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M94A0589.TXT
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1994-10-21
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Document 0589
DOCN M94A0589
TI How useful is colonoscopy in the management of diarrhoea in HIV infected
patents.
DT 9412
AU Baingana S; Hoy J; Brown G; Department of Medicine, Royal Melbourne
Hospital, University of; Melbourne.
SO Annu Conf Australas Soc HIV Med. 1993 Oct 28-30;5:92 (poster no. 34).
Unique Identifier : AIDSLINE ASHM5/94349066
AB AIM: To determine the prevalence of organisms isolated, the role of
colonoscopy and/or endoscopy in diagnosis, response to therapy and
relation of patient's immunological and nutritional status to outcome in
HIV infected individuals managed at Fairfield Hospital. DESIGN AND
METHODOLOGY: Retrospective, Case Series, Consecutive Sampling. RESULTS:
The first 21/2 years of the 5 year survey period is completed. Sample
size - 181. A diagnosis was made from faecal M & C in 60 (33%):
cryptosporidia (23%), C. jejuni (28%), MAC (22%), G. lamblia (10%), C.
difficile (10%). 41 received specific therapy with resolution of
symptoms in 32 (78%). 48 underwent colonoscopy, 22 (45.8%) yielded a
possible cause for their symptoms: CMV (9), K.S. (4), Cryptosporidia
(3), MAC (2), Adenovirus (2). 9 received specific therapy of whom 3
(33%) showed response. CONCLUSION: Although colonoscopy was of use in
establishing a diagnosis for cause of diarrhoea, response to therapy for
that diagnosis made was limited.
DE AIDS-Related Opportunistic Infections/*ETIOLOGY *Colonoscopy
Diagnosis, Differential Diarrhea/*ETIOLOGY
Feces/MICROBIOLOGY/PARASITOLOGY Human Retrospective Studies MEETING
ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).