An 18-year-old woman is evaluated in a sexual health clinic for several days of vaginal pain. During the evaluation, she reported attending a party 7 nights ago and blacking out after consuming one mixed drink. 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 until now. The clinician performs a sexual assault examination and obtains appropriate laboratory studies. As part of the comprehensive evaluation and treatment, HIV nonoccupational postexposure prophylaxis (PEP) is discussed with her.
Based on existing guidelines, what is the recommended time cutoff for when HIV nonoccupational PEP should be offered following a potential exposure to HIV?

Figure 1. Algorithm for HIV Nonoccupational PEP with Possible Sexual Exposure to HIV
Abbreviation: nPEP= nonoccupational postexposure prophylaxis
Source: Tanner MR, O'Shea JG, Byrd KM, et al. Antiretroviral Postexposure Prophylaxis After Sexual, Injection Drug Use, or Other Nonoccupational Exposure to HIV - CDC Recommendations, United States, 2025. MMWR Recomm Rep. 2025;74:1-56.
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Question Last Updated
June 22nd, 2025
June 22nd, 2025
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