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| | | #REDIRECT[[HIV post-exposure prophylaxis]] |
| ==Workup==
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| #Pregnancy test | |
| #Consider Plan B
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| #Td
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| #Hepatitis B PEP for non-vaccinated
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| ##Hepatitis B immunoglobulin and/or vaccine
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| #Labs
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| ##Rapid HIV, hep pannel, RPR?
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| #Consider HIV PEP
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| ##Basic labs, LFTs, if considering HIV PEP
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| #PD notification
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| ^Currently no PEP for Hep C
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| ==Treatment==
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| ===Negligible Risk===
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| #Urine, nasal secretions, saliva, sweat or tears not visibly contaminated with blood
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| #HIV Post-Exposure Prophylaxis not recommended
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| ===Substantial Risk===
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| #Exposure of vagina, rectum, eye, mouth or other mucous membrane, non-intact skin, or percutaneous contact
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| #With blood, semen, vaginal secretions, rectal secretions, breast milk, or any body fluid visibly contaminated with blood
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| ##<72 Hours
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| ###Source = Unknown HIV
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| ####-->Case-by-case determination
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| ###Source = Known HIV+
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| ####-->28-day course of HAART
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| #####(three-drug regimen), start ASAP
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| ##>72 Hours
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| ###-->No HAART recommended
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| ===National Clinician's Post-Exposure Prophylaxis Hotline===
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| *1-888-448-4911, call for expert advice
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| ==See Also==
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| *[[HIV (Transmission Risk)]]
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| *[[Sexual Assault]]
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| *[[HIV - AIDS (Main)]]
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| ==Source==
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| 8/07 DONALDSON
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| [[Category:ID]]
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| [[Category:Trauma]]
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