Document 1026
 DOCN  M9471026
 TI    Attitudes to prevention among HIV-infected patients: the case of
       specific prophylaxis for Pneumocystis carinii pneumonia.
 DT    9409
 AU    Auperin A; Chouaid C; des Fontaines VH; Department of Preventive and
       Social Medicine, School of Medicine; St. Antoine, Paris, France.
 SO    Health Policy. 1994 Mar;27(3):253-9. Unique Identifier : AIDSLINE
       AHA/94284240
 AB    Despite a consensus on the need for Pneumocystis carinii pneumonia (PCP)
       prophylaxis for HIV-infected patients with fewer than 200 CD4+
       lymphocytes/mm3, the number of cases of PCP has remained stable, and
       about 70% involve patients who are not receiving prophylaxis. The aim of
       this study was to determine why these patients are not covered by
       prophylaxis. It was based on a retrospective analysis of semidirective
       interviews with 32 patients who developed PCP while not receiving
       prophylaxis. The reasons given were a lack of knowledge of risk factors
       for HIV infection, the fear of HIV testing, unawareness of the existence
       of PCP prophylaxis, a refusal to see a doctor in the absence of
       symptoms, unwillingness to be monitored and in four cases a failure of
       the doctor to prescribe prophylaxis.
 DE    Adult  Data Collection  Female  Human  HIV
       Infections/COMPLICATIONS/EPIDEMIOLOGY/*PREVENTION & CONTROL/  PSYCHOLOGY
       *Knowledge, Attitudes, Practice  Male  Middle Age  Paris/EPIDEMIOLOGY
       Patient Acceptance of Health Care/*STATISTICS & NUMER DATA  Pneumonia,
       Pneumocystis carinii/DRUG THERAPY/EPIDEMIOLOGY/  *PREVENTION & CONTROL
       Premedication  Preventive Health Services/*UTILIZATION  JOURNAL ARTICLE

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