       Document 0800
 DOCN  M9550800
 TI    Surgery, surgical pathology and HIV infection: lessons learned in
       Zambia.
 DT    9505
 AU    Watters DA; Department of Clinical Sciences, University of Papua New
       Guinea,; Boroko, NCD.
 SO    P N G Med J. 1994 Mar;37(1):29-39. Unique Identifier : AIDSLINE
       MED/95167908
 AB    HIV (human immunodeficiency virus) infection is prevalent in many areas
       of sub-Saharan Africa. Seropositivity rates reach 10-15% in urban
       adults, 21% in critically ill adults and 30% in surgical inpatients aged
       21-40 years. AIDS (acquired immune deficiency syndrome) is a multisystem
       disease which presents to the surgeon with a wide range of pathologies
       including Kaposi's sarcoma, lymphadenopathy and sepsis. The more common
       sites for sepsis are the female genital tract, anorectum, pleural
       cavity, soft tissues (necrotizing fasciitis) and bone and joints. To
       prevent iatrogenic HIV infection more use should be made of autologous
       blood. Occupational exposure to HIV infection can be minimized by
       double-gloving, protecting the eyes when operating and ensuring that
       theatre gowns are waterproof. The risk of HIV infection from a
       needlestick injury is 0.4%. Although contact with blood during a
       surgical procedure is common, the risk is lower than for a hollow
       needlestick injury.
 DE    Adult  *AIDS-Related Opportunistic Infections/EPIDEMIOLOGY  Case Report
       Female  Human  *HIV Infections/EPIDEMIOLOGY/PREVENTION & CONTROL  Male
       Middle Age  Universal Precautions  Zambia/EPIDEMIOLOGY  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

