rss
Emerg Med J 18:242-245 doi:10.1136/emj.18.4.242
  • Original Article

Post-exposure prophylaxis for HIV infection after sexual assault: When is it indicated?

  1. C Fong
  1. Accident and Emergency Department, St Thomas's Hospital, Guy's and St Thomas's Hospital Trust, Lambeth Palace Road, London SE1 7EH, UK
  1. Correspondence to: Dr Fong (cfong{at}cwcom.net)
  • Accepted 28 June 2000

Abstract

To date there are no published studies on the effectiveness of HIV post-exposure prophylaxis (PEP) after sexual exposure. However, as emergency physicians we are faced with the dilemma of assessing the risk of HIV transmission and providing appropriate care for patients who present to us after sexual assault. Current practice in UK emergency departments and genitourinary clinics varies from trust to trust. There is no direct evidence that HIV PEP after rape prevents transmission or is cost effective. However, there may be certain rape cases where HIV PEP should be prescribed or at least considered. While we wait for more definitive clinical studies, HIV PEP after rape should be considered on a case to case basis. This article aims to provide emergency physicians with current scientific evidence on HIV PEP enabling them to make an informed decision on when HIV PEP is indicated after rape.

Footnotes

    Responses to this article


    Free sample
    This recent issue is free to all users to allow everyone the opportunity to see the full scope and typical content of EMJ.
    View free sample issue >>

    Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.

    Poll now closed

    What impact do you think co-locating primary care services with or within EDs has on ED visits:

    Results:
    Decreased ED visits: 55% Increased ED visits: 28% Has no effect: 17%

    Related review: Primary care services located with EDs: a review of effectiveness >>

    Related editorial: Primary care services located with EDs: a review of effectiveness >>

    Navigate This Article