The Human Immunodeficiency Virus (HIV) has imparted a number of concerns involving patient care and management as well as health care worker safety upon most surgical practices. Although these concerns are not often discussed in the context of facial plastic surgery (or particularly cosmetic surgery), they remain important issues. These issues are discussed with respect to public health policy, ethics and legality. The pathophysiological considerations for decision-making and care for HIV disease in the facial plastic surgery practice are addressed.
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References
1.
CharacheP., CameronJ.L., MatersA.W., FrantzE.I.Prevalence of infection with human immunodeficiency virus in elective surgery patients. Ann Surgery1991; 214: 562–568.
2.
GerberdingJ.L., LittellC.A., TarkingtonA.Risk of exposure of surgical personnel to patients’ blood during surgery at San Francisco General Hospital. N Engl J Med1990; 322: 1788–1791.
3.
HendersonD.K., SaahA.J.Prospective Assessment of the Risk for Occupational/Nosocomial Infection with HIV in a Large Cohort of HCW. Program and abstracts for the 27th Interscience Conference on Antimicrobial Agents and Chemotherapy, Washington, D.C., American Society of Microbiology, 1987; p. 109.
4.
WormserG.P., RabkinC.S., JolineC.Frequency of nosocomial transmission of HIV infection among health care workers. N. Engl. J. Med.1988; 319: 307.
5.
MannJ.M., FrancisH., QuinnT.C.HIV sero-prevalence among hospital workers in Kinshasa, Zaire. J.A.M.A.1986; 256: 3099.
6.
Guidelines for pervention of transmission of human immunodeficiency virus and hepatitis B virus to health-care and public-safety workers. MMWR1989; 38(suppl 6S): 3–37.
7.
WormserG.P., JolineC., SivakS.L., and ArlinZ.A.Human immunodeficiency virus infections: Considerations for health care workers. Bull. N.Y. Acad. Med.1988; 64: 203.
8.
GerberdingJ.L., Bryant-LeblancC.E., GreenspanD.Risk to Dentists from Exposure to Patients Infected with AIDS Virus. In Abstracts of the 26th Interscience Conference on Antimicrobial Agents and Chemoscience Conference on Antimicrobial Agents and Chemotherapy, Sept. 28-Oct. 1, 1986. Washington, D.C.: American Society for Microbiology, 1986; p. 283.
9.
FahrnerR., GerberdingJ.L.Risk of HIV Infection in Health Care Workers, in VolderbingP., JabocsenA.A. (eds): AIDS 1993 Clinical Review.New York, Marcel, Delker Inc, 1993; 239–252.
10.
MatoryW.E.Jr.Health Care Worker Contamination by HIV Virus: A Valid Fear or a Surgeon's Hysteria?Plastic and Reconstructive Surgery1994; 93: 1250–1287.
11.
Centers for Disease Control and Prevention.“Update: Transmission of HIV Infection During an Invasive Dental Procedure in Florida. Morbidity and Mortality Weekly Report1991; pp. 21–23.
12.
DavisA.J.Mandatory HIV testing: A position paper. Nurs Admin Q, 1994; 18(2): 88–91.
13.
ManuelC.AIDS: the Rights and Duties of Health Care Providers. AIDS & Public Policy Journal, 1991; 6: 37–40.
14.
American Medical Association, Report of the Council on Ethical and Judicial Affairs: Ethical Issues Involved in the Growing AIDS Crisis, Chicago, AMA, 1987.
15.
FeldblumC.R.Workplace Issues: HIV and Discrimination, in HunterN., RubensteinW. (eds): AIDS Agenda: Emerging Issues in Civil Rights.New York, The New York Press, 1992; 271–279.
16.
TurnerR.AIDS, the Americans with Disabilities ACT, and Disability-Based Insurance Distinctions. AIDS & Public Policy Journal1993; 8: 177–184.
17.
TerlA.AIDS and the Law: A Basic Guide for the Nonlawyer.Washington, Hemisphere Publishing Corporation, 1992; 109–116.
18.
FreeedbergL.2 S.F. Doctors Suspected of AIDS Bias. San Francisco Chronicle, Sept. 22, 1994; p. A4.
19.
DeLaneyA.R., DamatoR.A., and IkedaC.J.Delayed Autofraft loss in HIV-positive patients: Two Cases. Journal of Burn Care and Rehabilitation1990; 11(1): 67–70.
20.
DiettrichN.A., CacioppoJ.C., KaplanG.A growing spectrum of surgical disease in patients with human immunodeficiency virus/acquired immunodeficiency syndrome. Arch Surg1991; 126: 860–866.
WilsonS.E., RobinsonG., WilliamsR.A.Acquired immune deficiency syndrome: Indications for abdominal surgery, pathology, and outcome. Ann Surg1989; 210: 428–434.
23.
NanneryW.M., StoldtH.S., GaresL.G.Hemodialysis access operations performed upon patients with human immunodeficiency virus. Surg Gyn Obst1991; 173: 387–390.
24.
BurkeE.C.Wound Healing After Anorectal Surgery in Human Immumodefiency Virus-Infected Patients. Arch Surg.1991; 126: 1267–1271.
25.
WakemanR., JohnsonC.D., WastellC.Surgical Procedures in Patients at Risk of Human Immunodeficiency Virus infection. Journal of the Royal Society of Medicine1990; 83(5): 315–318.
26.
GlickM.Dental Complicaitons after Treating Patients with AIDS. Journal of the American Dental Association1994; 125(3): 296–301.
27.
RobinsonP.G., CooperH., HattJ.Healing After Dental Extraction in Men with HIV Infection. Oral Surgery, Oral Medicine, Oral Pathology1992; 74(4): 426–430.
28.
FieldingA.F., GlickM.Protocol for the placement of dental implants in the HIV-infected patient.Washington, D.C.: Core-Vent Symposium. May 19–21, 1989.
29.
BarrC.E., Rua-DoblesA., PuigN.Dental care for HIV-positive patients. Special Care Dentist1989; 9(6): 191–194.
30.
FieldE.A., SpeechleyJa, RotterE., ScottJ.Dry socket incidence compared after a 12-year interval. Br J Oral Maxillofac Surg1985; 23: 419–427.
31.
HughesL.A., BaileyM.H.Human immunodeficiency virus status in facial fracture patients. Plastic and Reconstructive Surgery1993; 91(4): 577–80.
32.
Guidelines of care for dermabrasion.American Academy of Dermatology Committee on Guidelines of Care. Journal of the American Academy of Dermatology1994; 31(4): 654–7.
33.
SheltonR.M., GrekinR.C.Sterilization of the handengine. Is it a necessity? Journal of Dermatologic Surgery and Oncology1994; 20(6): 385–92.
34.
WeberP.J., WulcA.E.The use of a contained breathing apparatus to isolate the operator and assistant for aerosolizing procedures including dermabrasion and laser surgery. Annals of Plastic Surgery1992; 29(2): 182–4.
