Post Exposure Prophylaxis To Hiv/aids

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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...

Ask the Experts

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 »

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 »

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 »

post-exposure prophylaxis

Hi Dr. Joe, Thank you again for your previous answer. I appreciate it.I took the HIV-1 DNA by PRC Test and the HIV-1 Abs on the 36th day after exposure. Both tests came negative. I have never tested positive on any HIV tests. I've been taking a...

Response from Joseph McGowan, M.D., F.A.C.P.

North Shore University Hospital

Thanks for your follow-up.No the medications you took would not have affected the PCR tests. Don't worry.Joe... 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 »

17 week post exposure with symtoms

Posted by Anonymous, 2 Replies

Well it comes down to this. Tested negative at 17 weeks for HIV 1/2 abs using the Elisa. Proviral DNA at 17 weeks indicated negative no HIV DNA Detected. Previous testing at 29 days with the hiv1 RNA PCR indicated not detected <50 co/ml. Would... Read more »

is seven weeks post exposure enough time to tell?

Posted by Anonymous, 4 Replies

I am a victim of rape and I know that he didn't use protection and that is all I know about him. I am so scared that I am going to have hiv. I had a test done at four weeks after which was negative and now my DR reccomends one at 7 weeks then... 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 »

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