[Post-exposure prophylaxis following exposure to HIV: adaptation to the situation may be indicated]

Ned Tijdschr Geneeskd. 2005 Jul 2;149(27):1485-9.
[Article in Dutch]

Abstract

A woman aged 36 injured herself on a needle that had been used to take an iliac-crest biopsy from an HIV-positive patient and a man aged 34 and a woman aged 35 had sexual contact with their HIV-positive partners during which the condom tore. They were given post-exposure prophylaxis (PEP) which was formulated using medication and virus resistance data from the HIV-positive individual. At 3 and 6 months the patients were all still HIV-negative. After occupational or non-occupational exposure to HIV, PEP is initiated if there is a reasonable risk of transmission of HIV. In The Netherlands a combination of 3 antiretroviral drugs is advised based on demonstrated antiviral effectiveness in the regular treatment of HIV-infections. Frequently a standard PEP-regimen is prescribed. If the source patient has a history of antiretroviral therapy, the virus might be resistant to standard PEP-regimens. In these cases the choice of drugs in the PEP-regimen can be individualised based on the antiretroviral medication history of the source patient and known resistance patterns of the source virus.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Adult
  • Anti-HIV Agents / therapeutic use*
  • Condoms
  • Disease Transmission, Infectious / prevention & control*
  • Environmental Exposure / adverse effects*
  • Equipment Failure
  • Female
  • HIV / drug effects
  • HIV / growth & development
  • HIV Infections / prevention & control*
  • HIV Infections / transmission
  • Humans
  • Male
  • Needlestick Injuries / complications
  • Occupational Exposure

Substances

  • Anti-HIV Agents