|Post-nPEP testing, do I need more?
Jan 27, 2011
I'm a big fan of yours. Please help answer my questions, I'll donate to your foundation.
About 80 days ago, I had an condom-break accident with a csw. I was prescribed a course of PEP less than 5 hours later. About 2 days after the exposure, I took the csw to take antibody and PCR tests, both of which came out negative.
Today I took my first ELISA test since that possible exposure. This came out non-reactive. In your assessment, do you think I need to take further tests? I know you usually recommend the post-PEP guideline of testing at 3-month and 6-month mark, but does the fact that the lady tested negative for PCR change your assessment?
Please please give me your comments. Thank you very much.
| Response from Dr. Frascino
If I decided someone needed a course of PEP, I would also advise them to follow the post-PEP testing guidelines. If information became available shortly after staring a course of PEP that indicated PEP was not really warranted, I would stop the PEP. Basically, what I'm saying is that if an HIV specialist felt you deserved a full course of PEP, you should follow the post-PEP testing guidelines.
Hope that helps.
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