A 29-year-old nurse sustains a needlestick injury from a patient later confirmed to be HIV positive with high viral load. She presents to ED 1 hour af...

Question

A 29-year-old nurse sustains a needlestick injury from a patient later confirmed to be HIV positive with high viral load. She presents to ED 1 hour after the incident. According to Australian HIV PEP guidance, what is the most appropriate management?

Accepted Answer

Start three-drug HIV post-exposure prophylaxis for 28 days

Answer

Reassure; no post-exposure prophylaxis is indicated

Answer

Start dual therapy with two nucleoside reverse transcriptase inhibitors for 7 days

Answer

Wait for baseline HIV serology before starting treatment

Answer

Delay until patient's CD4 count is known

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

A 29-year-old nurse sustains a needlestick injury from a patient later confirmed to be HIV positive with high viral load. She presents to ED 1 hour after the incident. According to Australian HIV PEP guidance, what is the most appropriate management?