HIV Prophylaxis (Non-Occupational)

Workup

1. Pregnancy test
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

National Clinician's Post-Exposure Prophylaxis Hotline

• 1-888-448-4911, call for expert advice

See Also

• HIV (Transmission Risk)
• Sexual Assault
• HIV - AIDS (Main)

Source

8/07 DONALDSON