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Case of the Month: PEP Management and Kidney Disease

Case Summary The Clinician Consultation Center received a call from an occupational health provider caring for a physician who had just been stuck with a needle used to perform an arthrocentesis on a known HIV-positive source patient (SP). The SP was taking combination antiretroviral therapy which consisted of co-formulated abacavir/lamivudine (Epzicom®) and efavirenz (Sustiva®). The […]

PEP Tips: Follow-Up Testing One Year After an Exposure

PEP Tips: Follow-Up Testing After One Year There is only one scenario for which HIV antibody testing of the exposed patient is warranted at one year post exposure. If the exposed patient seroconverts to HCV Ab-positive and has sustained an exposure to a source patient who is known to be HIV-HCV co-infected, the exposed patient […]

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Case of the Month: Exposure Management: Labor and Delivery and Breastfeeding

Case Summary The Clinician Consultation Center received a call from a nurse on labor and delivery (L&D) who was preparing to admit a woman who was actively in labor at 41 weeks gestation. From review of the chart, the patient (who is also a healthcare provider) sustained a needle-stick five to six weeks ago from […]

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PEP Tips: Baseline Testing

PEP Tips: Baseline Testing If the exposed patient decides to take PEP medications, the CDC recommends a complete blood count (CBC) and renal and hepatic function tests at baseline and two weeks into treatment. Reference: Updated US Public Health Service Guidelines for the Management of Occupational Exposures to Human Immunodeficiency Virus and Recommendations for Postexposure […]

Case of the Month: Considering PrEP for Sero-Discordant Couples

Case Summary The Clinician Consultation Center received a call from a primary care provider regarding a 34-year-old man who was evaluated in the emergency department three days earlier for a non-occupational exposure after the condom broke during intercourse with his HIV-positive female partner. The patient has completed three days of post-exposure prophylaxis (PEP) medications without […]

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HRSA’s Ryan White CARE Act Turns 25

Today marks the 25th anniversary of the Health Resources and Services Administration (HRSA) HIV/AIDS Bureau’s Ryan White Comprehensive AIDS Resources Emergency (CARE) Act. The anniversary’s theme is “Moving Forward with CARE: Building on 25 Years of Passion, Purpose, and Excellence.” HRSA has been a leader in providing support for HIV care since the beginning of […]

PEP Tips: Exposed Patient Testing

PEP Tip: Exposed Patient Testing The 2013 CDC occupational guidelines state that when the source patient is HIV-positive or of unknown status, the testing of the exposed patient should consist of: HIV Ab test at baseline, 6 weeks, 12 weeks, and 24 weeks after an exposure. If the clinician knows that a 4th generation HIV […]

Case of the Month: Simplifying ARV Regimens, Pt. II

Case Summary This case is continued from a previous case. See Part I here. The Clinician Consultation Center received a call from a new infectious diseases provider in Texas about a 50 year-old patient who was newly referred to her for care. The patient was diagnosed with HIV in 1990, and has been on multiple […]

Updated Perinatal HIV Treatment Guidelines

The HHS Panel on Treatment of HIV-Infected Pregnant Women and Prevention of Perinatal Transmission has released updates to its Recommendations for Use of Antiretroviral Drugs in Pregnant HIV-1-Infected Women for Maternal Health and Interventions to Reduce Perinatal HIV Transmission in the United States. New information on HIV in pregnant women, preconception counseling and care of […]