Canadian Journal of Anaesthesia

, Volume 44, Issue 7, pp 689–695

Human immuno-deficiency virus and health care workers: risking livelihood as well as life

  • A. Joseph Layon
  • Stanley H. Rosenbaum
  • Lynn Dirk
Editorials
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Conclusion

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.

Le virus de Pimmunodéficience humaine et les travailleurs sanitaires: le risque d’y perdre son gagne-pain et d’y laisser sa vie

Conclusion

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.

References

  1. 1.
    Aoun H. When a house officer gets AIDS. N Engl J Med 1989; 321: 693–6.PubMedGoogle Scholar
  2. 2.
    Scoles P. The personal impact. Bull NY Acad Med 1995; 72(Suppl): 226–39.Google Scholar
  3. 3.
    Newell A, Barton SE. Testing healthcare staff for infection with HIV and hepatitis: logistic and ethical considerations. J Clin Pathol 1995; 48: 885–9.PubMedCrossRefGoogle Scholar
  4. 4.
    Wright JG, McGeer A. Human immunodeficiency virus transmission between surgeons and patients in orthopaedic surgery. Clin Orthop 1993; (297): 272–81.Google Scholar
  5. 5.
    Schatz B. Supporting and advocating for HIV-positive health care workers. Bull NY Acad Med 1995; 72(Suppl): 263–72.Google Scholar
  6. 6.
    Centers for Disease Control and Prevention. HIVD/AIDS Surveillance Report 1995; 7(#2): 21.Google Scholar
  7. 7.
    Lifson AR, Castro KG, McCray E, Jaffe HW. National surveillance of AIDS in health care workers. JAMA 1986; 256: 3231–1.PubMedCrossRefGoogle Scholar
  8. 8.
    McCray E. Occupational risk of the acquired immunodeficiency syndrome among health care workers. N Engl J Med 1986; 314: 1127–32.PubMedCrossRefGoogle Scholar
  9. 9.
    Update: acquired immunodeficiency syndrome and human immunodeficiency virus infection among health care workers. MMWR 1988; 37: 229–39.Google Scholar
  10. 10.
    Henderson DK, Fahey BJ, Willy M, et al. Risk for occupational transmission of human immunodeficiency virus type 1 (HIV-1) associated with clinical exposures. A prospective evaluation. Ann Intern Med 1990; 113: 740–6.PubMedGoogle Scholar
  11. 11.
    Jones ME. A thing about AIDS. Anaesth Intensive Care 1989; 17: 253–63.PubMedGoogle Scholar
  12. 12.
    McKinney WP, Young MJ. The cumulative probability of occupationally-acquired HIV infection — the risks of repeated exposures during a surgical career. Infect Control Hosp Epidemiol 1990; 11: 243–7.PubMedCrossRefGoogle Scholar
  13. 13.
    Lowenfels AB, Wormser GP, Jain R. Frequency of puncture injuries in surgeons and estimated risk of HIV infection. Arch Surg 1989; 124: 1284–6.PubMedGoogle Scholar
  14. 14.
    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.Google Scholar
  15. 15.
    Howard RJ. Human immunodeficiency virus testing and the risk to the surgeon of acquiring HIV. Surg Gynecol Obstet 1990; 171: 22–6.PubMedGoogle Scholar
  16. 16.
    Daniels N. HIV-infected professionals, patient rights, and the “switching dilemma.” JAMA 1992; 267: 1368–71.PubMedCrossRefGoogle Scholar
  17. 17.
    Tokars JI, Marcus R, Culver DH, et al. Surveillance of HIV infection and zidovudine use among health care workers after occupational exposure to HIV-infected blood. Ann Intern Med 1993; 118: 913–9.PubMedGoogle Scholar
  18. 18.
    381.004 Florida Statutes (1992 Supp).Google Scholar
  19. 19.
    Lavely R. The HIV-positive physician and disability insurance. Ann Emerg Med 1994; 23: 1355–62.PubMedCrossRefGoogle Scholar
  20. 20.
    Burris S. Human immunodeficiency virus-infected health care workers: the restoration of professional authority. Arch Fam Med 1996; 5: 102–6.PubMedCrossRefGoogle Scholar

Copyright information

© Canadian Anesthesiologists 1997

Authors and Affiliations

  • A. Joseph Layon
    • 1
  • Stanley H. Rosenbaum
    • 1
  • Lynn Dirk
    • 2
  1. 1.Departments of Anesthesiology, Surgery, and MedicineUniversity of Florida College of MedicineGainesville
  2. 2.Departments of Anesthesiology, Medicine, and SurgeryYale University School of MedicineNew Haven

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