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A Review of HIV and Surgery in Africa

HIV has a significant impact on surgery in Africa. Its’ influence has spanned a period of about 30 years. In the 1980s' Africa experienced a rise in the national prevalence of HIV spreading across East Africa through Southern Africa, and reaching peak prevalence in the Southern African region....

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Autores principales: Bowa, K., Kawimbe, B., Mugala, D., Musowoya, D., Makupe, A., Njobvu, M., Simutowe, C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Bentham Open 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4893540/
https://www.ncbi.nlm.nih.gov/pubmed/27347268
http://dx.doi.org/10.2174/1874613601610010016
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author Bowa, K.
Kawimbe, B.
Mugala, D.
Musowoya, D.
Makupe, A.
Njobvu, M.
Simutowe, C.
author_facet Bowa, K.
Kawimbe, B.
Mugala, D.
Musowoya, D.
Makupe, A.
Njobvu, M.
Simutowe, C.
author_sort Bowa, K.
collection PubMed
description HIV has a significant impact on surgery in Africa. Its’ influence has spanned a period of about 30 years. In the 1980s' Africa experienced a rise in the national prevalence of HIV spreading across East Africa through Southern Africa, and reaching peak prevalence in the Southern African region. These prevalence levels have affected four key areas of surgical practice; namely patient care, practice of surgery, surgical pathologies, the practitioner and more recently prevention. The surgical patient is more likely to be HIV positive in Africa, than elsewhere in the world. The patients are also more likely to have co infection with Hepatitis C or B and are unlikely to be aware of his or her HIV status. Surgical patients are also more likely to have impaired liver and renal function at the time of presentation. Therefore, HIV has affected the pattern of surgical pathologies, by influencing disease presentation, diagnosis, management and outcomes. It has also influenced the surgeon by increasing occupational risk and management of that risk. Recently in an ironic change of roles, surgery has impacted HIV prevention through the role of male circumcision as a significant tool in HIV prevention, which has traditionally focused on behavioural interventions. The story of surgery and HIV continues to unfold on the continent. Ultimately presenting a challenge which requires innovation, dedication and hard work in the already resource limited environments of Africa.
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spelling pubmed-48935402016-06-24 A Review of HIV and Surgery in Africa Bowa, K. Kawimbe, B. Mugala, D. Musowoya, D. Makupe, A. Njobvu, M. Simutowe, C. Open AIDS J Article HIV has a significant impact on surgery in Africa. Its’ influence has spanned a period of about 30 years. In the 1980s' Africa experienced a rise in the national prevalence of HIV spreading across East Africa through Southern Africa, and reaching peak prevalence in the Southern African region. These prevalence levels have affected four key areas of surgical practice; namely patient care, practice of surgery, surgical pathologies, the practitioner and more recently prevention. The surgical patient is more likely to be HIV positive in Africa, than elsewhere in the world. The patients are also more likely to have co infection with Hepatitis C or B and are unlikely to be aware of his or her HIV status. Surgical patients are also more likely to have impaired liver and renal function at the time of presentation. Therefore, HIV has affected the pattern of surgical pathologies, by influencing disease presentation, diagnosis, management and outcomes. It has also influenced the surgeon by increasing occupational risk and management of that risk. Recently in an ironic change of roles, surgery has impacted HIV prevention through the role of male circumcision as a significant tool in HIV prevention, which has traditionally focused on behavioural interventions. The story of surgery and HIV continues to unfold on the continent. Ultimately presenting a challenge which requires innovation, dedication and hard work in the already resource limited environments of Africa. Bentham Open 2016-04-08 /pmc/articles/PMC4893540/ /pubmed/27347268 http://dx.doi.org/10.2174/1874613601610010016 Text en © Bowa et al.; Licensee Bentham Open. https://creativecommons.org/licenses/by-nc/4.0/legalcode This is an open access article licensed under the terms of the Creative Commons Attribution-Non-Commercial 4.0 International Public License (CC BY-NC 4.0) (https://creativecommons.org/licenses/by-nc/4.0/legalcode), which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
spellingShingle Article
Bowa, K.
Kawimbe, B.
Mugala, D.
Musowoya, D.
Makupe, A.
Njobvu, M.
Simutowe, C.
A Review of HIV and Surgery in Africa
title A Review of HIV and Surgery in Africa
title_full A Review of HIV and Surgery in Africa
title_fullStr A Review of HIV and Surgery in Africa
title_full_unstemmed A Review of HIV and Surgery in Africa
title_short A Review of HIV and Surgery in Africa
title_sort review of hiv and surgery in africa
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4893540/
https://www.ncbi.nlm.nih.gov/pubmed/27347268
http://dx.doi.org/10.2174/1874613601610010016
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