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Michelle Lin's Twitter Updates

@precordialthump I totally forgot about the EKG library! Awesome stuff. Keep up the great work (when do you sleep?!) 259 days ago
@emeducation Perfect, thanks for the suggestions! Turns out one is co-authored by Jeff Tabas. He already gave them all books. 259 days ago
Recommendations for an EKG resource to review bread & butter cases for senior residents? Pre-graduation panic setting in for our residents. 259 days ago
@danipedia Good point. I use the studies to convince the trauma consults NOT to get c-spine imaging on EVERYONE (citing distracting injury)! 264 days ago
@doctorflash Hi there. Just wanted to drop a note to thank you for all the extra traffic you're sending to blog. Much appreciated!! 275 days ago
 

Paucis Verbis: Post-exposure prophylaxis (non-occupational)

Posted Apr 01 2011 12:00am

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.

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. The 2010 CDC website on STD treatment and sexual assault is here:
www.cdc.gov/std/treatment/2010/sexual-assault.htm



[ MS Word ] [ PDF ]

Reference
Landovitz RJ, Currier JS. Postexposure Prophylaxis for HIV Infection New England Journal of Medicine. 2009, 361(18), 1768-75. This article is free to the public:  http://www.nejm.org/doi/full/10.1056/NEJMcp0904189
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