HIV virus and surgery
Keywords:
acquired immunodeficiency syndrome, risk, surgery, communicable disease control, hepatitis virusesAbstract
The risks of HIV viral transmission for orthopaedic surgeons and others healthcare profissionais during and operation have been reviewed. The authors presented the actual status of this infection in our environment, some aspects of the viral transmission, the evolution of this illness and its diagnostic procedures. They also analysed the accidents which may occur during an operation and the potential risks for the healthcare professionals involved in it. They stated that routine screening of all patients undergoing operations must be avoided because it is neither effective nor legal and advocated universal precautions for all patients in order to prevent their risks of HIV infection. Finally they recommended some procedures to be done in case of accidents during an HIV patient treatment.
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References
BARNES,D.M. Health workers and AIDS: questions persist. Science, Washington, DC, v.241, p.161- 162, 1988.
BURGET,G.C.,ORANE,A.M.,TEPLICA,D. HIV: infected surgeons. ]AMA, Chicago, v.267, n.6, p.803, 1992.
CENTER FOR DISEASE CONTROL. Update: universal precautions for prevention of transmission of human immunodeficiency virus, hepatitis B virus,and other blood borne pathogens in health-care settings. Morbidity and Mortality Weekly Report, Atlanta, v.37, p.377-388, 1988.
CHOTET, T., GILQUIN, J., HERNIGOU, P., PIALOUX, G. Sidat et chirurgie orthopédique. Revue de Chirurgie Orthopedicure et Reparatrice de L,AppareilMoteur, Paris, v.79, n.l, p.2-4, 1993.
DALGLEISH, A.G., MALKOVSKY, M. Surgical gloves as a mechanical barrier against immunodeficiency viruses. British Journal of Surgery, London, v.75, p.171-172, 1988.
DODDS, R.D.A., BARKER, S.G.E., MORGAN, N.H., DONALDSON, D.R., THOMAS, M.H. Self protection in surgery: the use of double gloves. BritishJournal ofSurgery, London,v.77,n.2,p.219- 220, 1990.
DUTHIE, G.S., JOHNSON, S.R., PACKER, G.J., MACKIE, I.G. Eye protection, HIV, and orthopaedic surgery. Lancet, London, v. l,p.481- 482, 1988.
ECKERSLEY,J.R.T.,WILLIAMSON,D.M. Glove puncture in orthopaedic trauma unic. Injury, Guildford, v.21, p.177-178, 1990.
GERBERDING,J.L. Does the knowledge of human immunodeficiency virus infection decrease the frequency of occupational exposure to blood? American Journal of Medicine, Newton, v.91, p.308S-311S, 1991 (Supplement 3B).
HAGEN,M.D.,KLEMENS,B.M.,STEPHEN,G.P. Roucine preoperative screening for HIV.JAMA, Chicago, v.259, n.9, p.1357-1359, 1988.
HENDERSON, D.K. Human immunodeficiency virus infection in patients and providers. ln: WENZEL, P.R. Prevention and praticai of nosocomial infections, 2.ed. [s.1.] : Williams e Wilkins, 1993. p.42-57.
------ FAHEY, B.J., WILLY, M., SCHIMITI, J.M., CAREY, K., KOZIOL, D.E., LANE, H.C., FEDIO, J., SAAH, A.J. Risk of occupational transmission of human immunodeficicncy vírus type 1 (HIV-1) associated with clinicai exposures.AnnalsoflnternalMedicine, Philadelphia, v.113, n.10, p.740-746, 1990.
HERNIGOU, P., KERGROHEN, F., JULIERON, A., GOUTALLIER, D., BEAUJAN, F. Vírus HIV ct chirugie orthopédiq ue. Revue de Chirurgie Orthopedicure et Reparatrice de UAppareilMoteur, Paris, v.79, n.l, p.5-12, 1993.
HOWARD, R.J. Human immunodeficiency virus testing and the risk to the surgeon of acquiring HIV. Surgery, St. Louis, v.171, n.l, p.22-26, 1990.
HUSSAIN, S.A., LATIF, A.E.A., CHOUDHARY, A.A.A.A. Risk to surgeons: a survey of accidental injuries during operations. British Journal of Surgery, London, v.75, p.314-316, April, 1988.
