{"id":103,"date":"2008-10-21T18:50:43","date_gmt":"2008-10-21T23:50:43","guid":{"rendered":"http:\/\/blogs.nejm.org\/pov\/hiv-id-observations\/?p=103"},"modified":"2008-10-21T18:50:43","modified_gmt":"2008-10-21T23:50:43","slug":"back-to-school-day-4-pep-and-more-pep","status":"publish","type":"post","link":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/back-to-school-day-4-pep-and-more-pep\/2008\/10\/21\/","title":{"rendered":"Back to School, Day 4: PEP and More PEP"},"content":{"rendered":"

After a lecture on HIV for Primary Care Providers <\/em>in our course last week, the most controversial topic was, not surprisingly, the use of post-exposure prophylaxis (PEP) for both occupational and non-occupational exposures.\u00a0 And today, after an entire lecture on PEP to a group of HIV providers in our AIDS course, again the subject drew numerous questions — and strong opinions — from the audience.<\/p>\n

Since this is a relatively data-free zone, one turns to the guidelines<\/a> for advice.\u00a0 But not surprisingly, they offer tons of wiggle room for a clinician to do pretty much anything he or she wants in all but the most florid exposures or non-exposures.<\/p>\n

(Can there be a florid non-exposure?)<\/p>\n

So here’s a case we just posted on AIDS Clinical Care.<\/em><\/a> (Drawn from real life, of course.)\u00a0 Emergency room resident sticks herself with a needle while suturing a patient’s wound, a patient who’s HIV positive with an undetectable viral load on treatment. Oh, and the resident is pregnant.<\/p>\n

To give PEP or not to give PEP?<\/p>\n","protected":false},"excerpt":{"rendered":"

After a lecture on HIV for Primary Care Providers in our course last week, the most controversial topic was, not surprisingly, the use of post-exposure prophylaxis (PEP) for both occupational and non-occupational exposures.\u00a0 And today, after an entire lecture on PEP to a group of HIV providers in our AIDS course, again the subject drew […]<\/p>\n","protected":false},"author":6,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2,3,4,5,6,8],"tags":[117,423,598,669,706,742],"class_list":["post-103","post","type-post","status-publish","format-standard","hentry","category-antiretroviral-rounds","category-health-care","category-hiv","category-infectious-diseases","category-medical-education","category-patient-care","tag-blood-borne-pathogens","tag-hiv","tag-medical-resident","tag-occupational-exposure","tag-pep","tag-post-exposure-prophylaxis"],"post_mailing_queue_ids":[],"_links":{"self":[{"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/posts\/103","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/comments?post=103"}],"version-history":[{"count":0,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/posts\/103\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/media?parent=103"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/categories?post=103"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/tags?post=103"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}