nPEP protocol implementation and evaluation at a local US Crisis Center
| Autor: | Liwei Chen, Rahul Mhaskar, Diane M. Straub, Briana Ortega, Sandy Steblin, Jennifer Thayer |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Protocol (science)
medicine.medical_specialty Health (social science) Social Psychology business.industry Sex Offenses Public Health Environmental and Occupational Health Human immunodeficiency virus (HIV) HIV Infections Hiv testing medicine.disease_cause Follow up care Chart review Family medicine medicine Humans Post-Exposure Prophylaxis Hiv transmission business Retrospective Studies Sexual assault |
| Zdroj: | AIDS Care. 34:1268-1275 |
| ISSN: | 1360-0451 0954-0121 |
| DOI: | 10.1080/09540121.2021.1957079 |
| Popis: | Non-occupational Post-Exposure Prophylaxis for HIV (nPEP) is recommended by the CDC for isolated exposures that pose "substantial risk" for HIV transmission. To combat multiple barriers to nPEP utilization, a comprehensive program was developed through the local community sexual assault provider. The purpose of this study was to evaluate nPEP protocol implementation. A retrospective chart review was conducted of all sexual assault victims seen during a six-month period, and all patients who accepted nPEP were selected for follow-up phone interviews. 157 patients presented during the study period. Mean time to care was 32.4hrs, with 126/157 (80%) presenting ≤72hrs. 114/157 (73%) patients were offered nPEP by providers. 67/114 (59%) patients accepted, with the most common reason for declining being needing more time to decide. 10/13 (77%) patients able to be contacted reported completing nPEP, with side-effects cited as the most common noncompletion reason. 9 reported side effects and 4 received recommended follow-up HIV testing. 83/99 (84%) patients clearly eligible by chart review were offered nPEP, suggesting good adherence to CDC guidelines. Most patients contacted completed nPEP despite side-effects, suggesting good adherence. Our findings demonstrated multiple points status post-sexual assault to potentially improve the nPEP process. |
| Databáze: | OpenAIRE |
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