Prophylaxis Against Possible Human Immunodeficiency Virus Exposure After Nonoccupational Needlestick Injuries or Sexual Assaults in Children and Adolescents

Abstract

Although few physicians reported institutional policies, and only one third had ever initiated HIV PEP, many would offer or recommend HIV PEP for children and adolescents within 24 hours after possible HIV exposure. A wide variation of regimens have been suggested. There is a need for a national consensus for nonoccupational HIV PEP.

Nonoccupational postexposure prophylaxis following sexual assault in industrialized low-HIV-prevalence countries: A review

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Nonoccupational Post-Exposure Prophylaxis for HIV in New York State Emergency Departments

“…11 Data are similar for adolescent nonoccupational exposures with only one-third of pediatric infectious disease and pediatric ED physicians having prescribed nPEP. 12 When evaluating PEP from the perspective of cases as opposed to provider-based data, a retrospective analysis of Rhode Island EDs in 2008 showed that only 21% of eligible cases had PEP offered, and it was more likely in scenarios with health care workers in the occupational setting. 13 Considering the above-mentioned data, our finding that 88% (n ¼ 161 of 184) of NYS EDs reported evaluating any presenting patient with possible nonoccupational exposure for HIV suggests that the use of nPEP is relatively robust in NYS.…”