       Document 0294
 DOCN  M9460294
 TI    Seroprevalence of HIV in orthopaedic patients in Zimbabwe.
 DT    9408
 AU    Cohen B; Piscioneri F; Candido FJ; Rankin KC; Mpilo Hospital, Bulawayo,
       Zimbabwe.
 SO    J Bone Joint Surg Br. 1994 May;76(3):477-9. Unique Identifier : AIDSLINE
       MED/94230541
 AB    The prevalence of HIV infection in East Africa has increased rapidly in
       recent years. We made a prospective study of the incidence of
       HIV-seropositivity in patients undergoing orthopaedic procedures in a
       large district hospital in Bulawayo, Zimbabwe. One of our aims was to
       determine whether a clinically-based screening programme, derived from
       the Centre for Disease Control classification of HIV infection, could
       identify high-risk individuals before surgery. During a 3-month period,
       76 patients were tested, and 12 were HIV-positive (16%). Only two of
       these patients (17%) had clinical features associated with HIV
       infection; ten (83%) were entirely asymptomatic. Our results indicate
       that preoperative clinical screening is unlikely to be successful in
       identifying seropositive patients before routine surgery.
 DE    Adolescence  Adult  Female  Human  HIV Infections/*EPIDEMIOLOGY  Male
       Middle Age  *Orthopedics  Seroepidemiologic Methods
       Zimbabwe/EPIDEMIOLOGY  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
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