Background Post exposure prophylaxis following sexual exposure (PEPSE) reduces transmission of HIV. BASHH updated it’s guidance on the provision of PEPSE in 2011.
Aim To review provision of PEPSE at an inner city sexual health clinic.
Method Retrospective case note review of patients attending for PEPSE between January and June 2014. Comparison was made with a previous audit from 2012; following which recommendations were made, including efforts to contact the source patients.
Results A total of 126 patients attended for PEPSE during the 2014 audit period; median age 28 years (range 17–53); majority male (93.7%); homosexual (81.0%); White British (79.4%). Baseline HIV tests were performed in 99.2%; PEPSE was prescribed in accordance with BASHH recommendations in 98.4% and 97.6% were provided <72 h. In 15.1% the source was contacted.
In comparison with our 2012 audit, there were fewer women (6.3% vs 20.6%) who accessed PEPSE and there was an improvement in PEPSE being prescribed in accordance with BASHH recommendations (98.4% vs 92.7%). There was a statistically significant improvement in the number of source patients contacted (15.1% vs 2.9%; p < 0.01). In the case of 19 patients in whom the source was contacted, 4 were able to stop taking PEPSE (21.1%).
Discussion/conclusion The number of patients accessing PEPSE has remained high and forms an important part of service provision in sexual health clinics. Contacting the source is an important step to reduce the unnecessary prescribing of PEPSE.
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