HIV PEP Guidelines after Sexual Assault
[Pages:6]HIV PEP Guidelines after Sexual Assault Harborview Medical Center January 2015
Initial risk assessment and discussion with patient about risk and PEP is by clinician who does exam (SANE, Ob-Gyn resident, pediatrics resident.)
ED Medicine attending meets with all patients in "Low to moderate risk" category, and with any patient in other risk categories who wishes to talk about or consider HIV PEP.
Follow-up: All patients who start PEP will have follow-up through Madison Clinic. Leave voice message with Madison Clinic PCC (744-5155) who will arrange appointment.
Medication: Patient needs 5 days of medication in hand when leaving ED. Dispense from Pyxis.
Risk factors of assailant
Risk factors of contact
Time since contact HIV PEP Regimen
Lowest risk HIV PEP not indicated
Ongoing unprotected sexual contact (e.g. intimate partner) No semen to mucosal or wound contact
Very low risk
Low to moderate risk
Option of PEP should be
Recommendation for PEP should be
discussed with patient by
discussed with patient, with full discussion
medical provider (SANE).
of risks and benefits
PEP may be prescribed if
patient wishes after full
discussion of risks/benefits
Assailant is:
Assailant is:
Man who has sex with
Man known or suspected HIV positive
women OR
(most important factor)
Unknown risk factors
Man who has sex with men (HIV
Note: man who has been recently incarcerated has same risk as general male
prevalence 12-15%) Known IV drug use (HIV prevalence ~2%) (prevalence in King County)
population ( ................
................
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