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  • Title: Post-sexual exposure prophylaxis: a roundtable discussion.
    Author: Katz M, Gerberding J, Boswell S.
    Journal: AIDS Clin Care; 1998 Feb; 10(2):9-11, 16. PubMed ID: 11365078.
    Abstract:
    Mitchell Katz, Julie Gerberding, and Steve Boswell, experts involved in post-exposure prophylaxis of HIV infection, discuss using such measures to prevent possible sexual transmission of HIV infection. The risk of contracting HIV via sexual exposure is similar to the risk from an occupational needlestick injury; however, the type of sex, i.e., anal vs. vagina or insertive vs. receptive, dictates the degree of risk. Due to uncertainties in predicting the exact risk, the physicians recommend offering prophylaxis to people who have had sex with someone known to be HIV-infected or at high risk for being infected. Minimum program needs to provide effective post-sexual exposure prophylaxis are outlined, including the types of facilities best suited to treat patients. Emergency rooms are convenient; however, staff generally lack the expertise to properly treat these patients. If emergency rooms are used, follow-up should be received at other facilities, such as STD clinics. Persons seeking repeated post-sexual exposure prophylaxis should be dealt with on a case-by-case basis. The public health system or government should bear the treatment costs under the rubric of research.
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