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M9490341.TXT
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1994-09-19
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Document 0341
DOCN M9490341
TI [Risk of nosocomial Pneumocystis carinii pneumonia in immunosuppressed
patients non-infected by human immunodeficiency viruses]
DT 9411
AU Mounib B; Cabane J; Blum L; Picard O; Wattiaux MJ; Imbert JC; Service de
medecine interne 3, hopital Saint-Antoine, Paris,; France.
SO Rev Med Interne. 1994 Feb;15(2):95-100. Unique Identifier : AIDSLINE
MED/94337085
AB We report four cases of Pneumocystis carinii pneumonia (PCP) in Human
Immunodeficiency Virus (HIV)-seronegative patients. Two of them had been
hospitalized for polymyositis treatment near AIDS patients, respectively
1 and 4 months before PCP. The two others suffered from localized
cancer. Their evolution was complicated by respiratory distress and
death in two of them. A telephone survey among 19 hospital units yielded
nine cases of similar patients. They were only observed in wards caring
for AIDS patients at the same time, thus raising the question of a
possible nosocomial transmission of PCP between AIDS patients and
immunocompromised HIV-seronegative patients. This adds to the growing
concern for hospital-acquired infections, including resistant
tuberculosis and other opportunistic pathogens. We propose some
practical measures to limit this risk by simple means such as no-contact
between at-risk populations, enhanced disinfection procedures of the
rooms and masking of the coughing PCP patients.
DE Aged Aged, 80 and over Case Report *Cross Infection English Abstract
Female Hospitals, Public Human *HIV Seronegativity
*Immunocompromised Host Male Middle Age Paris/EPIDEMIOLOGY
Pneumonia, Pneumocystis carinii/*EPIDEMIOLOGY Risk Factors JOURNAL
ARTICLE REVIEW REVIEW, TUTORIAL
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).