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Bioethical Aspects of HIV Infection in Children

Lincoln Medical and Mental Health Center, 234 East 149th Street, Bronx, New York 10451

Kiran Shah, MD

New York Medical College, Valhalla, New York, and Lincoln Medical and Mental Health Center, Bronx, New York

The care of HIV-infected children is fraught with many bioethical conflicts and dilemmas that require careful attention if care is to be provided appropriately. Understanding of the interplay of such general principles as autonomy, nonmaleficence, confidentiality, and veracity helps to clarify the nature of specific conflicts. This article addresses both general principles and their specific applications to pediatric patients with HIV infection. It addresses these matters from the points of view both of patients and parents. It shows why conflict is practically inevitable, and it points the way toward prevention and resolution of conflict. Practical guidelines are provided in relation to the critical problem of disclosure of diagnosis to the patient.

Clinical Pediatrics, Vol. 36, No. 10, 573-579 (1997)
DOI: 10.1177/000992289703601004


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