Diferencia entre revisiones de «HIV Prophylaxis (Non-Occupational)»
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^Currently no PEP for Hep C
^Currently no PEP for Hep C


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


==Source==
==Source==

Revisión del 04:36 28 mar 2011

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

Treatment

Negligible Risk

  1. Urine, nasal secretions, saliva, sweat or tears not visibly contaminated with blood
  2. HIV Post-Exposure Prophylaxis not recommended

Substantial Risk

  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

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