Should patients with facial fractures be regarded as high risk for HIV?
OBJECTIVE
To determine the prevalence of HIV seropositivity in patients with facial fractures in Edinburgh, UK.


METHODS
A prospective study of 100 consecutive patients in 1994.


METHODS
Department of Maxillofacial Surgery, City Hospital, Edinburgh, UK.


METHODS
100 patients with facial fractures who were willing to participate in the study.


METHODS
Details of facial fractures. Assessment of risk factors for HIV. The seroprevalence of HIV based on unlinked anonymous testing of saliva.


RESULTS
None of the participants were HIV positive on saliva testing. Nine patients were found to have one or more risk factors for HIV. Eight patients had been tested for HIV previously.


CONCLUSIONS
Direct history taking appears to be effective in eliciting risk factors for HIV. A detailed risk factor history should be taken for all patients with facial fractures. Continuation of this study may establish whether or not there is a link between facial bone fractures and HIV seropositivity.
Crosher
R F
RF
Department of Maxillofacial Surgery, City Hospital, Edinburgh, UK.
Llewelyn
J
J
MacFarlane
A
A
D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D005147:Facial Bones / Q000293:injuries*; D005260:Female; D015483:HIV Antibodies / Q000032:analysis; D015658:HIV Infections / Q000150:complications; D006679:HIV Seropositivity / Q000150:complications*; D006801:Humans; D008297:Male; D008335:Mandibular Condyle / Q000293:injuries; D008337:Mandibular Fractures / Q000150:complications; D008487:Medical History Taking; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D015995:Prevalence; D011446:Prospective Studies; D012307:Risk Factors; D012463:Saliva / Q000276:immunology; D012606:Scotland; D017678:Sex Distribution; D012887:Skull Fractures / Q000150:complications*; D015051:Zygomatic Fractures / Q000150:complications
D015483:HIV Antibodies