International Journal of STD & AIDS > Volume 17, Number 2 > Pp. 81-92

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BASHH guideline

UK Guideline for the use of post-exposure prophylaxis for HIV following sexual exposure

Martin Fisher, Paul Benn, Barry Evans, Anton Pozniak, Mike Jones, Suzie MacLean, Oliver Davidson, Jack Summerside, David Hawkins and Clinical Effectiveness Group (British Association for Sexual Health and HIV)

Brighton and Sussex University Hospitals NHS Trust; Camden Primary Care Trust; Health Protection Agency; Chelsea and Westminster Hospital; Royal Free Hospital; National AIDS Trust; Camden Primary Care Trust; Terrence Higgins Trust; Chelsea and Westminster Hospital

We present the British Association for Sexual Health and HIV (BASHH) guidelines for post-exposure prophylaxis after sexual exposure (PEPSE) to HIV. This document includes a review of the current data to support the use of PEPSE, considers how to calculate the risks of HIV infection after a potential exposure, and provides recommendations on when PEPSE would and would not be considered. Other areas included are the possible impact on sexual behaviour, cost-effectiveness, and issues relating to service provision. Throughout the document, consideration is given to the place of PEPSE within the broader context of HIV prevention strategies and sexual health.

Key Words: PEP • HIV • EXPOSURE • SEXUAL • BASHH

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