Nonoccupational post-exposure prophylaxis for HIV in New York State Emergency Departments.
Publication/Presentation Date
1-1-2014
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.
Volume
13
Issue
6
First Page
539
Last Page
546
ISSN
2325-9574
Published In/Presented At
Fitzpatrick, L. J., Egan, D. J., Cowan, E., Savitsky, L. M., Kushner, J. D., Calderon, Y., & Agins, B. D. (2014). Nonoccupational post-exposure prophylaxis for HIV in New York State Emergency Departments. Journal of the International Association of Providers of AIDS Care, 13(6), 539–546. https://doi.org/10.1177/2325957414553847
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
25294854
Department(s)
Administration and Leadership
Document Type
Article