Document 1234
 DOCN  M9591234
 TI    Outcome of an exercise to notify patients treated by an
       obstetrician/gynaecologist infected with HIV-1.
 DT    9509
 AU    Crawshaw SC; Gill ON; Heptonstall J; Rowland MG; West RJ; Hill JM;
       Davies AB; Dunbar EM; Buttery RB; Quigley C; et al; Suffolk Health
       Authority.
 SO    Commun Dis Rep CDR Rev. 1994 Oct 14;4(11):R125-8. Unique Identifier :
       AIDSLINE MED/95307642
 AB    Experience with hepatitis B suggests that the risk of HIV transmission
       from a health care worker infected with HIV to a patient will be
       greatest during major surgical procedures. The number of patients
       worldwide who are known to have undergone such procedures, been
       notified, and subsequently tested is still too small to be confident
       that the risk of HIV transmission in these circumstances is negligible.
       We describe a patient notification exercise, undertaken in the United
       Kingdom in 1991. Attempts were made to contact 1217 patients, in three
       health districts (A, B, and C), who had undergone surgical procedures
       performed by an obstetrician/gynaecologist who was infected with HIV.
       The exercise aimed to offer the patients reassurance, counselling
       and--if they wished--HIV testing. One thousand one hundred and forty-two
       patients (94%) were contacted, and all 520 who elected to be tested were
       negative for anti-HIV. The proportion of identified patients tested was
       63% in district A, 35% in district B, and 61% in district C. Surgical
       procedures were classified retrospectively according to the likely risk
       (none, possible, or high) of exposure to the doctor's blood and,
       therefore, risk of HIV transmission. One hundred and ninety-five of
       those tested had undergone a procedure that carried a high risk of
       exposure; 179 had undergone a procedure thought to carry no risk.
       Patients in districts A and C who had undergone a procedure that carried
       a high risk of exposure were more likely to be tested than those who had
       not; 206 patients overall had undergone procedures that carried a high
       risk of exposure but were not subsequently tested.(ABSTRACT TRUNCATED AT
       250 WORDS)
 DE    AIDS Serodiagnosis  *Contact Tracing  Counseling  *Disease Transmission,
       Professional-to-Patient  Female  *Gynecology  Human  HIV
       Infections/*TRANSMISSION  *HIV-1  *Obstetrics  Risk Factors  JOURNAL
       ARTICLE

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