A 33-year-old nurse sustains a hollow-bore needlestick from an HIV-positive patient (unknown resistance). Immediate baseline testing is sent. Best ini...

Question

A 33-year-old nurse sustains a hollow-bore needlestick from an HIV-positive patient (unknown resistance). Immediate baseline testing is sent. Best initial management?

Accepted Answer

Start PEP immediately with bictegravir/TAF/FTC for 28 days

Answer

Wait for HIV RNA to return before starting PEP

Answer

Start dual therapy with TDF/FTC for 14 days

Answer

Start PEP only if exposure occurred within 24 hours

Answer

Start raltegravir + lamivudine for 5 days and reassess

us-abem MCQ (SBA): Occupational HIV Exposure-PEP

A 33-year-old nurse sustains a hollow-bore needlestick from an HIV-positive patient (unknown resistance). Immediate baseline testing is sent. Best initial management?