Hardie J
Department of Dentistry, Ottawa Civic Hospital, Ontario.
J Can Dent Assoc. 1990 May;56(5):423-6.
This report is not an attempt to provide a comprehensive review of HIV infection, AIDS, and infection control. Rather it has highlighted some of the medical, ethical and legal aspects associated with the AIDS dilemma which are of significance to the dental profession. There would appear to be few if any valid professional reasons which a dentist may use to avoid treating an HIV infected or AIDS patient. In fact, dentists adopting such an attitude may be subject to litigation. From a research perspective, it is feasible that continuing monitoring of the oral manifestations of AIDS and its associated diseases will contribute much information regarding the responses of the oral tissues to immunosuppression. This, in turn, may result in a better appreciation of common dental diseases especially periodontitis. The information on infection control has emphasized how a knowledge of the basic microbiologic concepts regarding disease transmission should be used as the foundation for effective prevention of disease transmission.
本报告并非试图对艾滋病毒感染、艾滋病及感染控制进行全面综述。相反,它着重强调了与艾滋病困境相关的一些医学、伦理和法律方面,这些方面对牙科行业具有重要意义。牙医似乎很少有(如果有的话)合理的专业理由来拒绝治疗艾滋病毒感染者或艾滋病患者。事实上,持这种态度的牙医可能会面临诉讼。从研究角度来看,持续监测艾滋病及其相关疾病的口腔表现,很有可能会提供大量有关口腔组织对免疫抑制反应的信息。反过来,这可能会使人们更好地认识常见的牙科疾病,尤其是牙周炎。关于感染控制的信息强调,应将对疾病传播的基本微生物学概念的了解作为有效预防疾病传播的基础。