Article Text

Download PDFPDF
HIV post-exposure prophylaxis after sexual assault
  1. J Crossley
  1. Correspondence to:
 Dr J Crossley
 Sheffield Children’s Hospital, Western Bank, Sheffield S10 3TA, UK;

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

The decision for HIV post-exposure prophylaxis after sexual assault should be considered on an individual basis

Merchant and colleagues report an audit of adherence in their paediatric emergency department to the New York State Department of Health guidelines on HIV post-exposure prophylaxis (PEP).1 The guidelines recommend that every victim of unprotected vaginal or anal rape presenting within 36 hours should receive HIV PEP unless the assailant is known to be HIV negative. Where possible, they should receive treatment within one hour of assault. Over six months, 14 of 25 patients received HIV PEP. No patient presented within one hour. Even after presentation, the minimum triage to medication time was two hours. The authors suggest strategies to speed the delivery of prophylaxis.

Many of the important questions come well before an audit of adherence to guidelines. …

View Full Text