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August 1995, Vol 149, No. 8 >
Article | August 1995

Physicians' Attitudes Toward a Pediatric Notification Program of Transfusion-Related Human Immunodeficiency Virus Risk FREE

Brian W. McCrindle, MD, MPH, FRCPC; Alice Newman, MSc; Trudy Murphy, BN; Mary Corey, PhD; Marion Stevens, RN; Robert H. Haslam, MD, FRCPC; Robert M. Freedom, MD, FRCPC; Susan M. King, MD, FRCPC
Arch Pediatr Adolesc Med. 1995;149(8):928-930. doi:10.1001/archpedi.1995.02170210102020.
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The screening of Canada's blood supply for evidence of human immunodeficiency virus (HIV) infection began in November 1985. Exact estimates of the risk for HIV infection from exposure to blood products from this time period are unknown. For the majority of pediatric patients, HIV infection is either acquired perinatally or by blood product exposure.1 The incubation period for transfusion-related HIV infection in children may be prolonged, compared with perinatally acquired infection or transfusion-related infection in adults, and new cases of infection may yet be undiagnosed. Many of these children are now of an age to be sexually active and may be unaware of their potential for HIV transmission. Donor "look-back" programs have had only limited success in detecting these cases,2-5 and the practices and attitudes regarding HIV screening by physicians providing care for children are unknown. We sought to determine the demographic, practice, and attitudinal factors in conjunction with

