HIV Prophylaxis (Non-Occupational)

Workup

1. Icon
2. Consider Plan B
3. Td
4. Hepatitis B PEP for non-vaccinated
   1. Hepatitis B immunoglobulin and/or vaccine
5. Labs
   1. Rapid HIV, hep pannel, RPR?
6. Consider HIV PEP
   1. Basic labs, LFTs, if considering HIV PEP
7. PD notification

^Currently no PEP for Hep C

EXPOSURE RISK

1. Negligible
   1. Urine, nasal secretions, saliva, sweat or tears not visibly contaminated with blood
   2. HIV Post-Exposure Prophylaxis not recommended
2. Substantial
   1. Exposure of vagina, rectum, eye, mouth or other mucous membrane, non-intact skin, or percutaneous contact
   2. With blood, semen, vaginal secretions, rectal secretions, breast milk, or any body fluid visibly contaminated with blood
      1. <72 Hours
         1. Source = Unknown HIV
            1. -->Case-by-case determination
         2. Source = Known HIV+
            1. -->28-day course of HAART
               1. (three-drug regimen), start ASAP
      2. >72 Hours
         1. -->No HAART recommended

Source

8/07 DONALDSON