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August 1995

Physicians' Attitudes Toward a Pediatric Notification Program of Transfusion-Related Human Immunodeficiency Virus Risk

Author Affiliations

The Division of Cardiology The Hospital for Sick Children University of Toronto Toronto, Ontario Canada M5G 1X8

Arch Pediatr Adolesc Med. 1995;149(8):928-930. doi:10.1001/archpedi.1995.02170210102020

The screening of Canada's blood supply for evidence of human immunodeficiency virus (HIV) infection began in November 1985. Exact estimates of the risk for HIV infection from exposure to blood products from this time period are unknown. For the majority of pediatric patients, HIV infection is either acquired perinatally or by blood product exposure.1 The incubation period for transfusion-related HIV infection in children may be prolonged, compared with perinatally acquired infection or transfusion-related infection in adults, and new cases of infection may yet be undiagnosed. Many of these children are now of an age to be sexually active and may be unaware of their potential for HIV transmission. Donor "look-back" programs have had only limited success in detecting these cases,2-5 and the practices and attitudes regarding HIV screening by physicians providing care for children are unknown. We sought to determine the demographic, practice, and attitudinal factors in conjunction with

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