Ethical issues of diagnosis and therapy in patients with HIV-AIDS and Tuberculosis

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Abstract

Like medicine, ethics is a practical discipline, which they acquire the knowledge of the general principles and skills to solve problems. Long term care involves both clinical and ethical issues in medicine. Effective medical education of long-suffering patients has to be focusing on increasing their adherence to treatment. The occurrence of AIDS pandemic has changed the physician’s way of thinking in terms of ethics in general, and in medicine in particular. HIV/AIDS has focused attention on deficiencies in the field of therapy, long care issues, medical training and education of the patients, as well as in deontology. The treatment of HIV infected patients with all new drugs discovered is not yet completely curative and the association of opportunistic infections, as tuberculosis (TB), is representing a permanent challenge for therapist.

Both ethical and medical training in general as regards AIDS and TB, should focus mainly on exposed people and learning through experience, to form skills that would make doctors to work with sensitivity in regard to sexuality, substance abuse, lack of treatment, relapses of disease and even death. In the same time, any ethical or cultural environment can enrich and support the real moral education of medical staff.

Medical ethics and ethics relating specifically to TB and HIV/AIDS, often meet highly complex problems. Alternative possibilities and decisions to take of what is right or wrong may create a real ethical, clinical and therapeutic dilemma.

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  • 1. Beauchamp T. & Childress J. (1994). Principlesof Biomedical Ethics (4th ed.) Oxford. Oxford Univ. Press.

  • 2. Henderson D.K. et al. (1990). Risk for Occupational Transmission of HIV-1 Associated with Clinical Exposures Ann. Int. Med. 113 740-46.

  • 3. Reamer F. (1991). AIDS: The Relevance of Ethics in Reamer F. (Eds.) AIDS and Ethics (pp. 1-25) New York: Columbia Univ. Press.

  • 4. Benn C. & Boyd K.M. (1996). Ethics medical ethics and HIV/AIDS. Ecumenical Review. 48(2) 222 - 232.

  • 5. Harris J. & Holm S. (1993). If Only AIDS Were Different in Hastings Center Report 23(6) 6-12.

  • 6. Drane J. (1992). AIDS and Ethics in Fuenzalida- Puelma H. Linares Parada A.M. et Serrano LaVertu D. (Eds.) Ethics and Law in the Study ofAIDS Washington D.C. Pan American Health Organization [PAHO] pp. 129-137.

  • 7. Boyd K.M. (1992). HIV Infection and AIDS: The Ethics of Medical Confidentiality Journal ofMedical Ethics 18 173-79.

  • 8. Boyd K.M. (1990). HIV Infection: The Ethics of Anonymised Testing and of Testing Pregnant Women Journal of Medical Ethics. 16 173 -178.

  • 9. Connor S.S. (1992). International Legal and Ethical Aspects of Developing and Distributing an HIV Vaccine in Fuenzalida-Puelma H. Linares Parada A.M. et Serrano LaVertu D. (Eds.) Ethics and Law in the Study of AIDS Washington D.C. Pan American Health Organization [PAHO] pp.162-169.

  • 10. Council for International Organizations of Medical Sciences (CIOMS). (1991). Ethics and Epidemiology: International Guidelines. Geneva CIOMS.

  • 11. Boyd K.M. (1992). AIDS Ethics and Clinical Trials British Medical Journal 305 699-701.

  • 12. Benn C. (1994). Justice and AIDS One World. 201 6-8.

  • 13. De Andres R. et al. (1994). Update on EC Multicenter Study of Occupational Exposure to HIV in Health Care Workers 10th InternationalConference on AIDS Abstract 273 B/D Yokohama.

  • 14. Gillon R. (1994). Principles of health Care Ethics Chichester John Wiley & Sons.

  • 15. Zuger A. (1991). AIDS and the Obligations of Health Care Professionals in Reamer F. (Eds.) AIDS and Ethics (pp. 215-239) New York: Columbia Univ. Press.

  • 16. Dooley S.W. Villarino M.E. & Lawrence M. (1992). Nosocomial transmission of tuberculosis in a hospital unit for HIV-infected patients JAMA. 267 2632- 2635.

  • 17. Menzies D. Fanning A. & Juan G. (1995). Tuberculosis among health care workers N EnglJ Med. 332 92-98.

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