title: Does dropping day 5 PEP follow-up affect outcomes? An audit of HIV post-exposure prophylaxis at a central London sexual health clinic.
abstract: UK post-exposure prophylaxis (PEP) guidelines were updated by the British Association for Sexual Health and HIV (BASHH) in 2011. In 2013, we changed policy to omit day 5 PEP follow-up at 56 Dean Street as it was felt clinically unnecessary. This audit compares our performance against BASHH standards for PEP attenders during June 2012 and June 2013. We identified 162 PEP prescriptions; PEP assessment and appropriate sexually transmitted infection testing was done well. PEP completion rates and post-PEP HIV testing were lower than BASHH standards. Following omission of day 5 review, documentation that results have been checked was poor; however, attendance at follow-up was not adversely affected.
authors.affiliation: Chelsea and Westminster Hospital NHS Foundation Trust, London, UK.
authors.forename: C
authors.initials: C
authors.lastname: O'Keeffe
authors.affiliation: Chelsea and Westminster Hospital NHS Foundation Trust, London, UK.
authors.forename: N
authors.initials: N
authors.lastname: Nwokolo
authors.affiliation: Chelsea and Westminster Hospital NHS Foundation Trust, London, UK.
authors.forename: A
authors.initials: A
authors.lastname: McOwan
authors.affiliation: Chelsea and Westminster Hospital NHS Foundation Trust, London, UK gary.whitlock@chelwest.nhs.uk.
authors.forename: G
authors.initials: G
authors.lastname: Whitlock
mesh_terms: D019380:Anti-HIV Agents / Q000008:administration & dosage*; D005500:Follow-Up Studies; D019983:Guideline Adherence; D015658:HIV Infections / Q000517:prevention & control*; D019538:Health Care Surveys; D006801:Humans; D008131:London; D008485:Medical Audit; D056990:Post-Exposure Prophylaxis / Q000379:methods*; D017410:Practice Guidelines as Topic
chemical_list: D019380:Anti-HIV Agents
keywords: AIDS; HIV; High-risk behaviour; PEP; audit; follow-up; post-exposure prophylaxis; prevention; treatment