You know how chief complaints present to the ED in multiples? In one week, I had several cases where patients were asking for post-exposure prophylaxis treatment NOT in the content of a sexual assault. I haven’t had to manage such cases in a long time and so needed to look up the recent guidelines from the CDC.1
The trick is not to forget about all the co-existing problems and infections beyond just HIV. Specifically, don’t forget about gonorrhea, chlamydia, and trichomonas.
PV Card: Post-Exposure Prophylaxis for Non-Occupational Contact
Adapted from  Go to ALiEM (PV) Cards for more resources.
- STD Treatment. Centers for Disease Control. http://www.cdc.gov/std/treatment/default.htm.
- Landovitz RJ, Currier JS. Postexposure Prophylaxis for HIV Infection. New England Journal of Medicine. 2009;361(18):1768-1775. doi: 10.1056/nejmcp0904189