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M9471026.TXT
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1994-08-09
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Document 1026
DOCN M9471026
TI Attitudes to prevention among HIV-infected patients: the case of
specific prophylaxis for Pneumocystis carinii pneumonia.
DT 9409
AU Auperin A; Chouaid C; des Fontaines VH; Department of Preventive and
Social Medicine, School of Medicine; St. Antoine, Paris, France.
SO Health Policy. 1994 Mar;27(3):253-9. Unique Identifier : AIDSLINE
AHA/94284240
AB Despite a consensus on the need for Pneumocystis carinii pneumonia (PCP)
prophylaxis for HIV-infected patients with fewer than 200 CD4+
lymphocytes/mm3, the number of cases of PCP has remained stable, and
about 70% involve patients who are not receiving prophylaxis. The aim of
this study was to determine why these patients are not covered by
prophylaxis. It was based on a retrospective analysis of semidirective
interviews with 32 patients who developed PCP while not receiving
prophylaxis. The reasons given were a lack of knowledge of risk factors
for HIV infection, the fear of HIV testing, unawareness of the existence
of PCP prophylaxis, a refusal to see a doctor in the absence of
symptoms, unwillingness to be monitored and in four cases a failure of
the doctor to prescribe prophylaxis.
DE Adult Data Collection Female Human HIV
Infections/COMPLICATIONS/EPIDEMIOLOGY/*PREVENTION & CONTROL/ PSYCHOLOGY
*Knowledge, Attitudes, Practice Male Middle Age Paris/EPIDEMIOLOGY
Patient Acceptance of Health Care/*STATISTICS & NUMER DATA Pneumonia,
Pneumocystis carinii/DRUG THERAPY/EPIDEMIOLOGY/ *PREVENTION & CONTROL
Premedication Preventive Health Services/*UTILIZATION JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).