Therapeutic Handbook - GGC Prescribing

HIV infection in hospital• Contact Brownlee Centre, Gartnavel General Hospital (see Appendix 6 for contact details) if HIVis suspected in an inpatient or patient is known HIV positive.• Ensure uninterrupted supply of anti-retroviral therapy. The patient should have their own supply ofanti-retroviral therapy. Otherwise contact Gartnavel General Hospital Pharmacy (see Appendix6 for contact details).• Drug Interactions are common. Please contact HIV pharmacist (see Appendix 6 for contactdetails).Post-exposure Prophylaxis (PEP)See guideline titled ‘NHSGGC Management of Occupational and Non Occupational Exposures toBBV’ on StaffNet, Clinical Guideline Electronic Resource Directory, and search in ‘Infections’ section.Assess recipients of blood borne virus exposure urgently, as soon as possible after injury. IdeallyPEP should be given within 2 hours of injury but is still beneficial beyond this time.General management:• Assess the injury.• Administer first aid.• Assess the source risk and need for blood borne virus testing in conjunction with the indexpatients clinical team.• Check for potential drug interactions. Contact pharmacy (see Appendix 6 for contact details).• Contact the Brownlee Centre, Gartnavel General Hospital (see Appendix 6 for contact details) forall patients who are assessed as requiring PEP or if there is uncertainty.• Obtain post-exposure prophylaxis medication (PEP packs) through A&E or pharmacy.• For patients with sexual exposure to HIV, contact the Sexual Health Service at the SandyfordCentre (see Appendix 6 for contact details).• HIV counselling and testing is provided at the Brownlee Centre, Sandyford Central and multipleSandyford Hubs in NHSGGC (see www.sandyford.org for details).• Refer all incidents to occupational health.InfectionsPage 255