[Ethical dilemmas in the sharing of information in the care of HIV-infected children].
Ethical dilemmas are regularly encountered in the care of patients infected with HIV (Human Immunodeficiency Virus), especially in issues regarding professional confidentiality and shared information with the child and his/her family as well as among professional health workers. This communicable disease, which can be treated but not yet cured, leads to exclusion, due to the fear of infection, to its severity and induces stigmatisation of affected individuals. It interferes with life projects, sexuality, reproductive health, family life, projection into the future. In HIV paediatrics, practitioners regularly deal with complex situations and need to balance parental authority and children's needs/dependence, respect of patient's confidentiality and hazards to another person's health, potential negative impact of disclosing information and risks attributable to the lack of information.
Dollfus
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C
Service d'oncologie et d'hématologie pédiatrique, hôpital d'Enfants Armand Trousseau, 26, avenue du Docteur-Arnold-Netter, 75012 Paris, France. catherine.dollfus@trs.ap-hop-paris.fr
Trocmé
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N
Stengel
L
L
Tabone
M D
MD
Leverger
G
G
D000293:Adolescent; D000328:Adult; D002648:Child; D002669:Child Welfare; D003219:Confidentiality; D004992:Ethics, Medical; D005192:Family Health; D005260:Female; D015658:HIV Infections; D006304:Health Status; D006801:Humans; D008297:Male; D010287:Parent-Child Relations; D026684:Personal Autonomy; D019529:Sexuality; D014342:Truth Disclosure