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  HIV PEP Guidelines and Policy

Australian Guidelines

National Guidelines for Post Exposure Prophylaxis after Non-Occupational Exposure to HIV
These guidelines outline the management of individuals who have been exposed (or suspect they have been exposed) to HIV in the non-occupational setting. They incorporate comments received from ASHM and HASTI and have been endorsed by the ASHM Board.

Download PDF  2007 National NPEP Guidelines [174kb]
Download PDF  Literature review [869kb] for the Draft National Guidelines for Post Exposure Prophylaxis after Non-occupational Exposure to HIV as published in ASHM Journal Club
Download PDF  NPEP BBV Chart [734kb],
Post Exposure Prophylaxis (PEP
 
NSW Health Guidelines for HIV - Management of Non-Occupational Exposure
Relates to management of individuals non-occupationally exposed to human immunodeficiency virus (HIV) through the immediate delivery of post exposure prophylaxis as a prevention intervention, particularly where exposures have resulted from unprotected sexual activity and injecting drug use. (2006)

Management of non-occupational exposures to blood borne viruses

This package has been developed with a New South Wales Health Department HIV Health Promotion Grant. The package is designed to assist staff in Accident and Emergency Departments and General Practitioners to appropriately assess, treat, advise and refer patients who present after possible exposure to a blood-borne virus.
Staff members of the Albion St Centre and St Vincent's Hospital in Sydney have prepared the information in this package.

QLD Health guidelines for - Post Exposure Prophylaxis for Non-Occupational Exposure to HIV and HBV
In June 2000 Queensland Health developed guidelines for the management of non-occupational exposure to HIV and HBV. Post-exposure prophylaxis is now available to persons assessed to be at risk of HIV and/or HBV infection through non-occupational exposure. HIV post exposure prophylaxis can be accessed through S100 (HIV) prescribers, sexual health clinics and public hospitals.

SA Guidelines for the management of non-occupational exposure to HIV 
The South Australian Department of Health launched a statewide management system for HIV non-occupational Post-Exposure Prophylaxis in January 2008. This system incorporated the following: statewide distribution of 5-day starter packs, publication of state guidelines and standard operating procedures, targeted promotion to primary and secondary target groups (men who have sex with men and people who inject drugs), training of key workforce groups, notification system and an nPEP triage hotline for members of the public to undertake a risk assessment with registered nurses following a risk exposure. The system also provides advice on management of potential exposures to other STIs and BBVs.
In June 2000 Queensland Health developed guidelines for the management of non-occupational exposure to HIV and HBV. Post-exposure prophylaxis is now available to persons assessed to be at risk of HIV and/or HBV infection through non-occupational exposure. HIV post exposure prophylaxis can be accessed through S100 (HIV) prescribers, sexual health clinics and public hospitals.

In May 2005, the Department of Health WA launched a statewide campaign to: 1) raise awareness of the availability of nPEP amongst target groups, specifically to increase knowledge of how and when to access nPEP and 2) increase the level of appropriate treatment with nPEP. The ongoing campaign incorporates targeted promotion to men who have sex with men, people who inject drugs, people in serodiscordant relationships and other at risk groups; training of key workforce groups; promotion of state-based guidelines to health care providers; maintenance of a database and a 24 hour nPEP phone line for members of the public to undertake a risk assessment following a risk exposure and to be referred to appropriate services. The current Operational Directive (updated in 2007) clarifies the appropriate use and methods of access to nPEP in the Department of Health WA sites and institutions. The document supports the Australian Government Department of Health and Ageing's National Guidelines for Post-Exposure Prophylaxis after Non-occupational Exposure to HIV.

International Guidelines

Prophylaxis Following Non-Occupational Exposure to HIV
Knowledge Base Chapter (HIV InSite Published April 2002)

HIV Post-exposure Prophylaxis in the 21st Century
Emerging Infectious Diseases Vol. 7, No. 2 Mar-Apr 2001

The administration of postexposure prophylaxis has become the standard of care for occupational exposures to HIV.

We have learned a great deal about the safety and potential efficacy of these agents, as well as the optimal management of health-care workers occupationally exposed to HIV.

This article describes the current state of knowledge in this field, identifies substantive questions to be answered, and summarizes basic principles of postexposure management.
 

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