       Document 0341
 DOCN  M9490341
 TI    [Risk of nosocomial Pneumocystis carinii pneumonia in immunosuppressed
       patients non-infected by human immunodeficiency viruses]
 DT    9411
 AU    Mounib B; Cabane J; Blum L; Picard O; Wattiaux MJ; Imbert JC; Service de
       medecine interne 3, hopital Saint-Antoine, Paris,; France.
 SO    Rev Med Interne. 1994 Feb;15(2):95-100. Unique Identifier : AIDSLINE
       MED/94337085
 AB    We report four cases of Pneumocystis carinii pneumonia (PCP) in Human
       Immunodeficiency Virus (HIV)-seronegative patients. Two of them had been
       hospitalized for polymyositis treatment near AIDS patients, respectively
       1 and 4 months before PCP. The two others suffered from localized
       cancer. Their evolution was complicated by respiratory distress and
       death in two of them. A telephone survey among 19 hospital units yielded
       nine cases of similar patients. They were only observed in wards caring
       for AIDS patients at the same time, thus raising the question of a
       possible nosocomial transmission of PCP between AIDS patients and
       immunocompromised HIV-seronegative patients. This adds to the growing
       concern for hospital-acquired infections, including resistant
       tuberculosis and other opportunistic pathogens. We propose some
       practical measures to limit this risk by simple means such as no-contact
       between at-risk populations, enhanced disinfection procedures of the
       rooms and masking of the coughing PCP patients.
 DE    Aged  Aged, 80 and over  Case Report  *Cross Infection  English Abstract
       Female  Hospitals, Public  Human  *HIV Seronegativity
       *Immunocompromised Host  Male  Middle Age  Paris/EPIDEMIOLOGY
       Pneumonia, Pneumocystis carinii/*EPIDEMIOLOGY  Risk Factors  JOURNAL
       ARTICLE  REVIEW  REVIEW, TUTORIAL

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

