Does dropping day 5 PEP follow-up affect outcomes? An audit of HIV post-exposure prophylaxis at a central London sexual health clinic. (July 2015)

• Record Type: Journal Article
• Authors: O'Keeffe, C; Nwokolo, N; McOwan, A; Whitlock, G
• Is Part Of: International journal of STD & AIDS. Volume 26:Number 8(2015:Aug.)
• Page Start: 590
• Page End: 592
• Publication Date: 2015-07
• Subjects: High-risk behaviour -- HIV -- AIDS -- treatment -- prevention -- post-exposure prophylaxis -- PEP -- follow-up -- audit; Sexually transmitted diseases -- Periodicals; AIDS (Disease) -- Periodicals; 616.951
• DOI: 10.1177/0956462414547090
• Languages: English
• ISSNs: 0956-4624

Abstract

UK post-exposure prophylaxis (PEP) guidelines were updated by the British Association for Sexual Health and HIV (BASHH) in 2011. In 2013, we changed policy to omit day 5 PEP follow-up at 56 Dean Street as it was felt clinically unnecessary. This audit compares our performance against BASHH standards for PEP attenders during June 2012 and June 2013. We identified 162 PEP prescriptions; PEP assessment and appropriate sexually transmitted infection testing was done well. PEP completion rates and post-PEP HIV testing were lower than BASHH standards. Following omission of day 5 review, documentation that results have been checked was poor; however, attendance at follow-up was not adversely affected.