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Hiv Non-occupational Post-exposure Prophylaxis Guidelines

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Non-Occupational Post Exposure Prevention

Other non-occupational HIV PEP programs may be available through emergency rooms or local clinics. Your city or state department of public health may have more information about HIV nPEP programs in your area. This list merely reflects formal programs that we are aware of at the time of publication. Commentary The decision to use nPEP is a difficult one. Even if you participated in an activity that put you at high risk for HIV infection,...
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No sleep from 2 days! (NON-OCCUPATIONAL POST EXPOSURE PROPHYLAXIS)

Hello Dr. Frascino,I am a 26 yr old male from Tulsa, Oklahoma. I had unprotected viginal sex 2 days before with an unknown girl. I have been loyal to my girl friend till now. I don't know the HIV status of that girl, but she accepted that she...
Robert J. Frascino, M.D.

Response from Robert J. Frascino, M.D.

The Robert James Frascino AIDS Foundation
Hey Tulsa Guy,Your nearby "hopspital" has no clue what PEP is??? YIKES! That's shocking even for a square red state in the middle of the country!I doubt an HIV-knowledgeable physician would recommend a course of PEP for the type of... Read more »

Post-Exposure Prophylaxis, Occupational Exposure

Hi Dr Frascino, I am a medical resident and today suffered an occupational injury from an AIDS patient. I was placing a 20G IV when the patient jumped and it stuck my finger. The injury wasn't very deep, but I had a bit of blood from the...
Robert J. Frascino, M.D.

Response from Robert J. Frascino, M.D.

The Robert James Frascino AIDS Foundation
Hi,Yes, PEP further reduces your HIV-acquisition risk; however, we can't say by exactly how much because there are many confounding variables, including viral strain, viral load, whether the source patient was on antiretrovirals, time to your... Read more »

Updated HIV Post Exposure Prophylaxis (PEP) Guidelines

I recently got stuck with a needle which was in an HIV positive patient's gum. The needle did not have any associated blood. Would you recommend prophylactic AZT in such a case?...
Rick Sowadsky, M.P.H.

Response from Rick Sowadsky, M.P.H.

Nevada State Health Division AIDS Program
Hi. Thank you for your question. When deciding on whether HIV Post Exposure Prophylaxis (PEP) is indicated in a specific case, you need to ask yourself the following questions:1) Was the patient KNOWN to be HIV positive or KNOWN to be at high... Read more »

3 month and 6 month test guidelines for occupational and non-occupational exposures

Dr. Vegas here again. Another question. I have the impression from reading your forum and from discussing this with other HIV MD's that the 3 month antibody test is pretty definitive. That is, if the 3 month test is negative after an exposure...
Robert J. Frascino, M.D.

Response from Robert J. Frascino, M.D.

The Robert James Frascino AIDS Foundation
Hello Vegas-Doc,I've discussed this topic numerous times over the years. Check out the archives for a more detailed discussion.Briefly, IMHO (which I recently learned from my young niece means "in my humble opinion") a negative... Read more »
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Post-Exposure Prophylaxis (PEP) - Help

Posted by MF2010
Hi all,

I've been exposed to HIV in the beginning of this month.
My condom completely broke and i had sex for a couple of minutes completely exposed. I suspect my partner was HIV infected.

Went straight to the hospital and started Post-Exposure... Read more »

occupational exposure

Posted by stars, 1 Reply
I have just this week had an occupational exposure. I stuck myself with an instrument from a patient known to be Hep B and HIV positive.
Although academically I understand the low risk factor, emotionally the experience has been hard. I am always... Read more »

Window Period for Occupational Exposures

Posted by Anonymous, 3 Replies
Taken from a report on HIV exposure in a health care setting:

HIV Seroconversion in HCWs

Data on the timing and clinical characteristics of seroconversion in HIV-exposed HCWs are limited by the infrequency of infection following occupational... Read more »

Scared of this sore throat at 116 days post exposure ?

Posted by Timmy, 1 Reply
Got tested 93,94 and 108 days by CMIA test - it came non reactive and also HIV RNA test at 108 days which was undetectable but I am again worried now after exhaustion, appetite loss , continuos sore throat and swollen lymph. And testing guidelines... Read more »