Nonoccupational Post-Exposure Prophylaxis for HIV in New York State Emergency Departments

New York State (NYS) established guidelines for nonoccupational post-exposure prophylaxis (nPEP) to HIV in 1997. To assess current nPEP practices in NYS Emergency Departments (EDs), we electronically surveyed all ED directors in NYS, excluding Veterans’ Affairs hospitals, about nPEP and linkage-to-c...

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Bibliographic Details
Published in:Journal of the International Association of Providers of AIDS Care 2014-11, Vol.13 (6), p.539-546
Main Authors: Fitzpatrick, Laura J., Egan, Daniel J., Cowan, Ethan, Savitsky, Leah M., Kushner, John D., Calderon, Yvette, Agins, Bruce D.
Format: Article
Language:English
Subjects:
Anti-HIV Agents - therapeutic use
Antiretroviral drugs
Counseling
Directive Counseling
Emergency Service, Hospital
Guideline Adherence
Health Care Surveys
HIV
HIV Infections - diagnosis
HIV Infections - prevention & control
Hospitals
Human immunodeficiency virus
Humans
Mass Screening
New York
Patient Education as Topic
Patients
Post-Exposure Prophylaxis
Practice Guidelines as Topic
Risk Reduction Behavior
Sexually transmitted diseases
Sick role
STD
Symptoms
Tests
Veterans
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Summary:New York State (NYS) established guidelines for nonoccupational post-exposure prophylaxis (nPEP) to HIV in 1997. To assess current nPEP practices in NYS Emergency Departments (EDs), we electronically surveyed all ED directors in NYS, excluding Veterans’ Affairs hospitals, about nPEP and linkage-to-care protocols in the EDs. Basic descriptive statistics were used for analysis. The response rate was 96% (184/191). Of respondents, 88% reported evaluating any patient with a possible nonoccupational exposure to HIV, in accordance with NYS guidelines. Of these, 83% provided the patient with a starter pack of medications, while 4% neither supplied nor prescribed antiretroviral drugs in the ED. Sexually transmitted infection screening, risk reduction counseling, and education about symptoms of acute HIV seroconversion were performed inconsistently, despite NYS guidelines recommendations. Only 22% of EDs confirmed whether linkage to follow-up care was successful. Most NYS EDs prescribe nPEP to appropriate patients but full implementation of guidelines remains incomplete.
ISSN:2325-9574
2325-9582
2325-9582
DOI:10.1177/2325957414553847