HIV Prophylaxis (Non-Occupational)

1) Icon

2) Consider Plan B

3) Td

4) Hepatitis B PEP for non-vaccinated

-Hepatitis B immunoglobulin and/or vaccine

5) Labs

-Rapid HIV, hep pannel, RPR?

6) Consider HIV PEP

-Basic labs, LFTs, if considering HIV PEP

7) PD notification

EXPOSURE RISK

I. Negligible

    -Urine, nasal secretions, saliva, sweat or tears not visibly contaminated with blood

    -HIV Post-Exposure Prophylaxis not recommended

II. Substantial

    -Exposure of vagina, rectum, eye, mouth or other mucous membrane, non-intact skin, or percutaneous contact

    -With blood, semen, vaginal secretions, rectal secretions, breast milk, or any body fluid visibly contaminated with blood

    1) <72 Hours

         i) Source = Unknown HIV

              -->Case-by-case determination

         ii) Source = Known HIV+

              -->28-day course of HAART

              (three-drug regimen), start ASAP

    2) >72 Hours

         -->No HAART recommended

8/07 DONALDSON

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