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Rates of Postoperative Complications among Human Immunodeficiency Virus–Infected Women Who Have Undergone Obstetric and Gynecologic Surgical Procedures
- Source :
- Clinical Infectious Diseases. 34:822-830
- Publication Year :
- 2002
- Publisher :
- Oxford University Press (OUP), 2002.
-
Abstract
- Clinical observations indicate that human immunodeficiency virus (HIV)‐positive women experience more postoperative problems than do HIV-negative women. To obtain a better estimate of the individual risk of postoperative morbidity among HIV-infected women, and to determine which procedures pose the greatest risk, we performed a retrospective case-control study in which we assessed the outcomes after 235 obstetric and gynecologic surgical procedures. For purposes of comparison, an HIV-negative control patient was matched for each of the 235 surgical procedures performed, on the basis of the type of procedure and patient age. We found a significantly greater number of postoperative complications among the HIV-positive women. Higher complication rates occurred after abdominal surgery (odds ratio [OR], 3.6; ) and curettage (OR, 7.7; P p .001 ). Among HIV-infected women, the risk of complications was associated with immune status. AntiP p .06 retroviral therapy and standard perioperative antibiotic prophylaxis did not decrease the risk of complications. Indications for performing abdominal surgery and curettage on HIV-infected women should be carefully weighed against the potential risk of postoperative complications.
- Subjects :
- Adult
Microbiology (medical)
medicine.medical_specialty
medicine.medical_treatment
Obstetric Surgical Procedures
HIV Infections
Gynecologic Surgical Procedures
Postoperative Complications
Acquired immunodeficiency syndrome (AIDS)
Risk Factors
Humans
Medicine
Antibiotic prophylaxis
Risk factor
Sida
biology
business.industry
Immunity
Odds ratio
biology.organism_classification
medicine.disease
Curettage
Surgery
Women's Health Services
Infectious Diseases
Female
Morbidity
business
Complication
Abdominal surgery
Subjects
Details
- ISSN :
- 15376591 and 10584838
- Volume :
- 34
- Database :
- OpenAIRE
- Journal :
- Clinical Infectious Diseases
- Accession number :
- edsair.doi.dedup.....b11db9b5dfd5e15c8a1d50a5c79db0fa