ANTI RETROVIRAL POST EXPOSURE PROPHYLAXIS TO HEALTH CARE PROVIDERS – A RETROSPECTIVE STUDY
Journal Title: Stanley Medical Journal - Year 2017, Vol 4, Issue 2
Abstract
Background Health care providers (HCP) are prone to serious occupational threats following exposure to blood borne pathogens. Post-exposure prophylaxis (PEP) is the use of short-term anti retroviral therapy (ART) to reduce the risk of acquisition of HIV infection following exposure. Aims and Objective This study is concerned with occupational exposure risk to HIV in our hospital, the most common groups affected, their knowledge about universal precautions/ the ways to minimize such exposure and the usage of PEP. Methodology A retrospective analysis of occupational exposures in a tertiary care center from Jan 2013 to Jun 2015 done among HCPs with needle prick / mucosal splash of less than 72 hrs. PEP started as per NACO guidelines and the adherence pattern and practice of universal precautions analysed. Observation In our study, PEP was warranted in 80 out of 101 exposures. Needle prick was the most common mode of exposure. Interns, lab technicians were commonly affected. Only 10.89% individuals practised universal precautions prior to the exposure. Of the recommended 82.5% completed PEP. Only 48% of those who took PEP had come for follow-up. There was no case of seroconversion in our study. Conclusion PEP is an optimal method to prevent HIV transmission among HCPs. To improve adherence, 1-stop model should be the norm for PEP provision. Similarly educating the health care providers about universal precautions and thereby the practise of it should be insisted on. Lastly, proper counselling before initiation of PEP is important for proper adherence and good outcome.
Authors and Affiliations
Manimegalai M, Kayalvizhi V A, Sarankumar S, Syed Iqbal S, Arunkumar S
Keywords
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