Human immuno-deficiency virus and health care workers: risking livelihood as well as life
At the time of the public scare over patients infected with HIV by a dentist in Florida, the resulting sense of crisis created serious division in the medical profession about the facts of HIV transmission and distortions in the public press about the frequency of transmission.20 With time, these problems have subsided, and HC workers now have an opportunity to reconsider how to treat HIV+ colleagues and how to educate the public.20 Whatever plan is adopted, it must address the concerns of both patients and those who will care for them.
En Floride, la transmission du VIH d’un dentiste à ses patients a créé tout un émoi dans le public. La crise qui a suivi a révélé au sein de la profession médicale le profond désaccord existant sur la transmission du VIH qui fut amplifié par les inexactitudes sur la fréquence de cette transmission propagées par la presse.20 Avec le temps, la poussière s’est dispersée, et les travailleurs sanitaires ont maintenant l’opportunité d’examiner à nouveau comment il doivent traiter leurs collègues séropositifs et éduquer le public.20 Quel que soit le plan adopté, il doit s’attaquer à la fois aux préoccupations des patients et à celles de ceux en ont soin.
- Aoun, H (1989) When a house officer gets AIDS. N Engl J Med 321: pp. 693-6
- Scoles, P (1995) The personal impact. Bull NY Acad Med 72: pp. 226-39
- Newell, A, Barton, SE (1995) Testing healthcare staff for infection with HIV and hepatitis: logistic and ethical considerations. J Clin Pathol 48: pp. 885-9 CrossRef
- Wright JG, McGeer A. Human immunodeficiency virus transmission between surgeons and patients in orthopaedic surgery. Clin Orthop 1993; (297): 272–81.
- Schatz, B (1995) Supporting and advocating for HIV-positive health care workers. Bull NY Acad Med 72: pp. 263-72
- Centers for Disease Control and Prevention. HIVD/AIDS Surveillance Report 1995; 7(#2): 21.
- Lifson, AR, Castro, KG, McCray, E, Jaffe, HW (1986) National surveillance of AIDS in health care workers. JAMA 256: pp. 3231-1 CrossRef
- McCray, E (1986) Occupational risk of the acquired immunodeficiency syndrome among health care workers. N Engl J Med 314: pp. 1127-32 CrossRef
- Update: acquired immunodeficiency syndrome and human immunodeficiency virus infection among health care workers. MMWR 1988; 37: 229–39.
- Henderson, DK, Fahey, BJ, Willy, M (1990) Risk for occupational transmission of human immunodeficiency virus type 1 (HIV-1) associated with clinical exposures. A prospective evaluation. Ann Intern Med 113: pp. 740-6
- Jones, ME (1989) A thing about AIDS. Anaesth Intensive Care 17: pp. 253-63
- McKinney, WP, Young, MJ (1990) The cumulative probability of occupationally-acquired HIV infection — the risks of repeated exposures during a surgical career. Infect Control Hosp Epidemiol 11: pp. 243-7 CrossRef
- Lowenfels, AB, Wormser, GP, Jain, R (1989) Frequency of puncture injuries in surgeons and estimated risk of HIV infection. Arch Surg 124: pp. 1284-6
- Centers for Disease Control and Prevention. Projections of the number of persons diagnosed with AIDS and the number of immunosuppressed HIV-infected persons, United States, 1992–1994. MMWR 1992;41(#RR-18): 1–29.
- Howard, RJ (1990) Human immunodeficiency virus testing and the risk to the surgeon of acquiring HIV. Surg Gynecol Obstet 171: pp. 22-6
- Daniels, N (1992) HIV-infected professionals, patient rights, and the “switching dilemma. JAMA 267: pp. 1368-71 CrossRef
- Tokars, JI, Marcus, R, Culver, DH (1993) Surveillance of HIV infection and zidovudine use among health care workers after occupational exposure to HIV-infected blood. Ann Intern Med 118: pp. 913-9
- 381.004 Florida Statutes (1992 Supp).
- Lavely, R (1994) The HIV-positive physician and disability insurance. Ann Emerg Med 23: pp. 1355-62 CrossRef
- Burris, S (1996) Human immunodeficiency virus-infected health care workers: the restoration of professional authority. Arch Fam Med 5: pp. 102-6 CrossRef
- Human immuno-deficiency virus and health care workers: risking livelihood as well as life
Canadian Journal of Anaesthesia
Volume 44, Issue 7 , pp 689-695
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- 1. Departments of Anesthesiology, Surgery, and Medicine, University of Florida College of Medicine, Gainesville, Florida
- 2. Departments of Anesthesiology, Medicine, and Surgery, Yale University School of Medicine, New Haven, Connecticut