A Guide to Primary Care of People with HIV/AIDS - Canadian Public ...

A Guide to Primary Care of People with HIV/AIDS
Chapter 11: Postexposure Prophylaxis
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SUGGESTED RESOURCES
Guidelines for the Management of Occupational
Exposures to HBV, HCV, and HIV and
Recommendations for Postexposure Prophylaxis.
Available at http://aidsinfo.nih.gov/guidelines/.
PEP Steps–a pocket summary of the 2001 PEP
Guidelines. Mountain Plains AIDS Education and
Training Center. Available at http://www.uchsc.edu/
mpaetc/hivresources.htm or by telephone at 303-
315-2516.
Practice recommendations for health-care facilities
implementing the U.S. Public Health Service
guidelines for management of occupational
exposures to bloodborne pathogens. MMWR
2001;50(RR-11):43-44. Available at http:
//www.cdc.gov/mmwr/preview/mmwrhtml/
rr5011a2.htm.
Recommendations for the Use of Antiretroviral
Drugs in Pregnant HIV-1 Infected Women for
Maternal Health and Interventions to Reduce
Perinatal HIV-1 Transmission in the United States.
Available at http://www.hivatis.org.
WEBSITES
Food and Drug Administration: http://www.fda.gov.
Accessed 1/04.
Hepatitis information: http://www.cdc.gov/hepatitis.
Accessed 1/04.
HIV PEP registry, for nonoccupational exposures:
http://www.hivpepregistry.org. Accessed 1/04.
National Rape, Abuse, & Incest National Network:
http://www.rainn.org/. Accessed 1/04.
Needlestick website, a web-based expert system
to help providers manage and document
occupational exposures to blood and bodily fluids:
http://www.needlestick.mednet.ucla.edu.
Accessed 1/04.
New York State Department of Health
AIDS Institute, PEP guidelines: http://
www.hivguidelines.org. Accessed 1/04.
STD/HIV Prevention Training Centers (PTCs): http:
//depts.washington.edu/nnptc Accessed 10/03.
Contact State and local health departments for
additional information.
TELEPHONE
National Rape Crisis Hotline: 1-800-658-HOPE.
National Clinicians’ Post-Exposure Prophylaxis
Hotline (PEPline), expert consultation for providers
on occupational exposures to bloodborne
pathogens: 1-888-HIV-4911 (1-888-448-4911
or http://www.ucsf.edu/hivcntr/resources/pep.
Accessed 1/04.
Warmline: National HIV telephone consultation
service: 1-800-933-3413
REFERENCES
Bell DM. Occupational risk of human
immunodeficiency virus infection in
healthcare workers: an overview. Am J Med.
1997;102(suppl 5B):9-15.
Cardo DM, Culver DH, Ciesielski CA, et al.
A case-control study of HIV seroconversion
in health care workers after percutaneous
exposure. N Engl J Med. 1997;337:1485-1490.
Centers for Disease Control and Prevention.
Updated guidelines for the management of
occupational exposures to HBV, HCV, and
HIV and recommendations for postexposure
prophylaxis. Public Health Service. MMWR.
2001:50(RR11):1-42.
Centers for Disease Control and Prevention.
Management of possible sexual, injectingdrug-use,
or other nonoccupational
exposure to HIV, including considerations
related to antiretroviral therapy. Public
Health Service Statement. MMWR. 1998;
47(RR-17):1-14.
Centers for Disease Control and Prevention.
Recommendations for the prevention and
control of hepatitis C virus (HCV) infection
and HCV-related chronic disease. MMWR.
1998; 47(RR-19):1-39.
Gerberding JL. Occupational exposure to
HIV in health care settings. N Engl J Med.
2003;348:826-833.
New York State Department of Health AIDS
Institute. HIV PEP Guidelines. Available at
http://www.hivguidelines.org Accessed 1/04.
Mayer KH, Anderson DJ. Heterosexual HIV
transmission. Infect Agents Dis. 1995;4:273-284.
Stephenson J. PEP talk: treating
nonoccupational HIV exposure. JAMA.
2003;289:287-288.
Werner BG, Grady GF. Accidental hepatitis-Bsurface-antigen-positive
inoculations: use of
e antigen to estimate infectivity. Ann Intern
Med. 1982;97:367-369.
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U.S. Department of Health and Human Services, Health Resources and Services Administration, HIV/AIDS Bureau