Question | Discussion | References | CME Credit

Case 3: Management of a Needlestick Injury: Source Patient of Unknown Serostatus

You answered:

B Offer PEP only if testing of the source patient confirms that he is HIV-infected.

This answer is incorrect. Because PEP is thought to be more effective when administered sooner than later, decisions about the administration of PEP should not be deferred pending ascertainment of the source patient’s HIV serostatus, unless this can be accomplished in less than 1 hour.

Choose another answer:

A Do not offer PEP because the source patient is not known to be HIV-infected and the mechanism of injury is low-risk for HIV transmission.
C Offer PEP if rapid testing of the needle that caused the injury suggests the presence of HIV.
D Offer PEP with zidovudine plus lamivudine (Combivir) and perform HIV testing on the source patient as soon as it is possible.

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