Medizinische Universität Graz - Research portal
Selected Publication:
Moser, F; Tamussino, K; Häusler, M; Puchhammer, E.
Screening for human immunodeficiency virus in gynecologic and obstetric patients: Does it make sense?
GEBURTSH FRAUENHEILK 2001 61: 209-212.
Doi: 10.1055/s-2001-13771
Web of Science
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- Co-authors Med Uni Graz
- Haeusler Martin
- Tamussino Karl
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- Abstract:
- Objective: To discuss the possible benefits and shortcomings of routine screening for HIV in gynecologic and obstetric patients.Method: Literature review.Results: The prevalence of HIV infection in Western Europe is low (0.23%). Epidemiologic data from Austria for the year 1999 show that 74% of all newly diagnosed cases of HIV infection in women occur at an age of 20 to 40 years and only 4% at an age of more than 50 years. Perinatal vertical transmission of HIV from mother to child can be reduced from about 30% to less than 1% by antiretroviral therapy, elective cesarean section, prophylactic therapy of the newborn and avoiding breast-feeding. Thus, the data support screening all pregnant women for HIV infection. The risk of hospital staff for occupational HIV infection is low compared to other blood-borne infections such as hepatitis B or C. Universal precautions for dealing with body fluids should be observed. Screening gynecologic patients for HIV is not an appropriate measure to reduce the risk of occupational HIV infection.Conclusions: Because vertical transmission can be prevented, all pregnant women should be screened for HIV infection. In contrast, it makes little sense to screen all gynecologic patients.