Gastrointestinal endoscopy in patients with acquired immune deficiency syndrome: an evaluation of current practices. NLM AIDSLINE Important note: Information in this article was accurate in 1987. The state of the art may have changed since the publication date.

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Gastrointestinal endoscopy in patients with acquired immune deficiency syndrome: an evaluation of current practices.

Gastrointest Endosc. 1987 Apr;33(2):76-9. Unique Identifier : AIDSLINE MED/87191714
Raufman JP; Straus EW

Abstract: To determine attitudes and practices associated with gastrointestinal endoscopy in patients with acquired immune deficiency syndrome (AIDS), we surveyed the chiefs of gastroenterology at 196 medical centers in the United States. The response rate was 61% overall and 100% from New York and San Francisco. Our results revealed a broad spectrum of perceived risk and precautions. Seventy-three percent of respondents believed that endoscopy places personnel at risk for contracting AIDS. At 35% of institutions endoscopic procedures are exclusively or frequently performed at the bedside of the patient with AIDS. At 46% of institutions procedures on patients with AIDS are performed with instruments used only in these patients. Endoscopic equipment used in patients with AIDS is gas sterilized at 85% of institutions. One third of respondents noted reluctance of personnel to participate in endoscopy for patients with AIDS. Reluctance was related to the respondent's perception of risk and did not differ among nurses, fellows, attendings, and gastrointestinal assistants. These data indicate that concern regarding transmission of the AIDS virus during endoscopy has resulted in costly and inefficient endoscopic practices.
Keywords: Acquired Immunodeficiency Syndrome/COMPLICATIONS/*TRANSMISSION Endoscopy/*ADVERSE EFFECTS/INSTRUMENTATION Gastrointestinal Diseases/*DIAGNOSIS Human *Personnel, Hospital Protective Clothing Questionnaires Risk Sterilization Support, Non-U.S. Gov't JOURNAL ARTICLE

KWDacquiredimmunodeficiencysyndrome/complications/KWDtransmissionendoscopy/KWDadverseeffects/instrumentationgastrointestinaldiseases/KWDdiagnosishumanKWDpersonnel,hospitalprotectiveclothingquestionnairesrisksterilizationsupport,non-uKWDsKWDgov'tjournalarticle
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M8780281

Copyright © 1987 - National Library of Medicine. Reproduced under license with the National Library of Medicine, Bethesda, MD.

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