title: [Current status of HIV/AIDS anesthetic experiences in Japan--questionnaire for anesthesia teaching hospitals].
abstract: BACKGROUND
  As the number of HIV-infected patients in Japan increases every year, the opportunity for a HIV-positive patient to undergo an operation is also increasing.
  
  
  METHODS
  Authors sent questionnaire to 952 anesthesia teaching hospitals, in order to investigate the experience and management of the HIV-positive anesthetic cases.
  
  
  RESULTS
  The reply was obtained from 480 teaching hospitals. One hundred and nine hospitals (22.7%) experienced HIV-positive operation, 367 hospitals (76.5%) had no experience. With regard to the number of experienced HIV-positive cases, only one case was the most numerous answer and most of the hospitals had fewer than ten cases. General anesthesia was selected in 74% of cases, regional anesthesia (spinal or/and epidural anesthesia) were selected in 26% of cases. Preoperative HIV examination for almost all scheduled cases were carried out in 24% of the hospitals, but 23% of the hospitals did not carry out the examination at all. Eighteen percent of the hospitals had a severe rule for the management of a HIV-positive case, and 58% of the hospitals had a rule almost the same as for HBV-HCV positive cases.
  
  
  CONCLUSIONS
  Almost one fourth of anesthesia teaching hospitals experienced HIV-positive cases. Anesthesiologists should know how to manage HIV-positive surgical patients and be prepared for the cases.
authors.affiliation: Department of Anesthesia, International Medical Center of Japan, Tokyo 162-8655.
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Maehara
authors.forename: Atsuko
authors.initials: A
authors.lastname: Matsuya
authors.forename: Shoji
authors.initials: S
authors.lastname: Kawachi
authors.forename: Yuka
authors.initials: Y
authors.lastname: Osaki
authors.forename: Yohei
authors.initials: Y
authors.lastname: Suzuki
authors.forename: Masaki
authors.initials: M
authors.lastname: Sato
authors.forename: Mariko
authors.initials: M
authors.lastname: Baba
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000453:epidemiology*; D000758:Anesthesia / Q000706:statistics & numerical data*; D000776:Anesthesiology; D015658:HIV Infections / Q000453:epidemiology*; D006784:Hospitals, Teaching / Q000706:statistics & numerical data*; D006801:Humans; D007564:Japan / Q000453:epidemiology; D019990:Perioperative Care / Q000706:statistics & numerical data; D013514:Surgical Procedures, Operative / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires