Comfort Discussing HIV Pre-Exposure Prophylaxis with Patients Among Physicians in an Urban Emergency Department
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Post-exposure prophylaxis for HIV infection after sexual assault: when is it indicated?
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 tru...
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Background. Many persons who present for non-occupational post-exposure prophylaxis (NPEP) remain at increased risk for HIV acquisition because of recurrent practices. Limited data exist regarding facilitators and barriers to transitioning from non-occupational post-exposure prophylaxis (NPEP) to pre-exposure prophylaxis (PrEP) for ongoing HIV prevention in this population. Methods. Participant...
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INTRODUCTION HIV continues to be a major health concern with approximately 2.1 million new infections occurring worldwide in 2015. In Central America, Guatemala had the highest incident number of HIV infections (3,700) in 2015. Antiretroviral pre-exposure prophylaxis (PrEP) was recently recommended by the World Health Organization (WHO) as an efficacious intervention to prevent HIV transmission...
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BACKGROUND Most trauma patients visit the hospital via the emergency department. They are at high risk for tetanus infection because many trauma patients are wounded. Tetanus immunity in the Korean population has been revealed to be decreased in age groups over 20 years old. It is important for emergency physicians to vaccinate patients with the tetanus booster in wound management. METHODS Qu...
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Emergency physicians should be aware of the following changes and shifts in emphasis that differentiate this set of guidelines from its predecessors. Changes related to the transmission of HIV: • The CDC is concerned with the unnecessary use of long courses of HIV postexposure prophylaxis (PEP) drug regimens in health care providers who are exposed to blood and/or body fluids from non–HIV-infec...
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