AIDS Alert (06/92) Vol. 7, No. 6, P. 81
The increasing recognition that HIV-positive IV-drug users develop a
somewhat different range of disease than other risk groups as a result of
the lifestyle related to substance abuse, health-care workers are facing
the challenge of mixing drug addiction treatment with clinical care.
HIV-positive IV-drug users more frequently experience tuberculosis,
bacterial infections and bacterial pneumonias. At the Fifth National
Forum on AIDS, Hepatitis, and other Bloodborne Diseases in Atlanta, Ga.,
Dr. Peter Selwyn of the Yale University School of Medicine's AIDS
Program, said "If we don't develop clinical programs both to address
underlying drug abuse and the clinical and medical manifestations of HIV
infection in an integrated way, I think we will continue to see a greater
divergence in the natural history, course, and prognosis of HIV infection
in drug users compared to other populations." Clinicians should make an
effort to separate conditions associated with drug use from the effects
of HIV infection.