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Acute renal failure is common among hospitalized patients with HIV infection, particularly in the intensive care unit (ICU) setting, and increases mortality. Recently, the Acute Dialysis and Quality Initiative (ADQI) group [1] formulated a new classification for acute renal failure - the Risk, Injury, Failure, Loss, and End-stage kidney disease (RIFLE) classification that defines three grades of severity - class R (risk), class F (failure), and class I (injury) - and two outcome classes - loss and end-stage kidney disease. Some studies [2,3] have applied the RIFLE criteria in hospitalized patients, particularly in ICU patients, but the clinical ability of these criteria to predict outcome of ICU HIV-infected patients has not yet been assessed. We sought to evaluate retrospectively the ability of the RIFLE criteria (Table 1) to predict outcome of the HIV-infected patients admitted to the Infectious Diseases ICU

An assessment of the RIFLE criteria for acute renal failure in critically ill HIV-infected patients.