Does dropping day 5 PEP follow-up affect outcomes? An audit of HIV post-exposure prophylaxis at a central London sexual health clinic

C O'Keeffe; N Nwokolo; A McOwan; G Whitlock

doi:10.1177/0956462414547090

Does dropping day 5 PEP follow-up affect outcomes? An audit of HIV post-exposure prophylaxis at a central London sexual health clinic

Int J STD AIDS. 2015 Jul;26(8):590-2. doi: 10.1177/0956462414547090. Epub 2014 Aug 12.

Authors

C O'Keeffe¹, N Nwokolo¹, A McOwan¹, G Whitlock²

Affiliations

¹ Chelsea and Westminster Hospital NHS Foundation Trust, London, UK.
² Chelsea and Westminster Hospital NHS Foundation Trust, London, UK [email protected].

PMID: 25122580
DOI: 10.1177/0956462414547090

Abstract

UK post-exposure prophylaxis (PEP) guidelines were updated by the British Association for Sexual Health and HIV (BASHH) in 2011. In 2013, we changed policy to omit day 5 PEP follow-up at 56 Dean Street as it was felt clinically unnecessary. This audit compares our performance against BASHH standards for PEP attenders during June 2012 and June 2013. We identified 162 PEP prescriptions; PEP assessment and appropriate sexually transmitted infection testing was done well. PEP completion rates and post-PEP HIV testing were lower than BASHH standards. Following omission of day 5 review, documentation that results have been checked was poor; however, attendance at follow-up was not adversely affected.

Keywords: AIDS; HIV; High-risk behaviour; PEP; audit; follow-up; post-exposure prophylaxis; prevention; treatment.

MeSH terms

Anti-HIV Agents / administration & dosage*
Follow-Up Studies
Guideline Adherence
HIV Infections / prevention & control*
Health Care Surveys
Humans
London
Medical Audit
Post-Exposure Prophylaxis / methods*
Practice Guidelines as Topic*

Substances

Anti-HIV Agents