Preoperative Screening for HIV Infection: A Balanced View for the Practicing Surgeon

Arthur M. Fournier, Robert Zeppa

Research output: Contribution to journalArticle

20 Scopus citations

Abstract

Routine preoperative screening for human immunodeficiency virus (HIV) infection is becoming increasingly prevalent. Reasons in favor of routine screening include the following: (1) Knowledge of HIV status may allow the surgeon to decrease risk of infection. (2) The patient may benefit, because HIV infection may alter the risk-benefit ratio of a procedure. (3) Knowledge of HIV status will not affect how the patient is treated. Arguments against routine screening include the following: (1) Since the risk during individual procedures is low, it is unlikely that knowledge of HIV status can actually reduce risk. (2) Patient care may be negatively affected. (3) There is a possibility of false-positive results. (4) The accepted ethical standards of autonomy, confidentiality, and informed consent are not always adhered to. We explore these issues in detail. Recent work has framed the risk of surgeons and defined the reliability of diagnostic screening tests. All of these factors must be weighed before a surgeon can decide for or against a policy of routine preoperative screening.

Original languageEnglish (US)
Pages (from-to)1038-1040
Number of pages3
JournalArchives of Surgery
Volume124
Issue number9
DOIs
StatePublished - Sep 1989

ASJC Scopus subject areas

  • Surgery

Fingerprint Dive into the research topics of 'Preoperative Screening for HIV Infection: A Balanced View for the Practicing Surgeon'. Together they form a unique fingerprint.

  • Cite this