Post Exposure Prophylaxis For Hiv Efficacy

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Treatment After Exposure to HIV

For serious exposures, the U.S. Public Health Service recommends using a combination of three approved ARVs for four weeks. For less serious exposure, the guidelines recommend four weeks of treatment with two drugs: zidovudine (Retrovir, AZT) and lamivudine (Epivir, 3TC). In January 2001, the Centers for Disease Control warned against using nevirapine (Viramune) for PEP because of the risk of liver damage. See Fact Sheet 431 for more...

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hiv exposure, post exposure prophylaxis and rash

hello,i'm a resident physician and was recently exposed to an HIV infected pt. i sustained a superficial laceration from trauma shears contaminated with dried blood that was several hours old but i started expanded pep nonetheless. 2 days...

Response from Keith Henry, M.D.

University of Minnesota, School of Medicine

Most likely a drug rash but the situation is stressful (I have seen numerous drug rashes on situations like yours). KH... Read more »

Does Post Exposure Prophylaxis increase the odds of a false negative test 30 days after exposure?

Hi, Dr. Bob. I hope my question has not already been answered. I will try to make it quick. A month ago I was raped by a man I do not know. Immediately after, I called the police and was taken to the ER where they prescribed me 30 days of PEP (and...

Response from Robert J. Frascino, M.D.

The Robert James Frascino AIDS Foundation

Hi.Sorry to hear about the sexual assault. I hope the perpetrator is now behind bars.The guidelines for post-PEP HIV testing recommend HIV-antibody testing at four to six weeks, three months and six months from the date of exposure.Dr. Bob... 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...

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?...

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 »

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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 »

hiv prophylaxis

Posted by Anonymous, 2 Replies

My partner is pos.Last week the condom broke so doc gave me kaletra+combivir to take as 'morning after pill' or prophylaxis.ok for 3 days (except terrible shits) then BANG! puking,stomach pains,sweats,fatigue(so bad it brought on an attack of... Read more »

exposure 10 days ago--prophylaxis drug an option?

Posted by Anonymous, 2 Replies

I'm happily married and monogamous for the past 10 years. Ten days ago 5 minutes of drunken stupidity could have changed all that.

I had gone to a strip club (which is a rarity for me). I got way too drunk and stupid, and got a lap dance. The... Read more »

6weeks/post exposure/pep meds result

Posted by justagirl72

So my employee health nurse called to let me know that my test for HIV and Hep C were Negative..yay..but I know its not conclusive. my HepB was reactive but I have an immunity from a vaccine..so now its back to the waiting game and counting the... Read more »

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