Document 0589
 DOCN  M94A0589
 TI    How useful is colonoscopy in the management of diarrhoea in HIV infected
       patents.
 DT    9412
 AU    Baingana S; Hoy J; Brown G; Department of Medicine, Royal Melbourne
       Hospital, University of; Melbourne.
 SO    Annu Conf Australas Soc HIV Med. 1993 Oct 28-30;5:92 (poster no. 34).
       Unique Identifier : AIDSLINE ASHM5/94349066
 AB    AIM: To determine the prevalence of organisms isolated, the role of
       colonoscopy and/or endoscopy in diagnosis, response to therapy and
       relation of patient's immunological and nutritional status to outcome in
       HIV infected individuals managed at Fairfield Hospital. DESIGN AND
       METHODOLOGY: Retrospective, Case Series, Consecutive Sampling. RESULTS:
       The first 21/2 years of the 5 year survey period is completed. Sample
       size - 181. A diagnosis was made from faecal M & C in 60 (33%):
       cryptosporidia (23%), C. jejuni (28%), MAC (22%), G. lamblia (10%), C.
       difficile (10%). 41 received specific therapy with resolution of
       symptoms in 32 (78%). 48 underwent colonoscopy, 22 (45.8%) yielded a
       possible cause for their symptoms: CMV (9), K.S. (4), Cryptosporidia
       (3), MAC (2), Adenovirus (2). 9 received specific therapy of whom 3
       (33%) showed response. CONCLUSION: Although colonoscopy was of use in
       establishing a diagnosis for cause of diarrhoea, response to therapy for
       that diagnosis made was limited.
 DE    AIDS-Related Opportunistic Infections/*ETIOLOGY  *Colonoscopy
       Diagnosis, Differential  Diarrhea/*ETIOLOGY
       Feces/MICROBIOLOGY/PARASITOLOGY  Human  Retrospective Studies  MEETING
       ABSTRACT

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