According to the team of doctors from the Max Super Speciality Hospital, Patparganj, who successfully performed the complex living donor kidney transplant, advancements in antiretroviral therapy and transplant protocols have made such procedures increasingly safe in carefully selected cases.  “HIV is no longer a barrier to organ transplantation when managed appropriately,” said Dr. Ravi Kumar Singh, Senior Consultant, Nephrology and Transplant Physician at Max Hospital, Patparganj.  “With strict selection criteria and coordinated multidisciplinary care, patients with well-controlled HIV can achieve outcomes comparable to the general transplant population.”Also read: India Identifies 219 Districts As Priority For Intensified HIV/AIDS Interventions  Kidney Transplant In HIV Positive PatientThe patient, who had been living with HIV for 10 years, developed end-stage renal disease 3 years ago and has been dependent on regular dialysis since then.  Before the surgery, the patient underwent extensive evaluation to ensure optimal control of HIV, including a stable immune profile and undetectable viral load.  The patient’s 33-year-old wife donated one of her kidneys. Compatibility testing confirmed matching blood groups and a negative cross-match, enabling the team to proceed with the transplant.  “Kidney transplantation in patients with HIV requires a highly meticulous and coordinated approach, given the complexities of balancing immunosuppression with ongoing antiretroviral therapy,” said Dr. Paresh Jain, Senior Director, Urology, Robotic Surgery & Renal Transplant.  “In this case, careful pre-transplant evaluation, precise surgical execution, and close post-operative monitoring were critical to ensuring a successful outcome. This procedure reflects how advances in transplant science and surgical expertise are enabling us to safely expand access to life-saving transplants for patients who were once considered high-risk,” he added. Following the transplant, the patient has shown encouraging recovery, has been taken off dialysis, and is gradually returning to normal daily activities, the doctors said. The patient also continues on a carefully monitored regimen of immunosuppressive and antiretroviral therapy, they added.  Also read: India's Silent Crisis: Why We Must Embrace Deceased Donor Organ Transplantation Can People With HIV Get A Transplant?  With advancements in antiretroviral therapy (ART), enabling people to live longer, HIV has now become a chronic, manageable condition. However, the HIV positive patients are now more likely to die from end-stage organ disease than from AIDS-related infections.  As per the US National Institutes of Health, people with HIV can successfully donate or receive transplanted organs with reasonable success rates.  However, health care providers must consider and monitor potential drug interactions, kidney and liver function, and HIV viral suppression in people with HIV receiving a transplant.  Further, the NIH advised HIV positive patients to continue taking all prescribed HIV medicines before and after transplant.

hiv no longer barrier to organ transplants, say delhi doctors after successful kidney surgery

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