UK guideline for the use of HIV Post-Exposure Prophylaxis Following Sexual Exposure, 2015

Author:

Cresswell Fiona1,Waters Laura2,Briggs Eleanor3,Fox Julie4,Harbottle Justin5,Hawkins David6,Murchie Martin7,Radcliffe Keith8,Rafferty Paul9,Rodger Alison10,Fisher Martin1

Affiliation:

1. Brighton and Sussex University Hospital, UK

2. BASHH HIV Special Interest Group, UK

3. National AIDS Trust, UK

4. Guy’s and St Thomas’ Hospital, UK

5. Terrence Higgins Trust, UK

6. Chelsea and Westminster Hospital, UK

7. Society of Sexual Health Advisers, UK

8. Whittall Street Clinic, UK

9. HIV Pharmacy Association, UK

10. University College London, UK

Abstract

We present the updated British Association for Sexual Health and HIV guidelines for HIV post-exposure prophylaxis following sexual exposure (PEPSE). This document includes a review of the current data to support the use of PEPSE, considers how to calculate the risks of infection after a potential exposure, and provides recommendations on when PEPSE should and should not be considered. We also review which medications to use for PEPSE, provide a checklist for initial assessment, and make recommendations for monitoring individuals receiving PEPSE. Special scenarios, cost-effectiveness of PEPSE, and issues relating to service provision are also discussed. Throughout the document, the place of PEPSE within the broader context of other HIV prevention strategies is considered.

Publisher

SAGE Publications

Subject

Infectious Diseases,Pharmacology (medical),Public Health, Environmental and Occupational Health,Dermatology

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