A 20-year-old university student presents after a needlestick injury while cleaning a bin in a public park. The source is unknown. He presents within ...

Question

A 20-year-old university student presents after a needlestick injury while cleaning a bin in a public park. The source is unknown. He presents within 1 hour. His hepatitis B vaccination is up to date with documented immunity. HIV status is unknown. What is the most appropriate management regarding HIV post-exposure prophylaxis (PEP)?

Accepted Answer

No HIV PEP is required for community needlestick injuries

Answer

Commence triple antiretroviral PEP as soon as possible

Answer

Wait for HIV testing of the source before starting PEP

Answer

Give a single dose of antiretrovirals in ED only

Answer

Delay decision until HIV serology at 6 weeks

au-amc MCQ (SBA): HIV post-exposure prophylaxis