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Archive by Author
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 […]
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 […]
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 […]
World Hepatitis Day and the CCC
July 28, 2015 marks World Hepatitis Day, a campaign to help raise awareness about prevention, testing, and treatment of hepatitis. This last year has been a time of rapid and exciting change for hepatitis C treatment in particular, with faster, simpler, and more effective courses available for curing the disease in some patients. Over the […]
PEP Tips: Found Needle PEP
Welcome to the CCC’s new monthly web series, PEP Tips! PEP Tips feature brief advice, recommendations, or options on post-exposure management topics that CCC consultants encounter on our PEPline. Looking for additional online resources on potential bloodborne pathogen exposures? Check out the PEP Quick Guide, the CCC’s at-a-glance guide for urgent post-exposure decision-making. PEP Tip: […]