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M9490521.TXT
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1994-09-24
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Document 0521
DOCN M9490521
TI Ethics in actual surgery. The surgeon and HIV seropositive and AIDS
patients.
DT 9411
AU Eyskens E; Department of Surgery, University Hospital Antwerp, Edegem,;
Belgium.
SO Acta Chir Belg. 1994 May-Jun;94(3):189-90. Unique Identifier : AIDSLINE
MED/94346185
AB Surgeons feel threatened by the risk of contamination when operating on
HIV-seropositive or AIDS patients. Observations on the likelihood of
contamination in literature are most divergent due to variables in
seropositive prevalence, in frequency of contamination risk and in
distinction between HIV seropositive and AIDS patients. Except in
emergency the surgeon may refuse to treat a patient. Screening
seropositively for selection is hampered by the inconsistency of false
positives and false negatives depending on the method used and on costs
appropriate to large scale controls. Exclusion of patients from
treatment is unethical. Referring them to other colleagues on ground of
contamination risk is ethically unjustified. Denial of care to a HIV
infected patient may be justified when the operative risk is considered
too high and the expected benefit too low because of the precarious
condition of the patient and his shortened life expectancy. However the
surgeon and his team need not to expose themselves to even a limited but
real risk of contamination. Therefore the surgeons have to reconsider
their surgical strategy and technique in order to keep chances of
contamination as low as possible. A search for safer working methods for
all operations and without any discrimination with regard to the patient
is needed and should be taught to the surgical team.
DE Acquired Immunodeficiency Syndrome Disease Transmission,
Patient-to-Professional/*PREVENTION & CONTROL *Ethics, Medical Human
*HIV Seropositivity Refusal to Treat Safety *Surgery JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).