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burst condom and post exposure prophylaxis
Sep 26, 2006

dear dr. bob, i'm from nigeria, west africa. i had sex with a sex worker and my condom broke. the next morning i started a course of pep with combivir, about 9 hours after the burst. can you give me any hope?

Response from Dr. Frascino

Hello,

Sure! Beginning PEP (post-exposure prophylaxis) shortly after a potential exposure provides the best chance of preventing HIV transmission. Do you even know if the sex worker was HIV positive? The estimated per-act risk for acquiring HIV from unprotected (or broken-condom) insertive penile-vaginal sex with a partner confirmed to be HIV positive is 5 per 10,000 exposures. Your risk would be less if we do not know the status of your partner.

I'll send you my best good-luck karma that your post-PEP HIV follow-up tests are negative.

Good luck.

Dr. Bob



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