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M9550800.TXT
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1995-03-25
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Document 0800
DOCN M9550800
TI Surgery, surgical pathology and HIV infection: lessons learned in
Zambia.
DT 9505
AU Watters DA; Department of Clinical Sciences, University of Papua New
Guinea,; Boroko, NCD.
SO P N G Med J. 1994 Mar;37(1):29-39. Unique Identifier : AIDSLINE
MED/95167908
AB HIV (human immunodeficiency virus) infection is prevalent in many areas
of sub-Saharan Africa. Seropositivity rates reach 10-15% in urban
adults, 21% in critically ill adults and 30% in surgical inpatients aged
21-40 years. AIDS (acquired immune deficiency syndrome) is a multisystem
disease which presents to the surgeon with a wide range of pathologies
including Kaposi's sarcoma, lymphadenopathy and sepsis. The more common
sites for sepsis are the female genital tract, anorectum, pleural
cavity, soft tissues (necrotizing fasciitis) and bone and joints. To
prevent iatrogenic HIV infection more use should be made of autologous
blood. Occupational exposure to HIV infection can be minimized by
double-gloving, protecting the eyes when operating and ensuring that
theatre gowns are waterproof. The risk of HIV infection from a
needlestick injury is 0.4%. Although contact with blood during a
surgical procedure is common, the risk is lower than for a hollow
needlestick injury.
DE Adult *AIDS-Related Opportunistic Infections/EPIDEMIOLOGY Case Report
Female Human *HIV Infections/EPIDEMIOLOGY/PREVENTION & CONTROL Male
Middle Age Universal Precautions Zambia/EPIDEMIOLOGY JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).