An 18-year-old cisgender woman is evaluated in a sexual health clinic with several days of vaginal discharge and vaginal soreness. During the evaluation, she reports she attended a party 5 nights ago and blacked out after consuming two mixed drinks. Later that evening, one of her friends found her deeply asleep in a bedroom with her clothing in disarray. She does not remember anything that happened, but she and her friend believe she was drugged and sexually assaulted. She was traumatized by the incident and has avoided seeking medical care. The clinician performs a sexual assault examination and obtains appropriate laboratory studies. As part of the comprehensive evaluation and treatment, HIV postexposure prophylaxis (PEP) is discussed with her.
Based on guidelines for nonoccupational HIV PEP, what is considered the recommended time cutoff for when HIV PEP is offered following a potential HIV exposure?
Figure 1. Algorithm for Evaluation and Treatment of Possible Nonoccupational HIV Exposures
Source: Centers for Disease Control and Prevention, U.S. Department of Health and Human Services. Updated Guidelines for Antiretroviral Postexposure Prophylaxis After Sexual, Injection Drug Use, and Other Nonoccupational Exposure to HIV – United States, 2016.
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Question Last Updated
August 28th, 2022
August 28th, 2022
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