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HIV in the ICU

  • Alan S. Karstaedt
  • L. Rhudo Mathivha
  • Christine L. N. Banage
Chapter
Part of the Perspective on Critical Care Infectious Diseases book series (CCID, volume 9)

Conclusion

In severely resource-limited settings, a number of questions will continue to vex ICU clinicians:
  1. 1.

    Should a patient’s HIV seropositivity disqualify the person from admission into an ICU? Individual hospitals and regional groups need to identify poor prognostic features and develop their own triage guidelines.

     
  2. 2.

    Most developing countries are not able to provide the patient with maintenance HAART once discharged from the ICU. Should this situation change, will providing expensive high-technology treatment to previously unrecognized as well as known AIDS patients become standard of care in developing countries?

     
  3. 3.

    How can one develop practices that do not discriminate against the HIV-infected while not squeezing out the HIV-non-infected?

     
  4. 4.

    What should be the relation and balance between a country’s efforts at preventing HIV infection and providing adequate care for those who have been infected?

     

Keywords

Human Immunodeficiency Virus Human Immunodeficiency Virus Infection Lactic Acidosis Human Immunodeficiency Virus Testing Nucleoside Reverse Transcriptase Inhibitor 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science + Business Media, Inc. 2005

Authors and Affiliations

  • Alan S. Karstaedt
    • 1
  • L. Rhudo Mathivha
    • 1
  • Christine L. N. Banage
    • 1
  1. 1.Division of Infectious Diseases and Department of ICUChris Hani Baragwanath Hospital and University of the WitwatersrandJohannesburgSouth Africa

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