[Adverse events relating to antiretroviral prophylaxis for occupational accidents].
نویسندگان
چکیده
The objective of the study was to describe adverse events detected clinically or in the laboratory that were secondary to the use of antiretroviral agents among individuals undergoing antiretroviral prophylaxis. Evaluations were performed on 37 teaching hospital employees who underwent prophylaxis using four regimens of antiretroviral medication following occupational exposition to contaminated fluids from patients with human immunodeficiency virus infection. Thirty-two (86.5%) developed adverse events detected clinically or in the laboratory. The prophylaxis administered to two professionals (5.4%) had to be suspended because of the reactions that occurred. Adverse events relating to prophylaxis for HIV infection in health care workers who were victims of occupational accidents were frequent. However, it was rarely necessary to withdraw the antiretroviral medication.
منابع مشابه
Effectiveness of PEP in Preventing Occupational HIV Infection
Since 1988, institutions have been offering antiretroviral postexposure prophylaxis (PEP) for occupational exposures to HIV (1,2). Although much has been accomplished since 1990, many important questions remain: What are the initiating events in the pathogenesis of occupational HIV infection associated with a percutaneous exposure? What evidence supports the effectiveness of PEP in preventing o...
متن کاملAdverse events and adherence to HIV post-exposure prophylaxis: a cohort study at the Korle-Bu Teaching Hospital in Accra, Ghana
BACKGROUND There is strong evidence that post-exposure prophylaxis (PEP) with antiretroviral drugs in the timely management of occupational exposures sustained by healthcare workers decreases the risk of HIV infection and PEP is now widely used. Antiretroviral drugs have well documented toxicities and produce adverse events in patients living with HIV/AIDS. In the era of "highly active antiretr...
متن کاملOccupational exposure to HIV and the use of post-exposure prophylaxis.
The use of antiretroviral therapy as post-exposure prophylaxis against human immunodeficiency virus (HIV) is now routine following high-risk exposure to the HIV virus. This article summarizes the management of health care workers and others exposed to HIV in an occupational setting, and the evidence behind it.
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In occupational accidents involving health professionals handling potentially contaminated material, the decision to start or to continue prophylactic medication against infection by Human Immunodeficiency Virus (HIV) has been based on the ELISA test applied to a blood sample from the source patient. In order to rationalize the prophylactic use of antiretroviral agents, a rapid serologic diagno...
متن کاملChoice of antiretroviral drugs for postexposure prophylaxis for children: a systematic review.
BACKGROUND This systematic review aimed to assess the safety and efficacy of antiretroviral options for postexposure prophylaxis (PEP). Recognizing the limited data on the safety and efficacy of antiretroviral drugs for PEP in children, this review was extended to include consideration of data on the use of antiretroviral drugs for treatment of infants and children living with human immunodefic...
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ورودعنوان ژورنال:
- Revista de saude publica
دوره 41 2 شماره
صفحات -
تاریخ انتشار 2007