Non-Occupational Post-Exposure Prophylaxis for HIV: 10-Year Retrospective Analysis in Seattle,Washington |
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| Authors: | Sarah J. McDougal Jeremiah Alexander Shireesha Dhanireddy Robert D. Harrington Joanne D. Stekler |
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| Affiliation: | 1. Department of Medicine, University of Washington, Seattle, Washington, United States of America.; 2. Department of Epidemiology, University of Washington, Seattle, Washington, United States of America.; 3. Veterans Affairs Puget Sound, General Medicine Service, Seattle, Washington, United States of America.; Commissariat a l''Energie Atomique(cea), France, |
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| Abstract: | Despite treatment guidelines in place since 2005, non-occupational post-exposure HIV prophylaxis (nPEP) remains an underutilized prevention strategy. We conducted a retrospective chart review of patients presenting to a publicly-funded HIV clinic in Seattle, Washington for nPEP between 2000 and 2010 (N = 360). nPEP prescriptions were provided for 324 (90%) patients; 83% of prescription decisions were appropriate according to Centers for Disease Control and Prevention guidelines, but only 31% (N = 111/360) of patients were considered “high risk.” In order to use limited resources most efficiently, public health agencies should target messaging for this high-cost intervention to individuals with high-risk HIV exposures. |
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