Pharmacologic management of HIV/STD exposure.
Emergency physicians must be familiar with management of occupational exposures to HIV-infected bodily fluids. Victims of sexual assault also may be exposed to HIV and other sexually transmitted diseases. The Centers for Disease Control and Prevention guidelines for the management of occupational exposures include recommendations for administration of combination antiretroviral therapy to reduce the risk for HIV transmission. Antiretroviral therapy also may be indicated for certain types of sexual exposure to HIV. Drugs that are used to treat sexually transmitted diseases also may be given to prevent infection after possible exposures. This article reviews current recommendations for prophylaxis against HIV and other sexually transmitted diseases and the scientific basis for these recommendations.
Moran
G J
GJ
Department of Medicine, University of California Los Angeles School of Medicine, Los Angeles, USA.
D000818:Animals; D004630:Emergencies; D015658:HIV Infections / Q000517:prevention & control* / Q000635:transmission; D006282:Health Personnel; D006801:Humans; D009784:Occupational Diseases / Q000517:prevention & control*; D016273:Occupational Exposure; D017410:Practice Guidelines as Topic; D012749:Sexually Transmitted Diseases / Q000517:prevention & control