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Stručni rad
https://doi.org/10.2478/10004-1254-62-2011-2071

Undiagnosed AIDS in Patients with Progressive Dyspnoea: An Occupational Risk for Healthcare Workers in Croatia

Kornelija Miše ; Clinical Department for Pulmonary Diseases, Split University Hospital, Split, Croatia
Maja Vučković ; Clinical Department for Pulmonary Diseases, Split University Hospital, Split, Croatia
Anamarija Jurčev-Savičević ; Teaching Public Health Institute of Split, Split, Croatia
Ivan Gudelj ; Clinical Department for Pulmonary Diseases, Split University Hospital, Split, Croatia
Irena Perić ; Clinical Department for Pulmonary Diseases, Split University Hospital, Split, Croatia
Joško Miše ; Medicine School on University of Zagreb, Zagreb, Croatia

Puni tekst: engleski, pdf (216 KB) str. 57-63 preuzimanja: 458* citiraj
APA 6th Edition
Miše, K., Vučković, M., Jurčev-Savičević, A., Gudelj, I., Perić, I. i Miše, J. (2011). Undiagnosed AIDS in Patients with Progressive Dyspnoea: An Occupational Risk for Healthcare Workers in Croatia. Arhiv za higijenu rada i toksikologiju, 62 (1), 57-63. https://doi.org/10.2478/10004-1254-62-2011-2071
MLA 8th Edition
Miše, Kornelija, et al. "Undiagnosed AIDS in Patients with Progressive Dyspnoea: An Occupational Risk for Healthcare Workers in Croatia." Arhiv za higijenu rada i toksikologiju, vol. 62, br. 1, 2011, str. 57-63. https://doi.org/10.2478/10004-1254-62-2011-2071. Citirano 07.03.2021.
Chicago 17th Edition
Miše, Kornelija, Maja Vučković, Anamarija Jurčev-Savičević, Ivan Gudelj, Irena Perić i Joško Miše. "Undiagnosed AIDS in Patients with Progressive Dyspnoea: An Occupational Risk for Healthcare Workers in Croatia." Arhiv za higijenu rada i toksikologiju 62, br. 1 (2011): 57-63. https://doi.org/10.2478/10004-1254-62-2011-2071
Harvard
Miše, K., et al. (2011). 'Undiagnosed AIDS in Patients with Progressive Dyspnoea: An Occupational Risk for Healthcare Workers in Croatia', Arhiv za higijenu rada i toksikologiju, 62(1), str. 57-63. https://doi.org/10.2478/10004-1254-62-2011-2071
Vancouver
Miše K, Vučković M, Jurčev-Savičević A, Gudelj I, Perić I, Miše J. Undiagnosed AIDS in Patients with Progressive Dyspnoea: An Occupational Risk for Healthcare Workers in Croatia. Arh Hig Rada Toksikol. [Internet]. 2011 [pristupljeno 07.03.2021.];62(1):57-63. https://doi.org/10.2478/10004-1254-62-2011-2071
IEEE
K. Miše, M. Vučković, A. Jurčev-Savičević, I. Gudelj, I. Perić i J. Miše, "Undiagnosed AIDS in Patients with Progressive Dyspnoea: An Occupational Risk for Healthcare Workers in Croatia", Arhiv za higijenu rada i toksikologiju, vol.62, br. 1, str. 57-63, 2011. [Online]. https://doi.org/10.2478/10004-1254-62-2011-2071

Sažetak
Pulmonary diseases are well documented and diverse in many patients with HIV in clinical stages 3 and 4. It is not unusual that these patients, most of whom do not know that they are already HIV-infected, are fi rst examined and hospitalised by respiratory medicine specialists. While HIV-infection is relatively simple to diagnose if accompanied by advanced clinical manifestations and is regularly checked in patients with increased risk, this is not the case in low-risk patients, particularly in countries with low-level HIV epidemic
and therefore low index of suspicion. Regular examination involves a series of tests, often including bronchoscopy with transbronchal lung biopsy in order to identify an interstitial lung disease and/or
progressive dyspnoea. It is not uncommon that patients provide false or incomplete information about their lifestyle, which can mislead the clinician. At this point, HIV-infection is usually not suspected and healthcare workers may not strictly be following the safety principles which are otherwise applied when HIV-infection is known or suspect, although universal precautions are routine practice. At this point, the risk of exposure is the highest and HIV-transmission to healthcare workers is the most likely to occur. The cases presented
here indicate that patients with progressive dyspnoea, which is typical of interstitial lung diseases, should undergo HIV-testing as a part of good clinical practice, even in a country with low-level HIV epidemic.

Ključne riječi
bronchoscopy; chest X-ray; HIV-infection; HIV-testing

Hrčak ID: 65315

URI
https://hrcak.srce.hr/65315

[hrvatski]

Posjeta: 961 *