Nonoccupational post-exposure prophylaxis for HIV in New York state emergency departments

Laura J. Fitzpatrick, Daniel J. Egan, Ethan Cowan, Leah M. Savitsky, John D. Kushner, Yvette Calderon, Bruce D. Agins

Research output: Contribution to journalArticlepeer-review

8 Scopus citations

Abstract

New York State (NYS) established guidelines for nonoccupational post-exposure prophylaxis (nPEP) to HIV in 1997. To assess current nPEP practices in NYS Emergency Departments (EDs), we electronically surveyed all ED directors in NYS, excluding Veterans' Affairs hospitals, about nPEP and linkage-to-care protocols in the EDs. Basic descriptive statistics were used for analysis. The response rate was 96% (184/191). Of respondents, 88% reported evaluating any patient with a possible nonoccupational exposure to HIV, in accordance with NYS guidelines. Of these, 83% provided the patient with a starter pack of medications, while 4% neither supplied nor prescribed antiretroviral drugs in the ED. Sexually transmitted infection screening, risk reduction counseling, and education about symptoms of acute HIV seroconversion were performed inconsistently, despite NYS guidelines recommendations. Only 22% of EDs confirmed whether linkage to follow-up care was successful. Most NYS EDs prescribe nPEP to appropriate patients but full implementation of guidelines remains incomplete.

Original languageEnglish
Pages (from-to)539-546
Number of pages8
JournalJournal of the International Association of Providers of AIDS Care
Volume13
Issue number6
DOIs
StatePublished - 24 Nov 2014
Externally publishedYes

Keywords

  • HIV
  • emergency department
  • post-exposure prophylaxis
  • prevention

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