REFERENCES

1 +
Jones DS, Byers RH, Bush TJ, Oxtoby MJ, Rogers MF.  Epidemiology of transfusion-associated acquired immunodeficiency syndrome in children in the United States, 1981 through 1989 . Pediatrics . 1992;;89:123-127.
2 +
Ng AT, Conway MA, Blanda E, Killigrew RM, Eastman CA.  Tracing HIV-infected blood recipients: large-scale recipient screening vs look-back testing . JAMA . 1987;;258:201-202.
3 +
Denson SE, Hoots WK, Pickering LK, et al.  'Look back' program for blood product recipients: experience with the pediatric population in Houston, Texas . Pediatr Infect Dis J . 1988;;7:596-598.
4 +
Allen PJ, Koepke JA.  Look-back: transfusion-acquired HIV infection at Duke University Medical Center . N C Med J . 1988;;49:657-661.
5 +
Busch MP.  Let's look at human immunodeficiency virus look-back before leaping into hepatitis C virus look-back . Transfusion—Philadelphia . 1991;; 31:655-661.
6 +
Fisher MC.  Transfusion-associated acquired immunodeficiency syndrome: what is the risk? Pediatrics . 1987;;79:157-160.
7 +
Busch MP, Young MJ, Samson SM, et al.  Risk of human immunodeficiency virus (HIV) transmission by blood transfusions before the implementation of HIV-1 antibody screening . Transfusion—Philadelphia . 1991;;31:4-11.
8 +
Kleinman SH, Niland JC, Azen SP, et al.  Prevalence of antibodies to human immunodeficiency virus type 1 among blood donors prior to screening: The Transfusion Safety Study/NHLBI Donor Repository . Transfusion—Philadelphia . 1989;;29:572-580.
9 +
Hwang LY, Beasley RP, Busch MP, Lane PK, Vyas GN.  Human immunodeficiency virus seroprevalence among blood product recipients in San Francisco before transfusion . Transfusion—Philadelphia . 1989;;29:113-118.
10 +
Eisenstaedt RS, Getzen TE.  Screening blood donors for human immunodeficiency virus antibody: cost-benefit analysis . Am J Public Health . 1988;;78:450-454.
11 +
Mendelson DN, Sandler SG.  A model for estimating incremental benefits and costs of testing donated blood for human immunodeficiency virus antigen (HIV-Ag) . Transfusion—Philadelphia . 1990;;30:73-75.
12 +
Donegan E, Johnson D, Remedios V, Cohen S.  Mass notification of transfusion recipients at risk for HIV infection . JAMA . 1988;;260:922-923.
13 +
Taylor KM, Shapiro M, Skinner HA, Eakin J, Kelner M.  Understanding physicians' response to AIDS . Can Med Assoc J . 1989;;140:597-602.
14 +
Searle ES.  Knowledge, attitudes, and behaviour of health professionals in relation to AIDS . Lancet . 1987;;1:26-28.
15 +
Milne RIG, Keen SM.  Are general practitioners ready to prevent the spread of HIV? BMJ . 1988;;296:533-535.
16 +
Shultz JM, MacDonald KL, Heckert KA, Osterholm MT.  The Minnesota AIDS Physician Survey: a statewide survey of physician knowledge and clinical practice regarding AIDS . Minn Med . 1988;;71:277-283.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
Jones DS, Byers RH, Bush TJ, Oxtoby MJ, Rogers MF.  Epidemiology of transfusion-associated acquired immunodeficiency syndrome in children in the United States, 1981 through 1989 . Pediatrics . 1992;;89:123-127.
2 +
Ng AT, Conway MA, Blanda E, Killigrew RM, Eastman CA.  Tracing HIV-infected blood recipients: large-scale recipient screening vs look-back testing . JAMA . 1987;;258:201-202.
3 +
Denson SE, Hoots WK, Pickering LK, et al.  'Look back' program for blood product recipients: experience with the pediatric population in Houston, Texas . Pediatr Infect Dis J . 1988;;7:596-598.
4 +
Allen PJ, Koepke JA.  Look-back: transfusion-acquired HIV infection at Duke University Medical Center . N C Med J . 1988;;49:657-661.
5 +
Busch MP.  Let's look at human immunodeficiency virus look-back before leaping into hepatitis C virus look-back . Transfusion—Philadelphia . 1991;; 31:655-661.
6 +
Fisher MC.  Transfusion-associated acquired immunodeficiency syndrome: what is the risk? Pediatrics . 1987;;79:157-160.
7 +
Busch MP, Young MJ, Samson SM, et al.  Risk of human immunodeficiency virus (HIV) transmission by blood transfusions before the implementation of HIV-1 antibody screening . Transfusion—Philadelphia . 1991;;31:4-11.
8 +
Kleinman SH, Niland JC, Azen SP, et al.  Prevalence of antibodies to human immunodeficiency virus type 1 among blood donors prior to screening: The Transfusion Safety Study/NHLBI Donor Repository . Transfusion—Philadelphia . 1989;;29:572-580.
9 +
Hwang LY, Beasley RP, Busch MP, Lane PK, Vyas GN.  Human immunodeficiency virus seroprevalence among blood product recipients in San Francisco before transfusion . Transfusion—Philadelphia . 1989;;29:113-118.
10 +
Eisenstaedt RS, Getzen TE.  Screening blood donors for human immunodeficiency virus antibody: cost-benefit analysis . Am J Public Health . 1988;;78:450-454.
11 +
Mendelson DN, Sandler SG.  A model for estimating incremental benefits and costs of testing donated blood for human immunodeficiency virus antigen (HIV-Ag) . Transfusion—Philadelphia . 1990;;30:73-75.
12 +
Donegan E, Johnson D, Remedios V, Cohen S.  Mass notification of transfusion recipients at risk for HIV infection . JAMA . 1988;;260:922-923.
13 +
Taylor KM, Shapiro M, Skinner HA, Eakin J, Kelner M.  Understanding physicians' response to AIDS . Can Med Assoc J . 1989;;140:597-602.
14 +
Searle ES.  Knowledge, attitudes, and behaviour of health professionals in relation to AIDS . Lancet . 1987;;1:26-28.
15 +
Milne RIG, Keen SM.  Are general practitioners ready to prevent the spread of HIV? BMJ . 1988;;296:533-535.
16 +
Shultz JM, MacDonald KL, Heckert KA, Osterholm MT.  The Minnesota AIDS Physician Survey: a statewide survey of physician knowledge and clinical practice regarding AIDS . Minn Med . 1988;;71:277-283.

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