Question

A 29-year-old man presents 36 hours after a condom break during receptive anal intercourse with a partner of unknown HIV status in an urban Canadian centre with high HIV prevalence. According to Canadian HIV post-exposure prophylaxis (PEP) guidelines, what is the most appropriate management?

Accepted Answer

Offer HIV PEP as soon as possible and continue for 28 days

Answer

Reassure; no PEP is indicated after consensual sex

Answer

Wait for the source partner's HIV test before deciding on PEP

Answer

Start PEP only if symptoms of acute HIV develop

Answer

Delay PEP because he presented after 24 hours

Practice question

A 29-year-old man presents 36 hours after a condom break during receptive anal intercourse with a partner of unknown HIV status in an urban Canadian centre with high HIV prevalence. According to Canadian HIV post-exposure prophylaxis (PEP) guidelines, what is the most appropriate management?